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[ "patient: my 68 yr old mom is waiting for corona virus results. she’s been having fever 101-102 for a week. was admitted to hospital and has pneumonia. how is it treated and should she stay at the hospital until her symptoms get better? she has htn. help!", "doctor: covid-19? it sounds like your mom is in good hands. if she has covid, they will know how to treat it. if the pneumonia is beleived to be bacterial, they will treat with antibiotics. there is no proved effective treatment for coronavirus itself. ask her doctors if she is a candidate for remdesivir -- not proved effective but sometimes available on a \"compassionate\" basis for severely ill patients. good luck." ]

[ "patient: how do i book a virtual consultation with my doctor for covid-19?", "doctor: in brief: call your doctor call your doctor's office for instructions would you like to video or text chat with me?" ]

[ "patient: i'm quite sure that i have covid-19. my mother is a health worker that has been exposed. among my symptoms is trouble breathing and pain in the chest. can i sleep and see how i feel tomorrow or is there a risk that i'll stop breathing in the night?", "doctor: seek help. contact to your doctor or go to er for trouble to breath. if you go to er they test you for covid 19. your mother also can be tested if symptomtic." ]

[ "patient: is there a chance i would just get mild symptoms of the virus? or because i am diabetic, that is unlikely?", "doctor: diabetes and covid. in all cases, the better the blood sugar is controlled, the better the immune system can function. eating healthy, exercising as tolerated, and control blood sugars are close to normal as your doctor advises, is the best plan. ." ]

[ "patient: hi dr. if all i have is a dry cough, should i get tested for covid 19? no recent travel or contact with high risk individuals. i have been given permission to visit a relative in icu during the lockdown, but don't want to make him sick.", "doctor: sounds risky. using symptoms of fever, cough, or runny nose to screen for covid-19 is not accurate because colds and flu have such symptoms. covid testing is by nasal swab, but there's a shortage of test kits in this pandemic. only local resources know local testing sites, times, restrictions. even a negative test does not guarantee one does not have covid-19. safest for people to stay away from icu patients." ]

[ "patient: i am 33 years old, i was diagnosed with pneumonia almost a month ago after a short period of low grade fever and dry cough. even after treatment with 4 courses of antibiotics dry cough has not resolved.i am having pain on the right lower side of the rib which is constant and experiencing back pain and pains all over my back and chest in a nonspecific pattern. a chest ct was performed and found subsegmental consolidatory changes in the anterior and lateral basal segments of right lower lobe with bronchial wall thickening, minimal ground glass opacification in the adjacent posterior and medial basal segments, few small mediastinal and axillary lymph nodes, plus few lymph nodes seen in the pretracheal region, few of them showing dense calcification.my last lab report from december 23rd is as followstotal count-7200/cummneutrophils-70%, lymphocytes-28%, eosinophils-2%esr-28 mm/hr.still i am having fatigue, dry cough and pains. what can it be?", "doctor: thanks for your question on healthcare magic.i can understand your concern. possibility of post infectious bronchitis is more likely. bronchitis (inflammation of airways) is common after pneumonia.and persistent dry cough and chest pain are mostly due to bronchitis.so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test).pft will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. you will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ics) (budesonide or fluticasone).don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks." ]

[ "patient: what is the treatment for covid-19?", "doctor: depends on severity. covid-19 pandemic at this time, so a doctor on video may consult by video instead of requiring an in-person visit. flu-like symptoms can be from a strep throat infection, a cold or influenza, or from some other cause like covid-19. usually, a person calls the doctor if the symptoms are bothersome, serious, recurrent, or persistent. covid-19 testing depends on local availability." ]

[ "patient: is covering mouth and nose by mask sufficient to avoid corona exposure? can it not be transmitted through eyes and ears?", "doctor: eyes, nose, mouth. not ears. see https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19." ]

[ "patient: hi, my name is becky and i exasberated back in sept with heavy pneumonia in my right lung...... the last few months i have experienced tremendous hair loss and breakage--it is so thin i only have about 1/3 of my hair left but no bald spots. i also have a big lump (or bulge) about 1 inch above the base of my hairline on the back of my head. it goes all across the back of my skull. any advice? i thought you were here to help....... but hell no....... everybody wants my money....... which i don t have. thanks alot", "doctor: hello,after a long chronic disease, there is hair fall present, it is normal but you have a lump, and it is back, maybe it is a lipoma or subcutaneous abscess.you have to investigate all these things like serum biotin level, zinc level, fnac of that lump after usg. till then take tablet astymin m forte for three months at least and biotin-rich foods.hope i have answered your query. let me know if i can assist you further.regards,dr. chandra shekhar" ]

[ "patient: i have thing in my eyes and are painful, and sometimes giving me headaches?", "doctor: in brief: eye pain eye pain can be for various reasons. bilateral eye pain would be less likely foreign body although dusts can cause this. conjunctivitis can be bilateral from either bacteria, virus or allergies. light exposure can cause eye irritation. would you like to video or text chat with me?" ]

[ "patient: hi i had a runny nose took some immune booster and med lemon and now it is a cough with sporadic phlegm. should get test for this covid 19? i don’t have a fever. i also have a bit of short breath.", "doctor: in brief: test if can don't go to a public space, consult via the telephone or get a coronavirus test would you like to video or text chat with me?" ]

[ "patient: i have a pneumonia and have gone through 1 full round of a zpack and steroid. i m also using an inhaler, had to go back to dog on thursday night because i was still not any better. they gave me a antibiotic shot and a 1/10day script for levaquin which i started about 10am friday morning. i m still not feeling better. i now as of this morning have a sharp pain inbetween shoulder blades that comes and goes, my heart flutters sometimes and sometimes beats really fast, i also woke up to chest pain that would go from burning feeling to sharp pain for about 30 min consecutively, then stopped and has been on and off since then. my cough is so bad that when i cough it feels like my ribs/lower sides of my back/lung area are bruised/fractured and takes my breath away when i take deap breathes or bend my waiste. i noticed bout a 5 days ago that i would get really hot at random times. ao thinking i was having a fever, i ve been keeping track daily of my bt as of about 3/4 days ago and it s seems to have steadily slowly dropped. it s ranging usually from 96-97 but sometimes it ll get to like 98.0 and thats while i m sweating so bad that s my shirt will be soaked and hair wet like i was standing outside in the sun for an hr in middle of summer. it s sick. should i be worried?", "doctor: respected user , hi thanks for using healthcaremagic.comi have evaluated your query thoroughly .* all symptoms are in relation with underlying lung condition giving rise to broncho alveolar constrictions , pleura irritation with systemic manifestations* as there is not much relief of oral medications given till now , i strongly recommend to get hospitalised treatment & early better recovery through iv antibiotics , bronchodilators, supportive nursing care hope this clears your querywelcome for any further assistance regards ." ]

[ "patient: dear sir, good evening, my mother is aged about 58 years and is patient of acute diabetic since last 30 years, she is now in ventillation due to pneumonia in lungs and spreading of infection speticemia all over the body and she is having becoly too. it is almost 14 days on ventilation but there is no progressive result of her ailment. she is surviving on artificial lungs. e.c.g. - sr respiratory - 28 oxygen - 84 b. p. - 118/70 heartbeat - 96 pulse - 96 sugar - 130 mg/dl lungs pressure - 39 other organs of the body are working properly and are good in condition till now. what should i do?. what specific treatment should be given to her?. please help me in this regard. i am in very much need of your help?. raashid mustafa, ranchi, jharkhand. mother name - shahin mustafa - 58 years admitted - abdur razzaque ansari weavers hospital fernchizee of apollo group of hospitals. micu - bed no - 07", "doctor: hello and welcome to ‘ask a doctor’ service.i have reviewed your query and here is my advice.if your mother is on a ventilator due to pneumonia, then 1. et tube sputum for culture and sensitivity 2. higher antibiotics 3. monitoring of bp and o2 4. she will improve when best intensivist will see this case hope i have answered your query. let me know if i can assist you further.regards, dr. chandra shekhar" ]

