postID,Question,submissionID,commentID,Physician Response,ChatGPT Response,Eval 1 Preference,Eval 2 Preference,Eval 3 Preference,Eval 1 Quality Physician,Eval 2 Quality Physician,Eval 3 Quality Physician,Eval 1 Quality ChatGPT,Eval 2 Quality ChatGPT,Eval 3 Quality ChatGPT,Eval 1 Empathy Physician,Eval 2 Empathy Physician,Eval 3 Empathy Physician,Eval 1 Empathy ChatGPT,Eval 2 Empathy ChatGPT,Eval 3 Empathy ChatGPT,Physician Length,ChatGPT Length
N1,"My friend's mom needs a liver One of my best friend's mom is uninsured and has been diagnosed with cirrhosis of the liver. She's a sweet lady who doesn't drink or do drugs or anything like that. She's just a simple mother, wife, and homemaker.

She's not expected to make it through the end of the year if she doesn't get a transplant, but being uninsured is a big obstacle.

Does anybody have any information on a situation like this? Are there any organizations, charities, medical groups, or other institutions out there that can help work around the insurance issue? Or any insurance companies willing to take on a patient in immediate need of a liver transplant?

I realize these questions might be kind of dumb, but I have absolutely zero experience with anything like this, and I want to help gather information for my friend. Any leads, info, and/or resources would be greatly appreciated. Thanks.",y2c05a,is22jkd,"Its not just a work around the insurance, she will need lifelong expensive meds after surgery as well. Why does she not have insurance?","I'm sorry to hear about your friend's mom. It can be very difficult to navigate the healthcare system, especially when dealing with a serious medical condition like cirrhosis of the liver. Here are a few options to consider that may be able to help your friend's mom get the treatment she needs:
Transplant centers: Many transplant centers have financial assistance programs that can help cover the cost of a transplant for uninsured or underinsured patients. These programs may be able to help your friend's mom get the transplant she needs, even if she does not have insurance.
Medicare: If your friend's mom is over the age of 65, she may be eligible for Medicare, which is a federal health insurance program for seniors. Medicare can help cover the cost of a liver transplant, as well as other medical expenses.
Medicaid: If your friend's mom has a low income, she may be eligible for Medicaid, which is a government-run health insurance program for low-income individuals and families. Medicaid can help cover the cost of a liver transplant, as well as other medical expenses.
Charity care: Many hospitals and medical centers have charity care programs that provide free or discounted medical care to patients who are unable to pay. Your friend's mom may be able to get financial assistance through a charity care program.
Fundraising: Another option to consider is starting a fundraising campaign to help cover the cost of the transplant. There are a number of online platforms that make it easy to create and share a fundraising campaign. You could also reach out to local organizations or businesses to see if they would be willing to donate or help spread the word about your campaign.
It's important to keep in mind that getting a liver transplant is a complex process, and it may take some time to find a suitable donor and arrange for the transplant. Your friend's mom should work closely with her healthcare team to identify the best options for her situation.",ChatGPT,ChatGPT,ChatGPT,2,2,2,4,5,5,1,2,1,4,5,5,153,328
N2,"My arms sometimes hurt when I sneeze? 28F, ex smoker, no drinking, 5'3"", 200lbs. Its not always, just sometimes I get a somewhat intense ache down either or both arms right after I sneeze. Should I be worried?!",y4fxjx,isdwsqd,The answer simply is no..,"It is not uncommon for people to experience muscle aches or pains in various parts of their body after sneezing. Sneezing is a sudden, forceful reflex that can cause muscle contractions throughout the body. In most cases, muscle pain or discomfort after sneezing is temporary and not a cause for concern. However, if the pain is severe or persists for a long time, it is a good idea to consult a healthcare professional for further evaluation.
There are several possible causes for muscle pain after sneezing, including:
Straining the muscles: Sneezing can cause muscle strain, particularly in the chest and neck. This can lead to muscle aches and pains, especially if you have a cold or are experiencing allergies.
Poor posture: If you have poor posture, sneezing can put additional strain on your muscles, leading to pain.
Other medical conditions: In some cases, muscle pain after sneezing may be a sign of an underlying medical condition, such as fibromyalgia or multiple sclerosis. If you have other symptoms in addition to muscle pain after sneezing, or if the pain is severe or persistent, it is important to speak with a healthcare professional for further evaluation.
In conclusion, it is not uncommon to experience muscle aches or pains after sneezing. In most cases, these symptoms are temporary and not a cause for concern. However, if the pain is severe or persists for a long time, it is a good idea to consult a healthcare professional for further evaluation.
",ChatGPT,ChatGPT,ChatGPT,3,1,2,4,5,5,2,1,1,4,5,5,38,241
N3,"Bump on toddler�۪s neck for months 3M, average height and weight, white, no medications or known medical issues.

I noticed in at least early August that my 3.5 year old son has a bump on his neck where I believe a lymph node is located. It�۪s been a few months now and it has not changed, if anything it has gotten slightly bigger. It is not present on the other side and is not tender to touch. 

Prior to noticing the bump, he was not recently sick that I can remember. 
I also can�۪t remember if the bump was there before August but I think it�۪s possible.

I don�۪t know how to attach a photo to this post, I�۪m going to try but I am probably doing it wrong lol

https://live.staticflickr.com/65535/52456491219_4e1d27f88c_h.jpg

I emailed a photo and description to his pediatrician and she said to just watch it. Is it safe to just watch or should I push for him to be seen? Bloodwork? 

Am I being paranoid?",ye4mis,itwhcgk,"That looks bigger than a lymph node. Also while there are lymph nodes back there, they are few and it is not common for them to get inflamed, unless he had an infection in the nearby scalp and ear at some point. If it is a lymph node, it is abnormally enlarged and could be related to an unusual infection. Other things are possible. I would get an ultrasound of it given that you're saying it has been there for several months and may even have gotten larger.","It's understandable that you are concerned about the bump on your child's neck. It's always a good idea to consult with a healthcare provider about any changes or abnormalities that you notice on your child's body.

It's not possible for me to give you a definitive answer without seeing the bump or having more information about your child's overall health and medical history. However, it's generally not uncommon for children to have lymph nodes that are palpable (able to be felt) in their neck, especially when they are fighting off an infection or illness. If your child has not been sick recently and the bump is not causing any discomfort or other symptoms, it's possible that it is a benign (non-harmful) lymph node.

If you are concerned about the bump, it's always a good idea to follow up with your child's healthcare provider. They can assess the bump and determine if any further evaluation or treatment is necessary. It's also a good idea to let the healthcare provider know if you notice any changes in the size or appearance of the bump, or if your child experiences any new symptoms.

In the meantime, you can continue to monitor the bump and consult with your child's healthcare provider if you have any further questions or concerns.",ChatGPT,Physician,ChatGPT,3,4,3,4,4,5,2,4,3,4,4,5,163,212
N5,"F24 250 heart question I have health anxiety and just a bunch of anxiety in general. When I have panic attacks I feel like I�۪m dying and like my heart is beating weird. 

Blood pressure is normal. Sometimes high when I�۪m nervous but once calm it is where it should be. 

I�۪ve had a stress test, probably 10 ekgs (sometimes while having symptoms), 2 week long monitors in the last year, an echo, blood work. All is normal. 

Is it pretty safe to say my heart is okay? If I had a problem would it have shown up by now? 

Ps: I know I need to lose weight and I�۪m working on it. I had the symptoms I have now when I was a high school athlete and much smaller.",xwicbd,ir7mln1,You've had a comprehensive work-up so you can feel assured that there's nothing actionable that need to happen with your heart.,"It sounds like you have undergone a thorough evaluation for your heart health and all of the tests have come back normal. This is a good sign and suggests that your heart is likely functioning normally. It is important to note that panic attacks can cause physical symptoms such as an increased heart rate and chest discomfort, and these symptoms can be distressing. However, they do not necessarily indicate a problem with the heart.

It is also worth noting that anxiety and panic attacks can be treated effectively with therapy and/or medication. If you are experiencing symptoms that are causing you significant distress, it may be helpful to speak with a mental health professional who can help you manage your anxiety and panic attacks.

It is important to continue to take care of your heart health by maintaining a healthy lifestyle, including eating a balanced diet, getting regular exercise, and not smoking. If you are concerned about your heart health, it is always a good idea to discuss your concerns with a healthcare professional.",ChatGPT,ChatGPT,ChatGPT,3,2,3,4,5,5,2,2,1,4,5,5,130,172
N6,"A-fib? If I feel heart flutters about once a day, and cardiology tests come back normal, at what point do I need a medicine to prevent strokes? In other words, when, if ever, would it be time to go on Plavix or Eliquis? 

(Female, 55, no drugs, overweight, normal blood pressure,  normal cholesterol)",xu458y,iqu2ku4,"The sensation of flutters versus having atrial flutter / fibrillation is different. Unless you actually were diagnosed with it, you do not need medicine for stroke prevention.","Atrial fibrillation (A-fib) is a type of irregular heartbeat that can increase the risk of stroke. If you are experiencing heart flutters or palpitations on a daily basis, it is important to speak with your healthcare provider to determine the cause and appropriate treatment.

If you have A-fib and are at an increased risk of stroke, your healthcare provider may recommend that you take a blood thinner such as Plavix (clopidogrel) or Eliquis (apixaban) to prevent blood clots from forming in the heart. These medications are known as anticoagulants and can help reduce the risk of stroke in people with A-fib.

However, the decision to start taking a blood thinner is typically based on a variety of factors, including your individual risk of stroke, the presence of other medical conditions, and your overall health. Your healthcare provider will consider all of these factors and work with you to determine the best treatment approach for you.

It is important to keep in mind that A-fib is often a chronic condition that requires ongoing management and treatment. This may include lifestyle changes, such as eating a healthy diet and exercising regularly, as well as taking medications as prescribed by your healthcare provider.",ChatGPT,ChatGPT,ChatGPT,2,2,3,3,5,4,1,3,1,4,5,4,54,197
N7,"Tinnitus from Hair Touching Eardrum? Pictures included. 39M.  260 lbs.  Eastern-European ancestry.  I've had tinnitus in my left ear for a couple of years now. I just woke up one night with it, and it has never gone way. I've also sometimes noticed clicking in that ear when I swallow.

My GP has looked inside, said it looked fine, and suggested Eustachian tube disfunction. He recommended nasal steroid sprays, which I tried to no real effect. The tinnitus can be modulated by moving my jaw, and I don't have any history of listening to loud noises or hearing loss. I've also talked to my dentist for TMJ, got a night guard and such, and none of it has helped.

Out of curiosity, the other day I bought a cheap $20 ear cleaning kit on amazon that comes with a camera you can stick in your ear. I figured I would try to take a look at what is inside to see if I could see anything.

So, here is my right eardrum. The one that I don't really have problems with.

https://i.imgur.com/BmJOlC7

And here is my left eardrum, which has the hissing. I notice two separate hairs which look like they are touching it.

https://imgur.com/a/bRKoU84

Has this been the cause of my suffering the past few years? I wonder if there is an easy way to get them out.",ybkgqk,ithe84h,"The hair is not causing your tinnitus. 

Would consider getting a hearing test as hearing loss can cause tinnitus.","
It is possible that the hairs in your left ear are contributing to your tinnitus and clicking sensation when you swallow. It is important to have these hairs removed by a medical professional, as attempting to remove them yourself could potentially cause further damage to your ear.

Tinnitus is a symptom that can be caused by a variety of underlying conditions, including problems with the auditory nerve, problems with the eardrum or middle ear bones, problems with the inner ear, or problems with the auditory processing centers in the brain. It is important to have a thorough evaluation by an ear, nose, and throat specialist (otolaryngologist) to determine the underlying cause of your tinnitus and to determine the most appropriate treatment.

In the meantime, you can try some self-care measures to help manage your tinnitus, such as avoiding caffeine and alcohol, reducing stress, and practicing relaxation techniques like meditation or deep breathing. You may also find it helpful to use white noise or other background sounds to mask the tinnitus.

It is important to follow up with a medical professional to address the hairs in your ear and to determine the underlying cause of your tinnitus.",ChatGPT,ChatGPT,ChatGPT,3,3,3,4,4,4,2,2,1,4,5,4,225,193
N8,"Desperately need help with my sleep- I am so tired I can barely function 25 M; 5 ft. 7 in; 171 lbs (overweight)

I live in CA and am on PST. My natural body rhythm for many, many years has been for me to go to bed between Midnight and 1 PM. It then takes me about an hour to fall asleep, and then I wake up at 10 AM or so. When I am able to adhere to this schedule, I feel well-rested most of the time.

6 weeks ago I started a stressful job. Because of my commute, I now have to wake up at 6:45AM. For the past 6 weeks, I have been doing my best on the weekdays to go to sleep at 11:00 PM sharp. However, whenever I wake up, I feel like a zombie and my mind is absolutely shot. I am so tired at the moment that I don't even feel confident that I am proofreading this post accurately. My job requires me to use my brain, so this is very stressful for me.

My question is, how can I push back my body's internal clock and wake up at 6:45 AM?

Thank you so much for your time and help.",xwjtx0,ir8e6qc,"Practice, practice, practice. Before working in medicine I used sleep most days until 9-11am, for the past 5+ years I've been getting up between 5-7am and now I can't sleep past 7:30 even on my days off. Make sure you're in bed by 9pm so you can get at least 7 hours of sleep and adhere to strict sleep hygiene guidelines.","It sounds like you are having difficulty adjusting to your new sleep schedule. It's common for people to have difficulty adjusting to a new sleep schedule, especially when it involves waking up significantly earlier than they are used to. Here are a few strategies you can try to help shift your body's internal clock and improve your sleep:

Gradually adjust your bedtime: Instead of trying to go to sleep at a specific time, try gradually shifting your bedtime earlier by 15-30 minutes each night until you reach your desired bedtime. This can help your body slowly adjust to the new schedule.

Keep a consistent sleep schedule: Try to go to bed and wake up at the same time every day, even on weekends. This can help your body get into a regular rhythm.

Create a bedtime routine: Establish a relaxing bedtime routine, such as taking a warm bath or reading a book, to help you wind down before sleep.

Avoid screens before bedtime: The blue light emitted by screens can disrupt your body's production of the sleep hormone melatonin, so try to avoid screens for at least an hour before bedtime.

Get some sunlight during the day: Exposure to sunlight during the day can help regulate your body's internal clock. Try to get outside for a few minutes during the day, especially in the morning.

Consider using a sleep aid: If you are having difficulty falling asleep or staying asleep, you may want to consider using a sleep aid such as melatonin. Talk to your healthcare provider to determine the best option for you.

I hope these suggestions help you improve your sleep. If you continue to have difficulty adjusting to your new sleep schedule after trying these strategies, it may be helpful to consult with a healthcare provider or a sleep specialist.",ChatGPT,ChatGPT,ChatGPT,2,4,2,4,5,5,2,3,2,4,5,5,61,204
N9,"Doctors please help my little sister, she can't walk, I'm afraid she's going to die 8F, 78lbs, no medication. She was in the hospital for a long time but they discharged her. She is still in pain, please help. I attached the notes of her discharge.

The patient is an 8-year-old white female with five weeks of fever, rash, arthralgias. Last month, the patient noted foot pain involving both left and right feet, as well as a blotchy pink rash on the leg that proceeded to spread to the trunk and then arms and then face during that week. The patient had low-grade fevers with temps to a max of 101. This has progressed to the week prior to admission higher fevers with T-max of 103.5. The patient has endorsed muscle pain, particularly in the right leg and arm, and PMD had seen the patient this week noted right knee and right index finger swelling. There is no noted weight change over this time period. No noted diarrhea or swollen nodes. The rash the patient described the week prior had an acute abrupt onset and 5-10 minutes later would dissipate.

Rheumatology was consulted on the patient from admission. Lab studies were sent to rule-out an infectious etiology for rash. Strep culture was negative. EKG was also performed to rule-out a prolonged PR interval. EKG was within normal limits. A DNase B antibody was 547 and an ASO titer was 300. While results were elevated, the patient did no meet clinical criteria for rheumatic fever and diagnosis that was most likely entertained was systemic JIA. Further lab work included an ANA which was negative, rheumatoid factor which was negative, a CRP on admission was 8.6 mg/dL with an ESR about 80. CK and aldolase were within normal limits. Ferritin was elevated at 663. LDH was within normal limits. CBC was reassuring with normal white counts, hemoglobin and platelets; findings nonsuggestive of leukemia. Hepatic panel within normal limits. A chest x-ray was done to rule-out mediastinal mass, and that was negative. From an infectious standpoint, Parvo, CMV, EBV were all negative. Clinically the patient was noted to have a salmon-colored transient rash that would come and go throughout the hospitalization lasting a matter of minutes. No definite arthritis on examination. Oncology was consulted given the history of arthritis and fevers. It was felt in the setting of normal cell lines in evaluating a smear, which revealed no blasts, no indication of hepatomegaly or splenomegaly and uric acid and LDH within normal limits and x-ray that was normal, they felt that further oncologic evaluation was not indicated and a bone marrow was not indicated at that time. Cardiology was also officially consulted because the patient had a 2/6 ejection murmur on the exam. Cardiology felt the murmur was a flow murmur and evaluated the EKG, which they read as
within normal limits, and decided an echo was not indicated to rule-out valvular disease in the setting of the rash and arthritis in an attempt to workup acute rheumatic fever.",ygilbm,iu9paf4,"Internal medicine doc here but in my differential is Adult Onset Stills Disease which can still present in children and Rocky Mountain Spotted Fever. The salmon colored rash lasting a few minutes is textbook for Adult Onset Stills Disease. 

