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[ "patient: having type 1 diabetes, doesn’t mean you have low immunity does it? so what is it about it, that makes us more at risk with the virus?", "doctor: in brief: diabetes type 1 diabetes may be an autoimmune disorder, but if well controlled one's immunity and ability to handle infections should be ok. poorly controlled diabetics, especially with complications of kidney disease and vascular disorders, degrees of dehydration and poor tissue status are at risk for infections partly because the skin barrier to pathogens is impaired. in my experience most type 1's do ok would you like to video or text chat with me?" ]

[ "patient: thank you. my doctor told me after taking an ex-ray that i have pneumonia on my left side. i am coughing and running fever of 100 to 102 and jumping taking antibiotics amoxicillin-clav 875-125mg twice a day and azithromycin 250mg once per day also one tylenol extra strength to bring fever down unfortunately fever won t go down just fluctuates - am i doing the right treatment - i am 86 years old", "doctor: hello yes i agree with the treatment its ok continue it as the doctor gad prescribed it for you regards dr.jolanda" ]

[ "patient: i had a fever from friday to yesterday (sunday), along with a cough. the temperature is now gone, but my cough is still here. i have been clearing my throat for a couple of weeks, but the coughing part started i believe on saturday. today, the cough is breaking, and other then the cough i feel 100% fine. do i have pneumonia?", "doctor: thanks for your question on healthcare magic.i can understand your concern. possibility of pneumonia is very less because you are not having chest pain, mucus expectoration and your fever is also gone.so drink plenty of fluids orally and keep yourself hydrated. avoid oily and spicy food. avoid junk food. avoid hard to chew food. take levocetrizine and paracetamol combination twice daily. do warm water gargles and steam inhalation 4-5 times a day. 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: should one also cover eyes in addition to covering mouth and nose with mask to avoid exposure to corona virus? lots of people only use masks but that may not provide full protection, right?", "doctor: correct. every bit helps." ]

[ "patient: i have heart valve disease (leaky heart due to rheumatic fever as a child). never had any symptoms or complications, however, am i at high risk for death due to coronavirus and what can i take before or during early symptoms of the virus?", "doctor: rhd. if your rheumatic heart disease hasn't caused weakness of the heart muscle or cardiac arrhythmia it shouldn't predispose you to more complications than anyone else in good health. keep your resistance and immune system high by avoiding fatigue, dehydration, excessive stress, poor nutrition and exposure to ill people. practice social distancing. at sign of sore throat gargle with warm salt water ." ]

[ "patient: i have been in frequent close contact with tourists (including people from the usa and germany), doing gin tastings. i have a cough for the past two weeks, should i get tested for covid19 as a safety precaution?", "doctor: avoid contact. stay at home for at least 7 days from the onset or symptoms, or for at least three days following fever whichever is longer in duration. cover your cough, monitor your temperature. watch for signs of worsening including fever, shortness of breath or worsening cough." ]

[ "patient: i need to check if i have covid-19?", "doctor: in brief: call a doctor most places require a doctor to order this, but check into your local healthcare services to see if there is way for you to be tested without that, good luck. there are criteria in most places to qualify for testing, so look into that to see if you qualify, ask your doctor... would you like to video or text chat with me?" ]

[ "patient: i have these symptoms and wondering if i should do a covid test diarrhea nausea weakness /fatigue shortness of breath joint n muscle pains pressure in the chest dizziness sweating / and chills i don't have fever but breathing is concerning me most?", "doctor: test if you can. if you have access test, or consult telephonically don't go to a public space." ]

[ "patient: i have been exposed to someone with corona in the last week and a half on a daily basis. what steps do i need to take going forward? should i get tested immediately?", "doctor: in brief: yes my opinion is yes, but the criteria for testing is quite stringent right now. perhaps telephonically consult your doctor if possible to discuss more fully. my opinion would be to access testing. would you like to video or text chat with me?" ]

[ "patient: was in cape town 2020/03/12 - 2020/03/15 close proximity to sevral overseas tourists 2020/03/20 throat sore and voice gone back (upper middle area) and shoulders hurt shivering, dry cough, headache and lethargic should i go for covid19 testing?", "doctor: in brief: yes yes would you like to video or text chat with me?" ]

[ "patient: if allegra use is associated with increased risk of viral infections, isn't it dangerous to take it during the coronavirus pandemic?", "doctor: in brief: being cautious best. any medication that can increase the potential of viral infections should be avoided during a coronavirus outbreak such as we are seeing now. would you like to video or text chat with me?" ]

[ "patient: can i catch corona from food that i eat? should i be making sure to cook all my food thoroughly first?", "doctor: food. this link will help! https://www.fsai.ie/faq/coronavirus.htmlin general food is not a problem. unless you are dining on bats in wuhan! here is a good article on that.https://www.nytimes.com/2020/02/10/science/pangolin-coronavirus.html." ]

[ "patient: i have a sore throat and feel very tired. should i be concerned about covid-19?", "doctor: in brief: hard to say very hard to say. stay home. stay safe. get someone to buy you symptomatic medication and feel free to post on here again. would you like to video or text chat with me?" ]

