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The dataset generation failed because of a cast error
Error code: DatasetGenerationCastError
Exception: DatasetGenerationCastError
Message: An error occurred while generating the dataset
All the data files must have the same columns, but at some point there are 2 new columns ({'topk', 'steps'}) and 6 missing columns ({'task', 'instruction', 'source', 'input', 'meta', 'output'}).
This happened while the json dataset builder was generating data using
/tmp/hf-datasets-cache/medium/datasets/13166556518745-config-parquet-and-info-MedSwin-HealthCareMagic-D-e46d3b63/hub/datasets--MedSwin--HealthCareMagic-Distilled/snapshots/7d8e14665212897d77b2281fcd2ac1d9caf35483/healthcaremagic_distillation_softlabels.jsonl.gz
Please either edit the data files to have matching columns, or separate them into different configurations (see docs at https://hf.co/docs/hub/datasets-manual-configuration#multiple-configurations)
Traceback: Traceback (most recent call last):
File "/usr/local/lib/python3.12/site-packages/datasets/builder.py", line 1831, in _prepare_split_single
writer.write_table(table)
File "/usr/local/lib/python3.12/site-packages/datasets/arrow_writer.py", line 714, in write_table
pa_table = table_cast(pa_table, self._schema)
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
File "/usr/local/lib/python3.12/site-packages/datasets/table.py", line 2272, in table_cast
return cast_table_to_schema(table, schema)
^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
File "/usr/local/lib/python3.12/site-packages/datasets/table.py", line 2218, in cast_table_to_schema
raise CastError(
datasets.table.CastError: Couldn't cast
id: string
topk: int64
steps: list<item: struct<t: int64, chosen_id: int64, topk_ids: list<item: int64>, topk_logprobs: list<item: (... 10 chars omitted)
child 0, item: struct<t: int64, chosen_id: int64, topk_ids: list<item: int64>, topk_logprobs: list<item: double>>
child 0, t: int64
child 1, chosen_id: int64
child 2, topk_ids: list<item: int64>
child 0, item: int64
child 3, topk_logprobs: list<item: double>
child 0, item: double
to
{'instruction': Value('string'), 'input': Value('string'), 'output': Value('string'), 'source': Value('string'), 'id': Value('string'), 'task': Value('string'), 'meta': {'gen': {'max_new_tokens': Value('int64'), 'temperature': Value('float64'), 'do_sample': Value('bool')}, 'gen_token_count': Value('int64')}}
because column names don't match
During handling of the above exception, another exception occurred:
Traceback (most recent call last):
File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 1339, in compute_config_parquet_and_info_response
parquet_operations = convert_to_parquet(builder)
^^^^^^^^^^^^^^^^^^^^^^^^^^^
File "/src/services/worker/src/worker/job_runners/config/parquet_and_info.py", line 972, in convert_to_parquet
builder.download_and_prepare(
File "/usr/local/lib/python3.12/site-packages/datasets/builder.py", line 894, in download_and_prepare
self._download_and_prepare(
File "/usr/local/lib/python3.12/site-packages/datasets/builder.py", line 970, in _download_and_prepare
self._prepare_split(split_generator, **prepare_split_kwargs)
File "/usr/local/lib/python3.12/site-packages/datasets/builder.py", line 1702, in _prepare_split
for job_id, done, content in self._prepare_split_single(
^^^^^^^^^^^^^^^^^^^^^^^^^^^
File "/usr/local/lib/python3.12/site-packages/datasets/builder.py", line 1833, in _prepare_split_single
raise DatasetGenerationCastError.from_cast_error(
datasets.exceptions.DatasetGenerationCastError: An error occurred while generating the dataset
All the data files must have the same columns, but at some point there are 2 new columns ({'topk', 'steps'}) and 6 missing columns ({'task', 'instruction', 'source', 'input', 'meta', 'output'}).
This happened while the json dataset builder was generating data using
/tmp/hf-datasets-cache/medium/datasets/13166556518745-config-parquet-and-info-MedSwin-HealthCareMagic-D-e46d3b63/hub/datasets--MedSwin--HealthCareMagic-Distilled/snapshots/7d8e14665212897d77b2281fcd2ac1d9caf35483/healthcaremagic_distillation_softlabels.jsonl.gz
Please either edit the data files to have matching columns, or separate them into different configurations (see docs at https://hf.co/docs/hub/datasets-manual-configuration#multiple-configurations)Need help to make the dataset viewer work? Make sure to review how to configure the dataset viewer, and open a discussion for direct support.
instruction string | input string | output string | source string | id string | task string | meta dict |
|---|---|---|---|---|---|---|
If you are a doctor, please answer the medical questions based on the patient's description. | Question: I woke up this morning feeling the whole room is spinning when i was sitting down. I went to the bathroom walking unsteadily, as i tried to focus i feel nauseous. I try to vomit but it wont come out.. After taking panadol and sleep for few hours, i still feel the same.. By the way, if i lay down or sit down, my head do not spin, only when i want to move around then i feel the whole world is spinning.. And it is normal stomach discomfort at the same time? Earlier after i relieved myself, the spinning lessen so i am not sure whether its connected or coincidences.. Thank you doc! | Okay, let's break down what you're experiencing. Based on your description, the primary symptom is **vertigo**, which is the sensation that you or your surroundings are spinning. This is often accompanied by **disequilibrium** (unsteadiness) and **nausea**.
Here's a possible explanation | healthcaremagic_distilled_medgemma-27b-text-it | d8428b81cf751a97 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 64
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: I experienced vertigo this morning, with a spinning sensation when sitting or attempting to walk. Nausea and vomiting were also present. Taking pain medication and resting for a few hours did not alleviate symptoms. The spinning is exacerbated by movement, but not when stationary. I also experienced normal stomach discomfort. The spinning subsided briefly after urinating, but I'm unsure if this is related or coincidental. | Okay, I understand you're experiencing vertigo, which is a spinning sensation, accompanied by nausea and vomiting. It's worse with movement and improves when you're still. You also had some stomach discomfort, and interestingly, the spinning briefly improved after urinating.
Based on your description, several possibilities come to | healthcaremagic_distilled_medgemma-27b-text-it | d8428b81cf751a97-aug5506 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 118
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: My baby has been pooing 5-6 times a day for a week. In the last few days it has increased to 7 and they are very watery with green stringy bits in them. He does not seem unwell i.e no temperature and still eating. He now has a very bad nappy rash from the pooing ...help! | Okay, let's break down what might be going on with your baby and what you can do.
**Understanding the Poop Changes:**
* **Increased Frequency (5-6 to 7 times/day):** This is a significant increase. While some babies poop frequently, a sudden jump like this | healthcaremagic_distilled_medgemma-27b-text-it | f3ce1b8a8f8332e0 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 64
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hello, My husband is taking Oxycodone due to a broken leg/surgery. He has been taking this pain medication for one month. We are trying to conceive our second baby. Will this medication afect the fetus? Or the health of the baby? Or can it bring birth defects? Thank you. | Okay, let's break down the potential effects of Oxycodone use during pregnancy. It's great that you're thinking ahead and asking these questions.
**1. Potential Effects on the Fetus/Baby:**
* **Neonatal Abstinence Syndrome (NAS):** This is the most significant concern | healthcaremagic_distilled_medgemma-27b-text-it | 76a5b383ad8edadf | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 75
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: lump under left nipple and stomach pain (male) Hi,I have recently noticed a few weeks ago a lump under my nipple, it hurts to touch and is about the size of a quarter. Also I have bern experiencing stomach pains that prevent me from eating. I immediatly feel full and have extreme pain. Please help. | Okay, I understand you're experiencing a painful lump under your left nipple and significant stomach pain that's affecting your appetite. These symptoms warrant medical attention, and I'll outline potential causes and the next steps.
**Potential Causes for the Lump:**
* **Gynecomastia:** This is a | healthcaremagic_distilled_medgemma-27b-text-it | de2911588b07eabf | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 64
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: I have a 5 month old baby who is very congested with a terrible cough. Its rattly/raspy and croupy sounding cough. She started choking on her coughs and the mucous that has come up. She also has a fever and runny nose. Should i take her to urgent care? | <unused94>thought
Here's a thinking process for responding to the parent's question about their congested, coughing 5-month-old baby:
1. **Identify the core problem:** The parent is concerned about their 5-month-old baby who has congestion, a specific type of cough (r | healthcaremagic_distilled_medgemma-27b-text-it | 3c3b1c32d5bfadb7 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 68
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: I woke up this morning feeling the whole room is spinning when i was sitting down. I went to the bathroom walking unsteadily, as i tried to focus i feel nauseous. I try to vomit but it wont come out.. After taking panadol and sleep for few hours, i still feel the same.. By the way, if i lay down or sit down, my head do not spin, only when i want to move around then i feel the whole world is spinning.. And it is normal stomach discomfort at the same time? Earlier after i relieved myself, the spinning lessen so i am not sure whether its connected or coincidences.. Thank you doc! | Okay, let's break down what you're experiencing. Based on your description, the primary symptom is **vertigo**, which is the sensation that you or your surroundings are spinning. This is often accompanied by **disequilibrium** (unsteadiness) and **nausea**.