[ "patient: i have travelled in the last 14 days was in cairo, sharm el sheik and dubai arrived back in sa 9 days ago and have been self-isolated. i have started with mild symptoms such as sore throat, cough, fatigue but temperature is normal. i need a referral?", "doctor: in brief: covid-19 criteria do you have any medical conditions that would put you at high risk? if so, i would book a virtual consult with a dr. if not, we are not currently testing due to lack of capacity if there is no fever, dry cough & shortness of breath with travel history. i would treat for flu and complete 14 days (possibly longer if still sick) quarantine and contact a dr if condition changes would you like to video or text chat with me?" ]

[ "patient: hello doctor, i am copd patient. i was taken a vaccine called pneumo 23 almost 4years and 8months ago. the doctor advised me to take the vaccine once in every 5 years. but before the completion of 5 year i am diagnosed with pneumonia. what should i do? should i take the vaccine before the completion of 5 year period? please advise.", "doctor: thanks for your question on healthcare magic.i can understand your concern. pneumococcal vaccine is live attenuated vaccine. so it is contraindicated in active infections like pneumonia because it can flare up infection. so better not to take pneumococcal vaccine at present. get complete cure from current pneumonia and then take pneumococcal vaccine. don't worry if time period between two vaccine is more than 5 years.hope i have solved your query. i will be happy to help you further. wish you good health. thanks." ]

[ "patient: i have diarrhea and i read that it could be a precursor to having covid-19. i was in china end of september 2020. so more than 6 weeks back. ?", "doctor: in brief: if that is all you have by now you don't have the chinese virus. would you like to video or text chat with me?" ]

[ "patient: having slight itching at throat but no cough. is it any thing related to covid?", "doctor: probably not. fever and cough, headache, body aches are much more common. please follow your symptoms, treat appropriately. honey in hot tea, gargle with salt water, suck hard candy. secrets/cepachol losenges should decrease symptoms. good luck." ]

[ "patient: i have a sore throat, a slight cough as well as slightly dry eyes. i may have been in contact with individuals with covid-19 but unknowingly?", "doctor: more detail. do you have a temperature ?have you traveled internationally or locally?do you have a fever ?it is seeming to be becoming necessary to be more vigilant about covid-19.i suggest you make an appointment to see a doctor." ]

[ "patient: i have a 3 yr old. started coughing 2 nights ago not constant sounds kinda phlyemy and no other symptoms. very low grade fever at night. contagious?", "doctor: unlikely. follow this guideline, but i do not see evidence you need to isolate. https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19." ]

[ "patient: i think i have coronavirus. i am having chest pains from yesterday and during the course of today i have been dry coughing. what can i do now?", "doctor: telephonic consult. get tested but you need to consult first, telephonically and get access to a test if you can, stay at home treat with panado only and a lot of fluids, rest :)" ]

[ "patient: hi gud day doc.i had this right paracardiac pneumonia last nov.27 2013..and i undergone treatment for 2 weeks... after that.im not able to comeback in the hospital for further check up...about my illness....but every now and then im suffering backpain and chestpain...but i also had an asthmatic condition...how can you help me ...", "doctor: hello and welcome to ‘ask a doctor’ service. i have reviewed your query and here is my advice. in my opinion, you should definitely consult pulmonologist for this pain. you will need a chest x-ray and pft (pulmonary function test). a chest x-ray is needed to rule out recurrence of pneumonia because this can also cause similar kind of pain. pft is needed to know the severity of asthma. you may need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroids (ics) (budesonide or fluticasone). don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health. thanks." ]

[ "patient: do i have covid 19?", "doctor: without any details it's impossible to say." ]

[ "patient: how do you get hpv on the cervix? is it from skin to skin contact during intercourse from a partner’s genital touching the cervix? thank you", "doctor: in brief: basically the hpv virus is transferred within fluids generated during intercourse. a mechanical skin contact appears to be part of the process but defining the exact amount of contact required is difficult. the genital strains of hpv are specific to those locations. there are other hpv strains that cause things like skin warts but these are different. would you like to video or text chat with me?" ]

[ "patient: i have had mild chest pain for over a week. it now seems more persistent and pronounced. i don't have shortness of breath or any other covid-19 symptoms, except some fatigue. i have been traveling a lot in high risk areas. should i get tested?", "doctor: in brief: yes i would advise screening due to your exposure. fever is very commonly associated with covid-19. stay at home, rest, drink fluids and monitor your temperature. arrange the testing which also may include a chest image with your pcp. since your have been traveling, a pulmonary embolism is another possible cause of your shortness of breath. would you like to video or text chat with me?" ]

[ "patient: i went to the dr for a cough and fever on march 5. they diagnosed me with bronchitis. i was not doing any better, so i returned to the dr on march 15. they sent me to the er to get tested for covid. at the er they ran a number of tests including a covid t", "doctor: in brief: question you have not posted a question. would you like to video or text chat with me?" ]

[ "patient: i have had a sore throat for a few days, tuesday night it felt like tonsils, yesterday it started becoming scratchy and today i have started coughing and spitting mucus. i do not have a fever, but i get light headed here and there, could it be covid-?", "doctor: in brief: very unlikely it sounds more like a viral cold. covid does not present this way. treat the symptoms,consult gp if worse or if sputum changes color. would you like to video or text chat with me?" ]

[ "patient: can taking extra steps for self-care (like staying hydrated, getting more sleep) every day help prevent you from catching the coronavirus or the flu?", "doctor: in brief: yes it helps to keep the body in good shape and good nutrition." ]

[ "patient: is vomiting and diarrhea a symptom of covid-19?", "doctor: covid-19 symptoms. nausea, vomiting, and/or diarrhea occur fairly frequently early in the infection, but are rarely if ever the only symptoms. if cough and fever don't develop within a day or two after vomiting or diarrhea, probably it isn't covid-19." ]

[ "patient: what can i use against coronavirus if i run out of hand sanitizer?", "doctor: in brief: water and soap it is best, providing available easily. trying not to touch shared places would also protect to some extent. would you like to video or text chat with me?" ]

[ "patient: i've been sick for the last two weeks with severe sinus pain, hot flashes and a very tight chest along with coughing up some mucus. i've been treated with antibiotics however it doesn't feel like it has worked. is it possible that this can be covid-1?", "doctor: hard to say. is the mucous coloured or clear? try to access health advice as you are. stay home. it could be covid but if you are fairly asymptomatic stay home and keep asking questions on this platform. it is safer for you and others. treat symptomatically for now. and keep asking on here." ]

[ "patient: i think i need to be tested for covid-19?", "doctor: covid 19. dear patient.what is your concern/ symptoms?dr wil." ]

[ "patient: my 22 yo son travelled by plane between baltimore (bwi) & rhode island. realistically, what are the risks of covid 19? he has no symptoms and there have not been any reported cases on his flight. i am quarantining him as best i can at home.", "doctor: safer to quarantine. screening procedures to identify who has covid-19 are not very reliable and vary depending on location (city, county, state, nation) and entity type (airline boarding, border control, clinic, school, etc.). three months into the epidemic, the safest is to self-quarantine for 14-21 days upon arrival. reliable test for virus is via nasal swab, but there's a shortage of test kits in most places." ]

[ "patient: symptoms include irritation in the throat, dry cough, trouble breathing properly, headache. however not really a sign of a fever. temperature is about 35 degrees. should i get tested?", "doctor: in brief: many causes. most cases of covid-19 with symptoms are associated with fever, however milder cases do occur. your shortness of breath and difficulty breathing may have a number of causes and should be evaluated. please call your pcp. avoid dust, mold, smoke, animal dander, pollen. your symptoms also are consistent with an allergic reaction. would you like to video or text chat with me?" ]