[ "patient: can vaccines for coronavirus in domestic pets be modified for humans as a way to have a vaccine for covid-19?", "doctor: in brief: no i really don't think so but its a very different virus as is the old corona we know - 5 varieties of the common cold are from coronaviruses would you like to video or text chat with me?" ]

[ "patient: hi doctor,pls help me as my 67 year old mother is critical due to tuberclosis and pneumonia .her right lung is almost destroyed due to tb..this is a 3rd attack of the disease in last 14yrs.she is having difficulty breathing without oxygen and her oxygen levels are pretty low without support..they dropped to 50% at one time when she was off it.pls tell me if she is a candidate of lung transplant and what are her chances.urgently help..i live in dubai but right now i am in delhi to take care of it..i am told lung transplant isnt an option for her also it is not done in india..we r ready to come any where...pls helpdistressed daughter", "doctor: hello dearwarm welcome to healthcaremagic.comi have evaluated your query in depth , i can understand your feelings for your mother .* she is in advanced stage of the disease , as it must be now drug resistant tb by now with multiple relapses .* you have to accept the condition and give her symptomatic supportive treatment as per the narrations , she is not going to be cured totally from this stage of the systemic illness .wishing her fine health ahead .regards ." ]

[ "patient: i was given amoxycillin for a chest infection and did not improve after 48 hours, therefore i went back to the gp who then gave me clarythmomycin as it resulted in pneumonia. i have been off work for 3 weeks now and feel completely washed out and exhausted. i had a chest x-ray which was clear, but was given an inhaler temporarily as i was out of breath and wheezy. i still have an incredible amount of phlegm which has now changed from brown to sometimes green to clear. unfortunately, for last 3 days, my trachea is extremely bruised to touch and feel as if someone is pressing my windpipe. although my tonsils aren t swollen, my ear hurts deep inside. i have had to start taking paracetamol again this week as feel weak, wobbly and feel as if i am going backwards again instead of improving. i am 45 years old. non-smoker.this is the 3rd time i have had pneumonia in 18 years. i am reasonably fit and healthy, and i don t suffer from colds normally, but whenever i come down with something, i seem to suffer with it. how long does it take to get back to normal? are the trachea symptoms part of the initial pneumonia symptoms or would i need to see the gp again. i am feeling extremely fed up of generally feeling unwell. i am taking a tonic (metatone) and drinking and eating healthily. basically, is it normal to feel this unwell for so long.", "doctor: hi, yes, it might be that after the pneumonia the recovery time lasts up to one week however i recommend you to do a chest ct to see if the pneumonia has gone completely. hope i have answered your query. let me know if i can assist you further. regards, dr. jnikolla, pulmonologist" ]

[ "patient: this may sound silly but i’m wondering, if touch something in store that has coronavirus 19 on it and it gets on clothes should we go home wash them soon as possible then shower and new clothes on so it dont get on our stuff at home ?", "doctor: in brief: washing clothes. although so far it has not been shown to live on surfaces like clothes for as long as it lives on surfaces like plastic and metal, it is definitely good hygienic practice to wash your clothes in the hottest water the garment allows. would you like to video or text chat with me?" ]

[ "patient: i have covid 19 symptoms?", "doctor: in brief: can talk with doctor doctors can give you the up-to-date information. video consultations available (start over and click on talk-to-doctor). we have informational posts on our healthtap.com/blog. as the us president has given mistaken information at various times during this pandemic, be sure to check with doctors and the cdc website. people usually should not be tested without symptoms or direct exposure. (3/21/20) would you like to video or text chat with me?" ]

[ "patient: can i get a covid 19 test?", "doctor: per rsa nicd: seek care right away if difficulty breathing, other severe symptoms.seek testing if sick, plus known covid-19 contact, or travel to high risk country, or been in facility treating people with covid-19, or severe pneumonia of unknown cause.call 0800 029 999 for test.if sick or possibly exposed (not both), stay home.seek consultation if sick.if known exposure & not sick, self-isolate 14 days." ]

[ "patient: hi there, i came into contact with somebody on tuesday last week that was later that week tested positive for covid-19. i found this out on friday and straight away went into self quarantine. i am not showing symptoms as yet.?", "doctor: welldone. stay there if you feel it will help you can get a test but do so safely, else continue doing the right thing." ]

[ "patient: i was confirmed to have covid-19, i self-isolated for 14 days. my concern is with my 1 year 6 months son nabi who has been caughing. ?", "doctor: in brief: keep isolated the baby very likely has the infection. however, the data are very reassuring on children less than 10 year old. i am certain there has been no deaths recorded. treat as you would if the baby had a cold. follow the following isolation guidelines: https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide i think you will find this improving in a few days. would you like to video or text chat with me?" ]

[ "patient: should i shave my beard to reduce my chances of contracting coronavirus / covid-19?", "doctor: in brief: yes this virus clings to everything especially hairs. either wash your beard a few times a day and spray with alcohol or shave off. would you like to video or text chat with me?" ]