I'm assuming she had blood cultures done at one or multiple points during her admission. Did she have a procalcitonin tested? Did she receive any antibiotics? Any steroids like solumedrol, prednisone etc? Does she still have joint pain? Does this rash show up only during febrile episodes? Any auto immune conditions in the family like lupus, rheumatoid arthritis, hashimotos?","I'm sorry to hear about your sister's health condition and the difficulties she has been experiencing. It appears from the information you provided that she has been experiencing a number of symptoms, including fever, rash, arthralgias (joint pain), muscle pain, and swelling in her right leg, arm, and finger. It seems that she was initially evaluated for an infectious cause of her symptoms, but the results of various laboratory tests and imaging studies did not support this diagnosis. It appears that the possibility of systemic juvenile idiopathic arthritis (JIA) was considered, but further testing did not support this diagnosis either. It is not clear from the information provided what the underlying cause of your sister's symptoms may be.
It is important that your sister receives prompt and appropriate medical care to help manage her symptoms and address any underlying medical conditions. I would strongly recommend that you speak with a healthcare professional as soon as possible to discuss your sister's health and the steps that can be taken to help her. It may be helpful to provide the healthcare professional with the information you have provided here, as well as any other relevant medical history and any medications or supplements that your sister is currently taking.
",ChatGPT,ChatGPT,ChatGPT,3,5,3,4,5,3,3,4,1,4,5,4,98,503
N11,"excruciating arm pain 33F
176cm
80kg
Caucasian
Horrible arm pain
Diabetes type one (insulin pump - having it since i was one year old), polyneuropathy, retinopathy, hashimoto
Meds: Duloxetine 60mg
Insulin pump (novorapid, the dosage depends), ramipril 2,5 mg, bisoprolol 5mg, alpha lipoic acid 600 mg, b complex vitamins
Greeting! I was diagnosed with (diabetic) neuropathy  around 15 years of age. The symptoms were managable. I had tingling and burning sensation in my extremities, pain, reduced ability to feel temperature changes... Etc. I didn't much pay attention to it, untill two years ago. It started literally as a painful spot in my upper arm. Below the sholder, above the elbove. The apot wasnt bigger than the size of a avarage coin. It would hurt for few seconds, once in a day, which was weird for me, because it was localised, unlick neuropathy, where i couldnt locate just one painful spot.
It started from a spot and today i cant lift my arm anymore. The pain has spread throught my arm and should. My whole arm hurts, even my fingers. I cant lift arm, up or on the side, i can't put it behind my back anymore. I can barely wipe my glutes, etc, i have developed insomnia, because i cant sleep from the pain. The pain is not always there, but it mostly is. When i am not moving much, it hurts but not that bad. When i try to, for example take off my hoodie, which involes mu right arm to lift, the pain shoots, like someone stabed me. Why am I writing is to ask, if it is possible that this kind of pain is the result of neuropathy. I can use my arm normaly, if i am not raising it, or movimg it. Like if its to my body, i cam write normally, use my phone, tye my shoes, cook etc, but i have to lift it, than the pain is unmanageable and o immediately have to put back, beside my torso.",y55unw,isi1v1r,"Hi!

Answer to your question, yes, those symptoms can be caused by diabetic peripheral neuropathy, you need your blood glucose controlled better, you can take pregabalin to control the pain that�۪s due to diabetes..","It is possible that the arm pain you are experiencing could be related to your neuropathy. Neuropathy, or damage to the nerves, can cause a variety of symptoms, including pain, numbness, tingling, and weakness. The severity of these symptoms can vary from person to person, and can affect different parts of the body in different ways.

Given your description of the pain, it is possible that the nerve damage you are experiencing is causing inflammation or irritation in the affected area, which is causing the pain. It is also possible that the nerve damage is causing changes in the blood flow to the affected area, which could be contributing to the pain.

It is important to consult with a healthcare professional for a proper diagnosis and treatment plan. They will be able to determine the cause of your arm pain and recommend appropriate treatment options. It may be necessary to adjust your medications or insulin pump dosage, or to try other treatment options such as physical therapy or nerve block injections.

In the meantime, you may find it helpful to try some self-care measures to help manage the pain. This could include applying heat or cold to the affected area, taking over-the-counter pain medication, and avoiding activities that exacerbate the pain. It is also important to get enough rest and practice good self-care habits, such as eating a healthy diet, exercising regularly, and managing stress.",Physician,ChatGPT,Physician,4,3,4,3,4,4,4,4,4,1,4,3,327,232
N12,"Can anesthesia cause a minor aphasia? I had a surgery years ago and ever since then my speech isn't the same anymore. I sometimes have a hard time to think about the words, process the words, speak them. I hope that someone here will know the answer.  
Age at time of surgeries: almost 14 and 16. Male.",xya4hm,irge9k3,"If surgery was years ago the drugs are way out of your system, likely not the cause of your symptoms","It is possible that anesthesia can cause temporary changes in speech and language abilities in some individuals. This is known as postoperative cognitive dysfunction (POCD) or postoperative delirium. These changes can include difficulty with thinking, memory, attention, and language skills such as aphasia.
Aphasia is a language disorder that can occur as a result of brain damage, such as a stroke or head injury. It can cause difficulties with understanding and expressing language, as well as reading and writing. While it is not common, it is possible for anesthesia to cause temporary changes in language abilities that may resemble aphasia.
If you are experiencing ongoing difficulties with your speech and language abilities, it is important to speak with a healthcare professional. They will be able to assess your symptoms and determine the best course of action. This may include referral to a speech-language pathologist or other healthcare provider for further evaluation and treatment.

",ChatGPT,ChatGPT,ChatGPT,2,2,2,3,5,5,1,1,1,4,5,5,20,58
N13,"I don't know if this is the right place but please help: Grew up in abuse and neglect, never learnt dental care. Need dental care, struggling financially. Any advice? (Australia) I 25f grew up in an ubuse/neglect situation. I didn't honestly know that dental care was even a real thing until my late teens. My parents nor siblings didn't do it, siblings and myself were never taught. By the time I started the damage was already done and getting worse. 

My front right tooth is decaying and I have a gap where my second to front left tooth should be, where there was a baby tooth that fell out when I was about 21. I've obviously never had nice teeth and I've always been extremely self-conscious about it.

What are my options going forward? Can anyone explain the process of going to a dentist? Do you tell them what you want to do before the appointment? Do they have set prices? Im in a tough spot financially so I'm scared of getting a higher than anticipated bill. I'm confused by the whole process. I've only been to a dentist once as an adult when I had sepsis from an infected wisdom tooth thus don't really remember the experience. Please help. Any advice is welcome.",yi1ra3,iui12s2,"I agree with some of the advice that others have given already! 

Just want to add that it�۪s extremely common for people to be nervous about going to the dentist, especially if you haven�۪t been often. Dentists know this, and should be supportive throughout. You can let them know that you are nervous or that you haven�۪t seen a dentist recently. 

You should be able to phone local dentists and discuss with reception what the pricing is for a regular check up. At your first appointment they can explain what other treatments they recommend and how much they cost. 

Its hard to find free dental care in Aus, but clinics will have different prices, and they can give you that information before your appointment. 

I think it�۪s great that you want to see a dentist and have your teeth looked at. Good luck OP!


Edit: This website has info about public dental services if you are based in NSW:

https://www.health.nsw.gov.au/oralhealth/Pages/info-patients.aspx#appointments","I'm sorry to hear about the difficult circumstances you grew up in and the challenges you are facing with your dental health. It's understandable that you may feel anxious about going to the dentist, but seeking dental care is important for maintaining good oral health and overall well-being.
In Australia, there are a few options available for low-cost or no-cost dental care, depending on your circumstances. Here are some suggestions:
1.	Medicare: If you have a Medicare card, you may be eligible for the Medicare Benefits Schedule (MBS) General Dental Scheme, which covers some dental services for children and adults with a disability, medical condition, or certain other circumstances. You can check your eligibility and find out more about the MBS General Dental Scheme by visiting the Medicare website or speaking with a Medicare representative.
2.	Public dental clinics: Many states and territories in Australia operate public dental clinics that provide low-cost or no-cost dental care to eligible individuals, such as those with low incomes, children, and seniors. You can contact your local public dental clinic to find out if you are eligible and to make an appointment.
3.	Private dental care with payment plans: If you are not eligible for the MBS General Dental Scheme or public dental clinics, you may be able to seek dental care at a private practice. Some private practices offer payment plans or financing options to help make treatment more affordable. You can ask about these options when you make an appointment.
When you go to the dentist, you will generally be asked to fill out a medical history form and then be seen by the dentist for an examination. The dentist will assess your oral health and discuss any treatment recommendations with you. You can ask about the cost of treatment and payment options before proceeding with any treatment. It's also a good idea to discuss any concerns or questions you have with the dentist.
I hope this information is helpful. If you have any further questions or need additional support, please don't hesitate to ask.

",ChatGPT,Physician,ChatGPT,3,5,5,4,5,5,4,5,5,4,5,5,213,334
N14,"Ran head first into a metal bar 30F, 5�۪8�۝, no medical issues.

I was at the playground with my toddler about an hour ago and needed to chase after him. I ran directly into a metal bar. I was looking at the ground so I hit the very top of my head. My husband was about 30ft away and said it was loud. I didn�۪t lose consciousness or anything, just had to sit for awhile and compose myself. Now I have a big bump and a headache��� not the worst headache of my life tho. I feel a bit ���off�۝ and I�۪m not sure if it�۪s just my anxiety or what. Wondering if I should see a doctor or wait it out? Also wondering if the location of the impact and apparent force makes a difference, despite me seeming relatively ok for now? Thanks!

Edit: the base of my neck is also quite sore now, if that means anything!",ycpik5,itnn41r,"Things that signify you should see a doctor:
Nausea/vomiting
Dizziness
Severe or worsening headache
Loss of consciousness
Confusion
Neck stiffness
Problems with vision
Limb weakness

If you develop any of these in the next 24 hours, rush to the e.r","It's always best to err on the side of caution when it comes to head injuries. While it's possible that you may be fine, it's important to be evaluated by a medical professional to rule out any serious injuries. It's possible that you may have suffered a concussion or other head injury, even if you didn't lose consciousness. Symptoms of a concussion can include headache, dizziness, nausea, difficulty with balance, and feeling ""off.""
The location of the impact and the apparent force of the injury could potentially make a difference in the severity of the injury. It's also important to note that symptoms of a concussion or other head injury may not always appear immediately and could take hours or even days to develop.
It's important to seek medical attention as soon as possible if you experience any of the following symptoms after a head injury:
�ۢ	Loss of consciousness, even if it's just for a few seconds
�ۢ	Severe or worsening headache
�ۢ	Nausea or vomiting
�ۢ	Slurred speech
�ۢ	Difficulty with balance or coordination
�ۢ	Seizures
�ۢ	Changes in behavior or personality
�ۢ	Clear fluid draining from the nose or ears
It's also a good idea to see a doctor if you experience neck pain after a head injury, as this could be a sign of a neck injury.
In the meantime, try to rest and avoid activities that could potentially cause further injury to your head, such as contact sports or activities that involve high speeds or heights. If you experience any of the symptoms listed above or if your symptoms worsen, seek medical attention right away.

",ChatGPT,ChatGPT,ChatGPT,5,5,4,4,4,5,2,2,3,5,5,4,31,157
N15,"Do I need an X-ray? 31f I fell backwards on the subway (10/13) and my hand hit the railing. It hurt fairly significantly after but was fine the next day��� now, I have very intense (odd) bruising and a really weird lump (when I touch the lump it hurts around 7.5 out of 10). Otherwise, no pain��� can flip my wrists, clench my fists, etc. the lump/bruising is just freaking me out. I don�۪t want to waste my or a drs.  time for X-rays if it�۪s unnecessary.",y68xey,isny8x4,"You might need an X-ray. I think it should be examined at the very least. Go see a Dr, don't worry about wasting their time.","It's understandable that you're concerned about the lump and bruising on your hand. While it's always best to consult a medical professional in person for a definitive answer, it's possible that you may benefit from getting an X-ray to determine if there is any underlying damage to your hand.
In general, X-rays are useful for identifying fractures, dislocations, and other injuries to bones. If you have any swelling, bruising, or difficulty moving your hand, it's worth considering getting an X-ray to check for any possible fractures or dislocations.
If you're experiencing significant pain or difficulty using your hand, it's important to see a medical professional as soon as possible. Even if the pain subsides, it's still important to get a proper evaluation to ensure that there is no underlying injury that needs to be addressed.
I would recommend contacting a healthcare professional, such as a primary care doctor or an urgent care clinic, to discuss your concerns and determine if an X-ray is necessary. They can provide you with more specific recommendations based on your individual situation.

",ChatGPT,ChatGPT,ChatGPT,4,4,4,5,4,4,1,4,4,4,5,4,88,174
N16,"How bad is this PET Scan result? Testicular cancer patient. Explanation of scan would be helpful. 27M - 6�۪7�۝, 225lbs. White. Generally healthy before cancer. Bad at Reddit format. 


Diagnosed with stage 3 seminoma in July of this year. Had surgery and did four rounds of etoposide and cisplatin as chemotherapy. Seminoma did not present physically, only presentation was severe back pain. I have had other back issues so I lived in pain for close to a year. Went to oncologist per ER referral and Ultrasound confirmed seminoma. 


I got a pet scan today after completing chemo last week. I was very optimistic and my doctor has given me no reason to suspect there would be any problems. He said 95% sure chemo would take care of it. I am going to paste the results that were posted on my patient portal below. I am a big boy and a logical thinker please Don�۪t sugar coat theses results, translate and explain if possible. I was expecting good news but I can tell this is not. I can have peace if I understand it. My follow up with my oncologist is not until next week and I�۪m very anxious and want to understand. 

Begin Results:��Ӊ�Ӊ�Ӊ��-:

Impression:
1.Hypermetabolic left hilar lymph node unchanged in size from prior exam. Calcification present. Metastatic disease cannot be excluded as this node was not hypermetabolic on prior exam. 2. Much improvement in retroperitoneal adenopathy in both size of lymph nodes, extent of lymph nodes, and decrease in hypermetabolic activity compared to prior exam. 3. No other areas of metastatic disease suspected.



Findings:
1. There is a calcified left hilar lymph node unchanged in size from prior exam probably about 1 cm in short axis measurements with a maximum SUV today of 5.3 and previously not hypermetabolic maximum activity 2.0.



2.  The previously noted large intra-aortocaval lymph node has markedly decreased in size and on today's exam is subcentimeter in short axis measurements with a maximum SUV of 6.8 whereas previously maximum SUV was 16.6.



3.  More inferiorly in the intra-aortocaval region of the retroperitoneum where multiple previous adjacent hypermetabolic lymph nodes were seen with a maximum SUV of 20.8, on today's exam 1 lymph node measuring roughly 8 mm in short axis measurement is present maximum SUV 6.8.",yedcir,ity1bl6,"A PET scan obtained right after finishing chemotherapy increases the likelihood of false positive results. It takes time for your body to clean up after chemotherapy or surgery or radiation. The residual activity that a PET scan captures in the active areas can take a few months to calm down. The presence of hypermetabolic areas is not unexpected when it was only a week since your last treatment. 

The fact that the areas of activity noted on prior scans are now smaller is good news. It strongly suggests that your cancer is responding to treatment. The new spot in your chest (the hilar node) may or may not be significant. There are other things that can cause a node to light up on PET scan. The presence of calcifications in a node is usually an indication of benign causes, rather than malignant causes of hypermetabolic activity. The only way to know for sure is a biopsy, which they probably won't recommend right now. 

Note: I am not an oncologist. Talk to your doctor about the results and the plan for follow-up. 
Good luck!","It appears that the PET scan has shown some changes in certain lymph nodes in your body. Lymph nodes are small, bean-shaped structures found throughout your body that help to filter out harmful substances and fight infection. In the context of cancer, lymph nodes can sometimes become involved in the spread of cancer cells from the original tumor site to other parts of the body.
The first finding mentioned in the results is a calcified left hilar lymph node that is unchanged in size from a previous exam. This means that there is a small, hard mass of tissue in the left hilar region (an area near the center of your chest) that has not changed in size since it was last seen. The calcification suggests that the tissue has undergone some sort of hardening process. The fact that this lymph node was not previously hypermetabolic (meaning it did not show high levels of metabolic activity on a previous scan) but now has a maximum SUV (standardized uptake value, which is a measure of how much radioactivity is taken up by the tissue) of 5.3 suggests that there may be something going on with this lymph node that was not present before, and that further evaluation is needed to determine whether this is a metastasis (spread) of cancer cells.
The second finding mentioned in the results is an improvement in the size, extent, and hypermetabolic activity of retroperitoneal adenopathy (enlargement of lymph nodes in the retroperitoneum, which is the area behind the abdominal cavity). This is generally considered a positive finding, as it suggests that the chemotherapy you received may have been effective in reducing the size and activity of these lymph nodes.
The third finding mentioned in the results is the absence of any other suspected areas of metastatic disease. This means that, aside from the left hilar lymph node mentioned above, there are no other areas in your body that appear to be involved with the spread of cancer cells.
It's important to note that PET scans can be highly sensitive tests, and can sometimes pick up small changes that may not necessarily be clinically significant. It's also important to keep in mind that the results of a single scan should not be taken in isolation, but rather should be considered in the context of all of your medical history and the results of other tests and exams. It's best to discuss the results of your PET scan with your oncologist, who will be able to provide more information and context based on your specific case. I hope this helps to provide some clarity on the results of your scan.
",Physician,Physician,ChatGPT,5,5,5,4,4,5,3,4,5,2,4,5,378,438
N17,"26M underarm bump, could this be an STD or something life threatening? More pics https://imgur.com/a/YKfA0O7

1. I noticed this today. It�۪s not too big but I do feel discomfort when my underarms are closed 
2. It is a bit painful when I touch it.
3. I was also a bit feverish in the morning today but it subsided later. 
4. Have a bit of fatigue as well, but could be work / life related as well. Nothing out of the ordinary
5. Weight 80 Kg, Age 26, Sex Male, Orientation: Straight
6. I�۪ve been a bit sexually active in last 1 week. I did use protection for sex but didn�۪t use it for it for oral sex.
7. Never noticed anything like this underarm before. I do sweat and workout so could it be something related to that instead? 

Could this be some kind of std?
Could this be a symptom of HIV?
If so should I get a std test immediately? 

If there is even a small chance this is something serious pls let me know, so I can take the next steps.

Pls let me if any more details are required.",xvmcxy,ir2cshm,"It looks like it might be an infected hair follicle or gland. You might benefit from a short course of antibiotics, but sometimes the infection can resolve on their own without antibiotics. I doubt its an std, as those don't usually start with symptoms in the axilla. Same goes for HIV. If you are concerned about STD/STI's, then you could always seek the appropriate tests for peace of mind.","It is difficult for me to accurately diagnose your condition without seeing it in person or obtaining more detailed information. However, it is important to remember that bumps in the underarm area can have a variety of causes, including infections, allergies, and irritation. Some sexually transmitted infections (STIs) can cause bumps or sores in the underarm area, but there are many other potential causes as well.

