Datasets:

ophycare

/

chatdoctor-dataset

like 2

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am 53 years old, and have quit smoking 19 years ago. I still have a chronic cough. Each specialist tells me something different. The pulmonologist told me it was asthma, and another doctor said it was acid reflux disease. Now they are telling me it is COPD. I do not have diminished lung capacity or problem in breathing, no wheezing, out of breath when I run but, I am overweight and out of shape. What do you think? ### Response: Hello. There is not much of difference between asthma and COPD (chronic obstructive pulmonary disease). COPD is usually seen in a person who has smoked a lot while asthma is seen from childhood, which is not in your case. Acid reflux can cause prolonged duration cough, but it shall subside very well once treated for acid reflux. But in your case, it has persisted. So it has to be either COPD or infection of the lung. I would have favored COPD if you were investigated for Infection and found nothing. Hence I recommend specific tests for evaluating infection as the cause. Kindly get the following test done and revert with reports. CT chest, BAL microscopy (bronchoalveolar lavage) and culture, ESR (erythrocyte sedimentation rate), Montoux test. I hope this information was useful for you. Any clarification feel free to ask.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I had nonpenetrative sex with my partner. He did not ejaculate, but a kind of sticky lube came from his penis which he wiped with his hand and then rubbed his hand in the bedsheet. After that, he used his hand in my private areas. I am afraid that I might get pregnant. Please help. ### Response: Hello, Welcome to Sadiq forum. There is a possibility that you may get pregnant with pre-ejaculate fluid itself if you were in a fertile period, as precum also contains sperms. It is better advised, that you should opt for an emergency contraceptive pill like an i-pill within next 72 hours to avoid the chances for unplanned pregnancy.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I have peeling lips for past one year. It started over last winter when I applied moisturizer. Even after I stopped applying the moisturizer it is peeling still. I went to a doctor and he gave me a vitamin tablet. But, I did not get any cure with that. Then I visited a dermatologist and he gave me Tacrolimus ointment 0.1% and no improvement with that too. Now he has given me the same ointment along with tablets Medrol, Biotin and Celin. Now I feel it has progressed to my upper lip also. Could you please tell me how to cure this? I am so desperate for this to be over. I am under lot of stress because of this. By the way the time when it started, I was under stress. I have searched in internet and I found that many people have been having this problem for many years. Some cured with anxiety medication and some by leaving alone. What shall I do for this? ### Response: Hi, Welcome to Sadiq forum. I have gone through your history and can very well understand your concern. Kindly revert back with the answers to the above questions to a dermatologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am a 21-year-old female. I have preauricular pits, that have drained smelly discharge ever since I was born. I have them in both ears. The right does not drain often. The left drains every day more than once a day. The left has become really swollen and painful recently. I am not sure of what to do because I now understand that the discharge means it is infected and it is hard for the surgery, if infected. Plus they have been infected for so long. I have also read that after surgery, it could reoccur. ### Response: Hi, Welcome to Sadiq forum. Let me answer your query in parts. It is a developmental anomaly, a branchial cleft anomaly. Once we remove the whole sinus tract, it does not recur. To see till where it extends one must do a fistulogram scan. When infected we do not do surgery. We do culture sensitivity and institute appropriate antibiotics and clear infection and plan for surgery later. It is a curable problem. Do send us a picture of the ears both sides and send to me.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I was on a course of Deviry 10 mg for 5 days as I missed my period last month but I am not pregnant. How many days does it take to get my period now? ### Response: Hi, Welcome to Sadiq forum. It will take a week or so to get back your periods. So relax and do not worry. Do not take any medication without an expert advice. However, if you have a doubt then get back to me. Take care. For more information consult an obstetrician and gynaecologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I had a cavity in the tooth. The X-rays show it was small but when the dentist drilled the nerve got exposed and is telling me I need a root canal along with crown. He has put a temporary filling for now. How do I know if I need a root canal for sure? ### Response: Hi. If the nerve/pulp of the tooth is exposed, there is no other course of treatment except root canal treatment. You can confirm the same using x-ray, IOPA of the tooth. If no treatment is continued or a permanent filling is placed, the tooth will continue to experience pain. The infection will spread deeper to the root and might even cause an abscess. So, it is very important to continue with the treatment. You can send a picture of x-ray to confirm about the necessity of treatment. For more information consult a dentist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,My mother was diagnosed with breast cancer early this year. She underwent MRM surgery and now undergoing chemotherapy. Her age is 57, and the doctor advised for eight cycles of chemotherapy. Now she completed five cycles, and now the doctor had advised 17 more injections for hormone blocking. We find 17 more injections are too much and will be highly stressful for my mother. Could you please suggest an alternative treatment.I have attached a few essential reports for your reference. Please let me know if you need any more details. ### Response: Hello. Her cancer will be her 2 neu positive, in this scenario, it is mandatory to give 17 injections of Trastuzumab, otherwise chances of recurrence are high. As far as cost is concern, you can get some other way, like hospital cost is very inflated, get it administered at a small center, you can get injections from wholesale yourself, and you can go for generic Sadiq. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,If both the testes experience a reduction in blood supply (and thus oxygen and hormones), in the long run will it increase the risk of more spontaneous mutation present in sperms as lesser blood supply will affect the DNA replication and repairing ability of spermatogonial cells? ### Response: Hello, Welcome to Sadiq forum. I have gone through your query. What you have mentioned is theoretically true, however reduction in blood supply and hormones will lead to atrophy of the testis and a decrease/ absence in sperm production eventually. Also right now it is clinically impossible to assess the presence of specific mutations in single sperm. What is measured is indirectly the levels of DNA damage. For more information consult an an Sadiq. Sadiq/ask-a-doctor-online/an

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,My chief complaint is severe lower back pain and pain in upper thighs. My medical history is as follows. Carcinoma of the breast three years back, followed by surgery, chemotherapy, and radiotherapy. I am on Tamoxifen for past 3 years, and now I am taking Arimidex. I have been suffering from osteoporosis for over 7 years. Before six years, I had severe osteopenia with maximum bone loss of 21% on L3 and spine, ribs, trunk, and arms with more on the left side.I had undergone the following investigations. Before three years, I had FNAC which showed invasive ductal carcinoma, right breast ER+, PR+, Hercep score "0." Last month, I had an x-ray and MRI, which showed focal altered marrow intensity lesions seen in B/L pelvic bone, sacrum, and left upper femoral shaft consistent with metastasis. I also had a PET scan which showed metabolically active ill-defined lytic destructive lesions in post cortex shaft of left femur, right inferior pubic ramus, B/L iliac bones, sacrum, D5, 7, 11 and L1, 4, sternum, right 3, 5, 7 post ribs with mid-right paravertebral soft tissue lesion at D7 level likely metastasis. ### Response: Hello, Welcome to Sadiq forum. I do not have full information regarding the case from your query. The conclusion I can make from the information which you have given is that the patient has bone metastasis only. The treatment for such a case is a change in hormone therapy. Your medication has already been changed from Tamoxifen to Arimidex. I do not know since how many days or months you are taking Arimidex. Has it made any difference in intensity of your back pain? You also need to take Zole Sadiq. This also helps in bone metastasis. You also need adequate pain medications, maybe Morphine preparation to control your pain.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,Kindly provide me some information about the keto diet.1. Is it safe? Or unsafe?2. Is it a good way to lose weight? Or a terrible way to lose weight? ### Response: Hello, Welcome to Sadiq forum. Keto diet is a diet alteration with an increase in fat and protein and a decrease in carbohy Sadiq. These diets were altered to treat epilepsy. This diet will help to manage the weight reduction as it substitutes while changing the metabolism and force to work for with stored fat. When the body utilizes stored fat, weight reductions are visible, but it is not suitable for long term as it has the own problems. A short period of three months course will increase protein as well as helps to manage the deficiency and increase the stamina with proper weight reduction.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I would like to get a third opinion in regard to categorizing which uterine abnormality I possess. The initial doctor said it is arcuate. My current doctor thinks it is bicornuate but I am going to do a 3D ultrasound in the middle of my next cycle to get a better idea. I have MRI and hysteroscopy photos to provide. I have had two missed miscarriages, the last one hemorrhaged two days before going septic and sent me to the ER for five days. I have also been diagnosed with a placental site nodule on my right side where both pregnancies have been. Could my problem be surgically corrected?Currently, we are going through genetic, blood clotting disorder, and menstrual cycle/hormone monitoring. Genetic counselor said low risk for any genetic causes but is still waiting to complete the blood tests which should be done in four weeks, same for the blood clotting tests. ### Response: Hello. Having gone through the MRI pelvis and hysteroscopy pictures (attachment removed to protect patient identity), it is evident that you have a bicornuate uterus with a single cervical opening and it is not a septate uterus or an arcuate uterus. Two different horns of uterus are evident on MRI (magnetic resonance imaging), indicating the bicornuate abnormality. The option which you have is called Straussman\s operation where both the horns can be cut in the centre and joined to make a single uterine cavity. You may discuss the option with your gynecologist and make a decision.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am a 20 year old female. I have too much dry skin. I mean extra dry skin. I use almond oil and moisturizing soap, but it is not effective. ### Response: Hi, Welcome to Sadiq forum. The skin has to be moisturized well soon after a shower. Use a moisturizer which has ceramide in it like Eucerine moisturizer. Apply to body as soon as you come out of a shower. Continue using a moisturizing soap. Avoid hot shower, use warm water. Sadiq. The common cause of