[ "patient: i've been in contact with a possible covid-19 case who is waiting on results. my brother seems to be i'll with corona symptoms and i'd like to get advice on how to help him, as his safety will ensure my safety and prevent the spread of the virus.", "doctor: stay home. family members should stay home and avoid contact with your brother. keep linens, bath area and utensils separated. he should monitor his temperature, drink fluids, rest and your family should be screened for coronavirus." ]

[ "patient: i have a sore throat and a bit of a cough. this morning i coughed up mucus with what look like blood. is this a sign of covid 19?", "doctor: in brief: source of bleeding there are many causes of the small amount of blood in your sputum. you may have a nasal or upper airway source. strep infection, influenza are possible causes. covid-19 typically is associated with fever, dry cough and/or shortness of breath.. please contact your pcp for an evaluation, possible chest image and evaluation of the source of the bleeding. would you like to video or text chat with me?" ]

[ "patient: well quick question i had pneumonia back in november2013 and theres a concern i have now i took antibiotics s and got better but im simply not all there in the breathing department. lately ive been waking up with a raspy chest but goes away as day progresses also feel as tho if i had dust in my throat when i manage to get the plegm out its not all colorful its just clear. i get a tight chest feelings sometimes albuterol does help before exerting myself/ excersise.", "doctor: hello,since, you are feeling better after albuterol (inhaled bronchodilator), possibility of bronchitis (inflammation of airways) is more likely for your symptoms.bronchitis is common after lung infection (pneumonia). so, it is better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test).pft will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only.you will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ics) (budesonide or fluticasone).hope i have answered your query. let me know if i can assist you further.regards,dr. kaushal bhavsar" ]

[ "patient: what is the treatment for covid-19?", "doctor: depends on severity. covid-19 pandemic at this time, so a doctor on video may consult by video instead of requiring an in-person visit. flu-like symptoms can be from a strep throat infection, a cold or influenza, or from some other cause like covid-19. usually, a person calls the doctor if the symptoms are bothersome, serious, recurrent, or persistent. covid-19 testing depends on local availability. (3/22/20)" ]

[ "patient: hi, i'm on plasmaquine and methotrexate 7.5mg x 1 per week for arthritis. i'm concerned that the methotrexate may weaken my immune system and make me more vulnerable to covid-19. would it not be safer to discontinue use untill the threat has passed?", "doctor: covid-19 and ra. some anecdotal data showed that chloroquine or hydroxychloroquine might have activity against covid-19. observation from china wuhan noted that patients with ra and on these medications had low incidence of covid-19 infection. there is however no definite proof yet at this time. in terms of whether you can stop methotrexate, you better discuss with your rheumatologist for the benefit and risk. ." ]

[ "patient: my daughter is 11 years old she has has pneumonia she has been sick since january 3rd symptoms keep changing. she is up at night itching all over her upper torso, head, and ears. she has major headache and abdominal pain.. she is very upset and crying because this is going on way to long and she has seen many doctors with no relief any suggestions. tried most itching products what could be causing the head pain and stomach pain. they check her today for appendicitis", "doctor: hello and welcome to ‘ask a doctor’ service. i have reviewed your query and here is my advice. according to the history it might be a viral situation or an allergy. don't worry so much she is under medical control. regards dr.jolanda" ]

[ "patient: our office has been shutdown due one of my colleagues’s close relative being confirmed to have vivid-19. i am currently quarantined at home and would like to know if i can test for corona. ?", "doctor: in brief: not enough tests aside from really sick people and hospitalized patients, there aren't enough pcr viral tests in the us. for now, we tell people that if they are healthy, just keep 6 feet from other people, and remember that high-touch objects have viruses. if people have any symptoms, even just sniffles, they isolate themselves, and call their doctors if having moderate or worsening symptoms. (3/23/20) would you like to video or text chat with me?" ]

[ "patient: sick for past week. doctor prescribed meds. not feeling better. symptoms are shortness of breath, difficulty breathing, barking cough, mild headache, body ache. should i consider getting tested for covid 19.", "doctor: yes. everyone with flu like symptoms should be tested for covid19. test is becoming more widely available in the united states as the pandemic worsens." ]

[ "patient: can i catch coronavirus on public transportation from someone who has it? how long do germs on public transportation last?", "doctor: in brief: coronavirus lives new coronavirus may live on surfaces for a few hours or a few days depending on the type of surface, temperature or humidity. one report indicated that new coronavirus can survive on hard surfaces for up to 72 hours and on cardboard for up to 24 hours. would you like to video or text chat with me?" ]

[ "patient: i have very mild symptoms of covid 19. headache, sore throat, fatigue. what do i do now? is it advised to rather stay home, or go to get tested?", "doctor: watch and wait. with very mild symptoms you do not need to be tested.your temperature is important. if your symptoms worsen or a fever develops or you start coughing and shortness of breath you need to seek help. stay home and treat the symptoms with paracetamol." ]

[ "patient: can having reoccurring strep throat/tonsillitis problems make you more vulnerable to the coronavirus?", "doctor: no. the coronavirus apparently only needs to be in contact with the mucosa of the lips, mouth, nose and eyes to infect someone.please stay home and follow the recommendations of the local authorities." ]

[ "patient: hi , can i use oralcon birth control pills even though we have the coronavirus epademic ?", "doctor: in brief: yes i am unaware of any contraindication to using bcp and the virus. would you like to video or text chat with me?" ]

[ "patient: i have had a percocet addiction for 35 years and have had many dr.s in that time span. i was up to without exaggeration, eating 240 10mg p s, 98 30mg oxycodone pills, as well as an assortment of 5mg pills which were always at my disposal. i have cancer and have severe back injuries but along with the p s i also had monthly access to 240 2mg xannax pills which after awhile ihad no problem eating all of the above each month and would look for some more. i died 4 times in a 6 year span due to double pneumonia which the dr.s told me my medications were playing a large roll in this. when i was 16 i became an atheist due to my brother dying, he was my favorite and i became very drug dependent to kill the pain. this lead to my later addictions and no matter what i tried i could not escape their grip.the last time i was in the hospital i said lord i do not know if you are real but if you are i am begging you to open my heart again to you and i need your help or this will probably be it for me when i leave the hospital, i have had enough, and this is only the drug portion of my life i would not wish the things and amount of death i have had to witness on anyone. i am the last of all my friends left alive and i am 53years old. over 40 friends have passed on, 2 of which i grew up with from the age of 5, others just would not listen. i lost 2 older brothers, 1 my 1st year in highschool the other 8 years later of an overdose. needless to say ptsd, depression and other problems haunted me until i did as many drugs as possible to bury the pain, but demons only stay buried so long which i found out the hard way. tiny2882@comcat,net", "doctor: respected user, hi i evaluated whole long query in total details thoroughly .* now only options left for you is holistic healing with herbs & other things.* current respiratory details & status are not mentioned with symptoms to figure out for the pneumonia, but for mental condition i can say that only & only thing which can help you to any extent is very deep meditation sessions on highly regular basis 2-3 hours of dedicated yoga daily which will give your inner soul & subcouncious mind the level of peace you are lacking at present .hope this helps you .welcome for any further assistance .thanks for using healthcaremagic.com & giving me an opportunity to assistwishing you a healthy life ahead .regards dear take care." ]

[ "patient: can a person with type 1 diabetes ever just get mild symptoms of coronavirus, or will it always be fatal?", "doctor: in brief: death at 38 your risk of death from the virus is low. if you diabetes is controlled you should not have particularly higher risk. poorly controlled diabetes would make a difference. would you like to video or text chat with me?" ]