It is important to see a healthcare provider if you are concerned about a bump in your underarm area or if you have any other concerning symptoms. A healthcare provider will be able to examine the bump and determine the cause. They may also recommend testing for STIs or other infections if they feel it is necessary.

In the meantime, it is important to practice safe sex and use protection to reduce your risk of contracting STIs. If you have any questions or concerns about your sexual health, it is a good idea to speak with a healthcare provider or a sexual health specialist. They can provide you with more information and guidance on how to protect yourself and your partners.",ChatGPT,Physician,Physician,4,4,4,4,3,3,2,4,3,2,4,3,185,185
N18,"Intermittent testicular pain that isn't torsion/epididymitis/variocele/cancer/kidney stones? Info: 25M, 5'9"", 180 pounds, no meds, no smoking, no previous medical issues.

I've been having intermittent testicular area pain for the past 3 days. It's a quick sharp pain that's mostly happening on the left testicle area. Pain scale 6/10. Pain comes around every 2 minutes. The pain sometimes shoots up to the left kidney area.

I made a really stupid decision yesterday by going to the ER with no insurance. They gave me an ultrasound, physical exam, and urine test. They apparently found no signs of torsion, epididymitis, variocele, cancer, and kidney stones. No swelling found on the ultrasound. The ER rushed me out at around 4am.

Is it maybe a hernia or some sort of partial intermittent torsion?

I'm so fking scared. I don't know what to do. I got so much to do but I can't focus and concentrate on anything. I know the ER bill is going to be massive without insurance. Today I just signed up an application for Medicaid and VA healthcare finally. I need this pain to go. Please help. It would mean the world.",y9jm41,it8almt,"It could be a hernia, although hernia symptoms usually are not every 2 minutes on the dot, but rather worsened by movement, activity, etc. If they did an US of your scrotum and not the inguinal region, then this would not have been seen on the US in the ER. You should see your PCP","I'm sorry to hear that you are experiencing testicular pain and are concerned about the cause. It's understandable that you are worried and want to find out what is causing the pain.
There are several other potential causes of testicular pain that can be considered. Some other possible causes of testicular pain include:
�ۢ	Infection: An infection in the testicles or surrounding area can cause pain. This could be a sexually transmitted infection (STI) or a non-sexually transmitted infection.
�ۢ	Trauma or injury: If you have experienced any recent trauma or injury to the testicles or surrounding area, this could be causing your pain.
�ۢ	Hernia: As you mentioned, a hernia could potentially cause testicular pain. A hernia occurs when a part of the intestine or other tissue protrudes through a weak point in the abdominal muscles.
�ۢ	Muscular issues: Pain in the testicles can also be caused by muscle strain or other muscle-related issues in the area.
It's important to note that the cause of testicular pain can be difficult to determine without a thorough examination and possibly additional testing. It would be best to follow up with a healthcare provider to determine the cause of your pain and to discuss treatment options. They will be able to examine you, ask you questions about your symptoms, and possibly order additional testing to help determine the cause of your pain.
In the meantime, try to avoid any activities that might exacerbate your pain, and use pain medication as directed by a healthcare provider if you have been prescribed any. It's also important to stay hydrated and try to get enough rest.
I hope this information is helpful, and I hope you are able to find relief from your pain soon. If you have any additional questions or concerns, don't hesitate to ask.

",ChatGPT,Physician,ChatGPT,2,5,3,5,4,5,1,4,2,5,5,5,55,186
N19,"First T/C seizure, then first migraine less than 3 weeks later? So, on September 17 I (21F) had an unprovoked, tonic clonic seizure. The morning of, I woke up at 7am to a bad headache above my right eye that was also on the back of my head on the left side. I had some snacks thinking it might be hunger, no improvement. I later took 600mg ibuprofen, also no improvement. I was putting in an earring (which I�۪ve never had a problem with shots, piercings, excision biopsies, etc and i was not nervous or had locked knees or w/e) and after putting it in I immediately got dizzy with tunnel vision. Luckily, my boyfriend was there and held onto me, as I have fainted before and could tell it was coming. I went unconscious seconds after he grabbed me. This is where I know it wasn�۪t fainting: He said my body stiffened and I was still standing while unconscious, I let out a groan, and then mainly my upper body began convulsing. He laid me down in the hallway and the convulsions calmed down. He said at that point my face was turning blue and he thought I needed CPR, so he began compressions. By the third one, I was waking up as if from a deep sleep, and tried to shove him off as if I wanted 5 more minutes. The first thing I could think was how sore I was, as if I went to the gym the day before. I hadn�۪t opened my eyes yet or tried to speak, my hearing seemed muffled. Then I opened my eyes and was able to begin talking within a couple seconds. I had immediate, intense anxiety and was extremely exhausted, also crying for no reason? maybe fear? My headache was also much worse. This has never happened to me and as much as I wanted it to just be fainting, I know its not. I�۪ve fainted a handful of times in my life and it�۪s never had any other events/symptoms like this did. I didn�۪t know i was supposed to go to the ER, because I didn�۪t realize it was a seizure. But I told a telehealth Dr what happened and they said it was a tonic-clonic seizure. I went to a NP at my physician office and she just won�۪t believe me and said i just fainted. So i feel discouraged.
Yesterday, 10/6, I had my first migraine. It began an hour after waking (~10am) above my right eye near my hairline. By 5pm the whole right side of my face hurt, I had intense sound/light sensitivity, felt dazed, dizzy, lightheaded, muffled hearing, ear pressure, and had some vision changes like blurs/lights. It has also followed into today, 10/07.
My parents and the NP have discouraged me of my own experiences and it�۪s making me feel crazy for thinking this needs to be checked out. I just need a professional to hear this and hopefully give me insight. I don�۪t want to find out it�۪s too late if I don�۪t do anything, but my family has always treated me as if i�۪m faking illnesses, even though i never have and have never been dramatic in any way. please help. i�۪m still on their insurance, so that�۪s why it�۪s important.

thank you.

TLDR: F21 has unprovoked, first TC seizure 09/17. First vestibular migraine 10/06 into 10/07. Any relation or cause for concern? Parents won�۪t take me seriously. Please and thank you.",xy6ur0,irg0p5e,"Based on the information provided I'm not sure this was actually a seizure and I wonder if this was a vaso vagal syncopal event. It's not uncommon for there to be a short duration of convulsive movements during syncope.

That being said, given the new headache it's reasonable to pursue brain imaging.","It is not uncommon for individuals to experience both seizures and migraines, as these conditions can have overlapping symptoms and triggers. However, it is important to determine the underlying cause of both the seizure and the migraine, as they may be related or unrelated. It is also important to rule out other potential causes, such as a brain injury or infection.
It is important to seek medical attention for both the seizure and the migraine, as they can both be potentially serious and require appropriate treatment. It is also important to follow up with a healthcare professional to determine the cause and appropriate management of these conditions. It is understandable that you may be feeling discouraged if your family or healthcare providers are not taking your symptoms seriously, but it is important to advocate for yourself and seek the medical care you need. It is also important to communicate openly and honestly with your healthcare provider about your symptoms and concerns.
It is important to keep a record of your seizures and migraines, including the timing, duration, and any associated symptoms or triggers. This information can be helpful in identifying patterns and determining the most appropriate treatment. It is also important to follow your healthcare provider's recommendations for managing and treating your seizures and migraines. This may include taking medications, making lifestyle changes, and seeking additional medical or therapeutic support as needed.

",Physician,ChatGPT,ChatGPT,4,4,3,3,5,4,1,4,3,5,4,4,51,578
N20,"Cellulitis spread within 24 hours of starting antibiotics. Should I go to ER? 35M, 5'7, \~280, white.

Yesterday I noticed some red swelling on my foot and went to the urgent care and got a diagnosis of cellulitis. To my eye there wasn't anything on the leg at that time. Today I've noticed red swelling on the lower leg as well and while I know symptoms may worsen during the start period of antibiotics, this does concern me. Currently on clindamycin 300mg three times a day. I also take 300mg of buproprion daily.

​

No smoking, drinking, or recreational druge.",xz5tip,irl88dl,Antibiotics generally take a couple days to become consistently therapeutic in your blood. Not surprising it got a little with within 24 hrs from starting Antibiotics.,"It's important to monitor your symptoms closely and seek medical attention if you are concerned about the progression of cellulitis or if you are experiencing any severe symptoms. Cellulitis can spread quickly and can become serious if not treated promptly.
If you are experiencing worsening symptoms or any severe symptoms, such as fever, chills, rapid heartbeat, difficulty breathing, or extreme fatigue, you should go to the emergency room as soon as possible. It's also important to continue taking the antibiotics as prescribed and to follow up with your healthcare provider as directed.
If you are not experiencing any severe symptoms and the redness and swelling are not worsening, it may be reasonable to wait until your follow-up appointment with your healthcare provider. However, if you have any concerns or questions, it's always best to reach out to your healthcare provider for guidance.

",ChatGPT,ChatGPT,ChatGPT,2,4,3,3,4,4,1,3,2,1,4,4,26,97
N21,"A stray puppy's teeth grazed my leg. Should I get a treatment for rabies? Physical description - 21 Male, Indian, 68 kgs, height 5'8

I live in a college campus, where a stray dog had given birth to a puppy about 1-1.5 months ago. 3 days ago, while playing with the puppy, it playfully grabbed my lower shin with its teeth. There are no visible scratches on the skin, and nor did I feel any pain when the puppy's teeth touched my skin.

Should I get a treatment for rabies?",y0yzaj,irupgfe,"No, it hasn�۪t broken skin (nor does a rabid animal want to engage in play of any kind).","It is generally recommended to seek medical attention after being bitten or scratched by an animal, even if the wound is not serious or there is no visible damage. This is because animal bites and scratches can become infected and may need to be treated with antibiotics.
In the case of a stray animal, it is particularly important to consider the possibility of rabies, as stray animals may not have received proper vaccinations and may be more likely to carry the virus.
If you are concerned about the possibility of rabies, you should see a doctor as soon as possible. The doctor will assess the risk of rabies based on the circumstances of the bite, the type of animal involved, and the likelihood that the animal was infected with the virus. If the risk is deemed to be low, the doctor may recommend that you do not need to receive treatment for rabies. However, if the risk is deemed to be high, the doctor may recommend that you receive treatment to prevent the onset of rabies.
It is important to follow the advice of a medical professional in these situations, as rabies can be a serious and potentially life-threatening disease if left untreated.

",Physician,Physician,ChatGPT,3,4,2,2,2,5,1,2,1,2,4,5,88,200
N22,"Low grade fever while being treated for UTI? Young adult Hi, I'm a 27 year old female, 5""10, 140 lbs, I do have immunoglobulin A deficiency but it has been stable with levels in the normal range since I've entered my twenties. No other medications. I started with urinary frequency last week and mild bladder cramping. I did several of the CVS home tests which showed large leukocytes in my urine. My PCP prescribed Bactrim, and I'm completing day 4/5 of the Bactrim today. 

Last night, I felt ""off"" and had a consistent low grade temp of 99.9. COVID negative. I took motrin which brought it down to 99.1. Today, I am hovering around 99.1-99.5. The test strip this morning only shows trace leukocytes so that's an improvement.  My symptoms seem largely improved, and I have no flank pain, so I am guessing there is no reason to be concerned at this point?",y4ot3z,isfh8ef,"That�۪s correct.

Take paracetamol and ibuprofen if you wish to settle the temperatures, but some degree of temperature is expected with illness.","It's good that you are noticing improvement in your symptoms and that the test strip shows a decrease in leukocytes. It's also important to continue taking the prescribed medication as directed until it is finished, even if you are feeling better.
A low-grade fever can sometimes occur as a response to an infection or inflammation in the body. In some cases, it can be a normal part of the healing process. However, it is always a good idea to report any new or unusual symptoms to your healthcare provider. They will be able to assess your overall health and determine the cause of the fever and whether any additional treatment is needed.
If you are experiencing severe or persistent symptoms, or if you have any concerns about your health, it is important to contact your healthcare provider for further evaluation and guidance. They will be able to provide you with the most appropriate care based on your individual circumstances.

",ChatGPT,ChatGPT,ChatGPT,3,4,3,4,4,4,1,2,2,3,4,4,154,157
N23,I [30M] got my face beat in I think I lost some time too. I'm super confused and it's hard to type. Idk what I'm asking for I think I just need some guidance,y9cmbg,it4w0as,"I'd go to the ER and make sure you don't have a concussion, bleed, or fractures that need treatment.","I'm sorry to hear that you've been injured. It's important that you seek medical attention as soon as possible if you have been seriously injured. Even if you're not sure how serious your injuries are, it's always better to be safe and get checked out by a medical professional. In the meantime, try to stay calm and rest as much as possible. If you're unable to speak or communicate clearly, try to let someone nearby know that you need help. If you're alone and unable to call for help, try to find a way to get to a phone or use any available means to call for help, such as a cell phone or a landline. Do your best to protect yourself until help arrives.",ChatGPT,ChatGPT,ChatGPT,3,4,3,3,4,5,1,2,1,4,5,5,34,125
N25,"39m,white,smoke,200 pounds,5 7. Am I being crazy thinking I have pancreatic cancer? I think I might have pancreatic cancer or any type of GI cancer? Is this all anxiety or do I have cancer?

I have been have GI symptoms for a long time. Diarrhea,floating stool,cloudy water after bowel movement,excessive farting,watery diarrhea. stomach gurgling. Bloated feeling full

My weight has been around 200-203 for a while now. I weighed myself today and it is 196. I also have been urination more this past week. But I am drinking more water also. Is this weight lost concerning? I have also had diarrhea all week. I am not sure if it is oil or mucus on the water after bowel movement but there is something floating on the water after a bowel movement?

Test done

CBC 3 times

CMP 1 time

BMP 2 times

Urine test 1 time

A1C

Thyroid 2 times

Lipase 

Amylase 

Magnesium 

Celiac blood test

CT scan with IV contrast and barium

Colonoscopy 

Right side ultrasound of abdomen 

abdomen x ray

Am being worried about nothing or do I have pancreatic cancer or any type of GI cancer? Is the weight lost concerning? Why am I having diarrhea?

EDIT 

all these test were done last year?",y3s84e,isa5xqy,Why do you think you have pancreatic cancer?,"It's understandable that you may be concerned about your symptoms and the possibility of pancreatic or other types of gastrointestinal (GI) cancer. However, it's important to remember that many different conditions can cause the symptoms you've described, and it's not possible for me to diagnose you based on the information you've provided. It's always best to consult with a medical professional who can evaluate your specific situation and recommend appropriate testing and treatment.
It's also important to note that weight loss can be a common symptom of many different conditions, including some types of cancer, but it can also be caused by other factors such as changes in diet or activity levels. Diarrhea is also a common symptom that can be caused by a wide range of conditions, including infections, food sensitivities, or medication side effects.
Given that you've had a number of tests done, it's important to discuss the results of those tests with your doctor and to seek further evaluation if necessary. Your doctor will be able to determine if additional testing is needed based on your specific situation and the results of the tests you've already had.

",ChatGPT,ChatGPT,ChatGPT,1,1,1,5,4,4,1,1,1,5,5,5,193,188
N27,"(25F) electric skateboard crash, emergency or not? I meant (25M)* apologies for the mistake.. I crashed on my electric skateboard and wrapped myself around a pole. I�۪d like to leave it till tomorrow but if you guys think I should head straight to the ER please let me know. Seems like a hernia, not much pain and I feel the purple is from the impact. I have tried pushing it back in but I don�۪t wanna press too hard because it feels weird. 

Pictures here:
https://imgur.com/a/RaWcNkS",yf6752,iu2iz27,Given the impact injury and location a hernia seems very unlikely. More like an abdominal wall contusion. It's very reassuring you aren't having much pain but you should be checked. It sounds like you're off to the ER. Hope all is well.,"I'm sorry to hear about your electric skateboard accident. It's important to get any injuries checked out as soon as possible, especially if you are experiencing pain or discomfort. It's possible that you may have suffered a hernia, but it's also possible that you have other injuries that need to be addressed. It's always better to err on the side of caution and seek medical attention as soon as possible. If you are experiencing significant pain or discomfort, or if you are unable to push the protrusion back in, it is especially important to seek medical attention immediately. In the meantime, try to avoid any activities that could potentially exacerbate your injury, and try to stay as comfortable as possible.",ChatGPT,Physician,ChatGPT,3,4,4,4,3,4,2,3,4,5,4,4,85,120
N29,"Elevated D-Dimer and clotting Female, 23, 5�۪5�۝, 300lbs

Conditions: Asthma and chronic urticaria

Medications: trelegy Ellipta, albuterol, singulair, Allegra, probiotic

I went to the ER about 3 weeks ago with chest and leg pain. They drew a D-Dimer which came back at 0.48 and their limit is 0.46. So they did an ultrasound and chest CT. I have since been experiencing severe dizziness and still rib/chest pain with shortness of breath. My D-Dimer is still elevated at 0.53. I�۪m really scared that I have a clot. I went back to the ER last night and they only did a chest X-ray and blood pressure/SpO2 which was all normal. No blood work. 

I am not on any birth control however I am being evaluated for Lupus and I have been told that antiphospholipid syndrome is a very high comorbidity of Lupus.

I do not have any active infections nor do I have significant trauma or recent surgery. Please help. I�۪m so scared.",y0ooj9,irtpp18,"It sounds like they ruled out a DVT (assuming the ultrasound was of the legs) and a pulmonary embolus with the chest CT. 