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I have a squint in my right eye and it has moved outwards. I do not have a proper vision in my right. I cannot see clearly through my right eye; even I recognize thing pretty hard. I want to know whether it can be corrected, so that both my eyes work together. I am confused as I am now 26 years old. Is the correction going to be difficult at this age? I am looking up for a second opinion from you. Thank you. ### Response: Hi. I have gone through the pictures of your eyes (attachment removed to protect patient identity). Revert with reports to an eye care ophthalmologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am a 42 year old woman. Can I still conceive? Also, can I conceive twins without any risks? ### Response: Hello. How are you doing? Do not lose hope, there is a solution for every problem. Hope I have clarified your query. Do write back. All the best. For more information consult an infertility specialist online Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am a 28-year-old man with very less facial hair. Recent blood check-up shows that my DHEAS value is 195.9. Insulin check-up indicates that there is a high chance of becoming a diabetic patient. My doctor suggested me Ashwagandha, and I have been taking it for a month (two capsules per day). Not much gain. So, I would like to take DHEA supplements for beard growth, is it fine? ### Response: Hello, Welcome to Sadiq forum. I think it is very normal to have less hair on the face. Even if you have little hairs, it is normal. Do not worry about your DHEAS level. You should not be taking any hormonal treatment unless it is required and so you can consult an endocrinologist for it. If you have normal sexual functioning, you should not worry about it. If it bothers you too much, you can ask a hair transplant surgeon and get a nice beard transplant. Focus on a healthy diet and regular exercise.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am a 21-year-old male. I am having a burning sensation and redness in my scrotum. I consulted two doctors from the same hospital. The doctor diagnosed it as scrotal dermatitis. The first doctor prescribed the following: Motimesh cream (to be applied at night) for 10 days, Abzorb Dusting Powder to be applied morning for 15 days, Atarax tablet to be taken at night for 10 days. After taking this course, after 15 days the itching was gone but still there was considerable burning and redness and irritation. So, I visited the hospital again and the following course was prescribed: Venusia max cream to be applied morning and afternoon, Dazit tablet to be taken at night for 10 days, Desowen cream to be applied at night for 10 days. Now, this course is also done and though there is a considerable improvement I am still having little redness mostly on one side of the scrotum and also some burning sensation. Kindly help me from this irritation. ### Response: Hi, Welcome to Sadiq forum. I have gone through your complaints and reviewed the attached photograph (attachment removed to protect patient identity). It seems to be red scrotum syn Sadiq. It is a chronic disease characterized by redness and burning on the scrotum. If I was your treating doctor, I would recommend you to take capsule Doxycycline 100 mg once daily at bedtime, tablet Gabapentin 300 mg in the morning and tablet Levocetirizine at bedtime. Along with this application of Tacrolimus 0.03 percent ointment on the affected areas at night and moisturizing cream during the daytime. Continue this for three weeks and revert. For more information consult a dermatologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am a female, 58, 5\10", 239lbs. I am having nausea every morning. It comes and goes during the day. I also have black stools, belly pain, and gas. I am on Lexapro 10 mg, Pramipexole 3 mg, Lamotrigine 25 mg twice daily and 200 mg once, Meloxicam 15 mg, Metformin 500 mg, Gabapentin 300 mg, and Atorvastatin 40 mg. ### Response: Hello, Welcome to Sadiq forum. Your symptoms are suggestive of upper gastrointestinal intestinal bleed. Please stop Meloxicam 15 mg tablet immediately. I suggest you take proton pump inhibitor medication like Omeprazole 40 mg tablet straightaway and take preferably cold water. Please check with an accident and emergency department for further care for intravenous proton pump inhibitor, antiemetic medications, and further lab investigations such as complete blood count, bleeding and clotting time, prothrombin time with platelets, APTT (activated partial thromboplastin time), INR (international normalized ratio), stool for occult blood, ultrasound abdomen, complete liver function tests to assess the extent of blood loss through stools. In case of evidence of ongoing bleed, you will require packed cells and urgent upper GI endoscopy for diagnosis and stapling of bleeding esophageal varices. Do not take Aspirin tablets or any other painkillers as they can worsen bleeding inside the gut. Stop alcohol, spicy diet, coffee, and tea. After emergency treatment, I suggest the long list of medications be reviewed to see whether it can be simplified. For more information consult a general practitioner online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I took the first abortion pill but until now, I did not get bleed. What is the reason? ### Response: Hello. It is really a very short description of your concern. It would be better if you would send me your detailed gynecological, menstrual, obstetric, medical and other histories. Which pill have you taken and how much dose? Had you confirmed your pregnancy status before having the pill? If not, have serum beta hCG (blood pregnancy test) to have a clear idea about your pregnancy. On which date have you taken the pill and what was your last period date? If pregnancy is confirmed and it is early pregnancy, emergency contraceptive pills give with Sadiq. Kindly send me your details so that I can guide you. In case of a positive pregnancy test, check again the level of beta hCG after 48 hours from the previous test. It will give us a clear idea about pregnancy progression or the effect of the pill on it as well. If the second level comes less than the previous it is a miscarriage. If the second level shows increase more than 60 % then it is a normal growing pregnancy. If the second level shows less then 60 % increase it is alarming and you need a transvaginal scan to exclude pregnancy outside the uterus (ectopic pregnancy). In case of pain, bleeding, dizziness with a positive pregnancy test, better to report to a tertiary care unit. For more information consult an obstetrician and gynaecologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am a 23-year-old male. I have no symptoms and I am not taking any current medication. Three years ago I once went to the hospital because I felt my heart was beating really fast, and they did some EKG scans and a blood test on me saying that everything is normal. They also gave me the Holter monitor and when they checked the results they said this was normal. I do not smoke or drink alcohol maybe three times a year I will drink. I used to do some shisha but that has stopped for the past three years.Since then I have never been to a hospital for the health of my heart. However, since then, my heartbeat has just been higher than everyone else but I do not get headaches or any other symptoms. I used to stress a lot. However, things are going well now and it has cut down. I wake up at times during the night but fall back asleep very easily. I have done gym and dance classes for over a year and I feel fine when working out.I went to the GP just a week ago due to my girlfriend having some concerns. I asked them to do a regular check and they said my heartbeat at that moment was 98 and he said this was fine. However, my girlfriend gets really worried about this and feels that something will happen to me. She just needs some medical advice in order to get her the assurance. She has been checking online for some answers and it is said stuff like arrhythmia, tachycardia, etc. She also says that the normal is between 80-100 bpm and why is mine on the top end? Is it a serious cause? Or does heart and pulse rate vary? Also, I have been checking the prevalence of heart diseases, etc., online and it is very rare for someone at my age. What more should be done? ### Response: Hello, Welcome to Sadiq forum. Palpitations or the feeling of fast heart beat is an extremely common symptom. I understand your GP has done the usual tests and has reassured you. I would need a bit more history. Have you fainted anytime? Have you got your thyroid functions checked? Do you have history of any family member dying suddenly, like in sleep? Is your blood pressure normal? If none of the above mentioned problems are there it is likely that your symptoms are benign. Just watch out for fainting episodes. The heart rate you mentioned is perfectly normal. The best way to get your heart rate even lower is to exercise regularly, athletes have very low heart rates. Also, you have to ad Sadiq. Only if the palpitations are really persisting and are really disabling we need to do further tests.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,The patient is suffering from loose motions. Kindly help me to deal with it. ### Response: Hello. How many motions are you having in a day and since how many days? It is likely to be enteritis. Most importantly have ORS (oral rehy Sadiq. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am a 25-year-old male. I have only one testis. I have sexual feelings as a normal man would do. I am masturbating about once every week. Will a single testis cause any problem in the future? Recently, I had my first sex with my partner. At that time I was tensed and also had difficulty while penetrating her vagina. Please help. ### Response: Hello, Welcome to Sadiq forum. It appears you are having a condition called cryptorchidism in which one of the testes is not present in the scrotum. There could be one of the two possibilities, either your testis has not developed at all or it has developed normally but has failed to move into the scrotum. At your age, if your sexual desire is normal and your secondary sexual characteristics like facial hair, pubic hair growth is normal then your testosterone production is normal. Your reproductive ability will depend on the number of sperms produced by your normal testis. I would suggest you visit your local urologist for a complete evaluation and identify the type of cryptorchidism you have. For more information consult an an Sadiq. Sadiq/ask-a-doctor-online/an

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,Please explain about the causes of the IBS. How can it be managed? Please advice. ### Response: Hi. The exact cause of irritable bowel syn Sadiq. The other causes are stress, anxiety, hormone changes, genetic factors, and infections such as salmonella. Treatment depends on the cause. We can do a blood test, hormonal test, coproculture, thyroid function test, colonoscopy, and test for celiac disease to identify the cause. After seeing the results, proper treatment can be planned. Stop taking caffeine and alcohol. Avoid eating fatty foods. Eat a fiber diet. It helps to get relief from constipation.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,When I was opening a powerful glue bottle, two small drops of glue went into my left eye. After two months, I observed black spots on the whitish part of my eye. Please help. ### Response: Hi. The cause of black spots may since childhood just like moles on the skin. Most probably they are not related to glue. Need an eye checkup once. Please do safety measure while dealing any such thing or any chemical. Use protective glasses. If any accident happens, then first of all wash your eyes with water as early and as much as u can and go to doctor. Revert back with the photos to an eye care ophthalmologist online.- Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am a 22 years old woman. My period got delayed by 20 days. I had intercourse with my partner. I have mild pain in my abdomen and there is brownish vaginal discharge. I took urine test and a faint pink line along with a strong pink line appeared. Am I pregnant? If so what medication should I take to avoid pregnancy? Also, if I take a blood test now, will it be more accurate? ### Response: Hello, Welcome to Sadiq forum. A faint pink line does not confirm pregnancy. The dark line is for control. As your period is late by 20 days both lines should be dark, you can repeat the test after five days but if you have too much pain then you will need to do ultrasound test of the pelvis or transvaginal ultrasound. Without confirming or excluding pregnancy no medicine should be taken, it may harm you. Also, if the beta hCG level is in the pregnancy range then it will confirm. Otherwise, you will need to repeat the test after two days to see if the level is rising or not. That will be more accurate. For more information consult an obstetrician and gynaecologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am a 19 year old girl. I have a very stupid habit that has caused a lot of problem for me, I have met a lot of psychologists, but I could never talk about my exact problem with them. It seems to be a ridiculous problem, but I ask your sincere help. When I was 15 years old, I watched a romantic movie which caused my problem, since then I made an imaginary life with an imaginary man in my mind. I have got involved with this problem for years. When I was a child, I had difficulties which I could not solve at that time, so I started fantasizing and tried not to involve myself in real life\s problem. But then, there was no love in my imagination, I was a very happy successful girl, and I was a famous, respectful person.But after I got defeated at a state level game, I understood that I am not intelligent enough to achieve such goals, I was so depressed with no enthusiasm in studying. I got to know about sex and intercourse, I was confused and hated my gender, I thought of changing my gender. I had depression, and I was so disappointed about life. Then I started to imagine a man who lived with me, and I loved him so much. Instead of facing my life problems, I used to fantasize about him. From last year I have imaginary sex with him.The problem I have is that my life is interrupted by my imagination. I cannot deal with other students, especially boys. I have lost my confidence, do not have the enthusiasm to study. I cannot focus when I am in the class, and I do not take any efforts to solve my problem. I just keep imaging a peaceful life with no problems, sometimes when I cannot control my anxiety and stress, I start having sex in my mind. I do not know what to do, and I want to stop this imaginary life. How do I stop this imaginary life and love? I know this man is not real, and whenever my imaginary life becomes sad, it has an influence on my real life. I currently take tablet Levebel 500 mg, two tablets a day. ### Response: Hi. Thanks for sharing your problem with me. I can understand your problem. You have given a complete elaborated history regarding your problem. Hope my answer helped you, and feel free to ask whenever you need my help.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I and my partner had healthy sex. The next day she had periods and after six days we had unprotected sex due to which she had taken i-pill on that evening. Two months passed she still did not get her periods. I am worried. Please suggest any solution. Two years back also she has taken i-pill. This is the third time she is taking. Is it possible that she may not have periods for the whole life? Please help. ### Response: Hello, Welcome to Sadiq forum. It is unlikely to be caused by i-pill. Does she has any underlying periods problem? It is probably not a permanent problem and she will have her periods soon. At this stage, we first need to rule out pregnancy. She should undergo a urine pregnancy test twice at an interval of 12 hours for confirmation. If it is negative, then she will need a detailed evaluation of the cause. She will need ultrasound pelvis for uterus and ovaries, and hormonal profile like thyroid function test, serum FSH (follicle-stimulating hormone) and LH (luteinizing hormone). She should visit a gynecologist once for examination and for these investigations. Medicine could be initiated after ruling out the pregnancy and finding the cause. I hope this helps.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,My mother has abdominal tuberculosis, duodenum stricture, and obstruction in rectosigmoid and distal sigmoid colon. She does not take any food, not even liquid food. And she does not pass urine and stools from the past four months. Please help. ### Response: Hello, Welcome to Sadiq forum. Hope I answered your query. If you have any further doubts, I would be happy to help you. For more information consult a surgical gastroenterologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,Can a possible wisdom tooth cause neck and arm pain? My tooth hurts on the same side as neck and arm. ### Response: Hello. It is not possible. It may cause some throat pain but not arm pain. Maybe you have muscular pain. Just take rest and if your wisdom tooth is not in good condition then it is better to get it removed because it has no use in real world. And if you have any neck stretch then just apply warm water bag and see if there is any change. You can try mouth rinse of salt and lukewarm water for good results. For more information consult a dentist onlline