[ "patient: stayed in hotel fri night. heard of pos covid-19 case later pm. left hotel & self isolated since sat. wasn’t in any contact. isolated as didn’t know if any staff serving me had been infected. as long as no symptoms - how long must i self-isolate for?", "doctor: 7 days. stay at home for 7 days without symptoms. monitor your temperature, rest, drink fluids if symptoms develop, please notify your physician and test. ." ]

[ "patient: yes i had pneumonia and now have costochondritis. i am just wondering if it will ever go away. i am active and miss my workouts. every time i try to start working out it comes back. will i ever be able to work out again? it has been since april when i had pneumonia and i still am dealing with this. yyyy@yyyy", "doctor: do you have diagnosed it correctly ? go for hrct chest , or bronchoscopy for same. take i.v. antibiotics and then oral. complete course of antibiotics. for costochondritis apply analgesics ointment on it along with systemic anti inflammatory drugs. get done diagnosis proper. you will definitely able to work again." ]

[ "patient: will coronavirus make my kids more susceptible to catching the flu? should all kids be vaccinated against the flu in case they catch covid-19?", "doctor: in brief: it may help. coronavirus infections may make individuals more susceptible to catching other viral or bacterial infections, esp. if there are underlying respiratory conditions such as asthma or copd, cardiac conditions or immunocompromised states. flu vaccines may afford a certain level of protection to kids, but they do not protect against all strains of the influenza virus. would you like to video or text chat with me?" ]

[ "patient: as someone that suffered from wolff parkinson white syndrome should i be extra careful with the corona virus affecting my heart? i have had four rf ablations to tread the svts and afib and am currently symptoms free.", "doctor: corona. i am unaware of any data that suggests the virus causes heart problems. the primary cause of death has been respiratory infections which lead to pneumonia and ards. older smokers the most susceptible. now, in that group other comorbid problems include renal failure and cardiac events. at 34 stick with standard precautions to prevent disease. ." ]

