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[ "patient: will i have to be hospitalised if i get the virus, i have type 1 diabetes.", "doctor: in brief: maybe/not they estimate as many as 80% of those testing positive in the under 40 age group have minor or no symptoms. having a non respiratory chronic illness does not increase your risk substantially. would you like to video or text chat with me?" ]

[ "patient: if you have wolf parkinson white syndrome does this make you more of a risk with covid 19?", "doctor: avoid cold/ice... though untreated wpw syndrome can be regarded as pre-existing chronic condition, there is no current evidence that one is more susceptible to covid-19, an infectious disease mostly transmitted through respiratory fluid droplets. best to follow who/cdc guideline on hygiene. plus avoid cold/ice drinks/foods. drink warm water/tea, even chicken soup. aleve or ibuprofen can be helpful for fever/soreness." ]

[ "patient: i had a colonoscopy last wednesday and aspirated. ended up in the emergency department and diagnosed with aspiration pneumonia.i am on antibiotics now. i am able to breathe better than yesterday but i am still coughing a lot, at times producing dark phlegm. and i am very tired. how long should i expect this to last? thank you! dani b", "doctor: hello,for your pneumonia, complete the course of antibiotic. sputum culture and examination done if needed to do further work up.if your cough is not expelled properly, then cough expectorant syrup containing ambroxol plus terbutaline drug can be prescribed. kindly attach your reports for giving more comment.hope i have answered your query. let me know if i can assist you further.regards,dr. parth goswami" ]

[ "patient: is it true (or a myth) that coronavirus will not survive hotter climates. as summer approaches, is it expected to reduce in tropical summers at least.", "doctor: in brief: coronavirus. yes, according to previous knowledge, most virus including coronavirus likely will not survive hotter climates. i would expect or hope this will die down in summer time. nevertheless, this is new coronavirus, let's wait and see. i also think that with strong human intervention, the virus may reduce or be eliminated before summer. would you like to video or text chat with me?" ]

[ "patient: i am a 14 year old female that was recently diagnosed with a slight bit of pneumonia, i took the antibiotics that i was supposed to take: once a day for 6 days, i completed it. but i want to know if i'm know cured, it's been a week or two since i finish the tablet treatment, how can i tell that i'm cured?", "doctor: thanks for your question on healthcare magic.i can understand your concern. if you are not having fever, cough or chest pain after completing antibiotics, you are probably cured from pneumonia. you are should also get done chest x ray. if recent chest x ray is showing normal results or resolving infiltration then you are cured from pneumonia. hope i have solved your query. i will be happy to help you further. wish you good health. thanks." ]

[ "patient: hi, i have a bad cough, sinus congestion and body aches but no fever. should i consult with a doctor regarding the current covid19 pandemic?", "doctor: in brief: most likely not c most likely sinusitis or seasonal allergy. try to access a telelphonic or virtual consult to discuss thoroughly with someone. for now stay home stay safe. treat yourself and all in your family as if they have covid for now =it's safer. would you like to video or text chat with me?" ]

[ "patient: can i see a dr online for all my medication refills so i don't have to go into a dr office? i need medicine refills", "doctor: maybe not all meds. 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. (3/23/20)" ]

[ "patient: i have had a sore throat (glands enlarged in throat) for over a week and i have constant headache. do i need covid-19 test. if yes, how do a get someone to come to my house to test.", "doctor: in brief: testing. people are still getting other illnesses than covid. given no cough or shortness of breath, other than watchful waiting covid should pass in a week or two. strep, influenza still possible. this testing can be done through your own provider. you can also get your own strep test at pharmacy or many can swab you there. would you like to video or text chat with me?" ]

[ "patient: for students in dorms living with students from many countries, what extra additional precautions do they need to prevent catching novel coronavirus?", "doctor: in brief: standard precautions covid-19 is now official name for the illness caused by the newly discovered coronavirus (coronavirus infectious disease - 2019). so far it is extremely rare in the us (2/12/20). until and unless covid-19 becomes common no special precautions are necessary. in any dormitory or group living situation people with respiratory symptoms (colds, flu, etc.) should cover their coughs and wash hands frequently." ]

[ "patient: is gargling with listerine effective against corona virus induced sore throat? will it kill the virus? how about with mixture of warm water and salt, will this also kill virus!", "doctor: gargling. you can't be sure but it may help if you do those things as well as using zinc lozenges at the first sign of any throat discomfort and stay hydrated also. i recommend them. at least it'll do no harm." ]

[ "patient: i got an sms stating the following: taking ibuprofin/ advil? mypaid/ myprodol to control fewer should stop. they also say that ibuprofen is increasing the rate of multiplication of the virus. and that we should not take these meds. how true is this?", "doctor: hard to say. it does look like it is true. we are in an unprecedented time right now. what we know we are trying to convey. switch to panado or napacod for now if possible." ]

[ "patient: hello. i’d like some help please, i’ve started getting these symptoms and am wondering if i should see a doctor or stay at home and try to get better. - headache - weird yellowish growth on the side of my throat - tight chest - mild cough ?", "doctor: in brief: self isolate the current doh guidelines are to self isolate. if you develop fever, cough or shortness of breath, phone your local gp/ service provider and arrange for testing. if you have traveled overseas or have been in possible contact with someone with confirmed covid 19, arrange testing. (wear a mask when going out if needed). for more info try whatapp the word \"hi\" to the coivd hotline 0600123456 would you like to video or text chat with me?" ]

[ "patient: preauricular lymph node on left side very tender, scalp on left side of head tender and hurts to touch, superficial parotid lymph node area on left side swollen and tender. pain behind both ears.no injury.came on suddenly, has been 1 day.temp 100.1°", "doctor: in brief: periauricular pain may be otitis ear infection or mastoiditis infection in the bone behind the ear. could call health tap prime for video assessment and antibiotic prescription. sometimes you may need im or iv antibiotics. call healthtap prime or md today ( even with corona ongoing you need treatment for this today). would you like to video or text chat with me?" ]