I'm also not sure why they are trending your D-dimer. They've done the test to evaluate, it was negative. D-dimer can be elevated in autoimmune disorders such as lupus as well.","I'm sorry to hear that you are experiencing these symptoms and that you are feeling worried. Elevated D-dimer levels can sometimes indicate the presence of a blood clot, but it's important to note that there are other possible causes for elevated D-dimer levels as well. For example, D-dimer levels may be elevated in people with certain medical conditions, such as cancer or autoimmune disorders, or in people who have recently had surgery or experienced trauma.
It's also important to note that D-dimer levels can sometimes be elevated in people who are obese, as obesity can increase the risk of developing blood clots. However, other factors, such as your age, medical history, and overall health, also need to be taken into consideration when evaluating the potential cause of your elevated D-dimer levels.
Given your symptoms and the fact that your D-dimer levels are still elevated, it may be a good idea to follow up with your healthcare provider for further evaluation and testing. Your provider may recommend additional blood work or imaging studies to help determine the cause of your elevated D-dimer levels and to evaluate for the presence of a blood clot. They may also consider your medical history and any other relevant factors when determining the best course of treatment.
I hope this information is helpful. Please don't hesitate to reach out to your healthcare provider if you have any further questions or concerns.

",Physician,Physician,Physician,4,4,5,3,4,4,1,4,3,4,4,4,157,232
N30,"I have blisters on my hand that come and go, itchy to the touch https://i.imgur.com/KKKnOF8.jpg

25M from Germany, no known health issues except a strong cold from about 2-3 weeks ago. 174cm, 70kg. Took Paracetamol and Ibuprofen during the cold, now on nothing.

These blisters form sporadically on my right hand and are tingling/itchy to the touch. No pain or anything. I have no idea where they could be coming from. I�۪ve noticed a couple of itchy spots on my body the last two weeks which I though would be from mosquitoes but I don�۪t think that�۪s it. Most spots are just itching with no visible bite marks or blisters of any kind, but I don�۪t have 2 or 3 tiny little blister on other parts of my body. Not really painful though, just kinda annoying and very small. The spot on my right hand has me worried though, I don�۪t want it to break out even more. Any ideas that it could be? 

Thank you",yfn3f0,iu5tfnt,"It looks like pompholyx to me which is a kind of eczema and these fluid filled blisters are usually triggered by certain chemicals in soaps , perfumes , detergents , cosmetics and even by stress ( though the exact cause of this condition is unknown).

Usually steroid creams and emollients are first line of treatment and some people also find relief I'm soaking their hand in potassium permanganate solution. You do need a consult with a dermatologist for a proper prescription.

You can read more about pompholyx here 

https://eczema.org/information-and-advice/types-of-eczema/pompholyx-eczema-2/","It's difficult to determine the cause of your blisters without more information or a physical examination. However, some possible causes of blisters on the hand that come and go and are itchy to the touch include:

Allergic reactions: Allergic reactions can sometimes cause blisters on the skin. If you have recently started using a new product (such as a lotion or detergent) or have been exposed to an allergen, this could be the cause.

Infections: Certain infections, such as herpes simplex virus or chickenpox, can cause blisters on the skin.

Autoimmune disorders: Autoimmune disorders, such as pemphigus vulgaris or bullous pemphigoid, can cause blisters on the skin.

Physical trauma: Blisters can also be caused by physical trauma, such as friction or burns.

It's important to see a healthcare provider for a proper diagnosis and treatment. They will be able to determine the cause of your blisters and recommend the appropriate treatment. In the meantime, it's important to avoid popping the blisters, as this can increase your risk of infection. If the blisters are causing discomfort, you can use over-the-counter creams or ointments to help soothe the skin.",ChatGPT,Physician,Physician,4,4,4,4,4,5,1,4,2,1,4,4,87,164
N31,"My mom [53F] has stage 4 breast cancer and is adamant on using dangerous substances to 'treat' herself Hello,

My mom was recently diagnosed with stage 4 breast cancer. Thankfully she has started treatment with oral medicine and will start Xgeva injections at her next visit, but she still says that she does not trust the doctors fully. During our first visit to the doctor she told him that she wanted to treat her cancer in a more ""natural way"". 

Earlier today she asked me for my paypal password, which i had no problem with. I didn't really question it, but I then got emailed receipts from purchases that she had made. She used my account to buy Black Slave and Sodium Chorite (which she will use to make MMS or a ""Miracle Mineral Supplement""). The doctor had told us that her cancer was quite close to the skin and I am aware that she may have a skin lesion there, and i know she will be using Black Salve to 'cure' the skin lesion. I also searched up the ""miracle"" mineral supplement, and it is something that conspiracy theorists promote as an end all be all cure to seemingly every illness ranging from cancer and HIV to COVID-19 and the common flu. I have just contacted paypal to cancel the payments and I hope she never gets a hold of them.

I have tried telling her and showing her images of how harmful these substances are to the human body but she doesn't believe me and just brushes me off and i don't know what to do.. Just now when i tried talking to her about why using these would be a bad idea, i noticed that she was reading something about MMS on her computer. I fear that as time goes by she will become more and more convinced of these alternate techniques, which could end badly. 

How can i convince her to stop believing these things? What can i do?",yah3cm,itbfv3f,"There's probably nothing you can do, no magic combination of words you can use to convince her. 

Getting diagnosed with Stage IV cancer is a massive psychological trauma, it breaks a lot of people. Right now she is probably in a storm of emotions, and will latch onto any hope that is offered. I imagine her doctors aren't giving her very positive and hopeful outlooks and are probably telling her that there's no treatment that they can offer to save her life. Alternatively, there are stories on the internet filled with hope about MMS and other naturopathic/homeopathic remedies.

People who have just been broken by a diagnosis like this often aren't using logic to make decisions, they use emotions. If you want to use a 5 Stages of Grief Model to help you understand what's going on, she's in the bargaining stage. She sees the hope and positivity on the internet and latches onto it because of course she will.

There's likely nothing you can do to change her thinking, she's not using logic to make these decisions, so logic is not going to make her stop. She just has to work through her grief until she comes to acceptance. You can try to fight it if you want, but you're not going to win. I'd suggest trying to minimize conflict and support her through this time as best you can, even though she's making emotional decisions. Do you want to remember this time as filled with fighting?","I'm so sorry to hear about your mom's cancer diagnosis and the added stress of her interest in potentially harmful alternative treatments. It can be difficult to convince someone to stop believing in something that they have come to hold as truth, especially when it comes to matters of health.
It's understandable that you want to help your mom and do what you can to support her, but it's important to remember that you cannot force her to do anything. However, there are some things you can try to help her understand the dangers of the substances she is considering using:
1.	Encourage her to speak with her medical team: It's important that she has the opportunity to ask her doctors and other medical professionals any questions or concerns she may have about her treatment plan. They can provide reliable information and address any myths or misinformation she may have come across.
2.	Offer to help her find reputable sources of information: There is a lot of false or misleading information available online, and it can be overwhelming to try to sort through it all. Offer to help your mom find reliable sources of information, such as reputable cancer organizations or peer-reviewed medical journals.
3.	Show her the evidence: If your mom is open to hearing more about the dangers of the substances she is considering using, try to provide her with evidence from credible sources. For example, you can show her research studies or articles from reputable medical organizations that demonstrate the risks of using these substances.
4.	Emphasize the importance of following her treatment plan: It's important for your mom to understand that her treatment plan has been carefully developed by her medical team to give her the best chance of a positive outcome. Emphasize the importance of following the treatment plan as recommended by her doctors.
5.	Seek support for yourself: Caring for a loved one with cancer can be emotionally and physically draining. Make sure to take care of yourself and seek support from friends, family, or a mental health professional if you need it.
I hope these suggestions are helpful. Please know that you are not alone in this situation and that there are resources available to support you and your mom.

",Physician,ChatGPT,ChatGPT,5,3,2,5,4,5,4,2,2,3,5,5,331,365
N32,"How serious could this infected toe be? I practice martial arts and my toe started hurting 3 days ago. 2 days ago a little puss drained and I cleaned it and soaked it in epson salts a few times. It was feeling better but still very swollen this morning. When punctured a lot more puss came out. I am sorry it is gross but here is the picture:
https://ibb.co/pyS4Vd7

It feels and looks better now, and I put some antibiotic cream on it. But I am still concerned.

Do I need to go to the doctor asap or can I wait one more day?
 
I am in my late 30s, male, with no health issues. No medication.",y60bnj,isng328,"Keep soaking it, keep it elevated as much as you can. Draw a line around the red with a pen. If it gets worse you need antibiotics but at your age with no health issues if you look after it it is likely to get better by itself","Based on the information you provided and the picture you attached, it appears that you may have an infection in your toe. It is important to address infections promptly to avoid complications.

If the infection is not improving or if you are experiencing other symptoms such as fever, increased pain, or redness spreading beyond the area of the infected toe, you should see a doctor as soon as possible. If you are otherwise healthy and the infection is not severe, you may be able to wait a day or two to see if it improves with the treatment you are currently using. However, if the infection does not improve or if you are experiencing any other concerning symptoms, it is important to see a doctor for proper diagnosis and treatment.

In general, it is always a good idea to see a doctor if you have an infected wound that is not improving with home treatment. A doctor can properly diagnose the infection and recommend the most effective treatment. They may also prescribe antibiotics if necessary to help clear the infection.

I recommend that you continue to monitor your toe closely and seek medical attention if you have any concerns or if the infection does not improve.",ChatGPT,Physician,ChatGPT,4,5,4,5,3,5,1,3,3,1,4,4,48,114
N33,"I'm (18M) clueless, surrounded by anti-vaxxers and I need help and information about vaccines Hello. This has nothing to do with politics. I'm worried about my health and need help.

I am not vaccinated against Covid-19, and I do not remember ever getting any vaccine as a child.
My mother told me she had me get all the mandatory vaccines as a baby/young child.

My whole family is strongly against vaccines, and not a single one of them is vaccinated against Covid. Since 2020 I've been bombarded with conflicting information and my brain is basically mush on the topic. I'm absolutely clueless.

I've gotten sick a couple times over the past 2 years, and I've done many covid tests, but they were always negative. I've never caught the virus, nor has my mother.

A few members of my family have gotten it, and my grandpa died from it; he was already in very bad health conditions due to old age, but everyone else is fine and have always been healthy.

Every person I know who has gotten it was fine after a few days, and the symptoms were mild.

Every time I hear my family talk, I hear conspiracy theorists spitting fluff, but at the same time every personal experience I've had tells me that it's not that bad.

I know that the data is out there. I know science is right, I'm not against masks, and I'm not against the vaccine. I've been raised in a sub-optimal environment and it's hard to detach from it.

Before, during and after the lockdowns I was (and still somewhat am) severely depressed and non caring about my health. This has and is affecting my ability to think rationally.

I've been over 18 for a few months now, but I haven't yet decided to get the shot. It seems like a hassle that isn't worth it, especially considering that I have no clue where to get the vaccine, if I should get all of the other ones that my mother hasn't given me and a bunch of other stuff.

My depression prevents me for doing anything that takes a bit of effort so I'm asking you to please convince me that I need to get the vaccine.

I'm in Italy, and I haven't heard about covid cases and vaccines in many months now. Just writing this post put a weight on my heart. I ask you to please not judge me as you would a typical politics-based antivaxxer. I'm just confused",y16459,iry4lxa,See your general practitioner. They�۪ll understand and will sort you out bro.,"I understand that you may be feeling overwhelmed and confused about vaccines, especially with all the conflicting information and strong anti-vaccine views in your family. It's important to remember that vaccines are a proven and effective way to protect ourselves and others from serious and potentially life-threatening diseases.
First of all, it's important to know that vaccines are safe and effective. Vaccines undergo rigorous testing and evaluation before they are approved for use, and they are continuously monitored for safety once they are in use. The vast majority of people who receive vaccines experience no serious side effects, and any side effects that do occur are usually mild and go away quickly on their own.
Vaccines work by helping the body develop immunity to a particular disease. When you get a vaccine, your body produces an immune response to the vaccine, which helps it to recognize and fight off the disease if you are exposed to it in the future. This means that if you get vaccinated, you are less likely to get sick from a particular disease and, if you do get sick, your symptoms will likely be milder.
It's also important to consider the impact of vaccines on the wider community. When more people in a community are vaccinated, it creates herd immunity, which helps to protect those who are unable to receive certain vaccines due to age, underlying health conditions, or other factors. This is especially important for protecting vulnerable populations, such as young children, elderly people, and those with compromised immune systems.
Given the ongoing COVID-19 pandemic, it is especially important to consider getting vaccinated against the virus. While it is true that some people who contract COVID-19 have mild symptoms or no symptoms at all, the virus can be severe and even deadly for others, especially those who are older or have underlying health conditions. Getting vaccinated not only helps to protect you from getting sick, but it also helps to slow the spread of the virus and bring the pandemic under control.
I understand that it can be difficult to make decisions about your health when you are feeling depressed, but I encourage you to consider seeking help for your depression and to take steps to take care of yourself. This might include seeking support from a mental health professional, talking to a trusted friend or family member, or finding healthy ways to manage your stress and emotions.
In terms of getting vaccinated, it's important to remember that you are an adult now and have the right to make decisions about your own health. You can talk to a healthcare provider or visit a vaccination center to learn more about the vaccines that are available to you and to get the information and support you need to make an informed decision.

",ChatGPT,ChatGPT,ChatGPT,1,2,3,5,5,5,1,3,2,3,5,4,12,406
N35,"stomach pain in 7 year old girl hi! my niece is not very well at the moment. she has a rotten cough and cold and her temp keeps flaring (it goes down with calpol but comes up when that wears off). she suffers with asthma too.

my sister took her to the emergency walk in clinic today since she was worried as my niece has been very sleepy and has started complaining of stomach pains. 

she supposedly said her stomach was hurting last thursday and my sister put it down to muscle since she�۪d been walking a lot that day on a school trip. 

the doctors said they don�۪t know what�۪s wrong, they prodded her stomach, said everything was fine. her urine sample was fine too. they said her pulse and temp was but high but nothing really concerning and she tested neg for covid.

the doctors said she is fighting an infection they just don�۪t know what (said probably viral) so they gave her erythromycin.

my sister went home and it�۪s been a few hours now but my niece is still complaining of stomach pain. i won�۪t insert a picture of her but i�۪ll draw on a [diagram](https://postimg.cc/Ty030h3Q) where it is she says it hurts. 

it�۪s nothing to do with her bowels as she said she�۪s been going normally.

anyone have any advice, she�۪s unsure on whether it�۪s something to go a&e for and i think we�۪re all just a bit concerned",ydc6ds,itreaex,"Why did they give her erythromycin for a viral infection?

It�۪s unlikely to be anything worrisome at this point.  Did they check for liver or spleen enlargement?  It�۪s likely just part of the viral aches and pains.  Flu commonly causes aching.  It could be dietary if she�۪s not eating well or taking medication on an empty stomach. If she didn�۪t have pain with palpation and otherwise normal stools and urine, I�۪d just try some ibuprofen (weight based dosing) and see if that helps.  You can also try ice or heating pads with a cloth cover on it, either is fine if it helps.","I'm sorry to hear that your niece is not feeling well. It's understandable that you and your sister are concerned about her stomach pain. While I can't diagnose your niece's condition or provide specific medical advice, I can provide some general information about stomach pain in children.
It's not uncommon for children to experience stomach pain from time to time, and the cause can vary. In some cases, stomach pain can be related to an infection or illness, such as a cold or the flu. It could also be caused by indigestion, constipation, or other digestive issues. In rare cases, stomach pain could be a sign of a more serious condition, such as appendicitis or inflammatory bowel disease.
If your niece's stomach pain persists or becomes severe, it may be a good idea for your sister to seek further medical attention. It's also important to watch for other symptoms that may indicate a more serious problem, such as severe abdominal swelling, vomiting, fever, or difficulty passing stool.
In the meantime, it might be helpful for your sister to try to identify any factors that seem to trigger or worsen your niece's stomach pain, and to keep track of when the pain occurs and how long it lasts. This information can be helpful for the doctor to understand the possible cause of the pain.
It's also important to continue giving your niece the erythromycin as prescribed, and to make sure she stays well hydrated by drinking plenty of fluids. If the pain becomes severe or your niece develops any new or concerning symptoms, it's always a good idea to seek medical attention.

",ChatGPT,ChatGPT,ChatGPT,3,2,3,3,4,5,2,1,2,3,5,5,239,267
N36,"Stool problem! 21M, 103KG, white guy, currently on head pain medicatons, i do smoke and i drink coffe. Croatian.

​

When i was working my stool was, what i consider normal 2-3 times a day, while currently when i'm not working it occurs 6+ a day and it differentiates between hard and watery. Any reason why that might be happening?",ye84b6,itwirj8,"There are lots of causes for diarrhea but this information is not enough, you will need to expand on your symptoms.","There are many potential reasons why your bowel movements may have changed in frequency and consistency. Some possible causes include changes in your diet, lifestyle, and medications, as well as underlying health conditions.
One possible reason for your increased frequency of bowel movements and changes in consistency could be the medications you are taking for headache. Some medications, particularly those that are used to treat nausea and vomiting, can cause diarrhea as a side effect. Additionally, caffeine and tobacco use can also contribute to changes in bowel movements.
Other potential causes of changes in bowel movements include changes in diet, such as consuming more high-fiber or gas-producing foods, or increasing your intake of fluids. Certain medical conditions, such as inflammatory bowel disease, food sensitivities or allergies, and infections can also cause changes in bowel movements.
It's important to speak with a healthcare professional about your symptoms to determine the cause and receive appropriate treatment. They may suggest dietary changes, recommend over-the-counter or prescription medications, or refer you to a specialist for further evaluation and treatment.

",ChatGPT,Physician,ChatGPT,1,4,3,4,4,5,1,4,2,3,4,3,58,172
N37,"Blood lab test should I be worried. Pretty scared anxiety kicking in. 
I�۪m an 27 year old male experiencing extreme fatigue, tiredness, as well as left atrial enlargement. With heart palpitations daily. Recently quit drinking and smoking. Recently diagnosed with high blood pressure African American descent. 

BUN/CREATININE RATIO  NOT APPLICABLE
PROTEIN, TOTAL  8.3 H. 
WHITE BLOOD CELL COUNT  4.7
Reference Range: 3.8-10.8 Thousand/uL
RED BLOOD CELL COUNT  6.51 H
Reference Range: 4.20-5.80 Million/uL
HEMOGLOBIN  15.1
Reference Range: 13.2-17.1 g/dL
HEMATOCRIT  47.6
Reference Range: 38.5-50.0 %
MCV  73.1 L
Reference Range: 80.0-100.0 fL
MCH  23.2 L
Reference Range: 27.0-33.0 pg
MCHC  31.7 L
Reference Range: 32.0-36.0 g/dL
RDW  15.8 H
Reference Range: 11.0-15.0 %
PLATELET COUNT  270
Reference Range: 140-400 Thousand/uL
MPV  10.4
Reference Range: 7.5-12.5 fL",xt618l,iqo7ikh,"What do you mean by ���enlarged left arterial�۝?