[ "patient: hello doctor, last night i was getting chills, feeling more cold than usual and lightheaded and a lot of burping. maybe like every 30 minutes or less or so feel more chills running down my body and chest feeling bit weird like i am starting having trouble breathing then goes back to normal and repeats, with weird feeling like chills down my left and right lungs or left and right upper chest. also, my heart was pumping fast. also, some minor coughs were there since seven days ago, still here. i have white mucus and have not gotten yellow yet. i took medicines yesterday but today i got severe cold and flu medicine with a pain reliever, the chills did not go away. then today, i called the doctor on the phone and told him what happen last night and the same thing happened this morning too. i had minor coughs, feeling lightheaded, feel like maybe cannot breathe or something, and a lot of burping. i told him the burping issue was going on for at least two years, but somehow this time i am feeling lightheaded. he just gives pepcid, a try maybe gerd. i ate that today still feeling chills now and still burping a lot. right now, still some chills on arms, with breathing issue or something makes my chest feel weird and arm sometimes. so, should i be worried? i do not think i have a fever now but do not feel hot on the forehead? was it gerd or flu, it is coronavirus or something else? i hope it is not coronavirus. i am 21 years old and weigh around 110-115 kg.", "doctor: hello, please answer the following: any travel history in the last one month? any use of airports? any fever, have you checked the temperature? any cough? any mucus or phlegm? how is your sleep? is there any malaise or body aches or weakness?", "patient: thank you doctor, i travel to school, nearby grocery stores in the bus. no airport exposure. i have not checked the temperature. i do not feel hot or anything. i have minor coughs and sore throat. yes, i have mucus which seems white or clear for now. during sleep, i do not have much aches. last night i have not got much sleep, probably because i was thinking about stuff being worried, but got some sleep though.", "doctor: hi, most probably with the history it does not appear like a severe problem or coronavirus infection. is sore throat severe and does the pain last the whole day? do you smoke or drink? can you try taking sudafed, tylenol, and zyrtec and try getting sleep for a few days? i am sure that will make you feel better. avoid exposure to smoke dust and cold winds. keep the ac to a minimum or use ceiling fan instead. drink plenty of water and warm fluids. avoid eating out, partying. avoid unnecessary travel. you need not quarantine yourself in the strictest manner but some amount of restrictions in interacting and meeting with the community is advised. lastly, where are you currently? your place of residence and country? is it a corona endemic country? did you talk to or interact with any known or suspected flu patient? can you please take a picture of the back of the throat with open mouth showing details of the tonsils and pharyngeal wall and send it to me?", "patient: thank you doctor, i woke up this morning, i had trouble sleeping being worried, but i got some sleep then nearby phone ringing woke me up. so far, seems no one got any severe coughs or pain so far. i only hear minor coughs the past week or so. thanks for those medicine recommendations for sleep. i fall asleep quicker, usually, it takes me around one hour to fall asleep on most days. i will try to avoid smoking as much as possible. yes, i will be staying inside since many places are on lockdown. and school is online. i recently turned on the air purifier to clean up some air for allergies possible viruses but makes me cold. i might not need ac unless really hot. i will be staying home for the next month at least. my chills right now are feeling a bit better, but a little sick only because maybe i did not get enough sleep. i stay in san francisco ca, united states, and there are close to 40 confirmed cases around here. no severe reports near my district, and have not heard anyone in serious condition. so, last week i have a sore throat and tonsil pain while swallowing for a few days, then one day drank a lot of honey and water and some tea, then it got better. not sure if it got smaller, but the pain was less now though. between my tonsils in the middle (behind the tongue) looks like my throat, got some red stuff, maybe looks like inflamed or rashes. any recommendations? any foods or drinks that can help?", "doctor: hi, you have got it right. follow all the precautions. you will be alright soon. try getting a good sleep tonight. i heard about the cases in sf. my brother was supposed to fly there from india for work but his meeting got canceled in the wake of the virus. yes, your camera has not done a decent job this time around. it has not focussed on our area of interest. (attachment removed to protect patient identity). but yours has picked up the two big bumps in the back of the throat (enlarged tonsils). the tonsils could be enlarged due to the current infection and sore throat problem you are having. once the problem is resolved they should get back to their normal size, which i guess, in you, must be slightly big. the pharyngeal wall between the tonsils could be having some granular bumps which are quite common during an infection. now you do not worry, for most such infections are due to viruses (not corona). they usually get better with time and supportive treatment. traditional indian forms of medicine advise honey and hot water. tea makes a good addition i guess. sudafed and zyrtec appropriate for your weight will help additionally. tylenol every time you got pain will help you tide over this period wonderfully. now watch for some warning symptoms fever, increased pain, thick mucus, thick postnasal drip, severe malaise, swelling in the neck, etc. in such cases promptly revert to me. you may need a z pack then.", "patient: thank you doctor, as of now 12:40 pm i am breathing harder than usual since 30 minutes ago. i only ate some breakfast and drank water. here is my story: before feb 28th - no issues at all, besides always burping a lot, sometimes bloating, no coughs, tonsil was enlarged for a while, no lightheadedness, no breathing problems, not sick. friday february 28th - i woke up feeling unwell, drank water went back to bed, came back out super lightheaded about to faint, lied on bed for an hour, came out stomach feeling weird, even more lightheaded about to faint, can barely even eat a little noodles and two small pieces of spam, vomited it, then four more times which as water or acid. hours later was better. saturday february 29th - diarrhea sunday march 1st - diarrhea monday march 2 - diarrhea tuesday march 3 - diarrhea wednesday march 4 - no stool thursday march 3 - no more diarrhea friday march 4th - monday march 9th - no issues monday march 9th - feeling better, no problems, enlarged tonsil, no coughs really. sunday march 15 - no problems besides burping, minor coughs, some sore throat afternoon i ate chicken, burping a lot, stomach uncomfortable, felt like breathing problems, chills on hands, chest and left and right side, felt like could not breathe. 20 minutes later, still chills breathing a bit better, lightheaded kind of feel like fainting, then went to bed for 15 minutes (the breathing problem and weird chest feeling comes back randomly), ate tums, then later i drank cough and flu medicine. on monday march 16 - woke up around 11:30 am, feeling breathing problems, chills around body, lightheaded again, chest feeling weird, burping a lot, and i described my story to doctor he said it sounds like you ate something bad, does sound like gerd, of course we do not know for sure unless lab tests maybe on stool. he asked have you tried stronger antacids like pepcid or zantac? i said no. then doctor asked me to try pepcid and tell me how it goes. tuesday and wednesday march 16/17 - feeling better, no lightheadedness, no more chills, minor coughs, sore throat, burping a lot, no breathing problems so far. pepcid no problems so far besides making me burp almost all day. wednesday night still coughing a lot and drank severe cold and flu medicine. thursday march 21 i woke up fine, then once ate pepcid and drank some water, heart rate was going really fast, started to make worried, called doctor office they said can you count your beats per minute, then i counted, my phone was showing my heart rating going to 120 bpm, when i counted to them was not 120 bpm, then they told me to call back if it gets worse. then shortly after, i drank some water and ate a little bit of breakfast. my heart rate started to drop slowly and was getting better after that. friday march 20- 10 am i woke up with some chest pains (chest area above the stomach), then some coughing and feeling a little sick, little lightheaded, heart beating fast, breathing harder, felt of shortness of breath. drank some water and breathe harder, a little bit of mucus. 15-20 minutes later no more chest pains, still breathing harder. 11 am - still breathing a little bit harder than usual, coughing would make me breathe even harder. better now, but still breathing a little harder than usual. 11:30 am moving makes me breathe harder, sat in bed. 11:58 am - feeling a bit better 12:10 - feeling like breathing a harder than usual. after an hour later, feeling better now which is strange. not sure if its heart problems, acid reflux, chest issues, or esophagus.", "doctor: hello, always protonix is better than zantac. try using protonix (pantoprazole). do not lie down immediately after consuming meals. do not drink a lot of water after a meal. avoid spicy and oily foods.", "patient: thank you doctor, i went to the store to look for zantac they did not have it, so i talked to the pharmacy they said sounds like could be some weird chest tightening and the doctor said since pepcid and zantac are the same. he said to try ranitidine. right now i tried pepcid again like now, for the first five to ten minutes i think it means me feel more nervous or anxiety or something, i tried to calm myself by putting fingers on teeth. then i think now it did not cause my heart to beat super fast this time which was strange. even water makes my heart beat a little faster. should i stick with pepcid? finish the entire bottle? i think it has 20-30 pieces. i used to lie down after a meal a few years ago like i get hungry before i go to bed then i started eating snacks and lying down. sometimes i starve myself. sometimes i wake up with acid feeling in my mouth. i don't know why i woke up this morning with chest pain, like the middle area right above the stomach and felt like i had breathing problems, breathing harder than usual, drank water and barely could eat breakfast (lasted for at least 30 minutes+). i then waited a bit after 10 minutes, drank hot water and ate breakfast, i started to breathe better again. could it be shortness or breath? may be blood pressure? esophagus issue? chest issue? heart issue? i am having weird breathing. should i be worried?", "doctor: hi, you need to take pantoprazole or any other proton pump inhibitor. avoid heavy meals. the issue appears like a heartburn problem due to acidity only. it does not appear sinister.", "patient: thank you doctor, i was trying to finish the bowl of food in one hour. i was eating veggies and rice, halfway through felt something like acid may be some pain in chest and throat. feeling lightheaded so ate some meat to then coughed after.", "doctor: hi, do not worry about it. drink plenty of water but not immediately after a meal. eat well cooked meats.", "patient: thank you doctor, i really appreciate your help so much. i appreciate your time and effort to help me and give advice. only thing i am worried is just the chest pains, breathing issues and esophagus and throat stuff. i will try to wait two to three hours after eating or drinking before bed now. i hope to get less chest issues when i wake up.", "doctor: hi, do not worry so much. you will be absolutely alright. give it some time. if you are not getting better we can do laryngoscopy and check if there is anything wrong with the larynx. do you eat healthy food and do exercises?", "patient: yeah if it doesn't get better laryngoscopy would be perfect. okay, i'll give it some time thank you! i try to eat vegetables and fruits. i don't eat much junk food that much. i used to eat more junk years ago, but now mostly vegetables, fruits, meat (pork, chicken, beef, fish) usually not fried, and tried to eat whole wheat bread with fried chicken patty from the super market (for school lunch) since its cheap and its chicken (stopped now after acid problems), don't really eat french fries, pizza or drink soda etc... exercise, haven't been exercising these few months. i have been telling myself that, but then i haven't really been doing it. used to a lot years ago, now barely. since high school, when i exercise running when i try to get air feels like throat is tight or chest is tight and air is trying to squeeze its way through. after this point high school until college feels like i'm not breathing enough air. when i was younger (elementary/middle school) felt like i gotten a lot more air then now through my throat and air doesn't squeezes through. one doctor just used stethoscope for heart and lungs, told me to breathe hasn't said much about it. then another doctor said, sounds you are not breathing that much, feels like not getting another air (in high school, like 4-6 years ago maybe), they didn't do much about it. so, when i try to breath regularly, seems like not much air comes out through mouth even before acid reflux,.that's why recent breathing problems kinda worry me, but anyways yeah like that.", "doctor: i guess you are in the right track. with regards to food diet and exercise. restart doing your exercise. keep yourself active. try having more than three meals a day but keep the quantity of each meal less than the usual. that way you eat more frequently but without putting weight or adding unnecessary calories.", "patient: sounds good! awesome! appreciate your time and effort to help, this means a lot. very patient and kind!" ]

[ "patient: hello, i need to go to my dr. to get my prescription refilled. due to the corona virus i really don't want to get out and sit in a busy office just for a prescription refill. perscription refill?", "doctor: in brief: may do video consult covid-19 pandemic at this time, so one's doctor may want to consult by video instead of requiring an in-person visit. some medications are refillable by video, others are not. in this pandemic, one's primary care doctor, who knows the patient well, can usually get meds to the patient without an in-person visit... unless an exam is needed in order to adjust the meds. just ask the doctor. would you like to video or text chat with me?" ]

[ "patient: dear doctor my littel son 11 months when he was 2 months and 15 days he got chest infection pneumonia in the right lung and after 2 weeks of treatment in the hospital with antibiotic he discharged next day he was admitted again with new infected by pneumonia in the right lung and then doctor did some test a barium swallow and ph. the resulte ge reflux grade 4. he was with ngt and ar formula by ngt for 3 moths with zantac and motinorm also with sitting position ,but all of those dosn t change any thing.after that when he was 5 months and 15 days he had an a laparoscopic fundoplication 5 ports, 360m degree wrap over 10fr ryles tube. he trying to vomit but he can t.i observed every time when he trying to vomit like for 5 to 7 minutes and when he sneeze every time after trying vomit then he got back to normal after sneezing.. and he drinking now neocate formula based on free amino acid. also he is allergy with lots of food ,.", "doctor: primarily he suffering reflux disease which causes repeated aspiration and pneumonia so correction of underlying pathology will resolve pneumonia and as for concern about antibiotic and treatment of pneumonia use of antibiotics for prolong period can cause development of resistant organisms" ]

[ "patient: do i just go to a dr to determine if it's a sinus infection or do i go get tested for covid first? to not risk anyone in practice?", "doctor: in brief: phone triage. call your gp's office for instructions and identify local resources. your symptoms are suggesting sinusitis (other causes still possible) that is frequently viral and self limited. local regulations should also be followed in such circumstances. self quarantine will work for all in trying to prevent the spread. hydration and rest will also work regardless of what the cause for your symptoms is. would you like to video or text chat with me?" ]