[ "patient: i have sle and am currently on 5 day course of dexamethasone 8 mg daily. i still have to work during coronavirus outbreak. how concerned of risk am i? i work in close quarters. desks are a couple of feet apart. i am not able to work from home.", "doctor: in brief: request a mask avoid contact with others, request a mask and ask those around you to wear a mask. a desk more than 6 feet away from others is another measure of safety. use good hand washing and keep surfaces, including your phone and computer clean. continue your steroids as prescribed. would you like to video or text chat with me?" ]

[ "patient: true or false? anyone infected with covid-19 start have diarrhea and increases the chances of death compared to person who just start respiratory symptoms, why?", "doctor: in brief: data from data from china there has been association between worse infection and diarrhea. the seems to be a worse inflammatory response associated with people who have diarrhea." ]

[ "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: i‘ve had a dry cough for a couple weeks now, post nasal drip, runny nose, sore throat every now and then, i think i’m starting to develop a fever and i’m getting lightheaded/feeling faint when i stand and walk & slight body aches. do i have covid19?", "doctor: hard to guess. you have some of the symptoms of cold , flu and covid19 . also you appear to be dehydrated. but you are young and no mention of any underlying medical condition. so, i think you are not vulnerable. drink at least 6 cups of water a day. probably need self isolation for 2 weeks and to be tested in mean time for covid19 if you develop breathing problem. contact to your doctor for a guidance." ]

[ "patient: i am concerned that i’m showing symptoms of corona. i have a tight chest, regular headaches, fever, and infrequent coughing and sneezing. my throat is also sore. i’ve also been in the vicinity of someone who has tested positively for the virus. ?", "doctor: in brief: test please stay at home, rest, drink fluids and monitor your temperature. arrange for testing locally.you may need respiratory treatments, and additional testing for influenza and strep a. please contact your pcp for additional or worsening symptoms. would you like to video or text chat with me?" ]

[ "patient: i have covid 19 symptoms but i’m not sure if i have it or it’s the flu?", "doctor: hard to guess. 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: if i have had a sore throat for 3 days but with no fever should i be tested for covid-19?", "doctor: call" ]

[ "patient: why are so many people with diabetes dying from the coronavirus? it’s really frightening me.", "doctor: in brief: immunocompromised body is busy dealing with diabetes, not as much resiliancy remaining to fight viral symptoms, and subsequent opportunistic infections would you like to video or text chat with me?" ]

[ "patient: i have a prolia injection appointment at the beginning of april. will it be safer to postpone the appointment because of the covid-19 situation? prolia appointment", "doctor: yes postpone . yes. definitely you can postpone the treatment by 2-4 weeks at least. ." ]

[ "patient: i just came back from london last week travelling with my family and i have a cough and a sore throat. should i test myself for covid 19? none of my family members have any symptoms as yet? thank you", "doctor: covid. top symptoms for covid include fever, dry cough and sob. actually sore throat not so common. follow this guideline:https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19." ]

[ "patient: i ve been diagnosed with pneumonia (i am 63) on monday evening. my daughter (31) is exhibiting the same symptoms - went to her doctor and currently taking z-pak. i was prescribed azithromysin 500 mg for 5 days. i was concerned since we were experiencing the same symptoms. we spend time together but she is married and lives in town. i am married and my husband is not experiencing any symptoms. totally confused. is there a way to know if you have a viral or bacterial pneumonia. i have had all kinds of different blood work done, chest x-ray, - can they tell? how long is pneumonia contagious? she has 2 children and we re trying to figure out if it s okay to have someone else watch the kids. they are not sick at this time.", "doctor: hello, usually, he is contagious one week before treatment and until three days after treatment. hope i have answered your query. let me know if i can assist you further. take care regards, dr jnikolla, pulmonologist" ]

[ "patient: i’m a mother, so if one of my kids get coronavirus, i get it too and spread it to my entire family since they depend on me for everything. what can i really do? it’s inevitable.", "doctor: in brief: covid prevention it's not inevitable. follow the guidelines all over the media and make sure your kids do too: social distancing, wash hands frquently, stay home except for absolutely necessary trips, wash hands frequently, use antiseptic wipes when you have to touch surfaces outside the home (e.g. shopping cart handles), and avoid touching your face. at your and your kids' age, most infections aren't serious. would you like to video or text chat with me?" ]

[ "patient: i have travelled to hk in the past week and returned to south africa on tuesday, i have had no symptoms however today this is what i am experiencing. i would like to get tested for covid19?", "doctor: flu like symptoms. stay home for 7 days while you monitor your temperature. covid 19 is typically associated with dry cough, fever and shortness of breath. your nasal congestion and muscle aches are more typical of influenza. if you develop a fever or worsening, please arrange testing for both influenza and coronavirus. drink fluids, rest and avoid contact with others." ]

[ "patient: when i get back from grocery store do i need to wash my groceries and grocery sacks with garden hose outside to prevent coronavirus ?", "doctor: in brief: groceries. https://www.consumerreports. org/food-shopping/how-to-protect-yourself-from-coronavirus-when-grocery-shopping/this article will help! would you like to video or text chat with me?" ]

[ "patient: what are my chances of only getting mild symptoms if i get the virus, because i have type 1 diabetes?", "doctor: in brief: probable i know there is a study that shows concern for diabetics, however, this is one study and there are others that show no particular issue. the data is clear that older, especially older than 70, multiple comorbid conditioins and smoking are critical problems. although diabetic if it is controlled well it is likely your symptoms will be like most 38 year olds- mild. would you like to video or text chat with me?" ]