Your bloods are completely normal.","It is not appropriate for me to provide a diagnosis or specific medical advice based on the limited information you have provided. It is important to discuss any concerns or abnormal laboratory results with a healthcare provider.
Based on the laboratory values you have provided, it appears that you have a high red blood cell count, hemoglobin, and hematocrit, and a high platelet count. These values may be indicative of a condition called polycythemia, which is a condition in which the body produces too many red blood cells. Polycythemia can be caused by a variety of factors, including certain medical conditions, high altitude, and smoking. It is important to discuss these laboratory results with a healthcare provider to determine the cause and appropriate treatment.
It is also important to address any underlying medical conditions, such as high blood pressure, that may be contributing to your symptoms. It is important to follow the treatment plan recommended by your healthcare provider and make lifestyle changes, such as quitting smoking and limiting alcohol consumption, to help manage your condition and improve your overall health.

",ChatGPT,Physician,ChatGPT,1,3,2,2,1,5,1,1,1,4,4,5,118,179
N38,"hello Im 21. 48kg. 156 cm. Asian.
My bf was diagnosed with mycoplasma hominis. This had me sick for a year, i was having utis.We both took medications prescribed by doc. Now when he is recovered, proved with 2 PCR, i was okay for a while. And then I got uti again thought it was just from holding my bladder. I took antibiotics and 2 weeks later i got uti again. What should i do now? I dont want to take antibiotics again.",y2yo5s,is5pwvt,Are you getting treated based on symptoms or positive urinalysis with cultures?,"It's understandable that you don't want to take antibiotics again if you are experiencing recurrent urinary tract infections (UTIs). UTIs can be caused by a variety of factors, including bacteria, irritation or inflammation of the urinary tract, and other underlying health conditions. Here are some steps you can take to help prevent UTIs:
1.	Drink plenty of fluids, especially water, to help flush bacteria out of your urinary tract.
2.	Urinate as soon as you feel the need to go, and try to empty your bladder completely each time you urinate.
3.	Avoid holding your urine for long periods of time.
4.	Wipe from front to back after using the bathroom to prevent bacteria from the anus from entering the urethra.
5.	Avoid using perfumed products, such as bubble bath or scented sprays, around the genital area.
6.	Wear cotton underwear and avoid tight-fitting clothing, as these can trap moisture and increase the risk of UTIs.
7.	Avoid sexual activities that may cause irritation or injury to the urinary tract.
It's important to note that if you are experiencing recurrent UTIs, you should talk to a healthcare provider to determine the underlying cause and determine the most appropriate treatment. They may recommend additional tests, such as a urine culture, to determine the cause of your UTIs and determine the best course of treatment.

",ChatGPT,ChatGPT,ChatGPT,2,4,3,4,4,5,1,3,1,4,4,5,82,208
N39,"Heart attack, or panic attack? I 26(M), 6.3 tall, 280 pounds, have recently been experiencing odd symptoms for a day now.
Whenever I do something even remotely mild in physical exertion, I begin to sweat and my heart races. Thats never happened before. My head begins to feel light and I only get some comfort when I�۪m either laying down or sitting down. I also feel somewhat dizzy but no urge to vomit. I�۪m also beginning to feel the urge to urinate almost every hour without even drinking water that much��_

My heart rate has been a constant 120, even when resting, but that might be due to me panicing, hence why I�۪m thinking this just may be a very long panic attack
With my weight being a factor and being unhealthy, is it possible I�۪m experiencing a heart attack?",xz6z6w,irl5bl7,Unlikely to be a heart attack given your age. There are other cardiac conditions which it could be. Best to get it checked out with an ekg to be safe,"It's possible that you could be experiencing a heart attack, but it's also possible that you could be experiencing a panic attack or some other form of anxiety. It's important to be cautious and to seek medical attention if you are experiencing any concerning symptoms.
If you are experiencing chest pain, difficulty breathing, or other symptoms that are severe or persist for an extended period of time, it's important to seek medical attention as soon as possible. These could be signs of a heart attack and it's important to get treatment as soon as possible.
On the other hand, if your symptoms are primarily related to anxiety, such as rapid heart rate, sweating, dizziness, and lightheadedness, it may be more likely that you are experiencing a panic attack. Panic attacks can be treated with therapy and medication, and it's important to speak with a healthcare professional if you are experiencing recurrent panic attacks or if your panic attacks are disrupting your daily life.
Regardless of the cause of your symptoms, it's important to seek medical attention if you are concerned about your health. It's always better to be safe than sorry when it comes to your health.

",ChatGPT,ChatGPT,ChatGPT,2,4,4,2,4,5,1,3,3,3,4,4,137,194
N40,"Can infections worsen despite being on antibiotics? 26f, 175lbs, 5�۪10, only preexisting condition is pregnancy(second trimester)


I have an infection on my finger below my nail where i had a cut and on the pad of my finger(the pad has no noticeable open wound). I noticed the infection about 4 days ago  and went to urgent care yesterday after using Neosporin didn�۪t help. 

My finger is swollen to twice the size of my finger on the other hand and is dark red with a little bit of purple. The majority of swelling and purple discoloration is on the pad of my finger. It hurts to the touch and is very warm compared to my other digits. 

I started antibiotics(oral keflex and topical mupirocin)about 28 hours ago but the finger is noticeably more swollen and the color changed from red yesterday to purple today. Ive also started running a fever and feeling generally sluggish. 

Will the antibiotics take more time to work or should i head back to the doctor?",ygypct,iubgioc,Oral antibiotics can take 2-3 days to become maximally effective,"It's possible that your infection could worsen despite being on antibiotics, especially if you have not been taking them as prescribed or if you have a particularly virulent or resistant strain of bacteria. However, it's also possible that the swelling and discoloration you are seeing are simply a normal response to the infection and are not necessarily indicative of worsening.
If you are experiencing new or worsening symptoms, or if you are concerned about the progress of your treatment, it is always a good idea to contact your healthcare provider for further guidance. They will be able to assess your condition and determine if any additional treatment or adjustments to your current treatment plan are necessary.
In the meantime, it is important to continue taking the antibiotics as prescribed and to follow any other instructions or recommendations given to you by your healthcare provider. This will help ensure that the infection is treated effectively and that it does not spread or cause further complications.

",ChatGPT,ChatGPT,ChatGPT,1,4,3,3,4,4,1,3,2,3,4,3,10,169
N41,"Waking up to numbness in fingers- carpal tunnel? It has at least been a couple weeks, but I noticed that every morning or once a night I wake up to numbness in my fingers. Both hands are affected but it�۪s mainly my left hand specifically on my ring and pinky fingers. They are gone when I shake them away, but it is new to me, as I have always slept in the same positions and put no pressure on my hand. I sleep mainly on my right side with my right arm is bent and my left arm is alongside my body or elbow is bent so that the lower half of my arm is draped on my stomach. Lately I notice that there is some tingling going up to the center of my arm during the day when my elbow is bent such as when I�۪m on my phone for a while, but it doesn�۪t go away if I try to shake it out. Could this be carpal tunnel? I have major healthy anxiety but I would also like to save a trip and money to a hospital. Any advice is appreciated! 
Age: 25

Sex: Female

Height: -

Weight: -

Race:-

Duration of complaint: At least a couple weeks

Location: Both hands, but mainly left hand on the ring and pinky, and Lately center of the arm

Any existing relevant medical issues: Heart palpitations, generalized anxiety disorder, anemia 

Current medications: -

Include a photo if relevant: -",ycnc1i,itn6sro,"Close, it is a cubital tunnel (at the elbow) rather than a carpal tunnel (at the wrist). If it's really bothering you try an elbow splint while sleeping. Also during the day avoid prolonged elbow bending and leaning on the elbows for prolonged periods of time.","It's possible that the numbness and tingling in your fingers and arm could be caused by carpal tunnel syndrome, but it's also possible that there could be other factors at play. Carpal tunnel syndrome is a condition that occurs when the median nerve, which runs from the forearm into the hand, becomes compressed at the wrist. This can cause symptoms such as numbness, tingling, and weakness in the hand and fingers.
There are a number of other factors that can cause these symptoms as well, such as nerve irritation or injury, muscle strain or overuse, or inflammation in the wrist or hand. It's also possible that the numbness and tingling could be related to your other medical issues, such as anemia or generalized anxiety disorder.
In order to determine the cause of your symptoms and get an accurate diagnosis, it would be best to see a doctor. They can perform a physical examination and may order additional tests, such as nerve conduction studies or imaging tests, to help determine the cause of your symptoms.
In the meantime, there are a few things you can try to help alleviate your symptoms:
1.	Take breaks from activities that involve repetitive hand or wrist movements, such as using a computer or phone for long periods of time.
2.	Use good posture and ergonomic techniques when using a computer or other devices.
3.	Avoid sleeping in positions that put pressure on your wrist or hand.
4.	Try using wrist splints or other supportive devices to help keep your wrist in a neutral position.
5.	Avoid activities that involve gripping or squeezing for long periods of time.
6.	Try gentle stretches or exercises to help improve flexibility and strength in your wrist and hand.
It's important to remember that self-diagnosis is not always accurate and that it's always best to see a doctor for a proper evaluation and treatment plan.

",Physician,Physician,ChatGPT,3,4,4,3,4,5,1,4,4,4,4,4,46,240
N42,"My roommate has kissing disease. What are some things I (17M can/cannot do)? Can we use the same shower (at different times)? I�۪ve heard it spreads through water droplets, so I�۪m not sure how long mono lingers around. Sometimes I hear coughing in the shower, sometimes I don�۪t.

Should they wear a mask in and out the room? Should I?

How long do we have to take these precautions (our housing contract ends in 2.5 months)? 

Should I just try to move into a new room? 

If I get sick from my roommate, it wouldn�۪t be the first time. Or the second. Honestly, I�۪m really sick of getting sick when it�۪s my roommate who chooses to stay up late and party and whatnot. I don�۪t know what to do. All help is appreciated.",xsti73,iqoeuz0,"Luckily, mono is basically only spread by saliva, sexual fluids, and blood.

Don't kiss them. Don't do anything sexy with them. Don't kiss anyone that kisses them. Don't share drinks, toothbrushes, silverware, etc. Don't eat off each other's plates. Don't take a bite of something they bit into. Encourage them to not use public water fountains so they don't spread it to others. Encourage them to also cover their mouth when the cough so they don't spray their saliva on everything. Don't get an organ transplant from them in the near future. Otherwise, you're golden.","It's understandable that you are concerned about getting sick from your roommate who has mononucleosis (also known as ""kissing disease""). Here are some things you can do to reduce your risk of getting infected:
1.	Avoid close contact with your roommate, especially if they are experiencing symptoms such as fever, fatigue, or sore throat.
2.	Wash your hands frequently with soap and water, especially after touching shared surfaces or items.
3.	Avoid sharing personal items such as towels, cups, and utensils.
4.	If you need to use the same shower, try to avoid showering at the same time as your roommate, and use separate towels to dry off.
5.	It is not necessary for your roommate to wear a mask in and out of the room, as mononucleosis is primarily spread through saliva. However, if your roommate is experiencing symptoms such as coughing or sneezing, they should try to cover their mouth and nose with a tissue or elbow to reduce the risk of spreading respiratory droplets.
6.	If you are concerned about getting sick from your roommate, you may want to consider moving to a different room. You should also consider talking to your roommate about their behavior and how it is affecting your health. It is important for both of you to take steps to prevent the spread of infection to others.
It's also worth noting that mononucleosis is generally a self-limited illness, meaning that it will resolve on its own over time. Most people recover from mono within a few weeks to a couple of months, so the precautions you are taking should only be necessary for a limited period of time.

",ChatGPT,ChatGPT,ChatGPT,4,4,5,5,4,5,1,4,4,4,4,5,94,131
N43,"Please translate this Dr talk? ETA details- wasn't sure if this was a universal code. . I'm sorry I didn't understand. Please don't downvote or try to make me feel stupid for my misunderstanding. I'm just asking for help.

34 year old white female, 5'5 110lb. Meds- Lexapro 20mg daily, Adderall 10mg as needed. No alcohol. No drugs. 

Context (Dr note):
ASSESSMENT & PLAN

�ۢTachycardia
�ۢPalpitations
�ۢHistory of trauma
�ۢADHD
�ۢFamily history heart disease
��

-Patient symptoms sound like dysautonomia, possibly triggered by prior, and stress
-Her primary symptoms at this point are palpitations, although she does notice some dizziness/lightheadedness
-We will get an echocardiogram as well as a Holter monitor
-After her Holter monitor is complete, we will start Toprol 25 mg daily, which she can double after 2 weeks
-Reassess symptoms in 6 weeks

Risk of morbidity of patient management is moderate in prescription drug management

What i don't understand:

""Risk of morbidity of patient management is moderate in prescription drug management""",xxnskl,ird3r8e,Need more context.,"The statement ""Risk of morbidity of patient management is moderate in prescription drug management"" means that there is a moderate risk that the patient's condition could worsen due to the management of their prescription drugs. This risk is considered moderate, which means that it is not extremely high, but it is not low either. It is important for the patient and their healthcare team to carefully monitor the patient's condition and any changes in their symptoms while taking their prescribed medications.",ChatGPT,ChatGPT,ChatGPT,1,3,2,4,4,4,1,2,1,2,3,2,148,81
N44,"Swallowed a Toothpick, Friend said im gonna die So me (M17) ate for lunch today forgetting that I put toothpicks into the food to hold sausages together. All toothpicks were cooked, dull and about 2cm long and soft. I ate one only cause ofc then i remembered.
Now in the Evening I jokingly told my friend and he was sayin pretty serious that I'm gonna die brutally. Ofcourse I know this ain't true (right?) but I'm very paranoid about this kind of stuff so i just wanted to make sure and ask here.

Thanks in advance!",y7f9x4,isv8q8o,"If you've surpassed 2-6 hours, chances are they've passed into your intestines. Which means it can't be retrieved easily.

Many people can swallow razorblades and toothpicks without issue. In case you develop stomach ache, then don't hesitate seeking out an ER, and remember to point out the swallowed tooth pick.

For now, they wont be doing much.","It's natural to be concerned if you have ingested a foreign object, but in this case, it is highly unlikely that the toothpick you swallowed will cause you any serious harm.
Toothpicks are made of wood, which is not toxic and will not cause poisoning. However, it is possible for a toothpick to cause injury if it becomes stuck in the throat or if it punctures the digestive tract. However, this is unlikely to happen with a dull, cooked toothpick that is only 2 cm long.
If you are experiencing any discomfort or symptoms such as abdominal pain, difficulty swallowing, or vomiting, it is important to contact a healthcare provider for further evaluation. However, if you are not experiencing any symptoms, it is safe to assume that the toothpick has passed through your digestive system and you do not need to be concerned.
It's always a good idea to be cautious when consuming food and to remove any foreign objects before eating. It's understandable that you may be feeling paranoid, but try not to worry too much. It is highly unlikely that the toothpick will cause you any serious harm.

",ChatGPT,ChatGPT,ChatGPT,3,2,5,5,5,4,1,2,3,4,5,4,55,94
N45,"What would an abdominal and pelvic ultrasound be able to diagnose/find for me? I�۪m a 25F with unexplained weight loss a few months ago (now my weight has become stable), constipation, and blood in stool. My doctor ordered a pelvic and abdominal ultrasound. I was just wondering what these ultrasounds could possibly find or diagnose.",y1o4mx,irymxwz,"It can look at organs like uterus, ovaries, liver, gallbladder, pancreas, and spleen.","An abdominal and pelvic ultrasound is a noninvasive medical test that uses high-frequency sound waves to produce images of the internal organs and structures in the abdominal and pelvic area. The test can be used to diagnose a wide range of conditions and abnormalities, including:
1.	Abdominal pain: An abdominal ultrasound can help to determine the cause of abdominal pain or discomfort, such as appendicitis, gallstones, or inflammatory bowel disease (IBD).
2.	Abnormalities in the liver, gallbladder, or pancreas: An abdominal ultrasound can help to identify conditions such as liver cysts, gallstones, and pancreatitis.
3.	Kidney problems: An abdominal ultrasound can help to diagnose problems with the kidneys, such as kidney stones or an enlarged kidney.
4.	Ovarian cysts: A pelvic ultrasound can help to diagnose ovarian cysts, which are fluid-filled sacs that can develop on the ovaries.
5.	Uterine abnormalities: A pelvic ultrasound can help to diagnose problems with the uterus, such as fibroids or abnormalities in the shape or size of the uterus.
6.	Ectopic pregnancy: A pelvic ultrasound can help to diagnose an ectopic pregnancy, which is a pregnancy that occurs outside of the uterus.
7.	Pelvic inflammatory disease (PID): A pelvic ultrasound can help to diagnose PID, which is an infection of the reproductive organs that can cause abdominal pain and abnormal vaginal discharge.
It is important to note that an abdominal and pelvic ultrasound is just one tool that can be used to diagnose a wide range of conditions and abnormalities. Your doctor will consider the results of the ultrasound along with your medical history and other diagnostic tests to determine the cause of your symptoms and develop a treatment plan.

",ChatGPT,ChatGPT,ChatGPT,3,4,3,4,5,5,1,3,2,1,4,4,13,55
N46,"Got sick 3-4 weeks ago, and now have a lingering cough that wasn't there before 17M, 5'4, 160 lb, white, southeast U.S. (in case climate has any importance), use recreational drugs occasionally (usually through smoking)

I first realized I was sick (not sure with what exactly, I didn't get tested for anything) on Sept. 30th, but I already had symptoms (mostly sneezing) a few days before that. Around a week after that I started feeling better & back to normal, but after a short while I started to notice this lingering cough. It's not like a regular cough, it's softer and quieter, but my body still moves/convulses like its a full cough. That or im just really good at holding it in. Before getting sick I had a pretty good track record of never really coughing at all unless I swallowed something wrong, so its kinda concerning. My friends are noticing too, so its not just me being weird. It's been flaring up for the past hour or so and making it harder to sleep, which is why I'm making this post. It currently feels pretty uncomfortable in my throat, and im coughing every few seconds.