[ "patient: hi i have hypothyroidism. i’ve been in chronic meds for over 5 years now. am i at risk for coronavirus. also should i boost my immune system? thanks", "doctor: in brief: no you are not more than the next person :) relax self isolate would you like to video or text chat with me?" ]

[ "patient: i have diarrhea and am concerned about covid 19. i read some cases with higher mortality rate started with diarrhea. what should i do? coronavirus and diarrhea", "doctor: it depends... due to limited availability of covid testing, you probably wouldn’t meet criteria for testing, unless you develop fever or cough, and you have chronic health problems or have been possibly exposed to covid.seek care right away if difficulty breathing or severe symptoms.seek online or phone consultation otherwise, to avoid exposure.ultimately, patients who need treatment will have lung symptoms." ]

[ "patient: criteria for covid test?", "doctor: real vs. textbook. real-life criteria is different because we don't have enough tests, supplies, or medical staff around the world at this time (march 2020). textbook criteria are suspected covid in hospitalized persons or in those with underlying medical conditions; or persons who got symptoms less than 14 days after (1) contact with a suspect or confirmed covid patient or (2) travel through high-risk covid area." ]

[ "patient: my husband passed away in march after a short illness his doctor said was bronchitis then pneumonia. he was diagnosed wit small cell lung cancer after an ex-ray revealed a mass in his lung. he was a 22 year veteran in the army. he also was a smoker. can you tell me hat causes small cell lung cancer? he was 66.", "doctor: thanks for your question on healthcare magic. i can understand your concern. small cell lung cancer is commonly caused by cigarette smoking. actually cigarette smoke causes irritation to lung mucosa. chronic irritation causes structural and genetic changes which leads to malignant nodule. this nodule grows with time and forms mass like lesion. hope i have solved your query. i will be happy to help you further. thanks." ]

[ "patient: hello doctor, i get a cough for the last few days, which is heavy during night times. no raise in temperature but feeling tired with no travel history. no contact with any covid-19 persons. it has been four to five days and has drunk a lot of benadryl and took paracetamol too. doctors have shut the op so do not know what to do? please help.", "doctor: hello, i understand your concern. i just have a few more questions. does your cough has phlegm? any other symptoms like difficulty breathing? any other medical condition such as asthma, hypertension? are you a smoker? alcoholic beverage drinker?", "patient: thank you doctor, i have phlegm but not a lot. a tiny amount comes out most of the time. i have no difficulty in breathing. no medical conditions and not a smoker nor a drinker.", "doctor: hi, i would recommend you take n-acetylcysteine 200 mg powder dissolved in water three times a day. you may also nebulize using pnss (saline nebulizer) three times a day. this will help the phlegm to come out. i would also recommend you take vitamin c 500 mg and zinc to boost your immune system. if symptoms persist, worsen or new onset of symptoms has been noted, further consult is advised." ]

[ "patient: hi, i recently stopped smoking and have inflamed sinuses and since there is a corvid19 pendemic i am worried that these sinuses and runny nose could be linked to coronavirus. the sinuses hurts mainly when i am sleeping.", "doctor: in brief: do you have access if you have access to testing you can be tested, more importantly have you had contact with someone who is postive htat you know, have you travelled?do you have a fever? would you like to video or text chat with me?" ]

[ "patient: i am an ashmatic and are using my medication, my chest is tight and throught is a little bit sore, i can feel my lungs are also getting sore, when do i need to go to a doctor now with covid 19?", "doctor: not yet. only if your respiration rate (google that) per minute goes above 25 and you really feel you are battling to breath. use this forum if your symptoms change. we are here for you." ]

[ "patient: 11 year old has a cough, runny nose, headache,earache, no fever. is this covid-19?", "doctor: the symptom pattern is not specific to one agent. it suggests a cold and ear infection. kids have been among those least affected by covid-19 . only proper screening and testing could confirm or exclude this or any other agent. parainfluenza, rhinovirus, or rsv would be more likely." ]

[ "patient: hi. this covid-19 outbreak is scary. i got screened this week and it was negative. but prior to screening i had a week of continuous dry coughs and also throat was sore. i've put myself in a quarantine. what next? do i still need to screen again?", "doctor: screening test if. if you develop symptoms of dry cough, fever and/or shortness of breath, consider re testing since the test may convert to a positive test if infected. other causes should be considered including an allergic reaction. try one dose of an antihistamine and gauge improvement. stay at home for three days if there is no fever. ." ]

[ "patient: i was diagnosed with double pneumonia 1 week ago having had the symptoms for a week, i have been on heavy penicillin and am left with weakness and a bad cough. my query is that my urine is reddish brown, looks like some blood could be there. is this part of pneumonia. thank you for your time. jean aged 72 and normally healthy except for overweight.", "doctor: hello dear jean , hiwarm welcome to healthcaremagic.comi have evaluated your query in details .* the urine color is in relation with side effect of penicillin , not a part of pneumonia .* has to be addressed immediately to your treating doctor for this issue .wishing you fine recovery .welcome for any further guidance .regards ." ]

[ "patient: my daughter has been sick with the flu for over a week and now has strep throat and pneumonia. she s saw her doctor, ran some tests and her white blood cell count keeps dropping. they just sent her to the er. what would cause her wbc to drop? i know there s probably a few reasons, but given this recent background of her health?? thank you. very worried mom", "doctor: hello,any infection if severe can suppress bone marrow. and this is responsible for low wbc (white blood cells) count. so better to start injectable antibiotics for control of infection. she may need leucovorin injection to stimulate bone marrow for producing wbcs. once her infection is controlled, she will have a normal wbc count. hope i have answered your query. let me know if i can assist you further.regards,dr. kaushal bhavsar" ]

[ "patient: what risk am i from coronavirus as i have vte?", "doctor: in brief: vte i am unaware that vte (venous thromboembolism) is associated with increased risk for severe infection. keep in mind at 42 your risk is low for severe infection. otherwise do not smoke or start. consider vitamin d3 and vitamin c and make sure you stay active. also social distancing is not social isolation. remember this too will pass! would you like to video or text chat with me?" ]

[ "patient: good day, i am 29 weeks pregnant and my profession is teaching, i also have a 2 year old son. my chest and throat is sore, i have a constant headache and feel dizzy at times. is it necessary to get myself tested for the coronavirus?", "doctor: in brief: can give dr. a call. throat pain can be from a strep throat infection (antibiotics needed), a cold or influenza (antibiotics usually not used), or from other causes such as allergies, irritants, or covid-19. usually, a person sees the doctor (call first) if the sore throat is bothersome, recurrent, or doesn't go away quickly. covid-19 tends to have cough, whereas strep usually lacks cough but has more throat pain would you like to video or text chat with me?" ]

[ "patient: anxiety because of the covid 19 news?", "doctor: break. at 39 your risk for severe infections is very low. a strategy that i recommend is taking in information daily, but get away from it. practice prudent precautions. in my off times away from er (still practicing front line er) i focus my mind on my cooking, planning my garden, engage with my friends and loved ones and read." ]

[ "patient: i'm just a bit concerned as i have a sore throat and coughing a little bit as a result of my sore throat. my upper body is also aching a bit. is this a cause for concern?", "doctor: possible virus. this is likely a viral infection. if you have a fever and/or the cough or sore throat get worse, you should be examined by your doctor. if you've been exposed to a particular illness, such as strep or the flu or coronavirus, you may need to be tested.for now, rest, drink fluids, take acetaminophen or ibuprofen as needed if you have no medical contraindication." ]