Here's a possible explanation | healthcaremagic_distilled_medgemma-27b-text-it | d8428b81cf751a97 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 64
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: I experienced vertigo this morning, with a spinning sensation when sitting or attempting to walk. Nausea and vomiting were also present. Taking pain medication and resting for a few hours did not alleviate symptoms. The spinning is exacerbated by movement, but not when stationary. I also experienced normal stomach discomfort. The spinning subsided briefly after urinating, but I'm unsure if this is related or coincidental. | Okay, I understand you're experiencing vertigo, which is a spinning sensation, accompanied by nausea and vomiting. It's worse with movement and improves when you're still. You also had some stomach discomfort, and interestingly, the spinning briefly improved after urinating.
Based on your description, several possibilities come to | healthcaremagic_distilled_medgemma-27b-text-it | d8428b81cf751a97-aug5506 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 118
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: My baby has been pooing 5-6 times a day for a week. In the last few days it has increased to 7 and they are very watery with green stringy bits in them. He does not seem unwell i.e no temperature and still eating. He now has a very bad nappy rash from the pooing ...help! | Okay, let's break down what might be going on with your baby and what you can do.
**Understanding the Poop Changes:**
* **Increased Frequency (5-6 to 7 times/day):** This is a significant increase. While some babies poop frequently, a sudden jump like this | healthcaremagic_distilled_medgemma-27b-text-it | f3ce1b8a8f8332e0 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 64
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hello, My husband is taking Oxycodone due to a broken leg/surgery. He has been taking this pain medication for one month. We are trying to conceive our second baby. Will this medication afect the fetus? Or the health of the baby? Or can it bring birth defects? Thank you. | Okay, let's break down the potential effects of Oxycodone use during pregnancy. It's great that you're thinking ahead and asking these questions.
**1. Potential Effects on the Fetus/Baby:**
* **Neonatal Abstinence Syndrome (NAS):** This is the most significant concern | healthcaremagic_distilled_medgemma-27b-text-it | 76a5b383ad8edadf | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 75
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: lump under left nipple and stomach pain (male) Hi,I have recently noticed a few weeks ago a lump under my nipple, it hurts to touch and is about the size of a quarter. Also I have bern experiencing stomach pains that prevent me from eating. I immediatly feel full and have extreme pain. Please help. | Okay, I understand you're experiencing a painful lump under your left nipple and significant stomach pain that's affecting your appetite. These symptoms warrant medical attention, and I'll outline potential causes and the next steps.
**Potential Causes for the Lump:**
* **Gynecomastia:** This is a | healthcaremagic_distilled_medgemma-27b-text-it | de2911588b07eabf | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 64
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: I have a 5 month old baby who is very congested with a terrible cough. Its rattly/raspy and croupy sounding cough. She started choking on her coughs and the mucous that has come up. She also has a fever and runny nose. Should i take her to urgent care? | <unused94>thought
Here's a thinking process for responding to the parent's question about their congested, coughing 5-month-old baby:
1. **Identify the core problem:** The parent is concerned about their 5-month-old baby who has congestion, a specific type of cough (r | healthcaremagic_distilled_medgemma-27b-text-it | 3c3b1c32d5bfadb7 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 68
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: A 5-month-old infant presents with severe congestion, a croupy cough, and choking episodes due to coughing and mucous production. Additionally, she has a fever and rhinorrhea. Urgent care evaluation is warranted. | Based on the patient's description, the infant is experiencing symptoms consistent with **croup (laryngotracheobronchitis)**.
**Key findings:**
* **Age:** 5 months old (common age for croup)
* **Symptoms:**
* Severe congestion | healthcaremagic_distilled_medgemma-27b-text-it | 3c3b1c32d5bfadb7-aug4811 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 65
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: A 5-month-old infant presents with severe congestion, a croupy cough, and choking episodes due to cough-induced mucous aspiration. Additionally, she has a fever and rhinorrhea. Urgent care evaluation is warranted. | Okay, I understand the situation. A 5-month-old infant with severe congestion, croupy cough, choking episodes due to mucous aspiration, fever, and rhinorrhea requires urgent medical evaluation. This constellation of symptoms is concerning for several potential conditions, including:
1. **Croup (Laryngotr | healthcaremagic_distilled_medgemma-27b-text-it | 3c3b1c32d5bfadb7-aug9279 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 64
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: I am F 38 in good shape work out (do triathlons) regular but have had back pain from different reasons throughout my life now I every so often wake up with severe lower back, hip pain for no reason. today the pain is almost taking my breathe away when i move. It is a dull pain when i am just lying down but the moment I make any sort of movement I have sharp and sometimes shooting pain down my legs. | Okay, I understand you're a 38-year-old female (though you wrote F, I'll assume female based on common usage, please correct me if I'm wrong) who is physically active but experiencing severe, intermittent lower back and hip pain, particularly upon movement, sometimes radiating down the | healthcaremagic_distilled_medgemma-27b-text-it | 00498ecd9af2196d | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 64
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: sir, MY uncle has ILD-Interstitial Lung disease.from my research over google i found that the cause is important to be known. the cause wat i feel is due to breakage of acid bottle in bathroom which caused lot of smoke and that time he wasnot able to be normal for 15-20 minutes. then he was normal .may be that would have been the reason for this ILD. Please suggest wat we should do. | Okay, let's break down this situation. It's understandable that you're concerned about your uncle and trying to find the cause of his Interstitial Lung Disease (ILD).
**Understanding ILD:**
* **ILD is a broad term:** It doesn't refer to a single disease, but | healthcaremagic_distilled_medgemma-27b-text-it | 54dfe12afb59c60f | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 64
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: my husband was working on a project in the house and all of a sudden a bump about the size of a half dollar appeard on his left leg inside below the knee. He is 69 years old and had triple by pass surgery 7 years ago. It stung when it first happened. Doesn t hurt now. He is seated with his leg ellevated. Is this an emergency? | Okay, let's break down the situation with your husband's leg bump. Based on your description, here's an assessment and advice:
**Assessment:**
* **Sudden Appearance:** The bump appeared suddenly while he was working, suggesting a possible acute event.
* **Location:** Inside | healthcaremagic_distilled_medgemma-27b-text-it | c3aaacbc35aebe04 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 65
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: hi my nine year old son had a cough and flu symptons three months ago and the chesty sounding cough and green phlegm still remains. it did seem to get better but never totally went and has now picked up again...he has only ever had antibiotics once in his live which suggests he his generally fitand well and active...never short of breath or weezy...so why would this be.... | Okay, let's break down what might be going on with your son's persistent cough. It's good that he's generally fit and well and hasn't had many antibiotics, but a cough lasting this long definitely warrants attention.
Here are some potential reasons for a persistent cough, especially one with | healthcaremagic_distilled_medgemma-27b-text-it | 56bdcd3b41e9bab9 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 64
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: gyno problemsfor the past few months, I have been having issues with my vagina. there always seems to be something wrong with me. its either an infection or a yeast infection from the medication used to treat the previous infection or a herpes outbreak as a result of a yeast infection. most recently, I had a uti. I was treated for that and everything seemed fine, until after I finished the medication. it still hurt when I had sex and still is uncomfortable to pee. I dont know whats going on and this has been going on for months. | Okay, I understand you've been dealing with a frustrating and recurring series of vaginal and urinary issues for several months. It sounds like a very difficult situation. Let's break down what you're describing and discuss potential next steps.
**Summary of Your Symptoms:**
* **Recurring Vaginal Issues:** | healthcaremagic_distilled_medgemma-27b-text-it | 238aa3f9ff35a85b | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 64
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: I have found that I have an allergy to leotensin. They have taken me off of everything....I found in the information that one side effect if the red skin lensions with a purple center. I was looking to see if there was anything I could do to help the spots go away. I am a dental hygienist and I will be working the next two days. Is there anything that would cover them, so the patients would not be aware??? | Okay, I understand you've had an allergic reaction to leotensin, which has resulted in red skin lesions with purple centers. You're looking for ways to manage these spots, especially since you need to work as a dental hygienist for the next two days and want to cover them up.
Here' | healthcaremagic_distilled_medgemma-27b-text-it | 3f1089eb26ac6ee3 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 84
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hi my name is Wendy I ve been having an issue for the last couple of months or so I been having severe pain in my lower back around the front into the groin area and its radiating down my thigh and so on I am currently a cancer patient nobody seems to be able to tell me what it could be the pain is so bad that it brings tears to my eyes would you possibly know what it could be or might be. | Okay Wendy, I understand you're going through a very difficult time, dealing with cancer and now this severe pain. It's completely understandable that you're looking for answers and feeling distressed.
Based on your description of severe lower back pain radiating into the groin and down the thigh, several possibilities come to mind | healthcaremagic_distilled_medgemma-27b-text-it | 4ddb5c888b055c71 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 64
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: hye, My aunt is having shortness of breath and she is on vent now. Her breast showed some kind of infection that apparently turned out to have black blisters. I could she those spreading. When we went for lungs x-ray doctor said she has accumulation of water in her lungs. | Okay, I understand you're very concerned about your aunt. Based on your description, here's a breakdown of what might be happening and what needs to be done.