[ "patient: how can i avoid catching covid-19 if i have to travel by plane or public transportation?", "doctor: in brief: same measures wear a mask, social distance as possible, try not to touch surfaces, keep hands clean. best would still be not to travel if possible. would you like to video or text chat with me?" ]

[ "patient: if i get coronavirus, are there ways to avoid getting other illnesses as well, like pneumonia?", "doctor: in brief: coronavirus, covid-19 has high affinity to the lung, causing viral pneumonia. fortunately, most people get only mild respiratory symptoms. those who have high risks (age over 65, chronic diseases) tend to get pneumonia and complications. the most important way to prevent the complications is not to get infection, practice common sense of prevention. if you catch the infection, start early treatment. would you like to video or text chat with me?" ]

[ "patient: i have a soar trought. can i have covid19?", "doctor: in brief: possible top symptoms of covid include fever, dry cough, sob. sore throat is a symptom, but not as common. you are 36 and likelyhood of severe infection uncommon. probably best to socially isolate. other possibilities include strep, influenza or adenovirus. follow these guidelines: https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide would you like to video or text chat with me?" ]

[ "patient: i have been sick for going on four weeks now. it keeps changing each week from a stuff nose wear i cant breathe at all to my throat hurting and my chest hurting when i breathe or talk. im constantly falling asleep and keep having a fever on and off all the time. i went to the urgent care a week ago n they said i had the beginning of pneumonia. he only gave me a zpack and some cough medicine. the thing is i feel worse not better at all....what should i do?", "doctor: hellofirst do a chest x ray and some blood tests such as hemogram crp esr than it would be the proper treatment.regardsdr.jolanda" ]

[ "patient: i am 63 years old female a year ago i had bacterial pneumonia and since then i am not feeling normal, also pulmonologist told me i have copd , i am not smoking since pneumonia have spiriva once a day and advair 500 twice /day, don feel that is doing any good anymore is there any other medicine that may help me to function more normal? apparently anoro ellipta was approved by fda but is not on canadian market yet, thank you zofia", "doctor: hello usually in such conditions we recommend claritromycin twice orally for some days. regards dr.jolanda" ]

[ "patient: hello, i would like assistance with managing a ongoing cough that may or may not be linked to corona virus. a colleague stated their possible exposure to someone who tested positive. the cough started more than a week ago. ?", "doctor: in brief: cough/fever? please stay at home and avoid contact with others for one more day at least. if there is a fever, remain at home for at least three days after the fever is gone. at this point, if you are otherwise healthy, cover your cough, monitor your temperature and please stay home.watch for signs of secondary infection, including fever, worsening cough and shortness of breath. would you like to video or text chat with me?" ]

[ "patient: should i stay away from my family if i still have to work during the pandemic? i deliver beer to grocery stores and gas stations.. and i’ve been worried about possibly getting it and then them catching it.. since they said you can be asymptotic..", "doctor: in brief: difficult times. this is a difficult question. many workers like you wear masks, gloves, stand 6 feet from others, take off work clothes on entering their home, wash meticulously. read more tips from covid19 hotlines. would you like to video or text chat with me?" ]

[ "patient: how dangerous is coronavirus if someon has heart arrhythmia and is type 2 diabetes?", "doctor: in brief: concern diabetes if controlled well typically should not be an issue. i realize there are some conflicting information, but i think the evidence shows that if diabetes controled your immune system still reacts appropriately and not an issue. arrythmia in itself not and issue. your age is 60 and that starts to be category of concern with 3% mortality rate. if you do not smoke that is the key. would you like to video or text chat with me?" ]

[ "patient: i recently got over either the flu or pnemonia. i've noticed my feces are increasingly yellow or whitish. i had quit smoking thrity days ago and have been on the nicotine gum and now the lozenges. i don't feel bad, but this is unusual. could the nicotine products be contributing to the discoloration? thank you.", "doctor: hiif a patient have pneumonia he should have cough with or without sputum,probably chest pain and breathlessness,anorexia,fever.but the signs and symptoms varies from patient to patient.take caredr.jolanda" ]

[ "patient: i was diagnosed with pneumonia 2 days ago at med express and was given a prescription for levoquin. i cough up clear phlegm. my research tells me i m being treated for bacterial pneumonia but the clear phlegm ,indicates viral pneumonia. i m a 67 year old male who quit smoking last november.", "doctor: hello sir,seeing at your history would like to know more about your case.want to look at your chest x ray first.and if its definitely diagnosed pnemonia, then in case you could be right that it could be viral pneumonia.but you can't stamp it as viral from clear phlegm. get done white blood counts which will be within normal limits in case of viral and high in case of bacterial pneumonia. also get done procalcitonin and crp level of your blood. it will give you final idea.and as you were smoker phlegm might be due to bronchiectesis or copd. rule out that." ]

[ "patient: i have a sore throat and i’m tired. i haven’t slept well in the last two days. just haven’t been able to rest tossing and turning thinking - stress. should i assume sore throats is associated with the coronavirus . sore throat started today.", "doctor: in brief: call dr. by video throat pain can be from a strep throat infection (antibiotics needed), a cold or influenza (antibiotics usually not used), or from some other cause such as allergies or irritants. usually, a person sees the doctor (call first) if the sore throat is bothersome, recurrent, or doesn't go away quickly. covid-19 infections tend to have cough, whereas strep usually lacks cough but has more throat pain. would you like to video or text chat with me?" ]