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am a student and I have been good at studies always. And I want to be a doctor but I somehow could not manage to get a seat in government medical college. I did not work hard enough. I am 21 now. My parents are very supportive and I am preparing for exam. But I am really scared of everything. I know I am stronger than this but how can I stay calm and happy during this process? ### Response: Hi. I understand your problem. It is actually very tough phase. But all you need to do is gather yourself back, tell yourself that you can and will be able to do it. Try this. Make a full-proof plan. Executive with full motivation. If you feel that there were some mistakes you did in the past, then rectify them. Do not give up. Study in group or in library if you cannot study alone or get distracted. Make short term plans. You can have one or two counseling sessions if you want. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I have bitten an olive pit accidentally, and now, one of my front teeth is moving. There is no pain, and I have a slight sensitivity to cold and hot foods. But now I cannot bite anything using my front teeth. Please advise. ### Response: Hi, Welcome to Sadiq forum. It is a case of mobility due to trauma on the teeth. The sensitivity and mild pain are due to inflammation around the teeth. Follow these medications. Take tablet Acelofenac 100 mg along with Paracetamol 500 mg two times a day for five days. It reduces the swelling, and it helps to stabilize the teeth back in the socket. If it is not more mobile, then it will get healed soon within 15 days. If it is fractured or more mobile, then you may need other procedures like splinting using wires to fix the teeth. If it is broken anywhere, then you may need RCT (root canal treatment).

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I had a strange ECG from my watch. No one else looks like mine, and my primary doctor said that it is anxiety. ### Response: Hello, Welcome to Sadiq forum. I have thoroughly gone through the ECG results there are no specific changes that would indicate any pathological change. ECG results might show different shapes and morphology, but it does not necessarily mean it is abnormal. I have to ask what are you doing about your weight? You are overweight, and it puts you at risk for cardiovascular disease. I hope you have put in measures to help reduce your excess weight like dieting and exercise.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am a 30-year-old female. A thyroid profile done recently shows the TSH at 1.95, T4 at 13.9, and T3 at 113. I am on Eltroxin 100 mcg and folic acid. I am planning for pregnancy. Please advice. ### Response: Hello. I just read your query and from what you have mentioned it appears that you have hypothyroidism (an underactive thyroid disease). From the reports (attachment removed to protect patient identity) you have mentioned, the hypothyroidism seems to be well controlled. I suggest that you continue with the same dose of Levothyroxine tablet till the time you conceive and then once you are pregnant, then you can repeat the same tests and we can manage your dose accordingly. Wish you good luck and hope you found my advice beneficial. For more information consult an endocrinologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,Hair loss. I want to increase my hair. In some areas, hair is not coming. Please suggest something. ### Response: Hi, Welcome to Sadiq forum. How are you? I hope your health condition is good. I have read your problem and have seen attached picture carefully (attachment removed to protect patient identity) and you mentioned that you have tried 2 % Minoxidil. Now you want to know how to improve or grow more hair in some area (shown in picture). There are some options: PRP therapy, oral Finasteride, increase the strength. Your hair fall pattern seems to be like An Sadiq. The strength of tropical Minoxidil should be increased. Besides this, you can take oral Finasteride. But there is some side effect such as deterioration of sexual function but this problem is reversible, that means when you stop the

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I have had every STD screen known to man and kidney function tests, my urine is foul smelling and dark. This has been an ongoing issue for a year and it has started to affect my life. I have tried everything. Antibiotics, hydration, douche, apple cider vinegar, AZO pills, yeast infection drugs, UTI drugs. ### Response: Hello, Welcome to Sadiq forum. Foul smelling and dark urine is indicative of cystitis with highly concentrated urine. If there is no blood or hematuria then renal pathology is unlikely or calculus. You need to take at least 3 to 4 liters of water daily and foul smell is often vaginal and not in urine. You may be suffering from bacterial vaginosis causing a foul smell. Avoid using soaps in the genital region while bathing, use vaginal alkaline washes.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I have had four follicles ruptured from my left ovary and one from the right. I have had IUI back to back for two consecutive days. But my major concern is I have a unicornate uterus with a left rudimentary horn. I recently had lap because I had a cyst on my right ovary. The doctor says I have been ovulating perfectly every time. I am depressed abt the fact that left tube is absent but four follicles ruptured on the same side. Please give me some hope of getting pregnant. The endometrium lining is 9 mm which the doctor said is very good. And, this is my first IUI after lap. ### Response: Hello, Welcome to Sadiq forum. How are you doing? I do not see any reason for you to worry. The movement of egg into the fallopian tube is chemically controlled or attracted. So, no matter which tube is open or blocked, the egg falls into the peritoneal cavity or the space around the uterus. Then, it will be obviously sucked into the open tube. So, you have definitely a chance of pregnancy. Your doctor will have more job to do only after you get pregnant, with lots of close monitoring and medications. Your chances of getting pregnant are on par with any other lady. So, just hope for the best and pray well. All the best. For more information consult an infertility specialist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am a boy, 18 years old. My right knee has clicking sound without any pain. Please help me out of this. Is this symptom of any big disease? Tell me some things to cure this. ### Response: Hello, Welcome to Sadiq forum. You have what sounds like Chon Sadiq. You will need to do a regular exercise of the knee and stretches of the hamstrings and most problems resolve once you stop growing. No need to get tensed up. For more information consult an orthopaedician and traumatologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor, My infected sebaceous cyst has burst 10 days back and daily dressing is being done by professional. I was on antibiotics but the course is over. What should I do next? I do not want to go to the hospital and get the surgery done. Since more than ten years two cyst was there and of late it merged intoone.May be in the second week of last month, I started getting an itching sensation andthe place becoming red and after a few days it burst. Since then regularly it is being dressedwith the removal of pus. It has created a deep hole. Please help. ### Response: Hello, Welcome to Sadiq forum. Do not worry, I will solve your problem. Wound healing is a very common problem in diabetic and hypertensive patients. Even when they are controlled I will advise you treatment with some basic precautions and investigations. Check your blood sugar levels regularly. Pus is still present so the antibiotic course is required for further five days. I will advise you some Sadiq. Wound

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I suppose to get the sleeve bariatric surgery and I was taking Adepix and I stopped it a week ago. My surgeon told me he thinks I have to be off Adepix for three months before surgery. I only took it for three weeks. Is this true? He said it may interfere with anesthesia? ### Response: Hello. I understand your concern about your health condition and possible issues related to Adepix. Adipex is Phentermine which is Nora Sadiq. But as per the literature and evidence, stoppage of medicine one week before surgery is usually recommended. So I do not think it should be a problem during surgery. For more information consult an anesthesiologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,About four weeks ago, my right testicle started moving in an uncomfortable (not painful) way. I had a torsion and surgery to stitch down (both) 2.5 years ago. I went to the first doctor and he tried me on muscle relaxants, nothing changed so he referred me to a specialist. The specialist had a quick feel and then told me it was normal, that I should not worry and that I would have to get used to it. He also implied it has been happening since the operation and I just did not notice.There is still no pain, only discomfort (it varies) normally when I walk. I think that my right testicle is a tiny bit swollen and slightly squishier than my left and while I could live with this, I really do not want to. Though I have suffered no injuries to my testicles recently, I actually think that one of my stitches has come loose as I can feel the end on the stitch lump where I could not before. I am 88 kilos and have lost 12 kg over the last nine months. I have have been running more frequently for about eight weeks. I am 24 years old. ### Response: Hi, Welcome to Sadiq forum. I have gone through your query. From your symptoms, it could possibly be that you have a case of a repeat of your torsion which is usually not common after surgery or a case of testicular pain syn Sadiq. Normally, a detailed clinical exam to identify any other causes like a hernia or varicocele or hy