**Possible Diagnosis:**
* **Pneumonia with Sepsis:** The shortness of breath, accumulation of water in the lungs ( | healthcaremagic_distilled_medgemma-27b-text-it | 2137534d6ce23858 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 92
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: i am 28 yrs old, i got married before 6 year, i was infected by pulmonary tuberculosis before 6 years, i took treatment for 6 months after that i statred gainig weigt, my periods was irredulat, i increased nearlt 20 kgs after that, now my weight is 75 kgs, i trying to conceive, i took tsh, other blood test too, but everything is normal, do i have the chances to conceive. | Okay, let's break down your situation. You're 28 years old, married for 6 years, and trying to conceive. You had pulmonary tuberculosis (TB) 6 years ago, which required 6 months of treatment. Since then, you've gained about 20 kg (now | healthcaremagic_distilled_medgemma-27b-text-it | c75843ed59f7b0b2 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 64
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: I sprained my foot on Friday. I stepped on what I thought was lawn. Instead I was a bit on the lawn, but the outside of my foot snapped down into a trough. My foot has been swollen since Friday. Today is Thursday. Kept ice on it for 24 hours. Bruising started after that, Now bruising is spreading. It is really dark on my toes. Pain is on outside of my foot, not on my ankle. | Okay, let's break down what's happening with your foot. Based on your description, it sounds like you likely have a significant sprain, possibly involving the ligaments on the outside of your foot. The fact that your foot "snapped down" suggests a possible inversion injury, which is common for these types | healthcaremagic_distilled_medgemma-27b-text-it | 3be7baea36eff010 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 71
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: I sustained a lateral malleolus sprain on Friday after stepping into a depression, causing an inversion injury. Swelling has persisted for 4 days. Ice therapy was applied for 24 hours, followed by the onset of bruising, which has since spread to the toes. Pain is localized to the lateral aspect of the foot, not the ankle. | Okay, let's break down this situation. Based on your description, here's a potential assessment and some advice:
**Assessment:**
1. **Lateral Malleolus Sprain:** This is the most likely diagnosis given the mechanism of injury (inversion injury) and the location of pain (lateral | healthcaremagic_distilled_medgemma-27b-text-it | 3be7baea36eff010-aug8527 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
"gen_token_count": 64
} |
If you are a doctor, please answer the medical questions based on the patient's description. | Question: hi, i have been recently diagnosed with H pylori.. i have been give the triple treatment of calithramycin, amoxxicilin and omeprazole.. is dis something very serious and does this have some long term implications etc.can u plz give some detailed information about Hpylori. thnx. | Okay, let's break down your questions about H. pylori and its treatment.
**1. Is H. pylori serious?**
* **Yes, it can be.** While many people with H. pylori never develop symptoms or serious problems, it's a significant cause of several health issues. | healthcaremagic_distilled_medgemma-27b-text-it | 20d0505426d18703 | distillation | {
"gen": {
"max_new_tokens": 64,
"temperature": 0,
"do_sample": false
},
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I had a alt reading about 2+ months ago of 43 then retested today and got a 60 alt reading my other readings came back normal should I be concerned?Im 40 years 5ft 3 and weigh 192albs have a history of chronic vertigo and insomnia, and chronic sinus problems. I take valium 5 mg 4 times a day, fluticansone 2 puffs each nose once a day, qvair two puffs twice a day to prevent weasing, claritin for allergies, and I do sinus rinses as needed. I am female.My doctor says none of the medicine has liver side effects, and I dont drink alcohol but a sip on the rare occasion. He thinks it could be do my weight and Im working on this with gradual exercise when Im able too. Should I be worried with this test result? I had one other result that was high my triglcyerides read 198 ? WWW.WWWW.WW. | Okay, let's break down this situation. It's understandable to be concerned when you see lab results change, especially liver enzymes like ALT. Here's a breakdown of what's going on and what to consider:
**Understanding ALT:**
* **What it is:** ALT (Alanine Amin | healthcaremagic_distilled_medgemma-27b-text-it | 04279dbe2fdcf11f | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: i had surgery done 5 months ago for scar tissue and adhesion removal. my gynecologist just found a cyst on my right ovary. im still having problems, when my husband and i have sex i get severe cervical pain and afterward i get abdominal cramps severe enough i get light headed, also i get abdominal pain and rectal pain before and during a bowel movement, i also get abdominal pain during urination. im 26 years old. what could it be? | Okay, let's break down your symptoms and potential causes. It's important to remember that I am an AI and cannot provide a medical diagnosis. This information is for educational purposes only, and you absolutely need to discuss these symptoms with your gynecologist or primary care physician for a proper evaluation and diagnosis.
Here | healthcaremagic_distilled_medgemma-27b-text-it | c5fce2c23c801618 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hi, I had a subarachnoid bleed and coiling of brain aneurysm last year. I am having some major bilateral temple pain along with numbness that comes and goes in my left arm/hand/fingers. I have had headaches since the aneurysm, but this is different. Also, my moods have been horrible for the past few weeks. | Okay, I understand you've had a significant medical history with a subarachnoid hemorrhage (SAH) and aneurysm coiling last year. It's good that you're reaching out about these new and concerning symptoms. Let's break down what you're describing:
**1. Bilateral | healthcaremagic_distilled_medgemma-27b-text-it | c4104ac5c87053cb | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Almost everytime I eat, it burns when I swallow. Not in my throat but in my chest. It burns all the way down. It helps a lil if I drink water after I swallow. I wake up a lot in the middle of the night with heartburn so I chew some tums and it helps for the most part. Why is it so painful when I eat? | Okay, let's break down what might be causing this painful burning sensation when you eat and the heartburn at night. Based on your description, it sounds very much like **Gastroesophageal Reflux Disease (GERD)**, commonly known as acid reflux.
Here's why:
1. ** | healthcaremagic_distilled_medgemma-27b-text-it | 99d9ed93fa15a8e2 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I experience retrosternal burning sensation with swallowing, which is relieved by drinking water. I also experience nocturnal heartburn, which is temporarily alleviated by taking Tums. | Based on your description, it sounds like you might be experiencing symptoms of Gastroesophageal Reflux Disease (GERD). The retrosternal burning sensation with swallowing, often described as heartburn, is a classic symptom. The fact that drinking water provides relief suggests that it might be related to acid reflux, as water can help | healthcaremagic_distilled_medgemma-27b-text-it | 99d9ed93fa15a8e2-aug4733 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: for the pst 6 days i have been haing upper abdome distress ... i have had gall bladder surgery 2 yrs ago ..in the past 2 yrs when i get these bouts .. i go to emerg they run cardiograms xrays ,blood work ,all comes back normal ...im stressing out over this as im scared every time it happens im having a heart attack wht is it ? | Okay, I understand you're experiencing upper abdominal distress for the past 6 days, and you're understandably worried about it potentially being a heart attack, especially given your history of similar episodes and normal emergency room tests in the past. Let's break this down.
**1. Ruling out a Heart Attack | healthcaremagic_distilled_medgemma-27b-text-it | df7e6b2c8f862bad | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I have a hole its about the size of a dime at the beggining of my butt crack (gross I know) but Im just wondering how to get rid of it at home I put anti bacterial on it with a q - tip it sizzles but nothing comes out or changes . What do I do ? (At home ). | Okay, I understand you're dealing with a sensitive issue and are looking for home care advice. Based on your description of a "hole" about the size of a dime at the beginning of your butt crack that sizzles when you apply antibacterial ointment, this sounds very much like a **pilonidal cyst** or | healthcaremagic_distilled_medgemma-27b-text-it | 19e98b01984e461c | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Dear Doctor, We are trying to have a baby and gave it a big try this time but as we are planning to go for an Invitro (ICSI) for the next period, my doctor gave me Primolut Not from day 16 to day 25. I am wondering if this will have a negative impact on my pregnancy if I am pregnant because as explained we gave it a big try this time. Thank you in advance for your response. With my Best Regards; Mme Sue. | Dear Mme Sue,
Thank you for reaching out with your question. It's understandable to be concerned about potential effects of medication while trying to conceive, especially when planning procedures like ICSI.
Regarding Primolut N (norethisterone), it is a progestogen medication. It is often prescribed to regulate | healthcaremagic_distilled_medgemma-27b-text-it | 13e933c1765d5d95 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hello, I am in the middle of a serious anxiety/panic attack as I just became aware that I may have a tetanus infection. I am a senior at Clemson University and to be honest the apartment where I resided in the past four months was extremely unsanitary. One toilet was clogged for nearly two months which I now know could have bred bacterial spores that cause tetanus infections. I cut myself shaving around 1 1/2 months ago. I was out of razors and used a razor that had been sitting in the bathroom with the clogged up toilet I mentioned above. I did clean the razor with rubbing alcohol before use however I had an open wound on my face for a while.. About a week. For about a month now I have been feeling extremely irritable, experiencing lockjaw symptoms, been short of breath, had fevers on and off, heart palpitations, and I have noticed that when I smile my face contorts into what one would call a sardonic smile. Am I going to die? Please let me know your opinion. | Okay, let's break this down. First, take a deep breath. It sounds like you're going through a very stressful time, and anxiety can mimic many physical symptoms. However, your concerns about tetanus are valid given the circumstances you've described.