[ "patient: i have a constant cough and my chest has now become tight. i also have a tickle in my throat. i would like to be tested for coronavirus please.", "doctor: corona-virus. at 33 you may not need testing. you should isolate yourself. follow the following guideline: https://www.healthtap.com/blog/post/covid19-coronavirus-self-quarantine-guide at this time i know you could contact someone through healthtap, but the testing can be recommended, but no tests to do it. let your local provider or health provider know. if you would have worsening sob go to er. ." ]

[ "patient: i have no termometer for fever cheek.does covid 19 cause persistent fever or it comes and goes.i feel my body little hot two times a day a have nasal allergy and parangities for long time.every years it's come for a while?", "doctor: in brief: your symptoms sound more like seasonal allergy. treat as such, your pharmacist can assist. try to do this over the phone and collect if possible. would you like to video or text chat with me?" ]

[ "patient: flu symptoms, cough and no fever. should i test for coronavirus? i have asthma", "doctor: covid 19 testing . hi at the moment it is only recommended that you test for covid 19 if you have a close contact that has tested positive for the virus or have had recent international travel in the last 14 days. if your symptoms are worsening or your asthma is uncontrolled you should call your gp rooms or attend your nearest emergency room." ]

[ "patient: my dad last week was vomiting and had diarrhea now this week it has turned into runny nose and a cough...no fever....any chance it’s covid-19?", "doctor: symptoms of covid-19 are usually the same as a cold or the flu, with diarrhea being uncommon. the covid-19 infection is worldwide. the goal is to keep people separated so that the clinics and hospitals are not overwhelmed. patients with medical symptoms should see their primary care doctor on video or by phone, and get instructed to go to a clinic or er only if not treatable by video or phone." ]

[ "patient: what are my chances of becoming severely unwell with the coronavirus, as i have type 1 diabetes?", "doctor: in brief: high diabetes -especially uncontrolled is a probem, if you are well controlled similar to rest of population, no one really spared so to speak, stay home, if you need to consult do so telephonically would you like to video or text chat with me?" ]

[ "patient: i am experiencing cough (worsened by: lying flat, exposure to secondhand smoke, night time) (associated with: phlegm or mucus) (not associated with: barky, hoarse, or hacking sound, whooping sound upon breathing in, chronic), swelling around eyes, fatigue", "doctor: viral infection. most likely a viral infection but possibly allergyi advise a doctor consultation you may need treatment with an antihistamine, and decongestantonly be concerned about covid-19 if: - you have been in contact with someone with a conformed diagnosis of covid-19 - you have visited a high risk area - symptoms worsen and include persistent fever and dry cough." ]

[ "patient: i’m petrified of dying from coronavirus, because of my diabetes, but don’t know what i can do?", "doctor: isolation. . the virus is spread by respiratory route, it can live on surfaces for up,to 72 hours. so:social isolation (keep 6 feet from others)wear disposable,gloves when coming in contact with surfaces outside your home for several weeksstay healthy, eat right, get exercise, proper sleepdiscuss your fears with others to get a realistic view of this illness and it’s risks.don’t panic.." ]

[ "patient: i have a sore throat and mild cough, do i need to be tested for corona?", "doctor: hard to get tested. throat pain can be from a strep throat (antibiotics needed), a cold or influenza, or from some other cause such as allergies or irritants. usually, a person sees the doctor (call first) if the sore throat is bothersome, recurrent, or doesn't go away quickly. covid-19 infections tend to have cough, whereas strep usually lacks cough but has more throat pain. can call" ]

[ "patient: good day. during the lockdown will i be able to travel to my gynae for my check up?", "doctor: in brief: no. most doctors are rescheduling non-essential surgeries, procedures and visits. you don't want to be in a doctor's office with a bunch of people who may or may not be infected with the coronavirus. would you like to video or text chat with me?" ]

[ "patient: to kill virus on hand which soap better? antibacterial or normal handsoap? is antibacterial better since it specialized to get rid germs better? im confused since i read on internet, any kind of soap doesnt matter.", "doctor: in brief: any soap any soap should be effective against most viruses. antibacterial soap may advertise against bacterial but has no claim to be better against viruses. would you like to video or text chat with me?" ]

[ "patient: is ritonavir 100mg and lopinavir400mg are safe drugs in covid-19 and is improvement appear in patient??", "doctor: in brief: no there is not enough data to support it's use. more clinical trials are needed would you like to video or text chat with me?" ]

[ "patient: i have pneumonia and i am on levaquin with one day left on my cycle but i feel really crappy, tired, short tempered, headache, and my temperature is 97 do i have anything to worry about? before taking the levaquin my temperature was around 102.4 and normal for me is 98.6 on the money.", "doctor: really crappy, tired, short tempered, headache are beacause of fever low grade and also pneumonia, evaluate yourself by curb 65 score and pneumonia severity index and get you answer" ]

[ "patient: i was given a steroid shot at 10am this morning when it was discovered that i have potential pneumonia. i was also proscribed an inhaler and a strong antibiotic, both of which i am now actively taking as directed. the dr offered a cough syrup with codeine for assistance with sleeping through the symptoms that have been interfering with my ability to sleep, which i declined due to being someone who never takes medications at all and fear of having so much in my system at once. the dr. clarified that nyquil would be just fine if needed and if i m more comfortable with. i m having some anticipated potential insomnia from the steroid, and some heart palpitations, and i have an irregular heart palpitations to begin with. i feel inclined to take the nyquil to ensure i get desperately needed sleep, but am concerned with all that is on board, etc. definitive guidance would be so greatly appreciated, thank you in advance!", "doctor: hello and welcome to ‘ask a doctor’ service. i have reviewed your query and here is my advice. * the nyquil with its components help to relieve congestion, body ache, allergy related uneasiness. * it is not a substitute for steroid, but will help definitely in your case for symptoms control. wish you fine recovery. take care." ]