Is this something I should be worried about? I dont think this has happened to me before, so it's worrying me a little. I dont wanna have fucked up lungs because I ignored some tiny warning signs I didn't know about, yknow?

A couple other things: water doesn't seem to help, and the main things I experienced while actually sick were mostly sneezing (of the gross, snotty variety), and just feeling sick. I know it's not the most severe thing to be posting about but it's been happening pretty consistently for a couple weeks now.",ydqdyg,ittt31y,"Common to have a residual cough for a few weeks after being sick, especially if you have any persistent nasal secretions/post nasal drip.

You can try using some pseudoephedrine to dry it up for a few days, but you�۪ll get some rebound congestion in the meantime.  Realistically just takes time.  If it�۪s worse at night it�۪s possible you�۪ve got a low grade asthma, may benefit from an inhaler trial.","It's always a good idea to pay attention to changes in your health, especially if they are persistent. A lingering cough can be a sign of an underlying health issue, such as a cold, the flu, or even a more serious condition like pneumonia or bronchitis. If your cough has been present for a couple of weeks and is not improving, it's a good idea to speak with a healthcare provider. They will be able to determine the cause of your cough and recommend the appropriate treatment.
In the meantime, there are a few things you can try to help alleviate your cough:
1.	Drink plenty of fluids, including water and warm liquids like tea or broth, to help thin out mucus and make it easier to cough up.
2.	Use a humidifier or take a hot shower to add moisture to the air, which can help loosen mucus and make it easier to cough up.
3.	Avoid irritants like tobacco smoke, strong perfumes, and pollution, as they can make your cough worse.
4.	Try over-the-counter cough medications, such as cough suppressants or expectorants, to help relieve your cough.
It's also important to practice good hygiene, such as washing your hands frequently and covering your mouth and nose with a tissue or your elbow when you cough or sneeze, to help prevent the spread of illness.
Again, if your cough persists or is accompanied by other symptoms, it's a good idea to speak with a healthcare provider for further evaluation and treatment.

",Physician,Physician,ChatGPT,4,4,3,4,4,4,1,4,3,1,4,4,288,241
N47,"Miscarriage one day after normal ultrasound? My wife is six weeks pregnant. Yesterday we had a six week ultrasound, which is not normally performed, but was in our case because we did IVF. Everything looked good and we saw a heartbeat.

Today she started passing some blood clots and having cramps. We are naturally terrified but cant get an ultrasound for two days.

One thing thats strange to me is how could this happen so soon after a normal ultrasound? I'm hoping against hope that there's another explanation but the symptoms are not good.

Thank you.

Age 34

Sex F

Height 5'10""

Weight 145

Race White

Duration of complaint 1 day

Location usa

Any existing relevant medical issues pregnancy

Current medications progesterone 

Include a photo if relevant",xsnf5e,iqlrqt1,Bleeding and pain in the first trimester is pretty common. It does not necessarily mean she has miscarried- about 1 in 3 women will have bleeding in their first trimester. You need the scan to confirm one way or the other,"I'm sorry to hear about the concerning symptoms your wife is experiencing. It is not uncommon for miscarriages to occur, and it is possible for them to happen shortly after an ultrasound that appeared normal. It is important for your wife to seek medical attention as soon as possible, as bleeding during pregnancy can be a sign of a miscarriage or other potential complications. Your wife's healthcare provider will be able to perform further testing and provide appropriate care. In the meantime, it is important for your wife to rest and avoid strenuous activity. Please take care.",Physician,Physician,ChatGPT,3,4,4,3,4,5,1,4,3,4,4,5,41,115
N48,"What�۪s up with my butt 28F 5�۪10�۝ 200lb. I�۪m pretty sure I have external/internal hemorrhoids. It started with just a small bump that I referred to as my butt nugget, it didn�۪t seem to be a big deal but now it�۪s gotten much larger. With every episode of there being blood it gets bigger which is why I�۪m thinking it�۪s an external hemorrhoid. I don�۪t have insurance at the moment, and I�۪m not sure what doctor to go to for this. It�۪s now painful after this last event and I dread having to go to the bathroom. Id rather not eat anything. 

Do I just go to a walk in clinic and introduce whatever doctor to my best side? Do I need to mention anything when I call to schedule an appointment? I know nurses and doctors have seen every which side of a person, but I can�۪t help but feel awkward and embarrassed.",ydohub,ittkbmc,Try one of the OTC hemorrhoid creams and wipes to start.  Preparation H for example.,"It is completely normal to feel awkward and embarrassed about discussing your butt with a healthcare provider, but it is important to remember that healthcare providers are professionals who have seen and treated many people with similar issues. They are there to help you and are not there to judge you.

If you are experiencing pain or discomfort due to a bump on your butt, it is important to see a healthcare provider for an accurate diagnosis and appropriate treatment. Hemorrhoids are a common problem that can often be treated effectively with over-the-counter creams, ointments, or pads. However, if the bump on your butt is large or painful, it is important to see a healthcare provider to determine the cause and determine the most appropriate treatment.

You can start by visiting a walk-in clinic or by contacting your primary care provider to schedule an appointment. You may want to mention your symptoms and concerns when you call to schedule the appointment so that the provider can be prepared to address your concerns.

If you do not have insurance or are unable to afford healthcare services, there may be other options available to you, such as community health clinics or sliding scale fee clinics. It is important to seek medical attention when needed, even if you are unable to pay.",ChatGPT,Physician,ChatGPT,3,4,3,5,3,5,1,4,2,5,5,5,16,154
N49,"Nasal polyps? Age: 20
Gender: Female
Height: 166cm
Weight: 65kg
Ethnicity: White British 
Medications: Citalopram 10mg, Lansoprazole 15mg PRN

For around a year now I�۪ve been suffering with very frequent colds, at least one every three weeks but often sooner. It�۪s always the same symptoms of runny nose, sharp nasal pain, clear mucus in throat constantly, tiredness, now have a slight cough from having to clear my throat frequently. 

Everyone in work comments on how often I�۪m sick. I wash my hands lots throughout the day and use sanitizer after touching handles etc. 

Lately I�۪ve been using a Neti pot every so often which helps for a few hours. I take tablets containing phenlephrine and guaifensin to try help and they do for a bit. 

It is really affecting my work and quality of life.

Can anyone tell if this is normal or if it looks potentially like a polyp?
 

https://postimg.cc/SjSXVZKn",xuwsq4,iqyi3w3,That's your turbinate. Normal anatomic structure.,"It is not normal to experience frequent colds, nasal pain, and other symptoms that you have described. These symptoms may be caused by nasal polyps, which are benign (non-cancerous) growths that can develop in the lining of the nasal passages or sinuses. Nasal polyps can cause a range of symptoms, including nasal congestion, difficulty breathing through the nose, and a loss of sense of smell.

It is important to see a healthcare provider for an accurate diagnosis and appropriate treatment. Your healthcare provider will be able to examine your nose and sinuses and may recommend further tests, such as a CT scan, to help diagnose nasal polyps. Treatment for nasal polyps may include medications, such as corticosteroids, to reduce inflammation and shrink the polyps, or surgery to remove the polyps.

In the meantime, it may be helpful to try some self-care measures to alleviate your symptoms, such as using a humidifier to add moisture to the air, using a saline nasal spray to help clear mucus from your nasal passages, and avoiding triggers that may worsen your symptoms, such as exposure to tobacco smoke or strong odors.",Physician,ChatGPT,ChatGPT,3,2,2,3,4,5,1,1,1,4,4,4,145,185
N50,"Is it too late to take the HPV vaccine I am 26F, 114 pounds, 5'3, Middle Eastern, I have hashimoto's (which is controlled), I take 50mg levothyroxine, I don't smoke or use recreational drugs, drink very occasionally. Living in New Zealand.

I never took my HPV vaccine because I grew up in the Middle East where they just go by the assumption that you don't kiss, let alone have sex with anyone before marriage. I always had protective sex. I still want to take the HPV vaccine. Is it possible/worth it right now at my age and having an autoimmune condition?",ydypb8,itwgtd3,"Yes, get it!","It is not too late to receive the HPV (human papillomavirus) vaccine. The HPV vaccine is recommended for people of all ages, and it is most effective when given before an individual becomes sexually active. However, even if you have already been sexually active, you can still benefit from the HPV vaccine.

The HPV vaccine is recommended for people with autoimmune conditions, including hashimoto's thyroiditis, as long as their condition is well-controlled. The vaccine is generally well-tolerated and safe for use in people with autoimmune conditions.

It is important to discuss the HPV vaccine with your healthcare provider to determine if it is appropriate for you and to help you make an informed decision about whether to receive the vaccine. Your healthcare provider will consider your age, medical history, and other factors when making a recommendation about the HPV vaccine.

In New Zealand, the HPV vaccine is offered to girls and boys in schools, and it is also available through healthcare providers. If you are interested in receiving the HPV vaccine, you can speak with your healthcare provider or contact your local public health service for more information.",ChatGPT,ChatGPT,ChatGPT,3,4,3,4,5,5,1,4,3,2,4,4,100,185
N51,"26M- Risks to my health from inhaling marijuana smoke from a driver? Heave heart and anxiety issues , and recovering from a surgery? Want to know if they could be exacerbated from exposure , and how discuss issue with doctor? Sez:Male

Age:26

Height: 5'5""

Weight :159

Issue : whether inhalation of fumes form r share driver could be harmful, and how to discuss this with a doctor",y6ufi0,isr8dw6,A one-time exposure in a ride share is likely to cause negligible effects if any,"Exposure to marijuana smoke, whether it is inhaled directly or secondhand, can have a range of effects on your health. Inhaling marijuana smoke may worsen heart and anxiety problems and may also exacerbate any existing health issues you may have.

Research suggests that marijuana smoke contains many of the same toxins, irritants, and carcinogens found in tobacco smoke, and inhaling these substances can harm the respiratory system and increase the risk of lung infections and other respiratory problems. In addition, marijuana smoke may contain high levels of THC (tetrahydrocannabinol), the psychoactive compound in marijuana that can produce a range of mental and physical effects, including anxiety, paranoia, and impaired judgment and coordination.

If you have heart or anxiety problems or are recovering from surgery, it is important to speak with your healthcare provider about the potential risks of exposure to marijuana smoke. Your healthcare provider can help you understand the potential effects of marijuana smoke on your health and can provide guidance on how to manage your health concerns.

To discuss this issue with your healthcare provider, you can describe your symptoms and concerns and provide any relevant information about your exposure to marijuana smoke. Your healthcare provider can help you understand the risks to your health and can provide recommendations for managing your health concerns.",ChatGPT,Physician,Physician,3,4,5,5,4,4,1,4,3,3,4,2,63,213
N52,"30M Is it just sore throat/cold or something I might need antibiotics for? Hello, I had sore throat/runny nose/green mucus/elevated temperature for the past week, but it's been getting better slowly, here is a picture of my throat:

[https://i.imgur.com/Simre3I.jpg](https://i.imgur.com/Simre3I.jpg)",y2ckpy,is2fy6g,"Most tonsillitis is viral, so doesn�۪t need antibiotics (especially since yours is improving).","It is difficult to determine the cause of your symptoms without a physical examination and additional information about your health. Sore throat, runny nose, and green mucus can be symptoms of a variety of conditions, including a cold, the flu, or a sinus infection. In some cases, these symptoms may resolve on their own without treatment, while in other cases, treatment with medications, such as antibiotics, may be necessary.

It is important to see a healthcare provider for an accurate diagnosis and appropriate treatment. Your healthcare provider will be able to examine your throat and other symptoms and may recommend further tests, such as a throat culture or a sinus CT scan, to help determine the cause of your symptoms. Based on the cause of your symptoms and the severity of your condition, your healthcare provider may recommend treatment with medications, such as antibiotics or antiviral drugs, or other treatments, such as over-the-counter pain relievers or decongestants.

If you are experiencing severe symptoms, such as difficulty swallowing or breathing, or if you have a weakened immune system, it is especially important to see a healthcare provider as soon as possible.",ChatGPT,ChatGPT,Physician,3,4,4,5,4,3,1,3,2,2,4,3,38,188
N53,"Alcohol while on Amoxicillin Clavulanic 28 this year, Male. 

Will be celebrating a friend�۪s bday in the days to come. Curious if i should intentionally skip a night�۪s dose or continue drinking and taking the meds? 

Thank you for your time.",y07eep,irrlynq,Continue the medication.,"It is generally not recommended to drink alcohol while taking amoxicillin-clavulanic acid, a medication used to treat bacterial infections. Amoxicillin-clavulanic acid can interact with alcohol in a way that may increase the risk of certain side effects, such as stomach irritation, nausea, and vomiting. In addition, alcohol can interfere with the effectiveness of the medication by inhibiting the body's ability to absorb and utilize the medication.

If you are planning to drink alcohol while taking amoxicillin-clavulanic acid, it is important to speak with your healthcare provider about the potential risks and how to manage them. Your healthcare provider may recommend that you avoid alcohol or that you limit your alcohol intake while taking the medication.

If you choose to drink alcohol while taking amoxicillin-clavulanic acid, it is important to do so in moderation and to follow your healthcare provider's instructions for taking the medication. It is also important to remember that alcohol can affect your judgment and coordination, which can be dangerous if you are operating a vehicle or engaging in other activities that require your full attention.",ChatGPT,Physician,ChatGPT,3,4,2,4,4,3,1,2,1,1,4,3,41,176
N54,"My mom is showing signs of paralysis and I feel helpless. What do I do? My mom fell out of her bed a few days ago and when she went to her PC to get checked, he mentioned that she ���could have been paralyzed.�۝ Ever since that incident she has been noticeably weaker. Today she was laying down and couldn�۪t get up without help at all. Additionally, her head was tilted to the side and she couldn�۪t raise it. What do I do? I�۪m considering calling up her neurologist to get an immediate evaluation. Or should I just take her straight to the ER?

Age:50
Weight: 170
Medical conditions: Hypertension,
Diabetes, Morton�۪s Neuroma, gall bladder and uterus removed, depression, migraines. 
Height: 5�۪6
Medication: a long list. Depression meds, migraine meds, etc",yelqc4,iu0ullp,ER asap!,"It is important to seek medical attention as soon as possible if your mom is showing signs of paralysis or other concerning symptoms. Paralysis is a serious condition that can be caused by a range of underlying conditions, such as a stroke, spinal cord injury, or nerve damage. If your mom is experiencing paralysis or other concerning symptoms, it is important to seek medical attention as soon as possible to determine the cause and to receive appropriate treatment.

If you are concerned about your mom's health and are unsure what to do, you can try calling her healthcare provider or a medical advice hotline for guidance. Alternatively, you can take your mom to the nearest emergency department (ED) or call for emergency medical services (EMS). The ED staff or EMS providers can assess your mom's condition and provide appropriate care.

It is important to be prepared to provide information about your mom's medical history, including any medications she is taking, and any symptoms she is experiencing. This will help the healthcare provider determine the most appropriate course of action.

In the meantime, it is important to keep your mom comfortable and to provide any necessary assistance, such as helping her move or providing support as she walks. It is also important to follow any instructions provided by the healthcare provider and to keep all of your mom's follow-up appointments.",Physician,Physician,ChatGPT,4,4,4,4,4,5,1,2,2,4,4,4,126,226
N55,"Nerve pain and muscle twitching 21f with brachial plexus injury from birth, I had surgery when I was a baby to replace the damaged nerves. I can barely move my fingers, can�۪t lift my wrist up or put my arm above my head. Recently I�۪ve been experiencing severe burning in my arm. I�۪m also having muscle twitching/pulsing in my arm, fingers, and chest. I also noticed when I do move my index finger my boob will move and it feels like a muscle towards the back vibrates a little. All of this started happening a couple months ago, I know it�۪s most likely not but I was wondering if these things could be good?",y4knve,isekfra,Can you tell us more about the burning in your arm?,"It is important to seek medical attention as soon as possible if your mom is showing signs of paralysis or other concerning symptoms. Paralysis is a serious condition that can be caused by a range of underlying conditions, such as a stroke, spinal cord injury, or nerve damage. If your mom is experiencing paralysis or other concerning symptoms, it is important to seek medical attention as soon as possible to determine the cause and to receive appropriate treatment.

If you are concerned about your mom's health and are unsure what to do, you can try calling her healthcare provider or a medical advice hotline for guidance. Alternatively, you can take your mom to the nearest emergency department (ED) or call for emergency medical services (EMS). The ED staff or EMS providers can assess your mom's condition and provide appropriate care.

It is important to be prepared to provide information about your mom's medical history, including any medications she is taking, and any symptoms she is experiencing. This will help the healthcare provider determine the most appropriate course of action.

In the meantime, it is important to keep your mom comfortable and to provide any necessary assistance, such as helping her move or providing support as she walks. It is also important to follow any instructions provided by the healthcare provider and to keep all of your mom's follow-up appointments.",ChatGPT,ChatGPT,ChatGPT,2,3,2,5,4,5,1,1,1,4,3,3,11,114
N56,"Hard bump behind my right ear. Is it a weird bone or something else? 26F, 177cm, 55kg, White. I noticed this bump behind my right ear five years ago. It's hard, doesn't move, round, and it doesn't hurt unless I wear my glasses for long. Doesn't hurt when I touch it, unless I press it. I don't know if I had it earlier, I just noticed it five years ago. I am worried that it is cancer or anything, it got bigger this year (or maybe I am skinnier and so is my head). Here two photos
https://i.imgur.com/sJR7UyJ.jpg
https://i.imgur.com/sGsZyii.jpg

Thank you!",y0pcdp,irtn1gn,"May be a lymph node vs a cyst (leaning towards lymph node). Could potentially be the mastoid bone, but it generally doesn't stick out in that way and wouldn't necessarily be tender for a prolonged time.","It is difficult to determine the cause of the bump behind your ear without a physical examination and additional information about your health. The bump could be a variety of things, including a normal bone or a growth of some kind.

It is important to see a healthcare provider for an accurate diagnosis and appropriate treatment. Your healthcare provider will be able to examine the bump and may recommend further tests, such as an imaging test, to help determine the cause of the bump. Based on the cause of the bump, your healthcare provider will recommend the most appropriate treatment.