Here's a breakdown of why your concerns are | healthcaremagic_distilled_medgemma-27b-text-it | 7eefd1f279f9300e | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hi hope you can helpive been getting chest pains, not severe but a constant pain, can happen when im just resting but has also happened when im exercising, it continues through to my back as well. I sometimes wake up with chest pains too. i have a strong history of heart disease. grandfather died at 26 from a heat attack and mother had one at 45, also grandmother on the other side had a heart attack. Could you please explain what is happening? Thanks. | Okay, I understand you're experiencing chest pain that radiates to your back, occurs both at rest and during exercise, and sometimes wakes you up at night. Given your strong family history of early-onset heart disease, this is definitely something we need to take very seriously.
Here's a breakdown of potential causes | healthcaremagic_distilled_medgemma-27b-text-it | 1e128e01e9edec48 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Im 28 year old and suffering from male baldness pattern. I started using RICHFEEL tricology centres saw palmetto treatment but it didnt help, then I tried Minoxidil 5% but discontinued it after 12 days after having some side effects (some tiny boils on my forehead). Kindly suggest me which medicine i should take. | Okay, let's break down your situation and discuss potential options. It's good that you're actively seeking solutions for male pattern baldness (androgenetic alopecia).
**Understanding Your Situation:**
* **Age:** 28 years old - This is a common age for male pattern baldness | healthcaremagic_distilled_medgemma-27b-text-it | cd9ae7af7abed310 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I too fell and hurt my left side of my chest. I have a large lump and I am very black and blue. I need to fly out on Sunday this fall happen last Sunday. I have been taking aleve for pain and arnica gel. Should I be worried about the flight? I am 70 Thank you,. | Okay, let's break down your situation. You fell last Sunday, hurt your left chest, have a large lump, significant bruising (black and blue), are 70 years old, and need to fly this coming Sunday. You've been managing pain with Aleve and arnica gel.
Here' | healthcaremagic_distilled_medgemma-27b-text-it | a5c950a9e7fd890f | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: A 70-year-old patient experienced a fall, resulting in a large contusion and bruising on the left side of the chest. They have been managing pain with Aleve and arnica gel. The patient is concerned about flying on Sunday, given the recent injury. | Okay, let's break down the concerns for this 70-year-old patient with a chest contusion and bruising after a fall, specifically regarding air travel on Sunday.
**1. Understanding the Injury:**
* **Chest Contusion:** This is a bruise to the chest wall muscles, tissues | healthcaremagic_distilled_medgemma-27b-text-it | a5c950a9e7fd890f-aug9751 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I have had a few small hard painless bumps where my cheek goes to my gums. this may sound terrible but they have been there, the same size & number for about a year if I remember correctly (scratch that, I just talked with a friend of mine & remebered they have been there for four years) & I have yet to tell my dentist about them. any thoughts? I am a 16 yr. old male & have used snuff habitually before, for only a few years but none the less. | Okay, let's break down this situation. You're a 16-year-old male with a history of snuff use, and you've noticed some small, hard, painless bumps inside your cheek, near the gum line. They've been present for about four years and haven't changed | healthcaremagic_distilled_medgemma-27b-text-it | 609bda67261f0e45 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: my mother is 80 yrs. detected with vulva cancer. vulva is swollen red ,around discolourisation, white growth now extending to rectum. biopsy shows keratinizing squamous carcinoma vulva(welldifferentiated,invasive).she is little asthmatic, has cervical spondeolytis . | Okay, I understand you're looking for information regarding your mother's diagnosis of vulvar cancer. It's a difficult situation, and I'll do my best to provide some general information based on what you've described. Please remember, this is not a substitute for direct medical advice from her treating physicians | healthcaremagic_distilled_medgemma-27b-text-it | 819be5416fd898d2 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Suddenly this morning I got really excruciating lower right back pain. I was standing in the kitchen and it came on suddenly. It s the lower right side. It does not go down in the my legs it s just isolated to my back. I have no nausea or no blood in my urine. Any idea on what it could be? | Okay, I understand you're experiencing sudden, severe lower right back pain that started this morning while you were standing. It's localized to your back and doesn't radiate down your legs. You also mentioned no nausea or blood in your urine.
Based on your description, here are a few possibilities, ranging | healthcaremagic_distilled_medgemma-27b-text-it | 8c3a81606164d966 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hey I am on my third antibiotic and still coughing and my ribs are killing me especially right side. Doc claims it is viral cough syndrome left over from bronchitis . I do not think so. No fever the whole time. Xray was clear on lungs. Taking mucinex, third antibiotic, inhaler and can not get better. Ulcers in mouth and my face in breaking out bad. Been sick since December 28,2012. | Okay, I understand you're feeling frustrated and unwell. It's been a long time since December 28th, 2012, and you're still dealing with a persistent cough, rib pain, mouth ulcers, and facial breakouts, despite multiple antibiotics and treatments. Let's break down | healthcaremagic_distilled_medgemma-27b-text-it | 6bc1b80738e1e43d | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hi My mrs has this heart murmur, which is causing the blackouts, and she has panic attacks. Yesterday the doctor was quite concerned at how her blood pressure was so high, and then a couple of weeks go when she had her smear, it was too low. She has now got this bruising appearing around her lower back too, and i don t know how its been caused. I m really worried about her. Is this seriouse? | It sounds like your wife is experiencing a number of concerning symptoms, and it's understandable that you're worried. Let's break down the issues:
**Heart Murmur:**
* A heart murmur is an extra or unusual sound heard during a heartbeat. It can be innocent (harmless) or | healthcaremagic_distilled_medgemma-27b-text-it | 54d810a87fc54c66 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I am on metformin 1000mg bid for pcos & was prescribed Percocet 10/650 for a severely displaced fracture needing surgery. I drink a glass of red wine nightly for heart heglth Bhc cardiac disease runs in my family... Should I be concerned a our elastase liver function test? I am also on Zoloft 150 daily, adderall 30mg bid & clonazepam as needed who I take a few night a a week. | Okay, let's break down your situation. You have several medications and a history of family heart disease, and you're asking about potential liver issues, specifically related to your elastase levels, while taking Percocet and other medications.
Here's a breakdown of the potential concerns and what you should consider | healthcaremagic_distilled_medgemma-27b-text-it | e281650cda0a44f4 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I'm taking metformin 1000mg twice daily for PCOS, Percocet 10/650 as needed for a displaced fracture, and red wine nightly for heart health. I have a family history of cardiac disease. I'm also on Zoloft 150mg daily, Adderall 30mg twice daily, and clonazepam as needed, typically a few nights a week. | Okay, let's break down your medications and health history. It's good you're being proactive about your health, but there are some important interactions and considerations here.
**Metformin:**
* **Purpose:** Primarily used for type 2 diabetes, but also commonly prescribed for Polycystic | healthcaremagic_distilled_medgemma-27b-text-it | e281650cda0a44f4-aug5386 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I stopped taking microgestin, mid-pack, on 12/5/13 after being on it for 2 1/2 months. I had withdrawal bleeding 12/9/13 - 12/13/13.I was supposed to get my period 1/5/14 but i am late. Before birth control my cycles were always regular and always 28-29 days. My boyfriend and i have been using the pullout method frequently before and after stopping the pill. Could i be pregnant? | It's understandable to be concerned about a possible pregnancy, especially after stopping birth control and experiencing a change in your cycle. Here's a breakdown of factors to consider and what steps you should take:
1. **Return of Fertility:** After stopping hormonal birth control like Microgestin, fertility can return relatively | healthcaremagic_distilled_medgemma-27b-text-it | 9a27dc9319b20e5a | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I discontinued microgestin, mid-pack, on 12/5/13 after 2 1/2 months of use. Withdrawal bleeding occurred from 12/9/13 to 12/13/13. My expected menstrual period was 1/5/14, but I have not yet menstruated. Prior to using birth control, my menstrual cycles were regular, occurring every 28-29 days. My boyfriend and I have been using the withdrawal method frequently before and after stopping the pill. I am concerned about the possibility of pregnancy. | Okay, let's break down the situation. You stopped taking Microgestin (a combined oral contraceptive) mid-pack on December 5th, 2013. You had a withdrawal bleed from December 9th to 13th, which is expected when stopping hormonal birth control.
Your | healthcaremagic_distilled_medgemma-27b-text-it | 9a27dc9319b20e5a-aug6155 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I am going through Jaundice due to Hepatitis E, my stomach has gone too much weak, at time a lot of acidity. I was in hospital for 5 days but now feeling much better then before and my Total bilirubin has come down to 5 and liver enzymes are around 1400. Body is too much fluctuating, at times i feel better and at times i feel pathetic. I am on complete rest, at times i walk around else not much of physical work. I am taking monolive but i can see Liv52 is more famous, should i change that? | Okay, let's break down your situation. It sounds like you're recovering from Hepatitis E, which is good news that you're feeling better than before and your bilirubin is decreasing. However, you're still experiencing significant symptoms and lab abnormalities, so it's important to manage this carefully.