[ "patient: where can i be tested for covid 19?", "doctor: your local doctor, local health department, we have no idea here what your set up is where you live." ]

[ "patient: hi, my uncle has been diagnosed with liver cancer and he is in the last stage. after the first chemotherapy he has been admitted to hospital due to pneumonia. is he again diagnosed with lung cancer? and what are the chances of getting cure? what treatment you would like us to get it done.", "doctor: hello and welcome to ‘ask a doctor’ service. i have reviewed your query and here is my advice. though this question requires all reports as scanned copy to be evaluated, with provided data i can suggest that - any of the treatment would be supportive only for advanced case of liver cancer, it is not going to be curative. thanks." ]

[ "patient: i am recovering from double bilateral pneumonia in hospital 3 days. i m an rt so i knew i had to use incentive spirometer and nebulizers for 2 weeks i am 2 weeks post discharge. i have to wear 02 at night only .5 to. 1 liter to keep sats above 90. during the day i occasionally need o2 i am on medical leave for 4 weeks is this going to get easier to breath soon i am resting as much as possible. i don t have much choice rather rest than feel pain i. chest.", "doctor: thanks for your question on healthcare magic.i can understand your concern.pneumonia usually takes 2-3 weeks for complete recovery.your oxygen requirement is decreasing. this is suggestive of recovery. so you will definitely be alright after 4 weeks. so get done repeat chest x ray to see how much pneumonia is recovered.chest physiotherapy, deep breathing exercises, incentive spirometry are vital to achieve good lung functions after pneumonia.don't worry, you will be alright.hope i have solved your query. i will be happy to help you further. wish you good health. thanks." ]

[ "patient: my daddy is mystenia patient and he is suffering from pnemonia , and has been given augmneton from 3 weeks three times a day. now when we have done his sputom test , he has got gram -ve as 2+, so he is been given medicine doxiflow, and have been asked to go for asthama test. i am afraid if this is really a asthama case", "doctor: hello dear , hiwelcome to healthcaremagic.comi have evaluated your query thoroughly .* the asthma is basically restriction of airway due to variety of reasons which may be pneumonia or other .* amount of chances depends upon the severity of pneumonia , host factors , aggressiveness of the treatment with body response .hope this clears your query .regards ." ]

[ "patient: can covid-19 be transmitted sexually? can any coronavirus be transmitted sexually?", "doctor: sort of. if you are having sex with someone who has covid-19 you are quite at risk of getting it. high likelihood if kissing and having intercourse but it may not be transmitted through intercourse but the closeness in an intimate situation like that with someone who is infected gives a high likelihood of transmission." ]

[ "patient: i have not traveled. i’ve had a headache and spite cough for about a week now. my throat is getting sore. my chest feels slightly tight but i have no fever?", "doctor: virus. you have a viral respiratory tract infection and the absence of fever is reassuring at this time. should fever or shortness of breath develop and if you're in an area where covid 19 is present, you should then call your md for instructions. for now, drink adequate fluids, gargle with warm salt water. i also recommend using zinc lozenges and take acetaminophen. ." ]

[ "patient: hi i am a doctor working in a state hospital. i have malaise, headache and a sore throat now for a week. my left eye also had conjunctivitis but the other symptoms do not resolve. there is a covid 19 contact in our estate. should i test for it?", "doctor: in brief: hard to say if you have access to a telephonic consult then rather do that to start. if you have access to testing you can do that. do you have to work at the moment? i would discuss it with your consultant. would you like to video or text chat with me?" ]

[ "patient: should someone with a compromised immune system due to rheumatoid arthritis get the flu vaccine, especially during the covid-19 crisis? also, does the flu vaccine in south africa use live or dead viruses?", "doctor: in brief: flu vaccine any flu vaccine will cause your immune system to respond. i advise,if your decision is to be vaccinated,to do it over a period of 6 weeks..i like a little bit on day 1 ,then more 2 weeks later and more two weeks later still.that way you get the full killed vaccine ,and your body develops an immune response with its ability still intact to fight covid 19 if necessary. would you like to video or text chat with me?" ]

[ "patient: what is my risk of dying from coronavirus, as i have type 1 diabetes?", "doctor: not well stablished. for now, it is known that having chronic disease, including diabetes (not specified type), increases the risk of death. however, the outbreak is so new that evidence is not enough robust to give a number yet. anyway, it is recommendable to assume that you are at higher risk and strict protection should be taken." ]

[ "patient: i have been exposed to someone with covid do i qualify for a test at a laboratory?", "doctor: in brief: testing if asymptomatic testing unlikely to be done. the following guide should help: https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19-for-seniors would you like to video or text chat with me?" ]

[ "patient: is the flu injection available?", "doctor: in brief: not sure, but... i'm writing from the u. s., and i'm not sure of the availability of vaccination for influenza in your area. however, with the coronavirus pandemic, getting your flu shot is a good idea, if possible. it's always a good idea, but, also, though it won't protect you from coronavirus, you could get both. and, if you get the flu, not knowing if it's flu or coronavirus presents complications. would you like to video or text chat with me?" ]

[ "patient: i am experiencing headache (severity: moderate) (time frame: gradual) (occurred: 1 - 3 hours) (side: front) (worsened by: psychological stress, being tired, menstruation, skipping meals) (unaffected by: bending forward, changes in sleep pattern, sneeze or", "doctor: in brief: many possibilities. most people get a headache at some time, such as from colds, infections (usually viruses or sinusitis), lack of sleep, too much driving, long hours on the computer, stress at work, etc. .. a bad or severe headache, increasing headache, recurrent headache, weird headache, or one with other worrisome symptoms should be checked by one's primary care doctor or the er. can call one's dr. first to chat. would you like to video or text chat with me?" ]