[ "patient: i was previously diagnosed with tb but have since recovered. i do want to know if my previous diagnosis puts me at a higher risk should i contract covid 19.", "doctor: covid and tb. patients with a history of underlying lung disease do have a higher risk of morbidity and mortality with covid infection. it is important to self isolate and maintain social distancing as per the current protocols. should you suspect covid infection get screened as early as possible." ]

[ "patient: i am getting headache at night. been battling with a sore throat and post nasal drip. no fever. cough only slightly at times. i went for laproscope and removal of my fallopian tubes on 2nd march. all this started after that. must i test for covid 1o?", "doctor: in brief: unlikely not at this point. treat what you have currently symptomatically. stock up now whilst not yet on lockdown. i don't feel that you qualify for a covid test right now. keep posting your questions." ]

[ "patient: do i have covid 19?", "doctor: in brief: unknown without any details it's impossible to say. would you like to video or text chat with me?" ]

[ "patient: ons het teruggekom vanaf oostenryk op 8 maart..reeds 13 dae gelede. het tans seer keel maar ook nasale drip. wat staan my te doen?", "doctor: in brief: covid19 even though your have no fever or shortness of breath, your travel history fits criteria to be tested. i suggest you get tested for covid19 - speak with your gp to advise further, self isolate in the meanwhile would you like to video or text chat with me?" ]

[ "patient: will taking ibuprofen (advil) increase the strength of the covid-19 virus?", "doctor: conflicting info. i have seen articles on both sides of using advil or motrin. personally i would recommend not using it because side effects, interactions and complications from nsaids in general. acetaminophen is safer." ]

[ "patient: i have been coughing and sneezing for the past 2 weeks. throat really sore past week. always thirsty. diarrhea started on friday night and vomiting since this afternoon. have a constant fever from wednesday. ?", "doctor: in brief: covid-19 this may be influenza or covid 19 and warrants a call to your physician to get instructions of whether to be examined,cultured and/or tested for covid 19 virus, ordered to have a chest xray and/or started, on antibiotics. a lot depends on whether you're in an endemic area or have been exposed to someone who has the infection or had travelled from an affected region. gargle,avoid dehydration. would you like to video or text chat with me?" ]

[ "patient: hi have been having a mild fever since the 15 of march, with a strange sensation in the throat, fever went away on the 17, but came back yesterday on the 25 march, mild, no short of breath just a slight headache, must i test for covid19?", "doctor: perhaps not now. see how you go, going out right now is really a big risk. we are here and can communicate during the lockdown period. the government are making more tests available and safely so. trust our government. stay home right now." ]

[ "patient: good day i have unusual sore throat burny sensation in chest area body aches, dry cough, headaches, paranoia,have travelled to dubai end jan ?", "doctor: in brief: covid 19 the incubation period of covid 19 is 2-14 days and you're past that. however if fever, chills, heavier cough, or breathing difficulties develop, call your md for instructions. for now, drink adequate fluids, gargle with warm salt water. i recommend also using zinc lozenges and take acetaminophen. don't infect others regardless of what type of infection you have. would you like to video or text chat with me?" ]

[ "patient: hi my name is.brent i was diagnosed with pneumonia friday since i haven t been able to sleep due to vomiting and i m dizzy and the weirdest thang is if i touch a certain part of my neck or back i instantly feel sick if you can give me advice that would be great", "doctor: hey brent,if you feeling low and drowsy with pneumonia then you must take appropriate antibiotics.if required might get admitted to get done i.v. treatment." ]

[ "patient: 3yrold having rash. specially under armpits and his thighs too. he can’t sleep at night due to that. i’ve tried lotion to hydrate. he had minor eczema when born but not too serious what can i do? don’t want to take him to hospital due to virus!", "doctor: rash. how long has it been going on? may be food allergies, most common are dairy products so you could try a week with no dairy and see if there is a change, others allergens include eggs , wheat. could try zyrtec children's 2 ml once a day and see if it helps itching. rarely i have seen strep manifest with rash for which you need a culture. speak to a pediatrician on healthtap prime or call md." ]

[ "patient: does getting covid19 make you immune to a reinfection or just less likely to be reinfected?", "doctor: less likely nt immun. your body will develop antibodies against the virus but depending on how strong you keep your immune system, it is possible to get it again if you're re-exposed with a weak immune system ." ]

[ "patient: does hand sanitizer actually work? where do all the germs go after using it, and will it actually protect me against covid-19?", "doctor: it actually works. as does washing your hands with soap and water. all the germs die after using it, so they become harmless. sanitizer and washing your hands will help protect you, but you can still catch covid-19 through your mouth and nose and inhaled into the lungs. social distance and quarantine as needed." ]

[ "patient: hello, i have had a chest infection about once a quarter for the last year and a half . i was diagnosed with asthma not long ago as well as having developed pneumonia for the first time in the past week. what could be causing such frequent illness? i have generally been a healthy person for all of my life. sick maybe once every four years.", "doctor: hello and welcome to ‘ask a doctor’ service. i have reviewed your query and here is my advice. recurrent chest infections in asthma patients can cause bronchitis. so better to consult pulmonologist and get done clinical examination of respiratory system and pft (pulmonary function test). pft will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. you will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ics) (budesonide or fluticasone). don't worry, you will be alright with all these. hope i have solved your query. i will be happy to help you further. wish you good health! thanks." ]

[ "patient: my father is in the hospital on ventilator currently. the doctor says he now has what is considered whiteout in his lungs. he has said that the outline of the heart can no longer be seen. my father aspirated and then was diagnosed with pneumonia. three days later he ended up in ccu on a ventilator and has not been able to be weened off/ he is currently taking 3 antibiotics. what is your advise.", "doctor: lung whiteout and loss of heart outline are findings of chest x-ray compatible with many abnormal conditions affecting the lungs, like pneumonia, pleural effusion, acute respiratory distress syndrome among others. in the actual setting, your father is already receiving treatment to his pneumonia. all the other possibilities are probably been considerated and adressed by ccu staff. weaning from mechanical ventilation is sometimes challenging because many factors can impair patients evolution, like how long he's been in mv, his nutrition status, his cardiovascular performance and resolution of the cause that led him to mv in the first place." ]

[ "patient: with a bad immunity deficiency, how can i keep as safe as possible from contracting covid19 in a family household. work is not an issue but shopping and accepting deliveries is. also need to take child outsides as home is small, no garden.", "doctor: protection. stay at home as much as possible, clean your hands and your children hands after any contact with people, alcohol is very helpful; avoid touching your face when you are not sure your hands are clean. in crowded places, wear protection like n95 surgical mask. playing outside is ok, but apply these measures and stay way 6 ft from any unknown health status person." ]

[ "patient: hi my symptoms are aching and sore joints i feel feverish but i don’t have a cough or runny nose . i do feel a little throat congestion ( phlegm ) but no sore throat. not very sick. i have been taking viral choice and vitamin c for a month . ?", "doctor: in brief: uri your symptoms are consistent with a flu like upper respiratory tract infection. treatment would be resting, drinking adequate fluids and taking acetaminophen. chest discomfort or shortness of breath would be concerning and if you've been exposed to anyone with covid19, who has been in an affected region or if you live in a region where covid19 is present, notify your md and get tested. would you like to video or text chat with me?" ]