[ "patient: i am very fearful of the corona virus, if i have a dry cough and headache should i stay indoors and away from others?", "doctor: in brief: self quarantine. isolate yourself and contact to your doctor by phone or via internet. you may have flu more than corona virus. because headache is not a common symptom of the corona virus and your age is not the age that is vulnarable to corona virus. would you like to video or text chat with me?" ]

[ "patient: i am a 20/f. went to the dentist & had a root canal. i also had a abscess was put on purmycin & adco-metrondaz. they made me nauseous. today was the last day of the medications and i didn't take it as i havea fever of 38.3. is it the medication?", "doctor: in brief: fever antibiotics are supposed to prevent fevers, not cause them. if, however, you are having an allergic reaction to the medication it can cause a fever. but so can viral diseases (common cold, flu, covid-19, etc. ) that are not treatable with antibiotics that are designed to treat bacterial infections. call your general physician and report your symptoms. would you like to video or text chat with me?" ]

[ "patient: hi .. i have been diagnosed with pnemonia and have not slept in 4 days because of the coughing .. i'm hurting everywhere, going sligtly insane and cannot get to sleep no matter how much i try .. as soon as i breath in, it hurts and a cough .. any suggestions ?", "doctor: hiafter spme days of the proper treatment you will feel better again. don't worry it takes ssometime to recover. dr.jolanda" ]

[ "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 coronavirua?", "doctor: in brief: don't worry your symptoms are unlikely related to corvid 19, and rather to change of season and smoking cessationtry to use a saline nasal spray and otrivin nasal spray at least 4-5 times a day don't use otrivin longer than 10 days would you like to video or text chat with me?" ]

[ "patient: my son is 3.3 yrs old , he is allergic to dust and weather conditions , in the recent x ray report it has been detected that he is having a little congestion in heart which is a symptom of pneumonia and his wbc count is 39000 ( normal range is 4k-11k) doctors have suggested to give ibugesic paracetamol 7.5 ml in case if fever ( he got fits during fever tht lasted few seconds) , frizium for 3 days ,s- mucolite 5ml , duolin nebuliser and refzil 5ml for infection .is all these medicines are safe ?", "doctor: hello,these are the best management frame work for your son, which is including antibiotic, decongestant, anti-pyretic, bronchodilator medications needed to cure the issue.be in regular follow up with your doctor, he will be recovered within some time.hope i have answered your query. let me know if i can assist you further.regards,dr. bhagyesh v. patel" ]

[ "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: i heard ace inhibitors might exacerbate coronavirus. i also heard nsaids might do the same. does this mean any common meds could have an unexpected effect during coronavirus?", "doctor: in brief: coronavirus and acei. recent publications including the one from the lancet showed covid-19 binds to ace-2 receptor on target cells for entrance. the expression of ace-2 receptor is substantially increased in patients with diabetes who were treated with ace inhibitors or arb. nsaids has the similar effect. all medications can have some unexpected side effects. would you like to video or text chat with me?" ]

[ "patient: what symptoms would make you think i do not have covid-19. i have a bad cold, but got diarrhea twice, so does diarrhea mean it is not covid?", "doctor: in brief: no diarrhea does not rule out covid. if you have traveled to endemic areas or met with people that traveled there, you should test if possible." ]

[ "patient: at what temperature range (external temperature) will the covid-19 virus be destroyed? this in relation to (restaurants) cooking food and safety. what does covid stand for?", "doctor: in brief: high temperature covid stands for 'corona virus diesase'. we know that high temperature kills most pathogens eg protozoa, viruses and bacteria. that's why cooking is recommending for certain foods rather than eating it 'raw'. temperatures of 140 to 160 degree f kills most pathogens including viruses. corona viruses are sensitive to heat and cooking will destroy the outer protein layer and kill the virus. would you like to video or text chat with me?" ]

[ "patient: i have been sick with a sinus infection and tonsillitis over the last week and a half. i am on antibiotics for these. now i feel it in my chest. i am coughing non stop. my throat doesnt hurt much just from the coughing. my chest feels heavy and i have some issues with breathing. could this be bronchitis or pneumonia ?", "doctor: thanks for your question on healthcare magic. i can understand your concern. your symptoms are seen with both, bronchitis and pneumonia. and both of these them are common after upper respiratory tract infection (urti - sinusitis). so better to consult pulmonologist and get done clinical examination of respiratory system, chest x ray and pft (pulmonary function test). chest x ray is needed for the diagnosis of pneumonia. pft is must for the diagnosis of bronchitis. antibiotics are the mainstay of treatment for pneumonia. inhaled bronchodilators and inhaled corticosteroid (ics) are the mainstay of treatment for bronchitis. so first diagnose android then start appropriate treatment.. hope i have solved your query. i will be happy to help you further. wish you good health. thanks." ]