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I weaned off of 40 mg of Paroxetine very slowly but my sleep was impacted and as of two months, I have been suffering from extreme insomnia. I have gone back to medication and I am currently on 20 mg of Paroxetine and 10 mg of Fluoxetine, but my insomnia has continued. I was prescribed Ativan (0.5 mg) for sleep, and it sometimes helps, but not always. Even if I take a bit more (I have taken up to .75 total), it does not always help me sleep. My psychiatrist prescribed Trazodone (she suggested I start at 25 mg and if I feel no effect, to take another 25 mg/ go up to 50 mg in one night (but I am concerned about serotonin syndrome from taking another medication that messes with Serotonin). Can you advise if I should be concerned about serotonin syndrome if I take the 25 (or 50) mg of Trazodone? Additionally, should I be concerned about anything else in terms of taking these three medications together? ### Response: Hello. Serotonin syn Sadiq. At least not when you have already been taking 40 mg of Paroxetine for years. Also, Trazodone is a safer and better sleep-inducing agent when it comes to being used for sleep. As per my knowledge, in fact, these two Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am 24 and having an active sexual life. I have two questions. First I have noticed that my performance is erratic as in there are times when I can last 5-6 minutes and then the very next day it can go to 30-35 minutes. It is different with different partners. Second and more alarming is that I have been experiencing a stinging pain in my scrotum on the left side it usually happens when I stand up while sitting or laying and sometimes while walking. I tried finding the source of the pain by pressing in different regions but could not find one. Also, it happens at the back side of the scrotum. It is limited to the left side and has been increasing with each passing day. I thought of UTI, but my pee does not burn. Can I have some suggestions for my problems? Thank you. ### Response: Hello, Welcome to Sadiq forum. I can understand your concern. If there is any history of injury to scrotum then most likely it is a hematoma or infection post trauma. The pain could occur because of pressure over testis by tight underpants. This sometimes results in a picture similar to an infection. I would advise you to get USG scrotum done. This will rule out any hematoma or infection. A urine analysis should be done to rule out the cause. Please provide the reports for further assistance. Thanks and take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,The gums where my wisdom tooth is present is in pain. ### Response: Hi. What is your age? Wisdom tooth gets erupted in ages between 19 to 30. They put eruption pressure after every three weeks or so. If its position is not vertical or they are tilted or are impacted in bone, they start causing severe pain. For it the first line of treatment is taking medications. This will subside eruption pain. The second line of treatment is if it is not getting better with medicines you should get it extracted so that it may not bother surrounding tissues and tooth. Meanwhile, take tablet Brufen 400 mg eight hourly for three days. Give me followup after three days. If pain will persist, then you will be prescribed antibiotics. Stay happy and blessed.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I had unprotected sex with my partner without any penetration. I rubbed my penis over her vagina. I might have a little semen present in it. She usually has a periods cycle of 33 to 35 days. But her periods got delayed this month. Is she pregnant? Why is there a delay in her periods? Is there any typical food available to bring her periods on time? ### Response: Hi, Welcome to Sadiq forum. Just touching or rubbing will not cause pregnancy. So relax and do not worry. The delay occurs due to hormonal changes. It happens due to stress and strain.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am a 20 year old girl and have a small vaginal opening. My husband and I hardly have sex because it hurts me so badly. What can I do to stop it from being so painful? ### Response: Hi, Welcome to Sadiq forum. A small vaginal opening can lead to a painful sexual intercourse. I would suggest you use a good vaginal lubricant every time before the act. It would help in smoother penetration of the penis thereby reducing the pain. If this does not help you, dilators can be used to expand the vaginal orifice, which does help in many cases.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,A throbbing and recurring headache, nausea, and dizziness. I am an 18-year-old female. ### Response: Hello. It can be a migraine headache as throbbing in nature and one side with nausea. You can be prescribed Naproxen or Ibuprofen for relief from an acute headache. If it cannot relieve a headache, then Rizatriptan can be prescribed. If a recurrent headache occurs, then prophylactic treatment with Amitryptiline might be needed. Avoid aggravating factors for a headache like stress, smoking, lack of sleep, hypoglycemia, loud noise, bright light, etc. It is advisable to check your blood pressure as well. I suggest you consult a physician for examination and get prescription accordingly. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,My mother is 65 years old (height 4\11", weight 64 kg), and has been doing all the household chores since she was 20 years. She has no problems except diabetes. Since one week, she started getting lower back pain. The symptoms are if she is in a sleeping position and gets up and starts walking, there is no problem. But if she is in a sitting position and gets up to walk, there is sharp lower back pain. Can you please let me know what could be the reason? How can the pain be relieved? Any special exercises or chair or vitamin supplements, etc.? ### Response: Hello, Welcome to Sadiq forum. At 65, your mother seems to be suffering from spondylosis which is nothing but wear and tear of the spine. This is made worse after any period of rest and sitting usually makes it worse. Is there any radiation of pain to the leg? I will recommend that you get an X-ray of the affected part like lumbar spine AP and lateral. In the meantime, I will also recommend that she tries hot packs or preferably ice packs over the site area to see if that relieves pain. She can also apply Dynapar QPS spray. Take Ultracet for pain one tablet twice a day. Please send me the X-rays for further advice.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am having some allergy on the head part and the inner skin of my penis. I have some white bubble like spots. Please help. ### Response: Hello. Allergy over the penis is very uncommon. It would be something else. Please send photos so that I can identify it and give you the proper treatment.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am not able to conceive after trying for almost one year. I was diagnosed with pituitary microadenoma and I am on medication. My prolactin levels have now reached normal levels after two months taking medication.I suffer from hypothyroidism and on medication. I have had this for five years now and it is well within the limits as per my endocrinologist now. This is due to an autoimmune disease where my TPO (thyroid peroxidase) antibodies were high during the diagnosis five years ago. My husband and I would like to know how should we best prepare for pregnancy and what to look out for. We would have preferred to visit the clinic. Unfortunately, I am not in a position to visit the doctor due to travel restrictions. It would be great to get in touch with a specialist.I am currently on Euthrox 100 mcg, Cabergoline 0.25 mg once a week, and Folic acid 450 mg daily. ### Response: Hello, Welcome to Sadiq forum. I have gone through all your reports (attachment removed to protect patient identity) and your prolactin and thyroid levels are well in control. What is missing in the follicular monitoring profile of the dummy cycle and also your husband\s semen analysis test? You have been following the correct protocol using LH kits for ovulation and post LH surge if a natural trial or timed intercourse did not work then husband\s semen analysis becomes mandatory. Then when both male and female infertility causes are ruled out then comes mechanical causes where positions and version of uterus need to be considered and measures implemented. Anyways please send these two remaining reports before we can proceed further.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am a 45 year old male. I had an accident before 10 years. At that time, my knee x-ray was done and I was reported to have osteoarthritis. I have been suffering from pain for few years. I have lower back pain and pain in some of the joints. For the past few weeks, I have pain in my left palm, particularly in my finger joints and more on left middle finger joint. Also, on my foot joints. I also feel very fatigued and tired. My blood pressure (BP) was 110/70 mmHg a week back. I am enclosing a comprehensive blood test report, which was done very recently and I have advised to take tablet Nusam 400 for six months. I have been taking for the past two months. Please suggest me the remedy and preventive measures. ### Response: Hi, Welcome to Sadiq forum. Vitamin D deficiency and autoimmune cause. Ultrasound abdomen and pelvis, rheumatoid factor, MRI of spine with sacroiliac joint and MRI of the whole spine, screening and ultrasound of hands to look for active arthritis, HBsAg (hepatitis B surface antigen) and HCV (hepatitis C virus). Seronegative spondyloarthropathy. 1. Rheumatoid arthritis.2. Seronegative spondyloarthropathy. Calcirol sachets (vitamin D) 60000 units once in a week with a glass of water for six weeks and tablet Dolo 650 mg (Acetaminophen) for pain. 1. Avoid alcohol and excessive weight lifting.2. Also, try to avoid painkillers as your liver functions are abnormal.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,My right side jaw is paining while having food. On consultation, I was advised for physiotherapy. What could be the reason for it? ### Response: Hello. There might be several issues expected, 1. As you mentioned if there is only jawline problem, then you should have physiotherapy and warm massage at TM joints (tempero mandibular) at the junction of the ear when you open your mouth, it can be felt quickly. Do warm massage for 10 days, twice a day this will relieve symptoms definitely if it is because of the joint. Try not to yawn or open your mouth big, do eat with a spoon, do not have rice with hand. These will relieve jaw pain. 2. If the symptoms do not get better with massage and exercise, and you are having pain in some tooth, then you might be having some infection in the tooth that needs root canal treatment or extraction. If you can provide me with OPG X-ray of your jaw, I can tell you the exact diagnosis and the treatment plan. Tell me about symptoms as well, do you feel more pain at night as compared to day time? Are you feeling hot and cold sensations? Tell me details so I could figure out the root cause of your pain. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I have developed a small white dot on my thigh a few months back. Now, the size has increased. Is this any sign of leucoderma? ### Response: Hi, Welcome to Sadiq forum. Has this hypopigmented patch occurred after any injury or scab formation (attachment removed to protect patient identity)? If not, then it can be a sign of vitiligo or leucoderma. But, it cannot be confirmed at this stage. Does anyone in your family have such illness? If yes, then it points towards vitiligo. Do not worry as vitiligo can be treated with medicines. Also, search for other patches in the scalp and show to a dermatologist for treatment. Revert back with the answers to the above questions to an internal medicine physician online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I was attacked by mumps around three years back and now my testicle sizes are different. So, I wanted to know about the treatment. Will I get rejected in visa medical test? I am a petroleum engineer. Please help. ### Response: Hello, Welcome to Sadiq forum. I had gone through all the details posted. The difference in size of the testicles is mainly because of two reasons, orchitis and hy Sadiq. Orchitis is inflammation of the testicles, which has happened three years back due to mumps. There will be redness, pain and no fluid around the testis. For decrease of swelling and pain, we need to use anti-inflammatory agents. If there is any bacterial infection, then we need to use antibiotics. In case of hy