In the meantime, it is important to pay attention to any changes in the size or appearance of the bump and to report any new or worsening symptoms to your healthcare provider. It is also important to practice good hygiene and to avoid picking or scratching the bump to help prevent infection.",ChatGPT,ChatGPT,ChatGPT,2,4,3,4,4,4,1,4,3,2,4,3,98,150
N57,"Medication induced constipation 26 year old male 5�۪8 feet 145 pounds 


I�۪m on lamictal 75 mg lithium 300mg gabapentin 900 mg 
All those I take  for my mental health I always suffered with crippling anxiety and depression but only now at 26 we are beginning to think that I might have bipolar tendencies mixed into my diagnosis.
However the reason for my post is because now I have constipation   since increasing lamictal to 75. 
What should I do ? 
Would colace help? 
Please advice",xxkopq,ircka5f,Senna or miralax helps more. Let your doctor or whoever prescribed the meds know.,"Constipation is a common side effect of some medications, including lamictal (lamotrigine), lithium, and gabapentin. If you are experiencing constipation while taking these medications, it is important to speak with your healthcare provider about the best course of action.

There are several options for managing medication-induced constipation, including:

Drinking plenty of fluids, such as water and fluids with electrolytes, to help soften stools and promote bowel movements.

Eating a diet high in fiber, including fruits, vegetables, and whole grains, to help add bulk to the stools and promote regular bowel movements.

Exercising regularly, as physical activity can help stimulate bowel movements.

Using over-the-counter laxatives, such as colace (docusate), to help soften stools and promote bowel movements.

It is important to follow your healthcare provider's recommendations for managing constipation and to avoid using over-the-counter medications without consulting your healthcare provider. Your healthcare provider can help you determine the most appropriate treatment for your constipation based on your individual needs and health history.",ChatGPT,ChatGPT,ChatGPT,4,3,3,4,5,5,1,3,3,2,4,3,86,155
N59,"Could anyone have input please please.. is this concerning

Should I be concerned

23M Normal BMI no underlying conditions
Hello, Im very much going through major anxiety right now while I deal with an URI. My concern is that in the past 4 months I have had Covid, a minor viral infection, bronchitis, and this URI. The URI is kicking my butt and i'm terrified of going to the hospital or worse. I have to include that i was within close proximity of people that had these illnesses (aside the viral one, i went out to a bar and think I caught it there). My last illness was about 10 weeks ago.
I haven't had many illnesses before my Covid bought due to the lockdowns, i was sick maybe once in about a two year span, but recently my diet and stress has been maxed. With all these illnesses, my partner has not gotten sick from any so far. But with all the illnesses i am fearing i have leukemia or some form of cancer... should I get checked out by pcp? Does this indicate possible cancer at all?... I don't have any bruising/bleeding or shortness of breath.",yhnu17,iuewrqp,"Hi. We can't really equate having 4 infections to having cancer. Sure, you might have a weakened immunity, but even COVID can cause that. I would suggest you talk to your pcp and have some tests done but don't panic and jump on the cancer-train, there are more common causes to your condition. It could even just be chance!","It is completely normal to feel anxious about your health, especially when you have had several illnesses in a short period of time. However, it is important to remember that there are many possible causes of frequent illnesses, and cancer is just one of many possibilities.

It is generally not uncommon to have several respiratory infections, such as colds, the flu, or bronchitis, in a short period of time, especially if you have been in close contact with people who have these illnesses. In some cases, a weakened immune system or other underlying health conditions may increase the risk of respiratory infections.

If you are concerned about your health and the frequency of your illnesses, it is a good idea to speak with your healthcare provider for further evaluation and guidance. Your healthcare provider can assess your symptoms, medical history, and overall health to determine the most appropriate course of action. This may include ordering tests to rule out other potential causes of your symptoms or providing recommendations for managing your health and preventing future illnesses.

It is important to take care of your physical and mental health by eating a healthy diet, getting plenty of rest, exercising regularly, and managing stress. Taking these steps can help support your immune system and may help reduce your risk of getting sick.",Physician,ChatGPT,ChatGPT,4,5,3,3,5,5,1,4,1,4,5,4,194,217
N60,"Advice for stitches while training 
I see that this post might be a lot less extreme or important than others on this sub, so I appreciate your time for helping me out. 

I�۪m a mixed martial artist with a fight coming up in November so I need to continue to train. Unfortunately at my day job, I cut my left index finger open and it only required three stitches. But now I�۪m looking for advice to help me continue training heavily while not ruining the stitches on my index finger. I�۪ve been seeing conflicting things on using a liquid bandage over stitches, so I was hoping someone had some advice as to how I could protect the stitches and cut when I do lots of vigorous grip related training, as well as lots of sweating. 

As of right now, I have the liquid bandage mentioned, finger shaped gauze, and plenty of types of tape, including kino tape. Yes I spoke to my doctor about what I could do, but there was a language barrier that made it hard to tell him I couldn�۪t just ���take the week off�۝ so close to competition.

Again, to anyone to helps I sincerely appreciate your time.

24 M, Male, 24, 5�۪10, 165 pounds.",xy9vwb,irh5xkm,"Nothing you do will make the incision bullet proof. The incision is weak and it needs to heal. If you rip the incision open while training, it won't be the end of the world  , but it'll take longer to heal.","It's understandable that you want to continue training for your fight, but it's important to protect your stitches and allow your finger to heal properly. Here are a few recommendations that may help:

Keep the wound clean and covered: It's important to keep the wound clean and covered to prevent infection and further injury. You can use a liquid bandage or a finger-shaped gauze to cover the stitches, and secure it in place with tape such as kino tape.

Avoid activities that put a lot of strain on the stitches: While it's okay to do some light training, it's important to avoid activities that put a lot of strain on the stitches. This might include activities that involve gripping or gripping heavy objects, as well as activities that cause sweating, as this can loosen the tape or gauze and expose the stitches.

Use padding: If you need to do activities that involve gripping or using your injured finger, you can try using padding around the finger to provide some protection for the stitches. You can use foam or a soft material to pad the finger, and secure it in place with tape.

Talk to your doctor: If you're unsure about what activities are safe to do with your stitches, it's always a good idea to talk to your doctor. They can provide specific recommendations based on your injury and the type of stitches you have.

Overall, it's important to protect your stitches and allow your finger to heal properly. If you're concerned about the impact on your training, you can try modifying your training routine or working with a coach or trainer to find alternative exercises that don't put too much strain on your stitches.",ChatGPT,ChatGPT,ChatGPT,3,4,3,5,4,5,1,3,3,5,5,4,42,207
N61,"Is it possible to lose eyesight and it mean nothing? 22F, 5�۪6�۝,207lbs, caucausian. One time event. Vape and smoke weed. I work in electrical so considered the possibility of damage from dust. History of bulimia which is currently active (would say 3-4 days are purge days). 

It comes down to last night, on a walk, I got excessively dizzy and weak. I kept on walking with vision in both eyes intermittently disappearing (never both eyes at once) eventually when the weakness peaked (it felt hard to identify words at this point, was on phone call) my left eye lost all vision for about 30 seconds. Afterwards the extreme blur stayed for about two hours. Had a big ol�۪ headache behind the left eye about an hour after vision loss. Still do, pulsing, changing in intensity at random. I�۪m hoping it�۪s nothing worrisome and really want to know if it is possible that is so. I can�۪t afford a copay til weeks end",y19mau,irxcq3e,"Neurosurgeon here.

We use an unnecessarily fancy term for that: amaurosis fugax which means transient vision loss. It results from the retina not getting enough blood flow for a short period of time (the ophthalmic artery is the first to branch from the internal carotid artery and also has collateral flow from the external carotid in some people) and can be considered a stroke symptom, making it a TIA (transient ischemic attack: basically pre-stroke). Though since you're young, I wouldn't put a stenotic ICA or CCA on the top of my list as the ""sudden, short and quickly recovered loss of vision"" is more commonly a result of your blood pressure being too low for a short period of time. In other words your heart couldn't keep up to your brains oxygen (blood flow) needs for a short while but eventually adjusted, just a little bit late. If the symptom repeats, I would (if I were to see you as a patient in clinic or maybe the ER) refer you to a cardiologist and maybe also consider a brain vessel imaging (a CTA or MRA, whichever is preferred). Considering your history, dehydration may have exacerbated the issue so try to stay hydrated. A syncope event itself is mostly okay as blood flow to the brain is usually immediately recovered but falling down and hitting your head on something like concrete may not.","It is possible that your temporary loss of vision and other symptoms were caused by a temporary disruption in blood flow to your brain or eyes, or by a problem with the nerves that control your vision. However, it is also possible that these symptoms could be a sign of a more serious underlying condition, such as a stroke or a transient ischemic attack (TIA), also known as a ""mini-stroke.""

I would recommend that you seek medical attention as soon as possible. While you may not be able to afford a copay at this time, there are often options for low-cost or no-cost medical care, such as community health clinics or hospital emergency departments. It is important to get a proper evaluation and diagnosis to determine the cause of your symptoms and to receive appropriate treatment if needed.

In the meantime, try to take it easy and avoid strenuous activity until you have been evaluated by a healthcare provider. It is also important to stop smoking and vaping, as these habits can increase your risk of developing serious health problems, including stroke. If you are struggling with bulimia, it is important to seek help for this condition as well, as it can have serious health consequences.",Physician,ChatGPT,ChatGPT,5,5,5,5,5,5,4,4,4,5,4,5,231,162
N62,"GF 19F has fever of 40.3 She�۪s 115lbs, 5�۝4 and Caucasian. 

Got into a severe car crash two years ago where she suffered a pneumothorax (I think that�۪s what it�۪s called?- 2 broken ribs punctured her lung) and a spinal chord injury (was wheelchair bound for 3 months) but she is almost completely recovered. Occasionally takes dilaudid when needed. 

Tested negative for covid and her only symptoms other than high fever are severe vomiting and a headache. Thought this was just a stomach flu as her immune system is notoriously bad but she�۪s never had a fever above 39.5 before, and she seems really out of it.

Update: she does have meningitis, things got a bit scary there for a minute but docs are pretty hopeful. They say it�۪s lucky I didn�۪t wait longer to call, especially as she began to struggle to breathe in the ambulance. She�۪s pretty wiped out but has (very briefly) woken up. Thanks to everyone who commented.",xujtev,iqvsqfy,"What do you mean by out of it? If you feel like she might be confused, drowsy, difficult to arouse, go STRAIGHT to the emergency department.","It's good to hear that your girlfriend is receiving medical treatment and that the doctors are hopeful. A fever of 40.3�C (104.5�F) is considered high and can be a sign of a serious infection or other underlying health condition. Meningitis, an infection of the membranes surrounding the brain and spinal cord, can cause symptoms such as high fever, severe headache, and vomiting. It's important to seek medical attention as soon as possible if you have any concerns about your health, especially if you have a fever that is unusually high for you or if you are experiencing difficulty breathing. It's also important to follow the treatment plan recommended by your healthcare provider to help manage your condition and promote recovery.",ChatGPT,Physician,ChatGPT,4,4,4,5,2,5,1,3,1,4,5,5,26,161
N63,"23M - Colon cancer? Hi there, I've been noticing some strange things with myself lately, and doing a quick search online lead me to suggestions that I might have colon cancer. If this is the case, I can't afford treatment, let alone a doctors visit. Here's  what's been going on though, and apologies for TMI. 

3 or maybe 4 months ago, I noticed that I was pooping less frequently. My diets not the best (cheap junk food and bad balance in general), so I'm no stranger to constipation. So it wasn't anything new. When I was pooping though, and still to this day, the smell is this sickening weird death smell that I haven't had before until now, and the same thing for passing gas. No blood though, or any serious stomach pains which I read is a possible symptom of colon cancer. 

This smell though goes beyond that, and I am constantly smelling it while just passively breathing in. I thought maybe I have some kind of infection somewhere? Besides this though, I've been feeling more tired than normal. I'm an avid coffee drinker so I tried more coffee and that didn't help. No coffee at all, and I felt exactly the same somehow. I'll take a nap and wake up tired. Thought it could be vitamin deficiency but I'm always outside and taking b12s and all that. 

Idk. It would be simple for me to just get looked at because something's clearly up, but I dont't have the finances for anything like chemotherapy or a colonoscopy. If anyone has some words I would definitely appreciate it.",xwlknx,ir7f0am,This does not sound like cancer. I would advise stop googling.,"I'm sorry to hear about the symptoms you've been experiencing. It's important to remember that colon cancer is just one possibility, and there are many other conditions that could be causing your symptoms. However, it is important to seek medical attention if you are experiencing any unusual or persistent symptoms, as early detection and treatment can improve the chances of a successful outcome.

There are a few potential causes of the symptoms you've described. It's possible that you could have an infection or a digestive disorder such as inflammatory bowel disease (IBD). Constipation, changes in bowel movements, and abdominal pain are common symptoms of IBD.

It's also possible that you could have another type of cancer or a non-cancerous condition such as diverticulitis. Diverticulitis is a condition in which small pouches in the colon become infected or inflamed. Symptoms can include abdominal pain, changes in bowel movements, and fever.

If you are unable to afford medical treatment, there are resources available that may be able to help. Many hospitals and clinics have financial assistance programs for individuals who are unable to pay for medical care. You may also be able to find low-cost or free clinics in your area. It's worth reaching out to see what options are available to you.

Again, I recommend seeking medical attention if you are experiencing unusual or persistent symptoms. Your health is important, and getting a proper diagnosis and treatment plan can improve your quality of life.",ChatGPT,ChatGPT,ChatGPT,2,3,1,5,4,5,1,1,1,5,3,5,11,269
N64,"My 35 yr old Brother unexpectedly died 11 days ago 
We are still waiting for the corner�۪s report so we aren�۪t 100% certain but our guess is:

3 1/2 weeks ago while sleeping, he fell off his side of the bed and hit his head on the bedside table/wall and got a concussion. We begged him to go to the doctors especially because he�۪s had a head injury years before that caused brain bleeding, but my brother being the stubborn man he was, he kept saying ���I will�۝ but never did. 

His post concussion symptoms all screamed brain bleeding again, and online it says you may not feel it for sometimes days to weeks after when it can become life threatening and that�۪s exactly what happened 2 weeks later��_his gf woke up and tried to wake him up cause he was gonna be late for work and he was unresponsive and barely breathing. Paramedics came and had to put him on life support and took him to the hospital but he died in the ambulance. 

He was super healthy, no underlying health condition and never did any drugs.

Any ideas as to what happened?!",yam49i,ite56rz,Yea it�۪s likely subdural hemorrhage. Sorry about your loss,"I am sorry for your loss. It is difficult to say exactly what happened without more information. It is possible that your brother's fall caused a brain injury that led to brain bleeding, which ultimately led to his death. It is also possible that he had an underlying health condition that was not diagnosed or that he had an allergic reaction to a medication he was taking. Without more information, it is impossible to say for certain. I recommend speaking with a medical professional for more information about your brother's specific situation.",ChatGPT,ChatGPT,ChatGPT,3,3,3,4,4,5,2,4,2,5,5,4,192,92
N65,Something on lip I�۪m a 27 year old black male. 6�۪0. I�۪ve been dealing with this thing on my lip for a month. Honestly I don�۪t know how serious it is. Hasnt irritated me but it�۪s just there. I do smoke weed a lot. Can�۪t show a picture but it�۪s not big. Just worried it hasn�۪t gone away yet. Any ideas on what it may be if it�۪s not herpes/colds sore ?,xuull0,iqyjqwc,"Would need an exam for more information. Could be anything from a cold sore,  to an inflamed minor salivary gland, to even something like a skin cancer. If you are concerned, would see your primary care.","It's difficult to provide a diagnosis without being able to see the lesion or knowing more about your symptoms. It's important to see a healthcare provider if you are concerned about a lesion on your lip or if it persists for more than a few days. They will be able to examine the lesion and provide a diagnosis and treatment recommendations. It's also important to let them know if you smoke marijuana or use any other substances, as this information may be relevant to your health. It's not uncommon for people to develop small, benign lesions on the skin or mucous membranes (such as the lips), and in most cases, these can be treated effectively. However, it's always best to have any unusual or persistent changes checked by a healthcare provider to rule out the possibility of a more serious condition.",ChatGPT,ChatGPT,Physician,4,3,4,5,4,3,1,1,3,4,2,3,37,72
N66,"Should I see my psychiatrist sooner? I�۪m a woman, 18 years old 
taking bupropion and iron pills 

So today I�۪m starting my third week of taking bupropion
My psychiatrist told me some of the side effects and some included the heart, but this is normal 
now I still have periods (daily) where my chest hurts/my heart is beating super fast when I�۪m doing nothing/ it�۪s beating way stronger/ palpitations/ it�۪s beating in an abnormal rythm
now I recognize some of these since I have supraventricular extrasystole, but it�۪s never been this hurtfull or this often. 
My psychiatrist also doesn�۪t know I have this. 
I can�۪t find anything on the internet about taking bupropion if you have supraventricular extrasystole so I was hoping maybe someone here could help me? 
Normally I�۪m seeing my psychiatrist in the fourth week, should i see him sooner because of this? 

thank you very much

EDIT: English is not my first language so I hope i translated the medical term correctly",yan2ba,itby5ot,"It�۪s not likely that the psychiatrist has an electrocardiograph machine, but an ECG is what you need to see the heart rhythm. it�۪s possible that you have experienced QT prolongation as a medication side effect, and that would need attention today.","It's understandable that you're concerned about the side effects of the medication you're taking. It's important to remember that everyone may experience different side effects when taking medication, and it's always a good idea to report any new or concerning symptoms to your healthcare provider.

If you're experiencing chest pain or abnormal heart rhythms, it's especially important to speak with your psychiatrist as soon as possible. These symptoms could potentially be serious and may require further evaluation or adjustment of your treatment plan.

I recommend contacting your psychiatrist and explaining your symptoms to them. They will be able to advise you on the best course of action based on your specific situation. It's also a good idea to follow up with your primary care doctor if you're experiencing chest pain or other concerning symptoms.