Here | healthcaremagic_distilled_medgemma-27b-text-it | d18e2a7877ffdba3 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: My family has recently gotten the scabies mite... WE have cleaned our house top to bott om with hot soapy water, Rid, Used a cleaner on carpet/couch. we treated ourselfs with Permethern cream, Eurax, and i have used tea tree oils, poroxide, etc. Everyone but me and a older son has kicked it. I have went as far as sanding my skin....My question is what do I do to rid it once and for all SAFETLY! I was told Borax in a tub ....is that safe? HELP. | Okay, I understand you're dealing with a persistent scabies infestation and are feeling desperate. It's frustrating when treatments don't seem to work, especially after putting in so much effort. Let's break down the situation and discuss safe and effective options.
**Understanding Scabies Persistence**
Scabies | healthcaremagic_distilled_medgemma-27b-text-it | 4d218e463da1dff3 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hi, didn t expect to get a real person, but since your are here, I will tell you about symptoms I have been having. I think they are panic or anxiety attacks, but who knows. I get a tight feeling in the back of my head that moves to my temples then down into my throat and eventually down the middle of my chest. I get very emotional when this happens and after all that, I can t catch my breath and my heart beats really fast. It usually goes away in 2 or 3 minutes, if I can sit down and concentrate on my breathing. I recently had an MRI and my heart was found to be OK......any ideas???? | Okay, I understand you're experiencing some distressing symptoms that you suspect might be panic or anxiety attacks. It's good that you've already had an MRI and your heart has been checked out, ruling out some serious underlying physical causes.
Based on your description, the symptoms you're experiencing – the tight | healthcaremagic_distilled_medgemma-27b-text-it | 442c312748b8e8e2 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I fell on uneven sidewalk on July 3rd and hurt my knee: I had no problem walking and I didn t have much pain just bruising on my knee with tenderness. Now as the bruising is entering the purple/green phase I am starting to get a lot of swelling in my calf and ankle- what should I do ?? | Okay, I understand you fell on your knee on July 3rd and initially had bruising and tenderness but could walk. Now, about two weeks later, you're experiencing significant swelling in your calf and ankle as the bruising changes color. This pattern of delayed swelling, especially in the calf and ankle after a knee injury | healthcaremagic_distilled_medgemma-27b-text-it | adb0e85e6efec823 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Dear doctor, i am 33 male recently i have undergone pre employment medical check up and it was found that i have sgpt- 194 except this all test are absolutely normal test includes 1) CBC2. ESR and liver test 3. Urine Routine 4. Blood Group & Rh Factor 5. X-ray (Chest)6. General Physical Examination7. Fasting Blood Sugar &Post Prandial Blood Sugar8. Total Cholesterol9. ECG10. Serum Creatininenow they have advised me to got my ultrasound done full abdomen. i have got it done today and every thing is normal and they found mild fatty liver. Another thing i want to share that i was suffering from loose motions and was on Ofloxacin-200mg with ornidazole500mg B.D dosage (oflox OZ )medication for 2days and continued ofloxacin-200 B.D dosage (oflox) for another 3days as was suffering cold and cough also.now i need to go to gastro doctor to get the ultrasound reports checked. Just want to know what could be the reason for this elevated SGPT and will i get the clearance for joining new company.what should i do to lower my SGPT levels?? and what diet i should follow i am not a heavy drinker just take drinks occasionally and i am not fond of junk food as well. | Okay, let's break down your situation. It's good that you're being proactive about this.
**Understanding Elevated SGPT (ALT)**
SGPT (Serum Glutamyl Pyruvate Transaminase), also known as ALT (Alanine Aminotransferase), is an enzyme found primarily in the liver. When | healthcaremagic_distilled_medgemma-27b-text-it | d1331219e54f985b | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hello, My name is Wanda I am a 40year old female with type one diabetes (have had it for 7 years ) I have had a tooth infection in my gums for honestly on and off for about 2 years it swells up then bursts with yellowish clear pus above a tooth which needs to be pulled. I have felt like Ive had a sinus cold for the past few weeks and then discovered a sore on the inside of my left nostil.. could they be connected. | Okay Wanda, thank you for reaching out. It's important to address both the dental issue and the nasal sore, especially given your history of type 1 diabetes. Here's a breakdown of how these could be connected and what steps you should take:
**Possible Connection:**
* **Dental Infection Sp | healthcaremagic_distilled_medgemma-27b-text-it | d3aba57755b097a4 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I had a partial root canal roughly 36 hours ago on my lower left rear molar (wisdom teeth extracted years ago). The doctor drilled out the pulp (noting that it was mostly dead) and put on a temporary filling until the root canal specialist could see me. Now, about 36 hours later, Im in quite a bit of pain again, both on the tooth that was operated on and in a molar on the top of my jaw and in the back jaw muscle. My neck is rather swollen too and is tender to the touch. I have plans to travel tomorrow by plane to see some family and go diving. Is my condition something that requires immediate attention? Should I not be flying or diving? | Okay, let's break down your situation. It sounds like you're experiencing some concerning symptoms after a partial root canal procedure. Here's a breakdown of what might be happening and my recommendations:
**Possible Causes for Your Symptoms:**
1. **Inflammation:** It's common to have some | healthcaremagic_distilled_medgemma-27b-text-it | 6d6fcb485a3dce74 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: My doctor had issue with finding the baby during my transvaginal ultrasound is that because I had to pee she could see the yoke sac and I measured 9 weeks but what she thought was the baby was measuring 7 weeks. I am just worried and want to know if that interfered. | Okay, let's break down this situation. It's understandable to be worried when there are difficulties during an ultrasound, especially early in pregnancy. Here's a breakdown of why needing to urinate can interfere with a transvaginal ultrasound and how it might relate to the measurement discrepancy:
**1. Why | healthcaremagic_distilled_medgemma-27b-text-it | 2ec381253615518c | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I hit a volleyball this after with the underside if my hand (made a fist) it bent my wrist backward causing pain. Now about 7 hrs later it is still very painful to my hand backwards and all to put pressure on my wrist. These are fairly sharp pains. It does not hurt to pick things up or grip most objects. There is only pain when I move my hand. Thank you. | Okay, I understand you injured your wrist while playing volleyball. Based on your description, here's a breakdown of what might be going on and what you should do:
**Possible Injuries:**
* **Wrist Sprain:** This is the most likely injury. A sprain involves stretching or tearing of the ligaments | healthcaremagic_distilled_medgemma-27b-text-it | 69a42a7e3ce177b4 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I have a pacemaker, due to atrial fibrillation, and have been put on coumadin. It does not seem to thin my blood, and am on 750 mg a day, and it makes me nauseous and extremely dizzy, to the point where I can t function. Are there any foods that help thin the blood? Also, do fish oils help or hinder the thinning process? I would really like to take less medication and get results that are favorable. | Okay, let's break down your concerns. It's important to understand that I am an AI and cannot provide medical advice. You absolutely need to discuss these issues with your doctor who prescribed the Coumadin and manages your atrial fibrillation and pacemaker. They know your specific medical history and can make the best recommendations for | healthcaremagic_distilled_medgemma-27b-text-it | b5f9fbfbbbf5be5a | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: My younger brother liver & spleen got enlarged. Hepatitis B&C found in blood. Mild ascitis & SOL on both lube of liver found. His age is 15. Weight is 28 kg. He is having serious less appetite. I am attaching the all the reports. Please advice us how to proceed and the exact condition of the patient.Here two doctors said he will need a full liver transplantation... | Okay, I understand you're very concerned about your younger brother. Based on the information you've provided – a 15-year-old male with enlarged liver and spleen, positive Hepatitis B and C, mild ascites, space-occupying lesions (SOL) on both lobes of the liver, low | healthcaremagic_distilled_medgemma-27b-text-it | f526bc4be885a431 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hi Over the past 2 days I have had a sore jaw on the right side only. Doesn t feel sore on the outside of my face, but extremely tender on the tendon that attaches jaw together. Inside of cheek also appears swollen. Right side of tongue feels strange, and slightly sore to swallow also. I m 40 but my wisdom teeth never came in, could this be a cause? | Okay, let's break down your symptoms. You're experiencing right-sided jaw soreness, specifically tenderness along the tendon connecting the jaw, swelling inside the cheek, a strange sensation on the right side of your tongue, and slight pain when swallowing. You're 40 and don't have wisdom teeth | healthcaremagic_distilled_medgemma-27b-text-it | f6161ec360ae0dcd | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hi, Can anyone give me the solution for Aplastic Anemia ? my 4 years old daughter suffering from Aplastic anemia since April 2010. Regards, Vinod. | Okay, Vinod. I understand you're looking for information about Aplastic Anemia treatment for your 4-year-old daughter, who was diagnosed in April 2010. Aplastic Anemia is a serious condition where the bone marrow doesn't produce enough new blood cells.