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I have stretch marks on my whole body, and I want to remove them as they are white. Please suggest me some medicine to remove them in a year as after a year I have my marriage. And I get these stretch marks at the time of puberty, and I had mentally suffered because of the stretch marks, and I cannot wear sleeveless clothes. ### Response: Hello, Welcome to Sadiq forum. Stretch marks are formed in areas of a rapid growth spurt or weight gain, due to side effects of certain medications or other medical conditions. Treatment will depend on whether your stretch marks are new or old, color reddish or whitish and the cause of stretch marks. Co2 laser sessions are quite effective. Topical Tretinoin has a role, but you should apply it only with the advice of your dermatologist. You can apply emollients like coconut oil or olive oil and Vitamin E for the time being. You may put up some clear pictures of the affected area for proper evaluation and guidance.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,My mother was not having her periods from the past five years, but from yesterday, she started bleeding again. In these five years, she has not even bled for a single day. Why is she bleeding all of a sudden? What can be the cause? ### Response: Hello, Welcome to Sadiq forum. Five years no menstruation and now bleeding needs some detailed examination and investigations. Consult a nearby gynecologist, and let him or her see the source of the bleeding. Get an ultrasonography done. If bleeding is from the uterus, then your mom might need to get a D and C (dilatation and curettage). It is a minor operation, and the tissues are sent for testing. Basically, we have to rule out whether there any cancer cells or not. She may even require a CT scan. If nothing is found and every report comes normal, then she will be given some medicines accordingly. And no need to worry. If something is found in the reports, then it may require major operations, but it will all depend on the reports. So first, consult a nearby gynecologist.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Good day, please i was diagnose with hep b positive 18months ago, my consulting tild me my condition i\xc5\x9f inactive and need no medication. some month back i was feeling hurt at my chest i was later diagnose with ulcer. some some weeks now have been having pains around my chest and most especially middle of my check. please what is happening to me? ### Response: Hello, Welcome to i cliniq You have been diagnosed with inactive hepatitis B, for that I will request you to send me all your laboratory work so that a decision about the treatment can be taken. you now having central chest pain which looks like to due to esophageal ulcer called esophagitis and you may be also having some retrosternal burning with it. For this I am prescribing some medications it will help out in this pain. You need to take Cap.Esomeprazole 40mg 1 before breakfast and Syp.Sucralfate 10ml TID. Both of these should be taken for 2 weeks and let me know incase you have no improvement. EGD if no improvement with medications. EsophagitisChronic HBV Esophagitis Cap.Esomeprazole 40mg 1 before breakfastSyp.Sucralfate 10ml TID before meals Avoid spicy foods Needs follow up for HBV

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I got bitten by what I am thinking a spider a week back. I figured since it seemed to have a little white and liquid coming out. So, I squeezed it. It has been four days and the bite is painful. Now I have a white circle where it once was just red and oozing. I have tried Cortisone but I do not see it getting better. ### Response: Hi. It got infected now with necrotic material inside. Cortisone is not helpful, it may worsen the infection. You need antibiotics, I would say topical antibiotics if necrotic material and redness is not there. But now you need oral antibiotics. Consult your doctor. He may prescribe you Augmentin or Doxycycline or other antibiotics for a couple of days. Redness is there, it is a sign of spread. For more information consult a general practitioner online Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am having pain shooting down from my neck (just behind my right ear) down into my fingers. Also, on my right side near my breast with a slight headache as well. What it could be? ### Response: Hello, Welcome to Sadiq forum. It is likely a cervical pain, due to compression of nerves between the spine. Does this pain increases on neck movement, is it associated with tingling, numbness in the arm or any neck trauma, if yes then it supports the diagnosis. You will need an X-ray of cervical spine AP/lateral view, and further may need MRI. Till that time he can have Tablet Neurobion forte once a day which is a nerve vitamin. Also, You will need Pregabalin after diagnosis is confirmed. I hope this helps you and get back if you have any doubts.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I had an umbilical hernia repair 11 days ago. It went fine, but 10 days later when I laid down my belly button pup out one inch then went back down. The next morning my belly button is out half an inch. My surgeon said just wait for a couple of days to see if it goes back down. I need to know if I should wait or get in right away. The belly button is a little tender. ### Response: Hi, Welcome to Sadiq forum. As it has been only 10 days since your surgery, I suggest you wait for a few more days and see your surgeon if necessary. It is quite likely that there may be a small collection of fluid in the region which may get absorbed or may need aspiration. It is quite unlikely to have a recurrence so soon unless the surgery did not go well. If the swelling appears on coughing or straining it may suggest a recurrence. It is best tested by the surgeon as attempting the same at home may precipitate a recurrence. Take adequate rest. Be active. Take a good diet. Avoid straining or lifting weight for at least six months. See your surgeon if it still persists next week. I hope this helps.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,My baby is 36 days old. He is passing stool very frequently like 15 times with little or more motion but not very heavy in the last 48 hours. The stool was curdy yellowish color, not like runny or watery, no greenish, no blood, no bubbles. He had the same issue when he was 18 days old, and in between, he was healthy but again he kept going motion and redness spotted in anus area with small spots of skin peel.Baby sleeps well, does not cry, passes urine usually in a good number of times, and only mother breastfeeding every two hours. Please request your advice on how to stop this frequent motion and reason for this happening and is this normal? He also makes a noise like sounding from inside especially more during night time, having trouble while breathing due to a chest cold, so am giving Rinoclear saline drops three to six hours once depending on his nose block. Please advise why baby makes such noise, is it normal?I was feeding breast milk via bottle for four to five days when he was two weeks old since he was unable to suck through mother\s nipple. I stopped bottle when I encountered this frequent motion and with my doctor\s advice. ### Response: Hello, Welcome to Sadiq forum. I understand your concern. 1. Passing motion too often is a normal phenomenon in neonates (gastrocolic reflex). Make sure baby is passing adequate urine and playful. 2. Redness over the perianal region may be due to prolonged wetness over the part or due to cleaning the area by rubbing. Wear him a napkin and change immediately once wet, the purpose is to keep Sadiq. Cleaning not to be done by rubbing, it can peel the skin. 3. Try to keep the perianal region

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,If I get my wisdom teeth extracted, do my second molars shift in that empty spot? ### Response: Hi, Welcome to Sadiq forum. No, it will not shift to the empty space, but it might tilt and that too very little. Because the third molar is vestigial. If you have any associated problem with the third molar you can extract it. If you do not have any problem, do not remove it. In case you have any caries or repeated pericoronitis, you must remove it. My answer is no shifting but slight tilt only. For more information consult a dentist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am in love with my relative. We both have each other in someplace in our mind and I know it. She is a high achiever in her career, and I work hard to achieve stuff and good at studies but not as high as her. I faced real kind of depression earlier and often get it. So, I find happiness in everything. What I find difficult is to commit to her in some way as I see she may get a better person who will be supportive to her achievement. I do not underestimate myself, but there is a dilemma which is hurting me in my mind. Please advice. ### Response: Hello. You are very considerate that you want the best for your relative even at the cost of your love. Your cousin should be lucky that you have her best interests in your mind. However, if she reciprocates your feelings, you better go ahead and commit yourself to the relationship. If both of you love each other, you can develop a supportive and robust bond. Always remember that academics, career, money, etc., are not the primary factors in a relationship. Of course, they are essential, but a successful marriage needs personal compatibility and care for each other. Do activities to improve your confidence. Try regular exercise, yoga, and have an open talk with a trusted family member or friend about your decision. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I suspect I may have tapeworms. How can I be sure and what can I do to get rid of them? ### Response: Hello, Welcome to Sadiq forum. Stool tests can identify tapeworm infestation. However, because the worms and eggs are shed intermittently, the test may have to be repeated three to four times if the initial test is negative. Stool tests can also identify other intestinal parasites. Blood tests (serological tests) are also available, including ELISA (enzyme-linked immunosorbent assay) and PCR (polymerase chain reaction). Praziquantel is the Sadiq.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,My periods started 14 days before and I had sex eight days back. Should I take pills after unsafe sex? If yes, what is the procedure to take I-pill? ### Response: Hi, Welcome to Sadiq forum. According to your cycle, it is the seventh day of your menstrual cycle and considered to be safe. If you have a regular 28 day cycle, then ovulation is less likely on day seven. But, if your cycles are irregular then it is difficult to predict the exact day of ovulation as to when the chance of conception will be there. So, to be on safer side, you should take a pill today only. It is known as morning-after pill or pill 72 (Levonorgestrel 150 mcg) to be taken within 72 hours of unprotected sex only once. Yes, you can get a with Sadiq. In case 72 hours have crossed after sexual intercourse, then also you can prevent pregnancy in this cycle by getting a copper-T (intrauterine device) inserted and that too within five days of unprotected sex.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor, I am suffering from a cold sore type infection in my mouth especially at lips. Same was occurred last year and again it repeated this year. And as on today it is the third time it is coming and curing within a period of 10 to 20 days. I want to add photographs but do not know how. Further, currently it is on my lips and additional sores are there inside the upper part of my mouth. There is no pain. Please advise so that this can be permanently cured.I am currently taking Acivir 800. ### Response: Hello. I understand your concern. I have gone through your query, attached pictures, and your previous prescription. (attachment removed to protect patient identity). These cold sores are of viral origin and it is called herpetic stomatitis. This has a high recurrence rate meaning as long as the immune system is little underperforming, it can come again and again. Also, taking antiviral Sadiq. You should compensate by eating healthy foods and

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I had an X-ray last Thursday and I got the result today. It says I have fibrosis in my right upper lobe. I had a history of pulmonary tuberculosis two years back and I took a six months medication and I am done with it. I just want to ask if fibrosis can be cured if I take medication and do exercise daily and eat healthy foods? ### Response: Hello, Welcome to Sadiq forum. Fibrosis is a feature of chronic inflammation and your lung fibrosis is because of that. Tuberculosis is a chronic granulomatous inflammation and can lead to fibrosis. Fibrosis is irreversible condition and cannot be revert back. For more information consult a general practitioner online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am 9 months pregnant, and I have some doubts with my recent free T3, T4, and TSH levels. My Triiodothyronine total (T3) is 208.57. What is it? Is it something to worry or is it normal? My TSH is under control, and it is 2.63 now. ### Response: Hello, Welcome to Sadiq forum. I just read your query about your pregnancy and your thyroid function test results. Hope you find my advice of some benefit. Good luck. For more information consult an endocrinologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I have a bump on the right backside of the roof of my mouth. It is right next to the tooth that is farther back. It has pain when I brush my tongue over it. Also giving me a slight headache and earache. I recently went to the dentist for a cleaning, and they said my wisdom teeth were not even showing so what could this be? ### Response: Hello, Welcome to Sadiq forum. I read your query, and it seems that the bump which is painful and which gives radiating pain to ear and head is because of your third molar and this tooth is infected as the food gets entrapped between the tooth and soft tissue covering that tooth. For this, avoid eating too hot or too cold. Wash out oral cavity after every meal with mouthwash and warm saline. Do not apply external heat to that area, especially keeping your hand on that area. Also, take antibiotic and painkiller. Antibiotic you can use is Amoxicillin and Clavulanic acid combination in 625 mg dosage bd. Painkiller can be Ultracet ((tramadol and acetaminophen) thrice a day.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,My friend started vomiting last night and I noticed that his eyelids were red and bruised. Is there something else besides the vomiting that could have caused the bruised eyelids? ### Response: Hello, Welcome to Sadiq forum. From the history provided, it seems that your friend is having red and bruised eyes following vomiting. This is probably because of rupture of very small blood vessels in the eyelids during vomiting. This will not require any treatment and it will subside in one or two weeks, as the blood gets reabsorbed. Hence, you need not have to worry about this.Applying cold compression over the eyelids will provide symptomatic relief. Attach a photo of the affected eye and consult an ophthalmologist online for appropriate treatment