[ "patient: how can one be sure of a diagnosis of pneumonia or pertusses in adults. how do you compare? my doc thinks i have pertusses. but the doctor in mexico where i was originally treated said i had pb pneumonia. i was on intravenous antibiotics for three days in mexico before coming home to my dr.here in l.a.the xrays showed lots of mucus in my lungs. i am confused. is there a definitive test for petusses in adults? dr said i will be fine. gave me advair and cough medicine and says i will be fine but will cough for a pretty long while until the lungs are clear. he said i do not need antibiotics because i have already had zpack and 10 days of ampicillin, and then 3 days fo intravenous antibiotics. who do i believe? i am 65 years old. never was feeling this sick or tired before or have had any kind of lung involvement in my life. i am a strong healthy woman. no immune deficiency or anything like that.", "doctor: respected sir, hi. diagnosis of pertussis is clinical usually,divided into 3 stages .1st stage (catarrhal) where runny nose, sneezing, low grade fever, occasional cough. 2nd stage (paroxysmal) bursts of coughing or numerous rapid coughs, difficult to expel thick mucus from airways in lungs , long respiratory effort with high-pitch breath sound , individual may have cyanosis with or without vomiting during severe attack, inbetween attacks, patient becomes normal.3rd stage is convalescent or recovery gradually from above all. overall period may range from 1-2 weeks to 10-12 weeks. in which cases diagnosis is not certain or require confirmation *culture of bacterium bordetella pertusis from nasal secretions *pcr test identifying genetic material from the bacterium in nasal secretions. hope this clears your query dear madam, thanks regards take care, bye, wishing you fast speedy recovery from the same." ]

[ "patient: my 1 year old daughter has been congested for about 2 days no coughing. today she was fine this morning other than the stuffy nose. now she is just laying around, just wants held interested in absolutely nothing and she has projectile vomited 3 times. pneumonia is going around i know numerous people that have it. are those symptoms?", "doctor: thanks for your question on healthcare magic.i can understand your concern.yes, possibility of pneumonia is more.children don't show high grade fever sometimes.vomiting can be seen in pneumonia. chest congestion is classical symptom of pneumonia in children.so better to take her to pediatrician and get done clinical examination of respiratory system and chest x ray.she may need antibiotics and other supportive drugs.hope i have solved your query. i will be happy to help you further. wishing good health to your daughter. thanks." ]

[ "patient: i have hashimotos. nodules checked by us yearly. i see a thyroid specialist yearly. i am a preschool teacher assistant. i still work. i am a 47 yr old female. what is my risk level of getting the virus?", "doctor: in brief: nearly normal assuming you are not on any immunosuppresive therapy your risk is normal. but make sure you do social distancing would you like to video or text chat with me?" ]

[ "patient: chronic sore throat for 4 months. not strep. no fever. bloody green phlegm for a while. sinus congestion and pressure sometimes. bad breath in back of throat sometimes. maybe post nasal drip. 2 wks. of amoxicillin didn’t help. is this mild covid-19?", "doctor: bacterial likely. use nasal saline rinses, a nasal steroid and discuss the use of augmentin for 10 days with your pcp. it is more likely that you have a bacterial infection. an examination of your mouth or uploaded photo to a ht virtual consultation is important. avoid smoke and if you are a smoker, please consider a biopsy of the area. ." ]

[ "patient: hi there, i was recently in close contact with someone who travelled overseas. the person has become ill but has not communicated whether or not they’ve been tested. should i go and get tested for covid19?", "doctor: in brief: test since there is a risk for coronavirus, please stay home, rest and drink fluids. monitor for symptoms including fever, dry cough and/or shortness of breath. avoid contact with others and consider testing. the symptoms of covid 19 may be very mild. travel is one risk factor for acquiring the disease. would you like to video or text chat with me?" ]

[ "patient: is my wife is at huge risk of getting the virus, as she is a nurse in a gp surgery? i’m so scared for her. i’m scared she will get it, and we will both end up with it.", "doctor: hopefully not. your wife should know the protocol of handle covid-19 as well as other viruses. her institution should be providing ppe (personal protective equipment) for her to use properly." ]

[ "patient: i went to the doctor today and found out that i have pneumonia. i got a steroid injection and breathing treatment in the office and was sent home with levaquin, albuterol, and cough medicine. my forearms and legs are very tingly and almost numb and heavy feeling. is this from the steroid injection? i am 23 years old and i have juvenile rheumatoid arthritis so i am also taking humira, methotrexate, plaquenil, and folic acid for the ra. is this a side effect or a drug reaction or nothing to be concerned about?", "doctor: tingling in extremities may be a sign of peripheral neuropathy, wich is most of the cases caused by inflammatory injury to the nerves. anti-tnf drugs, such as humira, have been reported to be associated to this kind of injury, that can be potentialized when associated to steroids. you should visit your attending rheumathologist for physical evaluation and apropriate management." ]

[ "patient: my sister works in a dialysis center and has had pneumonia twice in the last couple of months. this second bout is fairly recent and was again treated with antibiotics. she has not been able to get rid of the cough and in the last few days developed swelling in her legs as well as a rapid heartbeat. her bp is normal. her pcp is sending her for a couple of tests, a lexi and i can t remember the other. any thoughts.", "doctor: hello,the most possible issue here is systemic manifestation of underlying infection in form of sepsis, side effects of medicines currently used or others.in our clinic, we recommend thorough work up with lab tests and guide to manage in accordance.hope i have answered your query. let me know if i can assist you further.regards,dr. bhagyesh v. patel" ]

[ "patient: hi, i got diagnosed with pneumonia yesterday and have been sent home with antibiotics (amoxicillin and doxycycline) i was just wondering what the risk factors would be if i were to have at least one cigarette? i know it wouldn’t be good for the healing process(will probably slow it down) but is there any serious risk with smoking (ciggerattes or maybe even weed mixed with tobacco?) my doctor at the hospital that diagnosed me knew i smoked and also knew i smoked at least one or two bongs and he said nothing when i was leaving about trying not to smoke etc etc?", "doctor: hello,the tobacco with or without seeds will contribute to bronchi spasm effects and hamper the pneumonia condition to a great extent. in our clinic, we strongly recommend quitting all tobacco items till complete recovery.hope i have answered your query. let me know if i can assist you further.regards, dr. bhagyesh v. patel" ]

[ "patient: good day. i have a body temperature of 38—39 degrees celsius accompanied by headaches and a cough. i've been tested for covid, but it's negative. i have trouble urinating and have a pain in my penis as well as my anus. thank you?", "doctor: fever. hiit sounds like a viral infection with temp , headache and cough.the urine and pain down there does not sounds related, but if it is, it can be a bacterial infection, for which you need antibiotics.are you taking enough fluids?what meds have you taken so far?." ]

[ "patient: we went to bali via singapore, on my second day in bali (17 march) i started feeling a bit sick?", "doctor: monitor temp. most cases of covid-19 are associated with symptoms, but not all. your symptoms may be related to coronavirus infection or another infection. i would recommend that you be tested for coronavirus and then stay inside, avoiding contact with others while awaiting your test results. use good hand washing, disinfect surfaces and drink fluids." ]

[ "patient: my 10 month old baby boy is scheduled to have his measles vaccination during the lockdown. i want to know if we can wait to do his next vaccination until after this coronavirus has calmed down. i dont want to risk exposing him unnecessarily.", "doctor: in brief: wait my advice would be wait and don't risk exposure and spread right now. quarantine. safe stay. we are here for you on this platform. would you like to video or text chat with me?" ]

[ "patient: hi, i have severe headache, a sore throat (feels like swollen sore, not raw sore but it doesnt hurt if i press my lymp nodes in neck except near my left ear), body hurts, coughing, body temp 32.5, head is hot. light headed. just normal flu?", "doctor: flu. i think you a probably right. body aches not as common with covid. if no significant sob follow the following: https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide talk to your provider flu test may help, but management typically best conservative. certainly if worseing sob be seen. remeber at 29 risk for severe infection is low either way. ." ]

[ "patient: is it safe to take ibuprufen during thisbseasonnof corona outbreak or should we take paracetamol?", "doctor: medications. i am unaware of any contraindications to either ibuprofen or paracetamol. you can take either. when i get sick i like to take both. one can be taken every 4 hours and the other every 6 hours. ." ]