[ "patient: can your only symptoms on coronavirus start as tightness of chest and shortness of breath? i’ve had this for a week now. my body aches a bit, hard to tell if this from trying so hard to breath. nose occasionally runs, throat a little sore.", "doctor: possibly. if you had your symptoms for a week and they haven't gotten worse or developed into a fever, you probably do not have covid-19.if you are still worried see your pcp." ]

[ "patient: hey there i have had cold \"symptoms\" for over a week and had a low grade fever last week. for the past two days i have been feeling dizzy. should i contact my dr? see a dr?", "doctor: dizziness. yes. please contact your doctor since they know you better. he may want to test you for the virus. there are other reasons you may be dizzy as well. ." ]

[ "patient: i live in france.and now 7days for home quarantine.i have no fever.but i have parangities in my thoart.last few years it's comes and goes.now i am worried because of covid-19. does only parangities is only symptoms of this???", "doctor: in brief: think you ok if a longterm thing sounds chronic not corona , only way to know is the test would you like to video or text chat with me?" ]

[ "patient: how many tablets of levofloxoacin would it take for a older person who is be told he is just coming down with pneumoria (he already has taken 4 pills & i am to give him another at 4 oclock, the reason i am asking this question is he had a fall & broke his hip but seem to have confusion & i had the doctor give him medicine for the confusion, but can not start it until he finish 6 more pill, thank you for any help you can give me.", "doctor: hello and welcome to ‘ask a doctor’ service. i have reviewed your query and here is my advice. levofloxacin is generally advised once a day. it's very effective for pneumonia. the dose is generally to be taken once a day for arrest 10 days. this can be up to 14 days for some. patients.so yes give him one tablet daily for 6 more days.this hopefully would be enough for his pneumonia. hope i have answered your query. let me know if i can assist you further." ]

[ "patient: pain in right arm, from shoulder to fingers. for a month now. np gave chlorzoxazone 500 mg. it was better bt aftr i stopped taking med, started paining again, a little numb too. history of chronic neck and shoulder pain. cant go to doc now. (covid)?", "doctor: in brief: likely nerve pain this diagnosis would require a visit and imaging but the most likely cause is either pressure on a nerve in your neck or referred pain from the neck and shoulder with symptoms felt at the shoulder/shoulder blade. try to use the chlorzoxazone or an nsaid (ibuprofen or naproxen) or a combo of both and also try ice for pain, heat for stiffness or spasms. it doesn't sound at all like covid-19. would you like to video or text chat with me?" ]

[ "patient: how do i know if i have corona virus?", "doctor: to be sure, get tested!" ]

[ "patient: do you think this corona virus stuff will ever go away? i'm tired of being a prisoner in my own home cause of everything getting cancelled, im not working and i cant volunteer cause of a bad knee and cant lift heavy stuff. so when will this be over?", "doctor: it will.... but it will take some time to break the chain of infection, to find a cure, and to find a vaccine. it is stressful for everyone. one way to look at it is that we are all in this together, irregardless of political party, race, or religion. as a people, we can overcome a simple virus and be stronger as a whole. you are not alone, millions of others share your concerns. hang in there...." ]

[ "patient: is it necessary to get tested for the corona virus if you arrive back in south africa after visiting zimbabwe and victoria falls as part of a group?", "doctor: in brief: it depends. if the visited place has a high rate of coronavirus infections to take some precautions is important such as if you develop fever or cough or any other coronavirus infection symptoms. to be tested is desired but will you be able to get tested? in some places testing kits are reserved to very sick and hospitalized patient. self quarantine in cooperation with your doctor is the way to go. would you like to video or text chat with me?" ]

[ "patient: i have sinusitis but only show symptoms when the weather changes or i move to a new environment. lately i have experienced sinus irritation, a slight cough and a dry throat. these come and go. should i be worried and go test for covid 19?", "doctor: depend. hello.high risk population for covid-19 are people more than 60 years old or with pre-existing condition like heart or lung disease.if you feel you have the flue stay home for your own good and the whole community. unless you feel shortness of breath or don't go to medical services." ]

[ "patient: i need a referral for testing for covid19. i have been in very close contact with a positive person. i am a healthcare practitioner, it was one of my patients. i just flew to el from ct. so no gp here. ?", "doctor: in brief: wrong place to ask this is the ht public site where volunteer docs primarily in the usa answer health questions. we do not do referrals/provide notes or prescriptions or any other form of direct service. you need to contact a local provider in your country/location for such needs. would you like to video or text chat with me?" ]

[ "patient: hi my husband has been diagnosed with pneumonia and given roxithromycin, he s had a heart transplant 4 yrs ago he is very tired hardly eating or drinking pretty larthargic to be honest should i be taking him to hospital we are now on day 3 on the antibiotics with no improvement what would you suggest?", "doctor: hi, yes, you should definitely take him to the hospital, seeing that he is especially vulnerable as a heart transplant recipient. hope i have answered your query. let me know if i can assist you further. regards, dr. anders mark christensen, general surgeon" ]

[ "patient: i have shortness of breath and are worried, i don’t have a cough or sore throat, so they will not test me, should i do a private test?", "doctor: shortness of breath. covid testing is hard to come by. at 37 you are in a lower risk group. and i doubt you could get a test. keep isolated for two weeks. i know we have been ordering tests through healthtap, but that does not lead to getting the test done, due to shortages. (3/21/20)" ]

[ "patient: can covid-19 be transmitted sexually? can any coronavirus be transmitted sexually?", "doctor: in brief: sort of if you are having sex with someone who has covid-19 you are quite at risk of getting it. high likelihood if kissing and having intercourse but it may not be transmitted through intercourse but the closeness in an intimate situation like that with someone who is infected gives a high likelihood of transmission." ]