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I had a chest x-ray and chest ct scan done. And they both came back normal. If I had emphysema would it have shown up on one of those two tests? ### Response: Hello. Significant emphysema in the lungs would have been visualized in the x-rays. Early stages of emphysema are difficult to see on x-ray and are visualized only on HRCT (high-resolution computerized tomography) chest scan. If X-rays are normal then more likely that you do not have lung emphysema. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,My daughter is 9 years old. She gets nose bleeding once in few months and also gum bleeding. She complains about occasional back pain, stomach burning, and hip pain too. My family physician has written down a series of tests and asked me to get opinions from a hematologist, gastroenterologist, and an orthopedic doctor respectively. ### Response: Hi, Welcome to Sadiq forum. From the medical history of your child, I can understand that she is having bleeding manifestations with normal CBC (complete blood count) and coagulation workup. I would like to know about the below-mentioned questions, The most common bleeding disorder is a condition known as Von Willebrand disease. I think she needs to be checked for it and the other condition which needs to be evaluated is platelet dysfunction. Investigations suggested are,

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am facing erectile dysfunction for the last three to four years and also early ejaculation. Presently, I am using medicines for BP - Tenormin 50 mg and also for depression - Aplog 2 mg, Pethidine 50 mg and Mirtaz 15 mg for the past 10 years. My problem of ED and EE is from past five years. For this, I have used Suhagra tablet 50 to 100 mg and some sprays and Tantex capsules but there is no use. I am facing an embarrassing situation. Kindly give me an instant solution to this problem. ### Response: Hello. If your blood pressure remains in the normal range then that is good otherwise this should be controlled. I hope your blood sugar levels are also normal. You should get HbA1c levels checked in order to rule out any altered levels over a period of time. You should also get serum testosterone and prolactin levels done to rule out any hormonal cause. Tadalafil can be tried to make erection strong. You can talk to your doctor about that. For more information consult a sexologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am a 19-year-old female. I lost my virginity about 10 months ago with my boyfriend. Now after 10 months has passed I found out that I have two warts inside my vagina. It is white color although, the one on the top started to have a slight pink color. But the second one on the bottom which is much smaller still has completely white color and around the vagina blades, I have a little while dots. Also, there are very tiny warts line along the blades. So, when I went to see the GP near my house he had a look and said that there is nothing to worry it is still small. But in my opinion, I think it is quite big. So the doctor gave me a prescription for Condyline paint which he told me to use for three days only per week and I have to keep using it for three weeks and if it does not get better he told me to see him again. Now I have a few questions. Is this mean I have an HPV virus inside my body? How can I make the virus go away permanently? Will Gardasil injection make it go away? If it does not go away permanently, how can I make sure that I have no HPV viruses and so these warts will not come back again? Is this mean that I have this HPV from my boyfriend? How to use Condyline paint correctly? I wash my vagina blades and use the cotton pads to dry it, then I use start to use the Condyline paint. I only dip the swab once into the reagent and then I open my vagina blades so that I am able to paint the two warts inside my vagina as much as I can. Then I paint it all over the very tiny warts in the vagina blades area. Am I doing it correctly?Now I have been using the Condyline for two days, but the very tiny warts that are around the vagina blades started to grow more. Is this mean anything? Can condoms prevent these HPV viruses? If I break up with my boyfriend, will this help my symptoms and health to become better? I am very scared of whether this can leads to cancer? I do not want this to ever happen to me again, how can I prevent this to happen again?If my warts are gone can I have sex with my boyfriend? Will these symptoms comeback again? If I decided to buy the Gardasil injection and injected it now, then the next after two months, then next after six months, but during this time can I have sex with my boy friend? Will the vaccine still work? ### Response: Hello. I have gone through your history and pictures provided. (attachment removed to protect patient identity). I appreciate that you have consulted the doctor and begun the treatment. As rightly prescribed, Condyline (Podophyllotoxin) paint is very effective in genital warts. The right way of application is by using a cotton swab or brush applicator on the clean and Sadiq. Wait till the paint