Here' | healthcaremagic_distilled_medgemma-27b-text-it | 3f077bf2dbf3b17b | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I HAVE HAD SEVERAL TIAS BEFORE THE AGE OF 40 AND JUST RECENTLY I HAD DIFFICULTIES ORGANSIZING MY THOUGHTS AND THEN TRYINGTO SAYING WHAT WAS IN MY BRAIN HAPPENED APRIL 15 AND THEN THE NEXT DAY WHEN I ANSWERED THE PHONE WERE I VOLUNTEERED IT HAPPENED AGAIN; I COULD NOT SAY GOOD AFTERNOON SHIRLEY SPEAKING HOW MAY I HELP YOU. ANY SUGGESTIONS WHAT I WAS EXPERIENCING? | Based on your description, it's difficult to provide a definitive diagnosis without a proper medical evaluation. However, the symptoms you're describing – difficulties organizing thoughts and expressing them verbally (aphasia), especially after experiencing Transient Ischemic Attacks (TIAs) before the age of 40 – are concerning and warrant | healthcaremagic_distilled_medgemma-27b-text-it | ebdaee33dc828d8e | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: My son is 1 yr 8 months old...he is not walking on his own...so dr suggested MRI n MRI report shows .ventricular system appears mildly prominent,normal in shape position and signal morphology,cisternal and sulcal spaces are mildly prominent,small faint hyperintense areas noted in bilateral periventricular frontal and Pareto occipital regions.rests things are normal....pls tell me wat does it means. | Okay, let's break down this MRI report for your son. I understand this must be concerning for you, and I'll do my best to explain it in a clear way.
**1. Ventricular System Appears Mildly Prominent:**
* **What it means:** The ventricles are | healthcaremagic_distilled_medgemma-27b-text-it | 51c2771b19c1bb8b | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hi. My 18month old has had red and swollen eyes for about 5 days. I took him to his doctor and they have no idea what is wrong. His eye itself is unaffected. It seems to be isolated to the outside of the eye (eye lid, and beneath. Just last night he broke out in a rash all over his body. I need ANSWERS badly. Can you help? | Okay, I understand you're worried about your 18-month-old son. It's frustrating when a doctor can't immediately pinpoint the cause, especially when your child is uncomfortable. Based on your description of red, swollen eyelids and the area beneath the eyes for 5 days, followed by a | healthcaremagic_distilled_medgemma-27b-text-it | 1edfc94f973dfb52 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I fell down three stairs on my buttocks, when I got up I almost passed out I ran to my bed and waited till I felt better. I have been feeling nauseated since then and cant stand for a long period of time without feeling like im going to be sick. It is also painful to sit. Im on blood thinners what should I do? | Okay, I understand you fell down three stairs, landed on your buttocks, and experienced near-syncope (almost passing out). You've also been feeling nauseated, have difficulty standing for long periods due to feeling sick, and find it painful to sit. Importantly, you mentioned you are on blood thinners. | healthcaremagic_distilled_medgemma-27b-text-it | 1f1f9d07aa0f58ac | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Do you take multiple chemical sensitivities seriously and understand how debilitating fragrance chemicals are? Do you think there is always an under-lying cause for scent sensitivity/allergy (yes, I have allergic reactions to dryer sheets like Bounce and Scent Boosters)ie rash hot prickly skin, swelling of tongue, extreme thirst... do you think (my) immune system was already compromised or do you think the neurotoxic petro chemicals in fragrance products alone can cut a person s life down to the knees overnight? | As a doctor, I understand that Multiple Chemical Sensitivity (MCS) is a complex condition that can significantly impact a person's quality of life. While the exact mechanisms and causes are still being researched, it's recognized that individuals with MCS can experience severe reactions to low levels of various chemicals, including fragrance chemicals. | healthcaremagic_distilled_medgemma-27b-text-it | 31ffad6029d5a617 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: You take multiple chemical sensitivities seriously and acknowledge the debilitating effects of fragrance chemicals. You believe that scent sensitivity or allergy often has an underlying cause, and that exposure to neurotoxic petrochemicals in fragrances can trigger severe reactions, including allergic responses such as rash, hot skin, swelling, and extreme thirst. | As a doctor, I understand that multiple chemical sensitivities (MCS) are a complex and often debilitating condition. I take your concerns about fragrance chemicals seriously. It's true that some individuals experience severe reactions to fragrances, including allergic responses like rash, hot skin, swelling, and extreme thirst.
While the exact cause of | healthcaremagic_distilled_medgemma-27b-text-it | 31ffad6029d5a617-aug5315 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: dear doctor, in hot and humid weather my 5 year old get some sort of pimples here and there on her body....i hv put her on homeopathy and also put spirit on it which prevents pimple from growing further....shown her to her paeditrician who saying she just has sensitive skin and hasnt given her medicine...homeopathy is specifically for staphlococci bacteria.....doctor feels i dnt need a blood test....will the problem go away in a few days with homeopathy and spirit application...i worry abt extreme situations like bacteia contaminating blood etc....am i just overdoing it as she absolutely fine and no fever or discomfort....she tuchwud fine and just sweats a lot due to humidity.....pl tell is this common in kids and any cause to worry...hope nothing infects blood as no major medication gvn by doctor. | Okay, let's break down this situation. It sounds like your daughter is experiencing a common skin issue, likely related to heat and humidity, often referred to as heat rash or prickly heat (miliaria).
**Understanding the Condition:**
* **Heat Rash (Prickly Heat/Miliaria | healthcaremagic_distilled_medgemma-27b-text-it | 0c8973f8c43b20f4 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hello its since 11 days that we had unprotected sex on 7 may though I ejaculated outside bt m feeling tensed about this. Her last period was on 22nd April. She had vomited in these days though it had stopped now. Am very tensed and shes also. What should we do.? Can we avail pregnancy urine test at home now. Its 18 may today n she normally mensturates at 26 days interval......help us. | Okay, let's break this down. It's understandable that you're both feeling tense, but let's look at the facts and figure out the next steps.
**1. Understanding the Timeline:**
* **Unprotected Sex:** May 7th
* **Her Last Period:** | healthcaremagic_distilled_medgemma-27b-text-it | 36bb71e39caebc71 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: My son had fits in his sleep at early morning for the first time. He is 8 years 5 months old. Fits was around 3 minutes and he went to unconsious later for another 2 to 3 minutes. When he got conscious he does not remember any. He was having veeze problems from few days and was on medication. We checked in the family and cleared not a heridity issue. I am very concerned and seeking your help to understand the situation. | Okay, I understand your concern. It's definitely worrying when your child experiences something like this for the first time. Based on your description, this sounds like a possible seizure, specifically a nocturnal seizure (one that happens during sleep). Here's a breakdown of what might be going on and what steps should be taken | healthcaremagic_distilled_medgemma-27b-text-it | 2730ef39d4ffa461 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: My dog bit my 12 years old son. He had his 0 and 3 days shots he just need to come back for the seventh day does he needs to finish all his shots? And my dog doesnt have a rabis shot yet on he day he bit my son because his only 2 months and 3 weeks but a week later we let him have his rabis shot what are the signs I need to look for my dog and how long do I need to observe the dog. | Okay, let's break this down. It's good you're being proactive about this. Here's what you need to know:
**Regarding your son's rabies shots:**
* **Yes, he absolutely needs to finish all the recommended shots.** The rabies vaccine series is crucial for protection | healthcaremagic_distilled_medgemma-27b-text-it | ec06a8cc73a465f8 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hi, i ve been on the Noriday pill for 10 months now (i was on the Depo Injection prior to it), i started having heavy periods at the start of December and i m on my fourth period now. Is this normal for this pill? The reason i went on this particular one was because it was similiar to the Depo Injection. I didnt get any periods with the Depo. | Okay, let's break down what might be happening here.
**Understanding Noriday and Depo:**
* **Depo-Provera (Depo Injection):** This is a progestin-only injectable contraceptive. A common side effect is amenorrhea (absence of periods), which many women experience | healthcaremagic_distilled_medgemma-27b-text-it | 34acaac42d8fd3e6 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: my father is diagnosed with kidney cancer in july last yr, he got his left kidneyremoved and was given target therapy starting from nexavar .after 6 months PAT scan showed slight increase in disease and was put onsecond med which further detiorated the condition .....causing utter weakness as a result med was discontinuedfor a week which further worsened the condition .....again fluid in lungs and now speech is also not clear ....brain CT was done n some cells were found.....as a result radiation therapy was given for 10 days ....it gave positive results along with med VOTRIENT....everything remained fine for a month but today he had a fit type condition and lost his speech for sometime so Doc pls guide what next PAT SCAN is due in june first week. | Okay, I understand you're going through a very difficult time with your father's health. It sounds like he has metastatic kidney cancer that has spread to other parts of his body, including potentially the brain and lungs. Let's break down the situation and discuss potential next steps.