[ "patient: can coronavirus symptoms be mild for some people versus severe? for example, could it just involve being very fatigued, low grade fever for a few days and not the extreme symptoms? or is it always a full blown cold and struggle to breathe?", "doctor: in brief: symptoms vary. some may have no symptoms at all. some can be life threatening. would you like to video or text chat with me?" ]

[ "patient: body aching all of a sudden, head heavy and paining, sneezing, somewhat fever since yesterday.", "doctor: virus. symptoms could be either influenza or the covid 19 virus. call your local doctor to discuss these new changes in your health to determine what testing will,be needed, and steps you should take. at least for,now, treat the symptoms with acetaminophen (not ibuprofen) , cough syrup. isolate yourself away from other people, wear a mask to avoid spreading virus, sneeze into elbow, wash hands frequently." ]

[ "patient: can i go for coronavirus testing if my nose is blocked and i have traveled from a high risk country?", "doctor: coronavirus testing. yes, get tested if symptomatic (early symptoms could be mild respiratory symptoms and nonspecific) or self quarantine given your high risk of exposure. ." ]

[ "patient: i came into close contact with someone who just flown back from australia, i have been in self isolation since he landed, am i'm not showing any symptoms (dry cough, fever, sore throat) what is the next protocol? do i go into work?", "doctor: no. don't go to work you could unknowinly spread the virus. we are all effectively on lock down and the sooner the better if you think you have it stay home, if you ave access to testing then get tested but we are running out of tests (to my knowledge) if you deteriorate send a message here and i will advise. do not go to work." ]

[ "patient: should i shave my beard to reduce my chances of contracting coronavirus / covid-19?", "doctor: in brief: yes this virus clings to everything especially hairs. either wash your beard a few times a day and spray with alcohol or shave off." ]

[ "patient: does a person get all the covid 19 symptoms all at once eg temperature, cold , tiredness , or we can get any of them eg cold but no temperature?", "doctor: in brief: many possibilities seek care right away if difficulty breathing, other severe symptoms. seek testing if sick, plus known covid-19 contact, or travel to high risk country, or been in facility treating people with covid-19, or severe pneumonia of unknown cause.call 0800 029 999 for test.if sick or possibly exposed (not both), stay home.seek consultation if sick.if known exposure & not sick, self-isolate 14 days. would you like to video or text chat with me?" ]

[ "patient: my 3 year old son is complaint of stomach pain he also has fever and 1 week before he was diagnosed with pneumonia.he was on amoxicillin.he just finished his antibiotics yesterday and this morning he has fever stomach pain increased heart rate what is causing it", "doctor: hello and welcome to ‘ask a doctor’ service.i have reviewed your query and here is my advice.maybe pneumonia didn't resolve. you have to change medications. add azithromycin, syrup ascoril thrice and tablet pantop d twice. also take mucaine gel twice. hope i have answered your query. let me know if i can assist you further.regards, dr. chandra shekhar" ]

[ "patient: hello, i am a student and dealing with a microbiology assignment.i am given a paitent sample.my paitent is 4 years old -diagnosis pneumonia - summary of peresent illness =recurrant colds, ear infections,and bronchitis.she has been sick for past 3 weeks. developed a fever yesterday.also nausia and vomiting,muscle aches. past medical history= cystic fibrosis diagnosed at age 3. i did all the lab work and found out that the bacteria causes the disease is psudomonas aeruginosa. what is the appropriate treatment? please help.", "doctor: helloas you explain cefuroxime or the group of kinolones are the right choice of treatmentregardsdr.jolanda" ]

[ "patient: i work in an open office. experiencing daily coughing and run a bit of a fever. sneezing frequently. should i get tested for covid 9? situated in jhb", "doctor: maybe. do video w/" ]

[ "patient: my sister, age 72, and living alone drove herself to an emergency room at 4:00 a.m. with temperature of 101+, chills and a little dizziness. they diagnosed her with pneumonia. she has copd and uses inhalers and oral meds. i am concerned because she just told me she is extremely tired and has been under a lot of stress due to move from home of 45+ years, family concerns and loss of husband 2 years ago. she had hip replacement three months ago. i live an hour and a half away and am wondering if i should drive to her city and check on her. she does have a son and a neighbor friend looking in on her.", "doctor: hello and welcome to ‘ask a doctor’ service. i have reviewed your query and here is my advice. she is already suffering from copd (chronic obstructive pulmonary disease). and pneumonia can be severe in already compromised lungs. so pneumonia in copd patients should be treated promptly. and hence she needs hospital admission, intravenous antibiotics, anti pyretic, intravenous fluids and other supportive drugs. so better to admit her and start appropriate treatment. hope i have answered your query. let me know if i can assist you further." ]

[ "patient: my daughter was thought to have pneomonia back in sept. after several courses of antibiotics and ct scans they found a spot on both lungs that was growing and the pet scan showed a spot on the brain. lung biopsy was inconclusive. dr.s beginning thought before biopsy was bacterial infection. is it likely something like this would go to the brain", "doctor: respected user, hi it is unlikely to disseminate lung pathology to brain in your case.it may be existing condition in brain detected afterwards or occurrence with/ after the lung pathology.hope this clears your query.thanks for using health care magic & giving me an opportunity to assist you.regards dear take care." ]