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am a 25-year-old male and I have never been able to fully retract my penis. I have severe phimosis. I know phimosis can be treated, but my biggest concern is that I now have blue-looking veins from the shaft of my penis to the actual penis head that is supposed to be exposed. Is it serious? I have an appointment with a urologist in two weeks but the suspense is really killing me. Is it common? or can it be treated? Will I be able to successfully retract the penis head? I also feel pain sensation when I touch the hole at the tip of the penis. Please help. Of note, I smoke marijuana. I have attached photos for your reference. ### Response: Hello, Welcome to Sadiq forum. I have gone through the photograph (attachment removed to protect patient identity). It looks like a case of phimosis. It can be treated by a simple circumcision. Those veins seen are normally present. Do not worry about surgery. It will not affect the blood supply to your penis. Phimosis is a pretty common issue and as I said it just takes a minor surgery and a couple of weeks for recovery. For more information consult a urologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I was diagnosed with TID 14 years back. I will run out of Lantus before the next shipment arrives, but I have plenty of Novolog on hand. My daily dose is 32.5 units Lantus at 10 AM and 12.5 units at 8 PM, with a sliding scale for Novolog (typically 0 to 6 units). What dosage or schedule would you recommend for temporarily relying on Novolog only? ### Response: Hi, Welcome to Sadiq forum. I can tell you right away that your type 1 DM (diabetes mellitus) is not being managed correctly. Those who have type 1 DM cannot make it without basal insulin so insulin it has to be provided 24/7. You should be on balanced Lantus and scheduled Novolog (and not sliding scale of Novolog- Insulin aspart). You can take Novolog but it has to be every 3 to 4 hours, and it has to be scheduled. Also, you need to check your blood sugar every 3 to 4 hours before taking a shot, that is a must. You will run into very high or very low blood sugar and will see an erratic pattern, you will have to adjust the dose accordingly. Watch and check your ketones 2 to 3 times daily, should not stay without Lantus (Insulin glargine) for more than 24 hours. Novolog dose at least should be seven units every four hours (calculated from your current regimen you should need at least 1.8 units of Insulin every hour to survive). If feeling sick with nausea, vomiting, diarrhea, belly pain, blood sugar less than 70 or more than 300 you should go to ER or urgent care center. You are at high-risk ketoacidosis. For more information consult a diabetologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am a 57-year-old female. Here is my question constant heart palpitations and fluttering, continuous feeling of adrenaline rushing along with palpitations very bad at night but also during the day when sitting in doing nothing palpitations often make you feel nauseous on a 1 to 10 scale they are about an eight. All labs are normal ECG, echo, and Holter monitor are all normal.Doctor cannot figure it out and prescribed Propranolol 10 mg, told me to try these once a day. Yesterday after doctor visits heart palpitations for four hours got fed up and took one tablet one hour later, all palpitations and adrenaline rush was gone. Slept for the first time without being woke up having to cough to stop the palpitations. Had angio done approximately two years ago due to suspected heart attack or arrhythmia at home with all classic signs crushing chest pain jaw neck left arm down to the floor nauseated?Even with that lab test came back good the next day. Had carotid artery surgery two years ago to remove a piece of plaque in right carotid artery none found anywhere else no stent needed. Again all labs are good cholesterol not high on statins and warfarin. I must be perplexing to all doctors because they cannot figure it out. Was put on warfarin approximately 15 years ago due to DVTs as a result of a surgery, always therapeutic. So I had a heart attack or arrhythmia a few years back the angio came out the great doctor said everything looked fine now I have these crazy heart palpitations that would not stop. They go away as soon as I take the beta-blocker. I am told that beta-blockers even though anti-arrhythmic can also be pro arithmetic as well should I take this every day or should I only take this when I start to feel palpitations. ### Response: Hello, Welcome to ciliniq.com. So palpitations may be due to cardiac arrhythmia, anxiety, and psychological problems or due to increased awareness of one\s heartbeat. Now, since your holter was normal during your palpitations, it rules out the possibility of cardiac arrhythmia. So, these are likely benign palpitations in you. Propranolol is an anti-anxiety medicine, and it also opposes the A Sadiq. It is not an antiarrhythmic Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am a 49-year-old woman and last month I was hospitalized with a necrotizing soft tissue infection on my thigh. I had two debridement surgeries and was discharged after 5 days. I was treated with about 4 IV antibiotics. I do not remember them all, I recall seeing Vancomycin and Penicillin. I was told that the infection was not MRSA, but a "slower moving bacteria" they did not tell me what it was. I was swabbed for MRSA in my nose and butt before both surgeries and was told I did not have it. For the last day of my stay, I had a roommate who had a bad MRSA infection on her butt and sometimes had diarrhea incontinence during dressing changes. I had no physical contact with her, but we had the same nurse. I was discharged with a five day course of Augmentin.The wound has been healing very well and has not gotten infected, but three weeks after discharge I got an abscess under my arm. I went to an urgent care and was prescribed Clindamycin and told to return in three days for drainage. The abscess did not improve or get worse over the three days. I got it drained and was prescribed Augmentin and told to also continue the clindamycin. That was a week ago and the wound is healing well. They called today and said cultures show it was MRSA and they prescribed Bactrim and told me to stop the other antibiotics.I am feeling devastated by this and wanting to understand why it happened. Could I have gotten it in the hospital? I am concerned that it will not go away. Are those swabs at the hospital conclusive and mean for sure I did not have MRSA a month ago? I have never had any medical problems before and these experiences have been very frightening. Is there anything else I can do to prevent recurrence? I have read about everything from bleach baths and hibiclens to antibiotics in the nose. ### Response: Hi, I am sorry for what you have had to go through. As you previously did not have MRSA strains, it is possible that now you have hospital-acquired strains in your blood. It is a superbug and superdifficult to treat as it is resistant to Sadiq. As you were told to stop other antibiotics and start Bactrim, this means the strain you have got is sensitive to Bactrim. If there is anything else you want to ask, please feel free to contact me.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am a sufferer of hemiplegic migraine. However, I had unusual collapses three months back. The first one was 40 minutes; I could not recall the whole of that period. I came back with an injured knee and felt dazed. I was fine after around two hours. The next day, I felt pressure in my head and as though I was about to die. I then could not recall getting home or the rest of the night. I was fine in the morning. Two days later, I felt horrendous pain in my head, felt like I was swimming, then tried to go home and again could not recall from deciding to go home to around two hours later and I was foggy for the rest of the night. I have had constant pain in the left side of my head above the temple for four years. It does not go. However, In the past two weeks, I have felt like it is throbbing and at times about to burst out. I was meant to see my neurologist three months back, but his receptionist did not follow the recommendation, and now I am unsure whether to have the tests done. I feel like we are playing with my life. Usually, I am pretty relaxed about the possibilities and know it is a migraine. But this feels different. This feels like intense throbbing above my ear from the temple along towards the back of my head, with a pain in my ear to just behind my jaw under my ear. My instinct says that an aneurysm needs ruling out. I do not know if I am just upset because it feels so different and this pressure is intense. It is a weird feeling. I currently take Sumatriptan as needed.Please, can you advise what to do? As it stands the next neuro appointment is after four months, added complication is that I have been breathless and unable to climb stairs without stopping and panting for past four months. I am having heart tests on the weekend. But, what do I do about my brain? ### Response: Hello. I agree with you on the fact that when dealing with hemiplegic migraine, it is necessary excluding a brain aneurysm or any arterio-venous malformation, which may mimic this clinical situation. That is why it is necessary performing a brain MRI, which would detect any possible brain aneurysm if present. Regarding the loss of conscience, I would also recommend performing an EEG (electroencephalogram) to investigate for seizures (although 40 minutes is a long period for a seizure, not typical). I would also recommend you to monitor your blood pressure values, and perform some blood laboratory tests as follows: For more information consult a neurologist online Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I have been tested for HIV 1 and 2 many times. My tests are 10 weeks card test negative. 12 weeks Elisa serum test negative. 14 weeks Elisa serum and p24 test negative. 16 weeks Elisa serum test negative. 23 weeks Elisa serum and p24 test negative. Is HIV is still my risk? But from few days I am having lots of pimple on my back and shoulders and they sometimes itch, are they because of HIV or something else? ### Response: Hello, Welcome to Sadiq forum. I understood your concern and I have viewed the images. (attachment removed to protect patient identity). Your HIV screening tests are conclusive. A screening test at and after three months mark from risk exposure is considered final and conclusive. There is no need to test further. The lesions that you have on your back are actually acne vulgaris. I suggest you apply a topical Benzoyl peroxide 5 % gel, twice daily. They are certainly not due to HIV.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am 32 years old married male. Since two years I am suffering from premature ejaculation. I tried to control it, but did not get better result. My wife is very much unsatisfied. How to cure this issue? ### Response: Hi. As you know that the first thing in medicine is establishing a diagnosis which is correct. So, I would like to ask you a few questions. Revert back with the answers for the above questions to a sexologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I slept with color contacts in my eyes and now I woke and took them out and there is a white cloud blocking my vision. ### Response: Hello. A photograph would have been very helpful for making a diagnosis. It is never advisable to sleep with your contacts. Here is the possibility of your situation: 1. Epithelial edema. In this case, remove and stop wearing your contacts for one month. Start Hypersol eye Sadiq. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am 32 years old and unmarried. I am a patient of PCOD. I also have a family history of breast cancer. My father\s sister had breast cancer recently. I am in a very big financial crisis. So, one of my friends suggested me to donate eggs. Will it be risky if I donate my eggs only once? As I am a patient of PCOD, will I be able to conceive in the future? Will I be given some hormonal treatment to conceive later? Please advise me whether I should proceed with the idea of egg donation. Is there any chance of developing breast or ovarian cancer if I donate eggs? Please guide me. I just want to know about its long term consequences as I am afraid of breast and ovarian cancer. ### Response: Hi, Welcome to Sadiq forum. A single cycle of ovulation induction for egg donation and then, possibly in the future for yourself would not increase your chance of breast or ovarian cancer. The heredity for a woman is decided from her maternal background and not from the father\s side. So, if your paternal aunt had it and your mother or maternal grandmother did not have it, then there are very minimal chances that you should get it in future. You can safely go ahead with an ova donation if you wish to without fear. PCOS - polycystic ovary syn Sadiq. So, whenever you decide to get pregnant, conservative management of treatment can always be considered.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor, I am having too many health issues for the last three weeks. I feel sleepy all the time even I sleep eight hours already. I am feeling weak, tiredness, dizziness, and headache on the right side of my head (pressure and dullness). My bowel habit changed to three to four times a day. I have attached my blood work. Do you think I have any abnormality in blood? Do you think I am having a stroke or heart attack? Do I have too much thickness in blood as high hemoglobin and hematocrit? Do I have any kind of blood cancer like polycythemia or polycythemia vera? In spite of having too much hemoglobin and platelets, why am I having weakness? Do I need to take blood thinner medicine? ### Response: Hello, Welcome to the Sadiq. Hereby I am giving opinion regarding your case. First, let me know do you have any stress or anxiety issues? As severe stress can lead to hyperventilation and dizziness. Stress can change bowel habits as well and it can lead to headaches as well. If stress is present consult a psychiatrist for counseling and anti-anxiety Sadiq. If stress is not present, then the causes for weakness are overexertion, lack of exercise, depression, kidney problems (for that urea, creatinine investigation done), myositis, etc. As for three weeks you are not improving you can be investigated with EMG (electromyography), EKG (electrocardiography) investigation for further workup. Answers to your questions are as follows: I do not think this blood report is abnormal. It should be repeated as two weeks passed. In stroke vision problem, half part weakness, slurred speech like problem present. So the stroke chance is very less. But EKG investigation can be done here as dizziness present since many times. Your Hb and HCT are not much high that needs immediate concern. I do not think it is polycythemia vera case. Repeat CBC to check HCT and RBC value now. For weakness rule out the above causes No n\xc3\xa9ed of taking any blood thinner. Include green leafy vegetables and fruits more in your diet.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I had fever two days ago. Then one day ago started frequent urination and I could not hold it every time it happened. And there was pain during urination. Then started pain in the stomach. Today the urination is not that much but I have severe pain in both sides of my abdomen. I am not able to walk because of pain. ### Response: Hello, Welcome to Sadiq forum. You can have kidney or bladder infection or it can be acute urinary tract infection. You get the following tests done: As per these reports, the further management plan can be decided. Take care. You can consult a urologist for the examination. For more information consult a family physician online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I am 30 Years old, Missed period for 8 days now. Since my 24 day of menstrual cycle was starting using duphaston drug once daily and finish the prescribed dose yesterday. And my menstrual cycle is between 26-28 days, this month on the days of my periods I got cramps but nothing come out. Could this be side effects of duphaston or? ### Response: Hello, Welcome to Sadiq. I would like to know the reason why you had been taking Duphaston? If you have been planning for a pregnancy, then it would be advisable to check your urine pregnancy test once. If negative you can wait upto two week for your Periods to come as you just finished your course of Duphaston yesterday. It may Take maximum upto two weeks for the with Sadiq. If you got pregnant this cycle, then you may not have periods even after 2 weeks. So check.accordingly. please feel free to revert back anytime with any further queries. Have a nice day.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am 50 years old female, went through menopause but otherwise I am healthy. There is a problem with my nails. Out of 10 nails, six nails have one-third of the nails separated from the nail beds, with a v shape, looking white underneath, rest of the nails are looking pinkish pale. The nails are painless unless I press them hard. All the nails have some ridges. I kept my nails short with no polish for over five weeks. My fingers felt dry with mild skin peeling after a travel. Currently, I have a mild skin eczema. I also had seborrheic dermatitis in my scalp a few years ago. But it is under control with special shampoo treatment. I had one fingernail with a similar problem but it was in a milder condition. I thought it was nail fungal. I used Mometasone furoate 0.1 % cream for my skin eczema. It cleared up when my nails grew. I have an allergy to pollen. ### Response: Hi. I have gone through your attachment (attachment removed to protect patient identity). You seem to have a condition known as onycholysis, which is characterized by the separation of the nail from its nail bed. Causes could be either a fungal infection (onychomycosis) or underlying skin eczemas like psoriasis. For more information consult a dermatologist online Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I have a 0.2 cm endobronchial nodule in the right lower lobe. I was a smoker for 20 years. I had a CT scan for cough and now new nodule. Is this cancer? ### Response: Hello, Welcome to Sadiq forum. I have gone through the reports (attachment removed to protect patient identity). It seems to be a very small nodule. Do not get afraid first. Anyway, we have to confirm the pathology. At present, take treatment for cough. You will need to take follow up if the symptoms continue or after three months if the nodule is progressive. For more information consult a pulmonologist online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am a 26 year old female. I am worried after reading about the effects of radiation from a CT scan. I had two separate scans within a month. Both the scans were for the chest, abdomen, and pelvis. The doctors were looking for a potential lymphoma, but nothing conclusive was found. I am worried about the future cancer risk. Please help. ### Response: Hi, Welcome to Sadiq forum. This kind of exposure to CT scan is not harmful, though you must avoid as much as possible. A continuous, long-term exposure daily may cause harmful radiation hazards and ill health. So, do not worry about the exposure. This very minimal exposure does not pose any future cancer risk. Consult a radiologist online to know about the risk levels of radiation exposure