**Understanding the Situation:** | healthcaremagic_distilled_medgemma-27b-text-it | e310c04934497df1 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I fell over at work 3 weeks ago and hit the bottom of my back on a wooden floor and I have been in so much pain since, I was signed off work for 2 weeks by a doctor and just got back into work and it has made it worse, I can barely walk now and my back keeps seizing up. what should I do? | Okay, I understand you've been experiencing significant back pain for three weeks following a fall at work. It sounds like you've had a difficult time, especially with the pain worsening after returning to work. Here's a breakdown of what might be going on and what steps you should take:
**Possible Causes | healthcaremagic_distilled_medgemma-27b-text-it | b7dbd57c02ed9143 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hi, I have a bump on the top of my helix where usually a piercing would be, but i never had a piercing before, just informing you where this bump is. It looks like a blister, but it doesn t hurt. I don t know how long it s been there. If you could please tell me what it might be that would be great! Thank You. | Okay, I understand you have a painless bump on the top of your helix (the outer rim of your ear) that looks like a blister, and you've never had a piercing there. It's difficult to give a definitive diagnosis without a physical examination, but based on your description, here are some possibilities: | healthcaremagic_distilled_medgemma-27b-text-it | f47e316658bad5b5 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: At lest once or twice a week my arms chest feel hot and tingling ...times I get just swollen arms and tingling on one side of my face....what causes this ..thanks....I have been on depression medication and blood pressure meds..Never been sick ....used to workout but I am a product of the recession so stress is a big part of my lifethanks. | Okay, let's break down these symptoms. It's important to remember that I am an AI and cannot provide a medical diagnosis. This information is for general knowledge and discussion purposes only, and you absolutely need to see a real doctor for a proper evaluation.
Here's a breakdown of potential causes for the | healthcaremagic_distilled_medgemma-27b-text-it | f087d7b77d0b1210 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hi i am suffering from ring worm on wrist, ankle, groin infection from last 8 months now and had taken medices like TerbestGrisODKenz LevosisAF 150 and used external creams like Cansten SBrutnaskin BMSercos..every tablet has temporary effect one i stop it come back again ....pls help. | Okay, I understand you've been dealing with a persistent fungal infection (ringworm) for 8 months, affecting your wrist, ankle, and groin. You've tried several medications (Terbinafine, Fluconazole) and topical creams (likely containing antifungals like clotrimazole, miconazole | healthcaremagic_distilled_medgemma-27b-text-it | 455c3f0319cf4c6c | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: My baby is 3 month old. She cannot sleep at night.she feels sleepy, so when she is on our lap she is sleeping ,,but when we are trying to put her down in bed , she wakes up.,please let me know the solution of this. We have also checked whether her nose are blocked or not . But she is not having blocked nose. | Okay, I understand your situation. It's very common for babies around 3 months old to have trouble settling down for sleep, especially transitioning from being held to being put down. Here's a breakdown of potential reasons and solutions you can try:
**Potential Reasons:**
1. **Startle Reflex | healthcaremagic_distilled_medgemma-27b-text-it | dc75c821148f96c5 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: hi doc.. my child is 4 1/2 yr old boy, past 15 days his poops are little abnormal, just after eating or drinking milk he is passing his stools, normally he goes only once or max twice a day, but now he goes around 4-5 times a day, he happened to eat uncooked chicken when he was on vaccation, day next there is this abnormal change and bad smell coming through his mouth. when consulted pediatric, he gave cepodom 100 mg for 5 days, but still the problem continues and today my child happened to vomit this evening. pl suggest as what to do. | Okay, I understand you're concerned about your 4 1/2-year-old son's digestive issues. Let's break down the situation.
**Summary of Symptoms:**
* **Age:** 4 1/2 years old
* **Duration:** 15 days | healthcaremagic_distilled_medgemma-27b-text-it | 46cf10463391115e | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: My 4 1/2 year old son has had abnormal stools for 15 days. He passes stools frequently, 4-5 times a day, after eating or drinking milk, and has a foul odor. He had eaten uncooked chicken before the symptoms started. A pediatrician prescribed Cepodem 100mg for 5 days, but the issue persists and he vomited this evening. | Okay, I understand your concern. It sounds like your son has been experiencing persistent diarrhea with a foul odor, triggered by milk consumption, and potentially linked to eating uncooked chicken. The fact that the initial antibiotic treatment didn't resolve the issue and he's now vomiting is concerning.
Here's a breakdown of | healthcaremagic_distilled_medgemma-27b-text-it | 46cf10463391115e-aug2133 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hi. I have a history of kidney stones and I recently just passed another stone back in December. I woke up today, though, in terrible pain. I feel like Im going to vomit, like something tight is gagging me around my neck. Im very hot. There is blood in my stool and I dont think Im going to leave the bathroom any time soon. Could this be another kidney stone? Or is the blood in my stool from something else? Your response is very important to me. Please and thank you! | Okay, I understand you're in a lot of pain and feeling very unwell. Based on your description, here's a breakdown of what might be going on and why it's important to seek immediate medical attention:
**Could it be another kidney stone?**
* **Pain:** Kidney stone pain | healthcaremagic_distilled_medgemma-27b-text-it | bc66ba811712adf0 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I feel as though there is a liquid near the surface of my upper left chest muscle near the arm pit that burns when I lean foreword in a standing position. The burn is very intense like a white hot iron is slouching in that area. just started 4 hours ago and is increasing in area. feels liquid in nature, but i feel no bump and it may be inside rib at that location? do not feel it by putting finger pressure in general area. | Okay, I understand you're experiencing a very intense burning sensation in your upper left chest, near the armpit, that started suddenly about 4 hours ago and is spreading. You describe it as feeling like a liquid near the surface, almost like it might be inside the rib, but you don't feel a | healthcaremagic_distilled_medgemma-27b-text-it | 397103fd8d03701a | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I have noticed that I ve been getting these sore reddish spots with a white ring around them on my tounge.the spot on my tounge is reddish with a white ring around it and the other 3 are bigger patches on the back of my tounge but there not red,they do have a white ring around them nd they look as if I been eating to much sour stuff which I have not.the only one that is slightly painful is the reddish one on the tip of my tounge,what could this be and should I be worried? They come and go. | Okay, let's break down what you're describing. Based on your description of sore reddish spots with a white ring around them on your tongue, especially the one on the tip that's slightly painful, and the larger patches on the back with white rings, this sounds very much like **geographic tongue** ( | healthcaremagic_distilled_medgemma-27b-text-it | 5c1af94b51f7cf17 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hello Sir, I have skin allergy to avoid itching i have to take cetrizine alternate day.because cetrize i feel sleepy and cozy , is there any treatment for this permanently. Please advice i am facing this problem for last 5 years i am 32 years old man. | Okay, let's break down your situation. You're experiencing skin allergies causing itching, and you've been managing it with cetirizine taken every other day for the past 5 years. You've noticed cetirizine makes you sleepy, and you're looking for a permanent solution. | healthcaremagic_distilled_medgemma-27b-text-it | 0c029ca33070dacf | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: My cellulitis has existed for about 4 months. The warmth and redness have disappeared but the swelling is still here, though has diminished quite a bit. Tightness still in my ankle and sometimes some pain. I do put my leg up often and use a compression stocking. Antibiotics have not been effective. Used a topical homeopathic ointment which seemed to help. Doesn t seem to be caused by an infection;most probably an autoimmune condition as I had my thyroid removed 5 yrs. ago with resultant fatigue. I m 87, 5 5 . I read recently that I should stay in bed most of the time with my leg up. Is that really necessary? Will this condition go away eventually? How can I improve my autoimmune condition? | Okay, let's break down your situation. It sounds like you've been dealing with a persistent leg issue for quite some time, and it's understandable to be looking for answers and relief. Based on your description, here's my assessment and recommendations:
**Assessment:**
1. **Diagnosis | healthcaremagic_distilled_medgemma-27b-text-it | 7b48b4aaed501e81 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hi Sir, My mother is 68yeasr old, and from very recently from 1year she got into wheesing and continious coughing, feeling chest heaviness, my mother had check x-ray and PFT which is normal, and she is been adviced to take omnacartil medicine but with this medicie she getting very week. is there any other medicine to get rid of this wheezing and couphing problem... she is also taking Asthalin nebulisation but this was giving her a temporary healing and again the cough and wheezing is back... please suggest. | Okay, I understand your concern about your mother's persistent wheezing and coughing. It's good that you've already had investigations like an X-ray and Pulmonary Function Test (PFT) done, and they came back normal. This helps rule out some common causes.
Here's a breakdown of | healthcaremagic_distilled_medgemma-27b-text-it | c9efdd9be3ec15e1 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hi Good MorningI am 33 years old IT professional working in Bangalore India. My wife has some health issue....1. She could not walk much...legs get swell2. hair falling 3. Digestion problem.4. She does not sleep properly.5. we both smoke. 2-3 perday sharing.6. weakness7. and very enger and rigid.Please help me out how to work out to increase her hemoglovin... and other ...? | Okay, good morning. I understand you're concerned about your wife's health. Based on the symptoms you've described – difficulty walking due to leg swelling, hair loss, digestion problems, poor sleep, weakness, and irritability/rigidity – there could be several potential underlying causes. It's important to | healthcaremagic_distilled_medgemma-27b-text-it | 3ee4c2e248f431b4 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: hi today like 5 hours ago i climbed a rusty net and i have 3 verry verry tiny scratches on my hand... if im infected by tentanus can i go tomorrow instead of today? because its 1:30am right now...or it can infect me permanently untill tomorrow? i am 15 years old. | Okay, let's break this down. It's good you're thinking about tetanus, especially after a potential exposure like climbing a rusty net. Here's what you need to know:
1. **Tetanus Risk:** Climbing a rusty net *can* be a risk factor for tetanus, | healthcaremagic_distilled_medgemma-27b-text-it | 69753a1035a4d7f6 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: My 3 year old daughter complains headache and throat pain since yesterday. Shes also having a hard time sleeping right now. She doesnt have fever but shes asking for blanket, telling me shes cold but were in a tropical-hot country and its really humid-hot right now, so Im really concerned if shes alright. | Okay, I understand your concern. It's good that you're paying close attention to your daughter's symptoms. Let's break down what might be going on and what you should do.