[ "patient: went to the doctor 3 weeks ago for possible exercise induced asthma due to chest pain. they have me a daily steriod inhaler and albuterol rescue inhaler. the did an xray as well and a few days later i found out i had pneumonia. i did a zpack for 5 days and now levaquin 500mg twice daily on day 7 or 10. just last night i went to urgent they said i still have the pneumonia got a steroid injection and a medrol dose pack. still getting worse...not sure what to do and the chest pain seems worse, and the levaquin has made my stomach very irritated which is expected. the steroids make sleeping impossible and i constantly feel overheated since the injections and dose pack i started yesterday.", "doctor: hi and welcome in hcmaccording to the history this might be a situation called *nonresponding pneumonia*it would be better to be hospitalized for further examinations like:crphemogramalt,astchest ct (if needed)abgfor exploring better the situation and do the treatment in i/v route .if you have comorbidites they should be evaluated too.sometimes when the other comorbidities are not well treated the pneumonia does not respond so well from the treatment.so please discuss with your doctor for the aboveregardsdr.jolanda" ]

[ "patient: what is a right central pneumonia? my diagnostic x-ray report states there are hazy densities in the right perihilar and paracardiac areas; trachea is midline; cardiac sillhouette is not enlarged; hemidiaphragms, costophrenic, sulci and bony thoracic cage are unremarkable. i don t understand it.", "doctor: hello and welcome to ‘ask a doctor’ service. i have reviewed your query and here is my advice. according to the chest x-ray results, this is an infection of the lung tissue. don't worry. in this case, antibiotics are given. consult your doctor. regards." ]

[ "patient: should myself and my wife be sleeping apart at the moment due to the virus, as she is a nurse in a surgery, and i have type 1 diabetes?", "doctor: in brief: appears as though this was asked before? she should disrobe immediately upon entering the home, place clothes in laundry and then shower. you need to keep a1c as low as possible, do everything you can to support gut health and immunity and increase supplements that increase resistance to viruses. sleep apart... your call! would you like to video or text chat with me?" ]

[ "patient: should i be tested for covid-19? i have a cough and phlegm on my chest as well as headaches. i always get colds and flu that affect my chest", "doctor: in brief: it depends. it depends of your country and the state of coronavirus, in some places you need to have traveled recently to another country to get the test, and in another countrys you need to be tested right away after any symptoms. you should check your country phase of coronavirus would you like to video or text chat with me?" ]

[ "patient: what is the best way to quarantine my 22yr old son who travelled by plane recently, has no current symptoms, when in same household as myself and teenaged son?", "doctor: read our blog post. household members should stay in another room or be separated from the quarantined as much as possible. they should use a separate bedroom and bathroom, if available. prohibit visitors to the home. you and the quarantined should each wear a face mask if you are in the same room. (3/26/20) read https://www.healthtap.com/blog/post/caregiver-guide-for-covid19-spouses-partners-contacts." ]

[ "patient: i'm finding difficult to maintain precisely 6 ft in grocery stores. today, as i was leaving, someone entering the store that was (possibly) 3 ft away was coughing lightly and i took a shower when i got home. i'm a hypochondriac. possible covid-19?", "doctor: in brief: it is possible. you can self quarantin yourself for 2 weeks. if develop and symptoms especially fever and cough get tested. since you consider yourself a hypocondriac i suggest to wear an n-95 or surgical mask to prevent similar situations. would you like to video or text chat with me?" ]

[ "patient: i’m so scared that i will die if i get the coronavirus, due to type1 diabetes?", "doctor: coronavirus. stay calm. most people with coronavirus infection only get mild respiratory symptoms, especially among younger patients. diabetes and use of acei or arb may increase your risk of infection. practicing common sense of prevention is critical during this outbreak crisis. avoid risk exposure, wash hand, wear mask as needed. get tested if you develop symptoms. effect drugs are coming. ." ]

[ "patient: hi, i arrived from the netherlands on monday morning. no symptoms but have been around my helper. should we get tested?", "doctor: coronavirus pui crit. self-quarantine and monitor yourself for 14 days from return date.if symptoms develop, please contact the nicd for screening to see if you have to get tested.public hotlines:+27 800029999; +27 800111132; +27 82 883 9920." ]

[ "patient: fake news running around? does advil/ibuprofen kickstart the covid-19 into pneumonia?", "doctor: in brief: it could there is not enough scientific info to confirm it. most of the online new was based on french report.it could be combination of speculations because virus enters lung through ace2 receptor and also ibuprofens nasid and virus can effects the kidney. https://www.npr.org/sections/health-shots/2020/03/18/818026613/advice-from-france-to-avoid-ibuprofen-for-covid-19-leaves-experts-baffledthx would you like to video or text chat with me?" ]