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I have serious constipation problems and Dulcolax is the only thing that works in my body. I take a lot of fruits, tea, and fiber supplements. What can I do? ### Response: Hi. At your age, chronic constipation should be thoroughly investigated. Are there any other symptoms like blood in stool, weight loss, or occasional diarrhea alternating with constipation or loss of appetite? I would advise you to get a colonoscopy done as this has become chronic. If there is an underlying factor causing constipation, Laxatives will only provide temporary relief and will not solve it. Hope this helps. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I am suffering from stomach pain. I am taking Sucramal syrup and A-Spas tablet. I have an increase in stomach pain when the acidity condition increases. I have done a scanning. But nothing was shown. ### Response: Hi, Welcome to Sadiq forum. Your stomach pain can occur due to gastritis, or you can have a small stomach ulcer which may not be seen in ultrasonography. You can take Rabeprazole 20 mg for one time a day for one to two weeks to heal the inflamed stomach mucosa. Avoid taking spicy foods. Cooked oatmeal can help in soothing the stomach. Take soft and bland diet more. Avoid having heavy, fatty foods. Elevate your head while sleeping. Avoid taking excess tea, and coffee. If you have the habit of smoking, please avoid it.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor, My question is, when can I drink more than two glasses of wine a day or a whole bottle without it hindering the healing process after my dermapen session of micro needling? And also, because I was occasionally drinking a few bottles of beer after I had gotten it done, does that mean my healing time has to be longer than six weeks? By the way, I did my acne scar regions with 2.00 mm needles. ### Response: Hi. Alcohol use can diminish wound healing, it increases the blood flow so it can also cause bleeding. Excessive alcohol intake also reduces the immunity of the body which can lead to delayed wound healing. Same principle applied to micro needling. Micro needling is also a small type of injuries created in the facial skin so that the healing process makes a healthy smooth skin and remove the scar. So if you take alcohol during that process alcohol is going to affect that healing process and it can lead to infection. So I advise that you should completely avoid alcohol if possible. A small amount of one glass of beer per day can be taken if you cannot control your urge to take alcohol. I hope this helps.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am hepatitis B patient. My current status is as follows. HBeAg - negative (0.010), HBV E antibody or Ag - positive (0.031) and HBV DNA quantitative (PCR) less than 17.1 IU/mL. Please advise whether this can be cured to become negative as it is affecting my career. ### Response: Hello, Welcome to Sadiq forum. Anti-HBc (both IgM and IgG), Liver panel, ultrasound of the liver INR/PT and serum albumin if not part of the liver profile. 1. Chronic hepatitis B.2. Chronic carrier state.3. Acute infection in window phase (with less infectivity). Yes, it is treatable, but I would be able to give you a better answer once I have the complete set of blood work and ultrasound results. Revert back with the investigation reports to an internal medicine physician online.-

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I recently got my CBC done as a part of a routine check-up in which my Hgb, RBC, platelets, WBC counts was entirely within the range except for monocytes. My monocytes were 5.28x10^9/L. I feel healthy otherwise and except for PCOS have no other known medical condition. My GP said that monocytes were nothing to worry about as TLC is fine and I am fine. So can you tell me if it is nothing to worry? ### Response: Hello, Welcome to the Sadiq. I read your concern, and below is my opinion. There are many causes for high monocyte count. Your monocyte count is high and cannot be neglected.The temporary viral infection also can cause high monocyte count. You do not have any symptoms, so temporary mild viral infection might be cause for high monocyte. You have to repeat your full CBC with peripheral smear examination report after seven days. If still monocyte count is high, then you have to consult a hematologist for detailed evaluation. I hope I have answered your question. I will be glad to help you further, if required.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi, doctor I am 13 weeks pregnant last week I undergone for NT scan the report was normal and the same time I gave double marker blood test. Yesterday from the hospital they called me for blood test because the first report shows abnormal. I am so scared whether second time double marker test shows normal. They didn\t give the report of first test but simply told first test was abnormal so we sending for second time. I am confused. Please tell me whether second time test shows normal result. If it is abnormal is there is any early treatment to protect the baby from down syndrome. ### Response: Hello, First of all congrats on your pregnancy. Let me clarify that double marker is only a screening test .It\s not a confirmatory test. Double markers are not repeated if they r showing high risk.Sonif the lab has asked for a second sample ,it may be due to some other reason. It means even if we say ,ur second test shows a high risk (chances of which r less) ,it only means that this baby for some reason has a higher risk for a genetic problem.you still need to do an amniocentesis and do a karyotyping to confirm the genetic problem. We see many double markers which r abnormal,but very few if those have an abnormal Karyotype on confirmation. So rest assured and enjoy your pregnancy .let the results come .Nothing is decided by a double marker test. Taking folic acid 3 months prior to pregnancy is onevway of preventing a downs syn Sadiq. So pls wait for the result.Theres no need to panic. Have a safe pregnancy.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I had a frenuloplasty of the penis ten days back. It all seemed fine at first, and I had very little pain. I have to say the actual incision and stitches were a lot larger than what I was previously led to believe. I have been washing gently with salt water and rinsing twice daily. I took a good look a few days ago, and it seems that the stitches have come apart. To be honest, and I am not a urologist, but it does not look like a good job, though I may be wrong. I went to see the doctor yesterday, and she took a look and said that it all looks fine, the stitches may have come apart slightly. She told me to leave it for two weeks, and if I am still concerned, they will refer me back to the specialist. I was hoping to get a second opinion, this being my penis, I am obviously concerned that it is not going to heal properly and I will end up worse than before the operation. I am primarily looking for reassurance. ### Response: Hi. I saw the photos (attachment removed to protect patient identity). You are correct, a few stitches have come apart. So, be reassured that nothing has gone awfully wrong. Just wait it out till complete healing takes place. Hopefully, it should heal well, as the wound is healthy.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: I\m having ache in lower jaw.Last time i visited dentist...i had a root canal same sideAfter a month i started experiencing pain in that jaw sometimes...Doctor said root canal is fine and that i have impacted wisdom tooth after a quick x ray.I am having pain now again in that jaw after 3 months.What should i do?Due to covid 19 I\m not sure i should visit a dentist ### Response: Hello, welcome to Sadiq. This may be the pain from the same reason you had previously. If you have an impacted wisdom tooth, then that can cause you this kind of problem repeatedly. But if you have pain on biting, that may be from the root canal treated tooth. Do you have the xray? Can you send me a picture of the affected area and the xray ? In the meantime, you can rinse mouth with warm saline water 5-7 times daily. If the pain doesn\t subside, you can take painkiller... Tab Ibuprofen (400mg) two times daily for 2/3 days (after meal) Please send me the pictures for proper diagnosis and better treatment plan. Thank you for contacting us. Take care.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I have a hiatal hernia, I am wondering if protein shake hurt my hernia. The pain is usually mild and comes and goes. Recently, I have been not feeling too well, and my hiatal hernia pain become moderate and doest really go away. I am currently on Rabeprazole and Motilium. ### Response: Hello, Welcome to Sadiq forum. I reviewed your endoscopy and histopathology report. (attachment removed to protect patient identity). You have a small hiatus hernia and it has no specification association with proteins shake. Your report also shows chronic gastritis which also adds to your discomfort. This issue usually improves with medications but recurs after some time. My recommendations will be some changes in your medications for some time and then will readjust and down titrate again. Meanwhile, you need some precautions as well. Hiatus hernia leading to GERD (gastroesophageal reflux disease), or gastritis. Capsule Rabeprazole one in the morning and one in the evening before meals for four weeks and then only in the morning for four weeks. Tablet Motilium 1-1-1 before meals for two weeks. Syrup Gaviscon (Alginate) 10 ml three times daily after meals for two weeks and then as per need. Avoid late night eating. No eating two hours before bed. Decrease coffee intake. Avoid smoking. Sadiq. One hour regular excercise. After 10 days.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I have bleeding after sex. I have pain while having sex. I have vaginal discharge and irritation while peeing and itching. Is this an infection or something else? I took an Unwanted 72 before three days. ### Response: Hi, Welcome to Sadiq forum. Post-coital bleeding often occurs due to cervical erosions or cervicitis. It shows increased vaginal discharge, and it can lead to secondary urinary tract infection with burning sensation and irritation during urination. So meet your gynecologist for a speculum examination and a urine culture. Have a treatment after seeing the results.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hi doctor,I have a lot of stress going on right now and most of my anxiety is coming back on having oral intercourse with a guy but he did not ejaculate, there was precum though. I am on birth control but after doing the oral intercourse two days later I started my period that was a week early and lasted 14 days. Can I get pregnant? ### Response: Hello, Welcome to Sadiq forum. No, you can never get pregnant with oral intercourse only. Vaginal intercourse without precaution would lead to pregnancy during the fertile period. And the periods you are having is not because of pregnancy but may be because of hormonal imbalance. Get your thyroid profile and serum prolactin and fasting insulin FBS. Plus ultrasound to know the endometrial thickness. The birth control pill if you are taking, may result in this if taken irregularly.

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I often have elbow pain due to spending more time with computer and using a mouse or keyboard. I work 7 to 8 hours daily in computer and pain is gradually increasing. The pain earlier used to reduce by taking Voveran tablet and using Voveran gel. The pain has become frequent now and I am taking Tendoshot capsule for the last few days. I also use tennis elbow strap in both hands while working and that gives some comfort. I do a few elbow exercise but that seems not sufficient in reducing pain. What is the treatment for elbow pain due to computer use?Whether should I take Voveran 50 or Tendoshot for pain relief?Is there any other medicine to use for pain relief?Whether tennis elbow strap or sleeve will be appropriate for this purpose?How to prevent elbow pain while using the computer?How serious can be this elbow pain in future? ### Response: Hello. It happens due to excessive use of muscle which causes stretch over the tendon at the origin giving rise to pain. So obviously, best treatment is to somehow restrict the use of muscle as much as possible. Now, you will not be able to avoid computer use but try to restrict other activities like the lifting of heavy weights, and all the motion which involves the use of these muscles like twisting or rotatory motion till it heals. It is not at all serious, it may trouble you, may settle with time or at extremes may need some local injection for the pain to subside. Next thing, you should support your elbow as much as possible during use of computer like keeping on the edge of the chair or using pillows or some other support so as to reduce stress. Also, rather than any medicines, you should use sleeves or brace as much as possible. If not adequately helpful then may have a local Voveran gel (Diclofenac). Tablet Voveran should be avoided as much as possible, and only have if absolutely painful. Tendoshot (Chon Sadiq. ) you may have. In painkillers, if you need, safest is Paracetamol like tablet Dolo 650 or Ultracet if it is not helpful then comes Voveran. You may use hot water fomentation. Also, visit local physiotherapists and get some exercises learned for it. For more information consult an internal medicine physician online

Below is an instruction that describes a task, paired with an input that provides further context. Write a response that appropriately completes the request. ### Instruction: If you are a doctor, please answer the medical questions based on the patient's description. ### Input: Hello doctor,I am 32 years old. I am suffering from stress chest pain for the past one year. 2D echo and ECG are also normal. Is it related to heart or GERD or chest wall?I am taking Cita-S 10 mg and Pantosec. ### Response: Hello. Your pain at your chest wall may be due to stress or heartburn from acid reflux. I am suggesting that you have developed a stress ulcer which can lead to acid reflux esophagitis. Are you on any form of stress lately? If so please take some time off for adequate rest. You can go ahead to do your echocardiogram to rule out any form of heart disease which can produce chest pain. Meanwhile, you can continue the suggested medication for the pain and combine it with some antacids until you receive the outcome of your diagnostic test. Stress. Echocardiogram. 1. Reflux esophagitis.2. Hypertensive heart disease. Reflux esophagitis. Adequate rest and antacids. Reduce stress event. Revert back with the echo report to a vascular surgeon online.-