**Possible Causes:**
1. **Viral Infection (Common Cold/Flu):** This is the most | healthcaremagic_distilled_medgemma-27b-text-it | 9a91b591b4c0bcd2 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hello, I recently developed a very itchy penis which when I itch, leads to red patchs which sometimes become red and glossy. It is very irritable and causes pain when i have intercourse. I also have developed itchy thighs.. It started just at the top and has now developed over most of my thighs. The itching comes and goes and shows in small patches , not lumps but itchy red spots. i am worried that it is an std as i have had a lot of unprotected sex recently (lesson learnt) but the symptoms don t relate to any std so i m puzzled!? i also have what i thought was joggers nipple? very itchy nipple and also my face sometimes has dry patches on the eyelids and near the hair receding line? It has been going on for the last 3 months and as i m still in China and not a native speaker, i can t really find any treatment or diagnosis. please help? | Okay, I understand you're experiencing a range of concerning symptoms, including an itchy penis with red patches, painful intercourse, itchy thighs, itchy nipples, and dry patches on your face. You're also worried about STDs due to recent unprotected sex. It's good that you're seeking help, even | healthcaremagic_distilled_medgemma-27b-text-it | 5f25655c73ae5c94 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I've developed an itchy penis with red patches that become glossy and painful during intercourse. The itching is accompanied by red, itchy spots on my thighs, which started at the top and spread to most of my legs. The symptoms come and go in small patches. I'm concerned it might be an STD, but the symptoms don't match any common infections. I also have itchy nipples and dry patches on my eyelids and hairline. These symptoms have persisted for 3 months, and I'm struggling to find a diagnosis or treatment in China due to language barriers. | Okay, I understand you're experiencing a range of uncomfortable and persistent symptoms, including an itchy penis with red, glossy, and painful patches, itchy red spots on your thighs, itchy nipples, and dry patches on your eyelids and hairline. You've had these symptoms for three months and are finding it difficult to get | healthcaremagic_distilled_medgemma-27b-text-it | 5f25655c73ae5c94-aug1344 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hi, I was just at the dentist and they discovered a black area on the left lower jaw area below my teeth and they called me back and said I should go get a CT scan. I am 23 years old and otherwise healthy, is cancer the only thing this could be? I had a root canal re done last year on that same side but this black area isnt underneath that tooth it is along the other ones next to it. | Okay, let's break down what might be going on. It's completely understandable to be worried when you hear something like "black area" and "CT scan," especially when cancer comes to mind. However, it's important to remember that a black area on a dental X-ray doesn't automatically | healthcaremagic_distilled_medgemma-27b-text-it | 8a6d2183a5c74958 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Good Morning,When i was cleaning toilet,I have mixed Harpic and Bleach almost 250 Ml,It created a fume and i exposed in it,almost 3 hrs i was sneezing and coughing and felt dizziness,Now its almost one moth over,But still i am sneezing ang coughing in the morning and night time with heavily clogged nose and extreme amouunt of puss/cougChatDoctores from nose as well.Is it a disease caused by the exposure.Kindly let me know. | Okay, let's break down what might be happening based on your description.
**Understanding the Exposure:**
* **Harpic and Bleach:** Mixing these two cleaning products is dangerous. Bleach (sodium hypochlorite) reacts with acidic cleaners like Harpic (which often contains hydrochloric acid) to produce | healthcaremagic_distilled_medgemma-27b-text-it | b72b3ff1fada68cc | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: A 250ml mixture of Harpic and bleach was inhaled for approximately 3 hours, resulting in symptoms of sneezing, coughing, dizziness, and nasal congestion. One month later, persistent sneezing, coughing, and nasal discharge with pus continue, particularly in the morning and night. | Okay, let's break down this situation. Inhaling a mixture of Harpic (which typically contains hydrochloric acid and hypochlorite) and bleach (sodium hypochlorite) is extremely dangerous. This combination releases chlorine gas, a highly toxic irritant.
**Immediate Effects (likely experienced during the 3-hour | healthcaremagic_distilled_medgemma-27b-text-it | b72b3ff1fada68cc-aug1964 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hi, I am 19 year old and have been mastubrating since the age of 8. I am a bit light weight for my age and also, my back pains a lot. Is it due to mastubration? Cause i have a healthy diet and was born very healthy. And how should I overcome these effects. | Okay, let's break down your concerns. It's good that you're reaching out and asking questions.
**Masturbation and Physical Effects:**
* **Direct Link to Back Pain and Weight:** There is **no scientific evidence** to suggest that masturbation directly causes back pain or affects your weight | healthcaremagic_distilled_medgemma-27b-text-it | ad634fb8606c7951 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I HAVE GONE THROUGH LAB TEST ,THE RESULT SERUM T.CHOLESTEROL IS 229mgs/dl AND SERUM TRIGLYCERIDES IS 304gms/dl what kind of treatment shall i follow to control the cholesterol in my body what are the steps to be followed, pl mail me sir. ThanksK.Ganeshmurthy. | Okay, Mr. Ganeshmurthy, let's break down these results and discuss the steps you can take.
**Understanding Your Results:**
* **Serum Total Cholesterol: 229 mg/dL**
* This is considered **high**. Desirable levels are generally below | healthcaremagic_distilled_medgemma-27b-text-it | 4aa0838b66f3ae66 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I have undergone lab testing, with results showing a serum total cholesterol level of 229 mg/dL and serum triglycerides of 304 mg/dL. What treatment plan should I follow to manage my cholesterol levels, and what specific steps should I take? | Okay, let's break down these cholesterol results and discuss a potential management plan. It's important to remember that this is general advice, and a personalized plan requires a full medical evaluation, including your medical history, family history, other risk factors, and a physical exam.
**Understanding Your Results:**
* | healthcaremagic_distilled_medgemma-27b-text-it | 4aa0838b66f3ae66-aug4899 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: I have been on the birth control Kelnor 1/35 for a few years now and it has work great. Just this past month, my doctor without telling me put me on Zovia 1/35. I read that these two are similar but I am now noticing my thoughts upsetting me, over thinking, and thinking my feelings have changed for someone or something when just a week ago when I first took this new pill, I was fine. This does not feel like myself and I am becoming very overwhelmed and upset. Do you think it is because of the switch? | Okay, let's break this down. It's understandable that you're feeling overwhelmed and upset, especially when you notice changes in your mood and thinking patterns after a medication switch.
**Here's a potential explanation and what you should consider:**
1. **Hormonal Changes:** Birth control | healthcaremagic_distilled_medgemma-27b-text-it | 5615a0e6ee3b3e2d | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Hi, My brother goes angioplasty at the age of 33 years at May-2010. Now he is feeling pain now after 5 month. He consult with doctor, he is saying nothing to worry. Please advice how we can know how much he has block edge know...pls suggest, this is urgent. | Okay, let's break down this situation. It's understandable to be concerned when your brother is experiencing chest pain again after having an angioplasty. Here's a breakdown of potential causes, what the doctor might be considering, and what steps you can take:
**Potential Causes for Pain After Ang | healthcaremagic_distilled_medgemma-27b-text-it | d85df6a9cec73e01 | distillation | {
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If you are a doctor, please answer the medical questions based on the patient's description. | Question: Isn t it true that sharp pain in one s right shoulder could indicate parasites in the small and/or large intestines (i.e. amoebic dysentery) which could be seen by the host (amoebic cysts and trophozoites...all stages of development) in one s stool, cause bloating, gas, stomach distention, terrible abdominal pain, diarrhea, constipation and progressively get worse if not treated with the appropriate antibiotics and eventually cause the death of the host? Fact or Fiction: Amoebic dysentery has been eradicated in North America. Amoeba and trophozoites cannot be seen by the naked eye. Amoeba generally float on top of the toilet water, easily visible. Standard O&P lab tests cannot detect amoebas and trophozoites. The infected stool must be submitted to a lab that has the special equipment and appropriately trained personnel in order to detect amoebic dysentery disease. Two or more antibiotics will be necessary to eliminate such parasites; long term if the host has been infected over a long period of time. Thank you, Edward DeBusman. | Dear Edward,
Thank you for your detailed question regarding amoebic dysentery and its potential symptoms, including shoulder pain. I will address each point you raised.
1. **Sharp pain in one's right shoulder and amoebic dysentery:** While amoebic dysentery primarily affects the gastrointestinal | healthcaremagic_distilled_medgemma-27b-text-it | 1cc5239fa22058f3 | distillation | {
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End of preview.
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