[ "patient: if i leave covid 19 infected product in fridge, will virus die or survive in the fridge?", "doctor: covid. data from frozen food shows that there is no transfer of virus via food sources this way. ." ]

[ "patient: if someone has carona virus and iam passing by him or talking to him without touching he is just breathing. can this virus effect you by just breathing by the effected or u have to be touched or sneezed upon you to get this virus?", "doctor: less likely. recommended to stay 6 feet apart. however, if no touching and the person was not sneezing the likelyhood of transmission is low. ." ]

[ "patient: i have been recently diagnosed w the flu (nose swab test done). i am 34 years old- ex-smoker (quit completely for 7 years now) however each year i get \"walking pneumonia\" at least once. i'm almost certain i've got it again now. anything i can do to stop getting pneumonia??", "doctor: thanks for your question on healthcare magic.i can understand your concern. you should do following things to prevent recurrent pneumonia and improve your lung health. 1. drink plenty of fluids orally and keep yourself hydrated.2. do steam inhalation and warm water gargles 5-6 times a day.3. take pneumococcal and influenza vaccine. influenza vaccine should be taken annually while pneumococcal every five yearly.4. avoid smoke, dust, fumes, chemicals etc and wear mask.5. avoid unnecessary hospital visits.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: hi,my sinuses usually act up during seasonal change (like now). my worry is my symptoms resemble that of covid-19. throat has been a bit irritated, lately nose has been runny. wanted to know how i could get myself tested as i don’t live alone, thanks?", "doctor: in brief: no if you know you have seasonal allergy treat that. get as much medicine as you might need for a month regarding this. if you do not fit criteria (google) then no testing for now. stay home and stay safe. 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. https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19." ]

[ "patient: i have a throat problem and headache. what should i do. i strepsils original.", "doctor: in brief: may call dr on video throat symptoms can be from strep throat infection (antibiotics needed), a cold or influenza (antibiotics usually not used), or from some other cause such as allergies or irritants. usually, a person sees a doctor (call first) if the throat issue is bothersome, recurrent, or doesn't go away quickly. covid-19 infections tend to have cough, whereas strep usually lacks cough but has more throat pain. 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: test for covid-19. on this times better to be sure you don’t become contagious and spread the virus, try to get tested for covid-19." ]

[ "patient: i was in contact with someone that tested positive for covid. my last contact was the 16th the 18th he started to feel bad, informed me and i isolated from the rest of my family today is the 25th and none of us have symptoms. should i stay isolated?", "doctor: in brief: minimal outside time to avoid spread of covid-19, use precautions such as staying home as much as possible avoid contact with others until the infection rate begins to decline. monitor your temperature, rest and drink fluids. on day 7 post contact if you have no symptoms, most likely you are fine. continue to use good hand washing and keep surfaces clean. would you like to video or text chat with me?" ]

[ "patient: my 8 year old and 6 year old woke up yesterday with a bad cough, i've been giving them cough medication, allergex and they are wearing the face masks in the house. please advise how can i get them tested for covid19?", "doctor: in brief: no testing now your children are going to be fine, there have not been any children that have required drastic measures. make sure you stay 2 m away and wash hands and surfaces, disinfect surfaces constantly. ask questions on here, we are here buy you need to stay home right now. would you like to video or text chat with me?" ]

[ "patient: i was recently diagnosed with pneumonia. i believe this started from bronchitis. i am now having some mild chest pain after a meal and it goes into both shoulders and can last anywhere from 15 to 90 minutes. any ideas. this has occured for about two weeks. i am taking ceclor.", "doctor: hello dear , hiwelcome to healthcaremagic.comi have evaluated your query thoroughly .* the shoulder pain is in relation with the referred pain from the phrenic nerve irritation via pneumonia patch .hope this clears your query .wishing you fine recovery .regards ." ]

[ "patient: good afternoon, my mom is 68 and went to the hospital her left long is completely covered with namonia spelling sorry and is going into the right. she is full code and so off the oxygen is 23 pulse is 18 so they put her on a vintalator she has had a stroke, heart atack in the previous she has smoked for the longest i can remember what are her chance of pulling out of this? my sister is the poa and is keeping her on it, is it fare to her or what??? please let me know. worried daughter", "doctor: respected user, hi i evalauted your query thoroughly.sorry to hear about the issue.*prognosis depends on many factors - age - associated comorbid conditions like heart attack / cv stroke / kidney malfunctions / diabetes - immunity - haemoglobin level - body response to treatment - competency of doctors - efficacy of molecules used in treatment & much more list not possible to narrate whole here.*considering all your narrations, her prognosis is guarded, not that much good as normal person suffering from pneumonia recovering in days. - she may take very long time for recovery & may not recover also ( i pray to god that doesn`t happen ) after your long jugglery with all ventilator period. - i can suggest to see the progress of the patient on ventilator for 5-7 days discuss with the consultant in details regarding this & then decide to continue the treatment or wean her off from ventilator for resting her sole in peace. hope this clears your query. thanks for using health care magic & keeping trust in our medical services regards" ]

[ "patient: i have been sick for a week with what i thought was a head cold. my temp keeps going up and i m having trouble breathing. sinuses are clear, ears are ringing but semi clear but hurt when swallowing along with sore throat. non productive cough but lungs feel heavy and full. could this be pneumonia i have developed? i have at it before. i must tell you that i do have asthma. thank you!", "doctor: hello,in my opinion, you should definitely consult a pulmonologist. there are two main possibilities for your symptoms. 1. lung infection (pneumonia).2. worsening of asthma.so you will need a chest x-ray and pft (pulmonary function test). a chest x-ray is needed to rule out lung infection. pft is needed to know the severity of asthma. you may need antibiotics, longer acting 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 answered your query. let me know if i can assist you further.regards, dr. kaushal bhavsar" ]