[ "patient: can wheezing and some difficulty breathing be symptoms of corona virus? i don’t feel anything else so far and i’ve only felt it a few hours", "doctor: in brief: yes: not wheezing but difficulty of breathing is a symptom of the corona virus infection but it is not the common one. it can be seen sometimes. the common symptoms are fever and cough mostly dry cough. the wheezing could be due to asthma or allergies in general. since covid 19 can be seen even without any symptoms i suggest you to get in touch with your doctor for advise and follow up with you. would you like to video or text chat with me?" ]

[ "patient: i have been feeling sick for a couple of days now and tried self medication but does not seem to help. i suffer from polycystic kidney disease, low blood pressure, anemic, endometriosis, chronic sinus.", "doctor: screen sputum. you may have a bacterial illness such as bronchitis, pneumonia or a sinus infection. your pcp may collect sputum, screen for strep/influenza. covid-19 is usually associated with a dry cough, but secondary infection may occur. please see your pcp." ]

[ "patient: my husband (age 63 and in great health) was diagnosed with strep pneumonia and spent 3 days in the hospital, he was released with antibiotic levaquin, after 5 days i had to bring him back to the er because he spiked a fever of 101. they discovered that the original pneumonia of the right upper lung was almost gone but it had spread to the lower lobe. they discharged him with prescriptions for azrithomycin 500 mg once a day for 7 days and amox tr-k clv 875-125 twice a day for 10 days. the amox is making him very nauseated and he gets headaches from it. can he stop taking it after 7 days instead of 10? generally he is feeling better, no fever since beginning the two antibiotic combination?", "doctor: it will be better if he takes it for 10 days. in order to prevent from nausea and headache you cam give him combination of antacid with antiemetic i.e drugs like pantop d or nupenta dsr or gempraz dsr once a day for the rest of the treatment period." ]

[ "patient: hi. what medication can i take for sinus and headaches during this time of the virus? thank you.", "doctor: in brief: same as usual during this covid-19 pandemic, the other infections like colds, flus, and sinus infections can still happen. the over-the-counter treatments have not changed. covid-19 virus is so new that there has not been much verified research yet, so stick with what meds worked in the past. see the blog post... https://www.healthtap.com/blog/post/selfcare-guide-and-local-coronavirus-resources (3/25/20) would you like to video or text chat with me?" ]

[ "patient: i have been using cpap machine for a year on pressure 6 with a nasal pillow mask. i have never had pneumonia in my life. i am 52 years old and just got my first case of pneumonia (discovered by a cat scan). could the cpap machine be responsible for causing my pneumonia. they also found a small 3mm nodule.", "doctor: hello and welcome to ‘ask a doctor’ service.i have reviewed your query and here is my advice.yes, cpap machine if not properly maintained can cause pneumonia. actually, there are a lot of things in cpap machine that can be infected.things like tubing, mask, and filters etcetera are very prone to infection. so, proper care should be taken to prevent infections from these parts.better to ask cpap provider to check all these parts and if infected replace them.hope i have answered your query. let me know if i can assist you further.regards,dr. kaushal bhavsar" ]

[ "patient: hi i am 39 years old and returned from germany 19 days ago. yesterday i started getting a sore throat, runny nose. today i have sinus pressure and a headache with a blocked nose, throat seems to be improving. should i get tested. if so how?", "doctor: stay home. stay at home, rest, drink fluids and monitor your temperature. your symptoms are more consistent with a cold or sinus infection. nasal saline and a decongestant may be helpful. if you develop covid symptoms including dry cough, fever, and/or shortness of breath, testing is indicated. report fever and shortness of breath to your pcp." ]

[ "patient: i’m so scared of the coronavirus with my diabetes, that i’m wondering if my wife should not work in her gp practice? it’s putting us both at major risk isn’t it?", "doctor: good question. awareness and precautions are important, but your wife plays a valuable role for those who have contracted the disease. she will be at higher risk than the general population and we are seeing hcps contracting covid-19. there is no one correct answer to this question because situations vary. best option is for your wife to discuss this with her employer and take precautions. good luck!" ]

[ "patient: hi. i am a 25 yr healthy, final year medical student. on fri (20th) i developed symptoms: continuous dry cough, headache, a very very sore throat, sore neck and back muscles, and tired. i am now improving. should i be tested for covid19?", "doctor: self isolate. current nicd/doh guidelines are to self isolate. if getting worse (fever, cough and shortness of breath), or if you have traveled or been in contact with anyone with confirmed covid 19, arrange for testing. for more info try whatsapp \"hi\" to 0600123456 (the doh covid hotline)" ]

[ "patient: i have been experiencing flue symptoms for about 7days, symptoms include: productive cough and running nose. could that be symptoms of corona? my workplace involves working in hospital with patients (children) with respiratory disease and adults.", "doctor: in pandemic times... the covid-19 infection is worldwide, in all but some isolated areas. the goal is to keep people separate 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. symptoms of covid-19 are often the same as a cold or the flu." ]

[ "patient: my daughter had a fever since monday. maximum temp is 39 & the loweest is 38.4c. she also has cough & colds. doctos saif she has pneumonia and wants to give her antibiotic already. when i asked if its viral or bacterial, she said she doesn't know. how would you know if it is viral of bacterial? i'm hesitant in giving her antibiotics because last month she took 2 kinds of antibiotics already.", "doctor: hi hope to satisfy youactually there is an viral infection there must be superimposed bacteria infection too.viral resolves with the passage of time on its own but to treat bacterial one we have to give antibiotics.for pneumonia you should give her azithromycin according to her weight 10 mg /kg wight once a day and for 5 days.plz mention the age n weight for next onwards.also give ibuprofen 10 mg /kg weight three times a day for 3 days n for nasal congestion give give arinac syrup twice a day for 7 days.hope she feels better soon." ]

[ "patient: if you feel not quite well 3 or 4 evenings in a row,no fever,minor dry cough,little stuffy,maybe scratchy throat very minor,just crummy feeling in general and evenings only (feel fine during the day) could that be a mild case of coronavirus? thanks.", "doctor: in brief: viral syndrome you're symptoms are likely viral syndrome; could be the flu, however, given the current covid outbreak, it may very well be corona virus. please follow cdc guidelines for self quarantine. wash your hands frequently with soap and water. keep hydrated. take tylenol for fever/pain. would you like to video or text chat with me?" ]

[ "patient: i had suffered with harpez and pneumonia. i had taken zovirax intravenous depomedrol,tricot xylocaine and finally seftum 500 mg. the eruptions and irritable skin in groin and arm pits. my face looked i was older than my age. one day out of a miracle i had formulated my own drug which has saved me. the drug is powdered ammoxycilin 500mg, seftum500mg, althrocin 500 mg, cifran 500mgin right proportions. i applied to my groin, face, armpits. also like homeopathy i tried taking one milligram of this mixture rubbed on epiglottis. my life style has changed completely and would like to recommend to this entire world that this is a miracle drug that can keep in abeyance many diseases of the world. no side effects. excellent health, looking 30 years younger with no damage to skin and any side effects, b.shankar sharma, mail address yyyy@yyyy", "doctor: hello, as you explain the long history you should absolutely believe in your treating doctor and follow his instructions. hope i have answered your query. let me know if i can assist you further. take care regards, dr jnikolla, pulmonologist" ]

[ "patient: i have mild irritation in my chest but i am not coughing, i just feel a tingling sensation on my thought. i have no fever, no aches should i be worried about covid 19?", "doctor: probably. we should all be cautious , not worried about covid-19. it is prudent for us all to be socially isolating, washing our hands, supplementing with vits. d and c and working on making the best of it. be grateful for the things that are going well in your life, reach out with verbal and video support for all the loved ones and even people you just know are isolated with support. don't bother to worry." ]

[ "patient: i have been running a low grade fever for over two weeks. i have three days left of a cefidner prescription. i am still running a low-grade - ranges from 99 to high of 100.7. i have no other symptoms except usual allergies. will blood work show what is", "doctor: in brief: bloods do help but only a corona virus test confirms - stay home or be tested safely, your problem sounds more chronic but hard to say would you like to video or text chat with me?" ]

[ "patient: am i at risk for covid-19 in the united states?", "doctor: covid infections will likely pick up over the next few weeks in us. avoiding travel and following hand washing recommendations are probably the most important prophylactic measures." ]

[ "patient: i got back from israel last monday i am in quarantine my symptoms are tight chest and shortness of breath do i need to have a test? should i be taking any medication?", "doctor: in brief: covid test two weeks of self isolation, if you get worse, call your gp firsttake anti histamines and panda only , get an asthavent pump, use twice a daylots of fluids, vit c and zinc, add echinaforce drops would you like to video or text chat with me?" ]

[ "patient: i'm a healthcare worker, seeing walk-in patients and working in emergency department. i have a severe case of flu-like symptoms but no confirmed contact with known covid patients. do my symptoms warrant testing or should i risk spreading my disease?", "doctor: sounds like viral. sounds viral but not corona however healthcare workers are high risk by being exposed to ill populations. i would stay home so that you do not cross infect. if you have access to a test then get that self isolate and monitor your symptoms. post on here if confused. ." ]

[ "patient: vomiting, diarrhea, achey, dizzy and weak fever has kept rising and is now at 103.4 any advice?", "doctor: infection. seem you have an infectious gastroenteritis, flu or even coronavirus. take tylenol, stay hydrated, get tests ordered by a physician. ." ]

[ "patient: my sister has recently had a bone marrow transplant. in june she had a lung infection and since has had breathing problems. she has just been readmitted and a scan showed pneumonia, pus and fluid has been drained and further tests have shown she has a fistula? if this is treated will her breathing problems be eased?", "doctor: thanks for your question on healthcare magic.i can understand your concern. yes, if we treat fistula, drain pus and fluid and cure pneumonia, her breathing will be eased.since she is bone marrow transplant patient, possibility of atypical bacterial infection is more likely because of immunosuppression.so get done bronchoscopy and bal culture. also get done fluid culture and sensitivity report. culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. by these, we can achieve faster recovery. hope i have solved your query. i will be happy to help you further. wishing good health to your sister. thanks." ]