[ "patient: i’m currently not feeling well and need to know if i need to tested for covid-19 symptoms: cough headache sore throat (day 4) intermittent dizziness brain fog body feeling very weak mucous in my throat - no runny nose?", "doctor: hard to get tested. throat pain can be from a strep throat (antibiotics needed), a cold or influenza, or from some other cause such as allergies or irritants. usually, a person sees the doctor (call first) if the sore throat is bothersome, recurrent, or doesn't go away quickly. covid-19 infections tend to have cough, whereas strep usually lacks cough but has more throat pain. can call" ]

[ "patient: true or false? anyone infected with covid-19 start have diarrhea and increases the chances of death compared to person who just start respiratory symptoms, why?", "doctor: data. from data from china there has been association between worse infection and diarrhea. the seems to be a worse inflammatory response associated with people who have diarrhea. ." ]

[ "patient: my daughter is displaying the below symptoms: - low grade fever - sore throat - headache - stomach pain - slight running nose do i need to get her tested for coronavirus? i am not aware of any contact with the virus.", "doctor: upper resp inf. dear pretoria patient.you did not mention your daughter's age. it sounds like a viral upper airway infection( anti histamines, paracetamol, ponstan will suffice for a day)if she gets worse, she can be checked by a doctor.if she was not in contact with a positive patient, no need for testing.stay home, lots of fluids, rest, meds and observe .monitor her temp as well.regardsdr wil." ]

[ "patient: i am experiencing nasal congestion, sneezing (unaffected by: recent exposure to allergens, exposure to secondhand smoke), sore throat, itchy eyes, ear pressure, nasal drainage, post nasal drip, eye irritation, runny nose, and watery eyes. i am not experie", "doctor: in brief: itching /congestion with the itching could be seasonal allergies would consider benadryl 1/2 to 1 tab at bedtime and zyrtec during the day . itching is pretty specific for allergies. if worsens or develops fever would seek medical attention for sinusitis versus viral infection including coronavirus these days but as stated itching is pretty diagnostic of allergies. would you like to video or text chat with me?" ]

[ "patient: dear dr.mahashur, i have been diagonised with 'mycoplasmic pneumonia' by a dr in singapore,(mycoplasmic pneumonia antibody fbc= >1:1280) and am now on a 20-days course of 'avelox' ( moxifloxacin 400 mg) and have also been advised to take steroids for 10 days. i have already gone through a course of antibiotics to treat pneumonia (clavicef)and tb has been eliminated by carrying out a bronchoscopy and lab analysis for tb. i am apprehensive about taking steroids, so pls advise if it is necessary to take steroids? thanks.", "doctor: hello dearwarm welcome to healthcaremagic.comi have evaluated your query thoroughly .* the need of steroid is determined by the clinician taking into considerations many parameters .* steroids help to relieve mucosal inflammation of the bronchi , gives faster recovery , so under medical guidance a short course of steroid to be consumed has no harm in it .hope this will help you for sure .welcome for any further assistance .regards ." ]

[ "patient: i have a problem with with my chest. pain and a bit short of breath. i cough every now and then, no fever and no headaches. but i am concerned it might be this new coronavirus. ?", "doctor: in brief: possible top symptoms are cough, sob and fever. best to self-quarantine. call your provider and or health departmenthealhtap quarantine instructions are as follows:https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide would you like to video or text chat with me?" ]

[ "patient: i travelled to austria on 25 jan 2020 and returned on 31jan 2020. my trip included a stopover in munich. i currently do not show any symptoms listed for coronavirus. should i get lab tested as a precaution and will this test be covered by the medical?", "doctor: in brief: hard to say the questions you pose are more appropriate to ask your local physicians and health plans. as a usa based site we have no access to or information about the changing local recommendations for world travel around the globe nor would we know what your plan covers. find a local health contact & contact your health plan for guidance." ]

[ "patient: if i inhale enough lysol, will it keep me from getting sick from novel coronavirus?", "doctor: in brief: um, no inhaling lysol can be deleterious to your health, more than covid-19 itself. burning your pulmonary tissues may actually make you more susceptible to getting sick from the virus. be rational. would you like to video or text chat with me?" ]

[ "patient: hi. i'm suffering with a tight chest and a slight sore throat from the beginning of the week. my symptoms are getting slightly worse as now i am getting a slight fever and body aches. i also feel nauseous at times. could you please advise?", "doctor: in brief: viral respiratory you likely have a viral respiratory tract infection. manage with paracetamol and gargle with salt water or disprin. everyone is concerned about corona virus. this is unlikely unless you have been in contact with someone who has been diagnosed or has traveled from a high risk area. in any event, isolate yourself from others, stay at home and adopt strict hygiene measures: hand washing, alcohol use would you like to video or text chat with me?" ]

[ "patient: i have been to the emergency room at busamed hospital on thursday and was treated for a tummy bug, since then i have developed a fever and body aches and tiredness, i would like to know where can o go to be tested for covid 19?", "doctor: in brief: tummy bug gi symptoms are rare with coronavirus. sob and dry cough and fever common. testing should lead to a purposeful action and at this time there is none. that is there is no medication to get and treatment for the virus is rest and social isolation which you do not need a test to do. if you do get cough and sob then notify your provider and get checked. the virus typically runs for 10 to 14 days. would you like to video or text chat with me?" ]

[ "patient: i am experiencing neck strain, and i have had a weird/burning sensation in my chest. sometimes it leads muscle tension. been going on since friday last week.", "doctor: questions. have you travelled, been in contact with a corona virus patient? could very well be stress right now. we are all really stressed and confused at this point in time. be kind to yourself, breathe, do some exercise. :) we are here for you." ]