[ "patient: nasal congestion and feeling a bit fluey ?", "doctor: in brief: stay home hi. if you are concerned about covid-19, please call the hotline on 0800 029 999, see the faqs on https://www. gov.za/coronavirus/faq or https://www.who.int/news-room/q-a-detail/q-a-coronaviruses would you like to video or text chat with me?" ]

[ "patient: i am 63 living in jhb and have had a tight chest and sore throat and wet cough for more than a week ?", "doctor: in brief: flu like sx. stay at home, monitor your temperature, drink fluids and rest. if your cough is associated with fever and/or does not begin to improve, please see your pcp. you may have bacterial bronchitis -avoid smoke, dust, mold, animal dander and pollen. influenza and covid are associated with fever. the cough with covid is typically dry. if you have underlying lung disease, test for cov/flu. would you like to video or text chat with me?" ]

[ "patient: i take irbesartan (angiotensin receptor blocker) for uncomplicated hypertension. it increases cell expression of angiotensin receptors (ar’s). covid enters cells via ar’s. should i change my blood pressure meds? thanks", "doctor: in brief: contact dr rather get hold of your regular gp and discuss over the telephone regarding this issue. do not stop or do this on your own. would you like to video or text chat with me?" ]

[ "patient: hi. my son is 2 years old. last week he fell ill for a day or two. he kept vomiting and had a day of diarree. however since last night he is couching constantly with plegm and runny nose, and loss of appetite. do i need to test him for covid-19?", "doctor: maybe. do video w/" ]

[ "patient: on an antibiotic amoxicillin 1000mg morning and night?", "doctor: need more info! difficult to advise without more information, so seek evaluation by a doctor. because of covid, try to do that by phone/telemedicine. however, seek care right away if difficulty breathing, or severe symptoms.seek covid testing if known covid-19 contact, or travel to high risk country, or you’ve been in facility treating people with covid-19, or if pneumonia.call 0800 029 999 for test." ]

[ "patient: headache fever fatigue been in contact with someone with coronavirus do i need to be concerned ?", "doctor: in brief: test if you can if you have availability get a telephonic consult and get a test. testing capability is stretched right now self quarantine and keep in touch on this forum for now. would you like to video or text chat with me?" ]

[ "patient: my 5 year old son woke up not feeling well. i measured his temperature and mouth reading is 38.3 and armpit is 38.2. he says he’s head is sore and his neck is sore. am scared it may be covid-19?", "doctor: in brief: arrange testing stay home, provide fluids and ibuprofen after checking his temperature. if he does not look well to you, please arrange a virtual or in person appointment with your pediatrician. avoid contact with others, use good hand washing and consider testing for influenza and coronavirus. would you like to video or text chat with me?" ]

[ "patient: i have a dry cough and sore throat- it's been a week now and the cough seems to be getting worse- no runny nose or fever, sometimes a headache, no shortness of breath...should i get tested for covid19?", "doctor: in brief: covid good guidelines can be found at cdc. gov/coronavirus/2019. you would be considered low risk. symptoms last up to two weeks. high probability many will get the disease and testing leads to no change in action at this time. no obvious therapy (however some encouraging possibilites) and for most people the virus runs its course without incidence. stay put and talk to your provider. would you like to video or text chat with me?" ]

[ "patient: how do i know if i have a normal cold or maybe the corona virus. my sinuses are congested and i have a post nasal drip which causes sporadic episodes of dry cough outbreaks. i don’t have a fever, but my body is stiff since i hiked 100km in 4 days.?", "doctor: common cold with sin. the corona virus causes a fever,sore throat ,acute lower resp symptoms such as painfull cough and rep distress ( wheezing)your symptoms are very unlikely to be covid-19." ]

[ "patient: hi- i was diagnosed a month ago with community pneumonia. after two rounds of antibiotics i was feeling better. now my cough is back and i have a strange heavy feeling especially in my legs. i have been exhausted too for the last few days. could this be from pneumonia?", "doctor: hello! just because you have previously had a pneumonia does not necessarily mean this time too you will be having it again. since how long have you been having cough ? are you having a dry cough or produce phlegm ? what's the colour of the phlegm ? last time you had pneumonia was it properly n completely treated ? apart from cough what are your other complaints at present ? your cough can be due to inflammation of your throat lining or it can be something to do with your lungs like previous time. kindly get your checked by a physician with an open mind and go for a chest x ray if necessary." ]

[ "patient: i have a aunt that is in the hospital at st vincents blount in alabama she may or not have pneumonia she hasnt never eat right all she lives on is coffee and junk food and toaster strudel, what causes naited however u spell that she tried to eat something but she got nasated.", "doctor: hello welcome to the health care magic your concern is regarding pneumonia... in pneumonia cough, dyspnea, fever like presentation seen for its diagnosis chest x ray and sputum examination done hope your concern solved take care" ]