It's important to remember that it's always better to be safe than sorry when it comes to your health. If you have any concerns, don't hesitate to speak with your healthcare provider.",Physician,Physician,ChatGPT,5,5,3,4,3,5,1,4,2,4,4,4,162,163
N67,"Could this be herpes? Please help :( Images here: https://ibb.co/9pMrMBj

F26, sexually active with new partner of about 5 months. Both tested negative for everything at first and then I tested positive for ureaplasma & gardnerella so did a course of doxy + metro + azithromycin. 

Have been dealing for months with either cytolitic vaginosis or an undetectable thrush recurrence. 

I am seeing someone in a few days about this to test for sure. 

Had unprotected sex using a different lube 5 days ago and I think it gave me thrush or Cv worse.  White clumpy discharge and itching/ soreness/ dryness. 

A few days later I looked at my clitoris and it was really sore, looked like some skin was peeling off and a put it down to over doing it with salt water sitz baths. 

Today I have looked down and it looks like there are little spots/ maybe even sores. It is quite painful to the touch. Now I have been investigating my clitoris is quite sore too. 

I will try and see a doctor asap but wondering if this looks like it could be herpes? They are very tiny! And not very red! Could it be to do with the thrush/ Cv ? 

I have never had a cold sore/anything like this before.

Thanks in advance",yhkvou,iueeiz6,"Hi OP. It could be herpes. They are usually larger but it could be, especially with the pain. However, I am thinking more of Molluscum Contagiosum as they seem umbilicated to me.","It's difficult to accurately diagnose a skin condition without physically examining the affected area. It's important to see a healthcare provider for an accurate diagnosis and appropriate treatment.

Herpes is a sexually transmitted infection caused by the herpes simplex virus (HSV). It can cause small, fluid-filled blisters or sores on the skin, often in the genital area. These sores may be accompanied by other symptoms such as itching, burning, or pain. However, herpes lesions can also be smaller and less noticeable, and may not always be accompanied by other symptoms. It's important to note that herpes can be transmitted even when there are no visible sores present, so it's important to use protection during sexual activity to reduce the risk of transmission.

Thrush, also known as candidiasis, is a fungal infection caused by the yeast Candida. It can cause itching, burning, and discharge in the genital area. Cytolitic vaginosis is a type of vaginal infection that can also cause itching, burning, and discharge.

It's important to see a healthcare provider for a proper diagnosis and treatment. They will be able to determine the cause of your symptoms and recommend the appropriate treatment. In the meantime, it's important to avoid sexual contact and to practice good hygiene to prevent the spread of any infection.",ChatGPT,Physician,ChatGPT,2,3,4,5,2,4,1,1,2,2,2,3,32,218
N68,"Ear drum ruptured, how long is leaking normal? 35M. Had some pain in my ear yesterday and went to an urgent care and my thoughts proved true as I was diagnosed with an ear infection. Got put on 1000mg of amoxicillin 2x daily for 10 days. Very shortly after the pain began to increase exponentially, and a few hours later, after holding a heating pad to it for a bit, I noticed that water draining feeling in my ear as well as that sound, and saw some clear fluid coming out. Over the next couple of hours that liquid turned to pus and a bit of blood. I read online that when a rupture happens from an ear infection, they�۪ll mostly just prescribe antibiotics which I am already on, and the ear drum should fix itself in 1-2 weeks. My question is how long should it be leaking pus? How much can possibly be in there? Because I�۪m about 16 or so hours removed from the rupture and it is still leaking pus sort of heavily. Googled articles say 1-3 days but that seems like a lot, considering the amount that�۪s coming out? Can anyone let me know what�۪s up and what�۪s typical?",xtu1o1,iqsid8m,"It would be expected to leak for a few days, I usually tell people up to 5 days could be expected but 1-3 is reasonable.","It's not uncommon for there to be some drainage from the ear after a ruptured ear drum, but it's important to keep an eye on the amount and character of the drainage. If the drainage is heavy and/or contains a lot of pus, it's important to let your healthcare provider know as soon as possible, as this could be a sign of a more serious infection. It's also important to keep the ear clean and dry to prevent further infection.

In general, a ruptured ear drum should heal on its own within a few weeks. However, if the infection is not adequately treated, the ear drum may not fully heal or may rupture again. It's important to follow the instructions of your healthcare provider and take all prescribed medications as directed. If you have any concerns about the healing of your ear drum or the amount of drainage, don't hesitate to reach out to your healthcare provider for further guidance.",ChatGPT,Physician,ChatGPT,3,4,5,4,3,4,2,1,2,3,2,3,25,203
N69,"Sprained ankle with no bruise - recovery path Age = 28M

Height = 5""11

Weight = 78kg

  
I seem to have sprained my ankle after falling in a weird way which probably twisted my ankle. I didn't feel any pain right away but started feeling from the next day. I can walk fine but I start feeling pain as soon as I put it sideways

The interesting part is there's no swell or bruise around the area and the doctor mentioned taking rest for 2-3 weeks and maybe trying a foot brace. Didn't recommend anything in particular.

Are there any particular steps that I could take to ensure I am on the right track for recovery?",xwvo6z,ir8rfyp,"I'd do what your doc recommended. Rest it as much as possible to avoid additional trauma. Foot brace isn't a bad idea if it feels unstable. If you are on the track to recovery, you should note the pain continues to gradually improve.","It's common for a sprained ankle to not show visible bruising or swelling immediately after the injury, as these symptoms can take a day or two to appear. In the meantime, you can follow the RICE protocol to help manage pain and swelling:

Rest: Avoid activities that put weight or stress on your ankle, such as running or jumping.

Ice: Apply ice to your ankle for 15-20 minutes every 2-3 hours for the first 2-3 days.

Compression: Wrap your ankle with an elastic bandage to help reduce swelling.

Elevation: Keep your ankle elevated above your heart to help reduce swelling.

In addition to following the RICE protocol, you should also consider taking over-the-counter pain medication, such as ibuprofen or acetaminophen, to help manage any pain you may be experiencing.

If your symptoms persist or if you have difficulty walking or bearing weight on your ankle, you should consult a healthcare professional for further evaluation and treatment. They may recommend physical therapy or other interventions to help you recover.",ChatGPT,ChatGPT,ChatGPT,3,4,4,5,5,5,2,1,3,2,1,3,113,162
N70,"BF throws up uncontrollably after drinking Hi everyone! My BF is a 24M, 6�۪3, 200-ish lbs, white, pretty active. 

Whenever my BF drink any amounts of alcohol, he�۪ll end up throwing up and sometimes its excessively. For example, I once watched him drink one IPA and he was throwing up an hour later. If he drinks anything with hard liqour in it, he�۪ll end up throwing up all night and he�۪ll have to go to the ER because he can�۪t hold anything down at all. He�۪s fine drinking pretty light beers like a Modelo or a Budweiser but anything stronger and he�۪s throwing up. 

At first I thought it was because of excessive drinking but it�۪s now after a couple of beers or one beer in total. Is this due to alcohol intolerance? Liver issues?",y9u1i3,it8f8lo,Weird. Does he flush a lot when he drinks? On any meds?,"It is possible that your boyfriend has alcohol intolerance or a medical condition that is causing him to throw up after drinking. Alcohol intolerance can cause symptoms like nausea, vomiting, and digestive issues after consuming alcohol. It can be caused by a deficiency in an enzyme that helps to metabolize alcohol, or it could be due to a sensitivity to ingredients in the alcohol itself.

It is also possible that your boyfriend has a liver condition that is causing his symptoms. The liver plays a critical role in metabolizing alcohol, and certain liver conditions can make it difficult for the body to process alcohol effectively. For example, liver damage from alcohol abuse or conditions like hepatitis or cirrhosis can cause symptoms like nausea and vomiting after drinking.

It's important for your boyfriend to see a doctor to determine the cause of his symptoms and to get appropriate treatment. The doctor may recommend that he stop drinking alcohol entirely or limit his consumption to very small amounts. They may also recommend certain medications or lifestyle changes to help manage his symptoms.",ChatGPT,ChatGPT,ChatGPT,2,3,3,4,5,5,1,1,2,2,2,4,12,135
N71,"Is it likely that my mum will die from multiple organ failure? My mum(50F) has a history of abusing her prescription meds and alcohol. She had cancer in the past but fully recovered and also has MS.  


The drinking got worse this year and she was admitted to the hospital as she was jaundiced in august. She has been there since. She was diagnosed with liver failure and then on Sunday, she was put into an induced coma because it progressed into multiple organ failure. She has a breathing machine, medications to maintain blood pressure and dialysis for her kidneys.  


So that i can mentally prepare, is there strong chance that she will not make it? What are the survival rates for multiple organ failure?",xx9qld,iraw68l,"First of all, I'm sorry this is happening

It's very challenging for anyone to give you any sort of statistics without knowing all the details. What's for sure is that this sounds like a complex case and she sounds very sick. Liver failure patients who end up on a ventilator have a high mortality rate.

I would invite you to set up a meeting with her care team to ask these questions to them, they will be able to answer more accurately than anyone on the internet.","I'm sorry to hear about your mother's health situation. It is difficult to provide a definitive answer about the likelihood of your mother's survival, as multiple organ failure can be a very serious condition with a high mortality rate. However, it is important to note that the prognosis can vary significantly depending on the underlying cause of the organ failure and the overall health of the individual.

Multiple organ failure is a condition that occurs when two or more organs in the body begin to malfunction or fail. It can be caused by a variety of factors, including infection, trauma, and underlying medical conditions such as cancer or autoimmune diseases.

The survival rate for multiple organ failure can depend on a number of factors, including the severity of the organ failure, the underlying cause of the organ failure, and the overall health of the individual. In general, the survival rate for multiple organ failure is lower than for single organ failure.

It is important to note that multiple organ failure can be a very serious and life-threatening condition, and early diagnosis and treatment are critical to improving the chances of survival. If your mother is receiving appropriate medical care and treatment, it is possible that she may recover and her organs may begin to function normally again. However, it is also important to be prepared for the possibility that her condition may not improve, and to consider the options available for supportive care in the event that her condition deteriorates.",Physician,ChatGPT,ChatGPT,5,3,4,5,5,5,5,4,5,4,5,4,127,247
N73,"Blood work for documenting results of water fast - What should I look for? I (38m) am starting a 21 day water fast, and I'm interested in tracking my results beyond what is reflected on the scale. 

I just got a DEXA scan to establish an overall body composition baseline. 

**Is there anything useful or interesting to be gained from doing before/after blood testing?** 

**If so, what should I ask for testing-wise when I make an appointment at the lab?**",xxa1hv,iraxavs,"Why are you doing a water fast? This is not advisable from a medical perspective. I don't know who is recommending this to you but this is pseudoscience.

I would not advise anyone to go through a ast for an extended amount of time, especially not for 21 days. You're putting yourself at serious risk of metabolic disturbances and harm.","It can be useful to track certain biomarkers before and after a water fast to get a sense of the physiological changes that occur during the fast. Some biomarkers that you may want to consider asking for when you make your appointment at the lab include:

Complete blood count (CBC): This test measures the number and types of cells in your blood, including red and white blood cells and platelets. During a water fast, you may see changes in your white blood cell count, which can provide information about your immune system function.

Electrolytes: This test measures the levels of electrolytes (such as sodium, potassium, and chloride) in your blood. Electrolytes play a crucial role in maintaining proper fluid balance in your body, and changes in electrolyte levels can occur during a water fast.

Kidney function tests: These tests measure the levels of creatinine, urea, and other substances in your blood that can indicate how well your kidneys are functioning. Water fasting can put stress on your kidneys, so it may be helpful to track your kidney function during the fast.

Liver function tests: These tests measure the levels of enzymes and other substances in your blood that can indicate how well your liver is functioning. Water fasting can put stress on your liver, so it may be helpful to track your liver function during the fast.

Lipid panel: This test measures the levels of cholesterol and other fats in your blood. A water fast may affect your lipid levels, so it can be useful to track them before and after the fast.

C-reactive protein (CRP): This is a protein produced by the liver in response to inflammation. Tracking CRP levels before and after a water fast may provide insight into the effects of the fast on inflammation in the body.

It's important to note that the specific tests you should request may depend on your individual health needs and concerns. It's a good idea to discuss your fasting plans with your healthcare provider and ask for their recommendations for testing. They can help you determine which tests are most appropriate for you and can provide guidance on how to interpret the results.",Physician,Physician,Physician,4,5,4,2,1,3,1,1,1,2,1,3,59,80
N74,"Traumatic shock after witnessing a suicide aftermath I'm traveling for four months using public transportation. Today, my train got delayed because of an accident on the tracks. After 1.5 hour we got going again and I assumed everything was 'cleaned up'. It wasn't... I saw everything and it was things I did not want to see, ever. I don't understand why we drove past, I wouldn't have minded it if we waited another two hours, as long as I didn't have to see that. Also, what if people on the same train as me got triggered by it? I don't understand. 

Now, this happened at around 10 AM, it is currently 10.45 PM and I have been feeling so confused all day and keep thinking about it. But I don't think about it in a way of 'oh, I saw that', but more 'oh, that's bad that an event like that takes place', as if it didn't happen to me. And like, I know I feel awful about it and that it is a sad thing that happened, but I only know because I knew beforehand that that is how I would feel about it. Idk if you can still follow me.. The whole day I've just been confused, not feeling anything, and whilst I can remember everything and I know what I saw, I feel like it's kinda vague and I feel like it hasn't happened. It's as if my brain is trying to cover up the memory. 
Also, when it happened and I saw it, I didn't realise what I was seeing until I put the puzzlepieces together. I can't fathom what I saw and it confuses me. 

I feel like a psychopath that I don't really feel anything, whilst normally I'm an extremely empathic person and cry easily over sad things. I know that this event is sad, but I don't feel anything, not sad, not angry, not annoyed, nothing. I know that it would upset me, but, now that I witnessed this event, it doesn't.. I'm traveling and not even happy or sad about being in the place where I am right now (not going to mention the place out of respect).

I don't know if it is even possible to get into shock after an event like this, because I feel like it isn't severe enough, but I didn't know where to go with my thoughts so I decided to come here.

At this point I'm just rambling, so I'll stop, but is it possible that I suffer from traumatic shock or am I just overreacting and unsensitive?",xvq866,ir3o4q4,It has been less than 24 hours from the event. This type of trauma can take time.,"It sounds like you have experienced a traumatic event, and it is completely normal to feel confused, numb, and disconnected after such an experience. It is common for people to feel a range of emotions in the aftermath of a traumatic event, and it is also common for people to have difficulty processing and understanding what they have witnessed. It is possible that you are experiencing traumatic shock, which is a natural response to a traumatic event and can involve symptoms such as difficulty processing and understanding the event, feeling detached from one's surroundings and emotions, and difficulty concentrating.

It is important to remember that everyone reacts differently to traumatic events, and there is no ""right"" or ""normal"" way to feel. It is also important to take care of yourself and seek support if you need it. If you are struggling to cope with what you have witnessed, it may be helpful to speak with a mental health professional who can provide you with support and guidance. It is also important to take care of your physical and emotional well-being, such as by getting enough sleep, eating well, and engaging in self-care activities that bring you comfort and relaxation.",ChatGPT,ChatGPT,ChatGPT,3,3,3,5,5,4,1,1,2,5,4,4,17,431
N75,"Why do I not bruise Hi there, I�۪m a 19 year old white female. I am iron deficient with a level of 6 (the ideal range is 20-200). Recently, I�۪ve received many blood test both in my arms and hands over the past 2 weeks. I have small veins so it takes several attempts yet I�۪ve never once bruised.  This made me realise I�۪ve never quite bruised in my life not even when I broke my arm as a child. I�۪ve been iron deficient for several years. Just wondering if anyone knew why I�۪m incapable of bruising. I�۪ve bruised maybe twice in my life but since I�۪m anaemic I�۪m supposed to bruise a lot? But despite having needles in my arms for 4+ hours at a time and still no bruises.",y02883,irq4158,"Not everyone bruises with a blood test, in fact I'd say a good chunk don't. Being anemic doesn't mean you bruise or not bruise.","It is normal for some people to bruise more easily than others, and it is also normal for some people to have a lower tendency to bruise. There are several factors that can affect your ability to bruise, including your age, your overall health, and the thickness and elasticity of your skin. It is possible that your iron deficiency could be a contributing factor to your lower tendency to bruise, as anemia can affect the production of red blood cells and platelets, which are important for blood clotting. However, it is also possible that you simply have a lower tendency to bruise due to other factors, such as the thickness and elasticity of your skin.

It is important to note that bruising is a normal part of the healing process and is not necessarily a cause for concern. However, if you are concerned about your tendency to bruise or have any other concerns about your health, it is always a good idea to speak with a healthcare professional. They will be able to assess your overall health and provide guidance on any necessary treatment or lifestyle changes.",ChatGPT,ChatGPT,ChatGPT,3,5,5,5,5,3,1,1,1,3,1,4,24,132
N76,"Is a 17mm lymph node in the neck concerning? I (26F)had an ultrasound yesterday for a rock hard (yet moveable) lymph node in my neck. It�۪s been there for about 2.5 years, I�۪d say it grew a lot over the last 1.5 years. No pain. I�۪m tired allllllllll the time. Absolutely exhausted. But that�۪s pretty much it. It�۪s right where my jaw meets my neck. Then I have a few other pea sized lymph nodes around my neck and trap muscle etc. I�۪m freaking out, won�۪t hear back from my doctor probably until mid next week. Does this sound like something I should be worried about? The report said ���normal appearing�۝ but the 17mm part scared me. I know I should�۪ve pushed for imaging sooner.",yacb0a,itat3zg,"Nodes can be all sorts of sizes and submandibular nodes can be normal generally close to the range you are describing. The ultrasound images are more important to me than the actual report, although it's encouraging to hear that it is normal appearing. There's a number of ways to approach this. Since it's been there for 2.5 years, it is likely something that's benign. You can easily argue though that if it grew (I'm not sure how it could have grown a lot as it's not that large) that it may be best to take a biopsy of it just to be sure. Either way, this isn't something I'd lose sleep for over the weekend.","It's understandable that you are concerned about the 17mm lymph node in your neck. Lymph nodes that are larger than normal can sometimes be a sign of an underlying issue, such as an infection or a more serious health condition. However, it's important to note that lymph nodes can also become enlarged for other reasons, such as minor infections or inflammation.

Without more information, it's difficult to say for certain what may be causing the lymph node to be enlarged. It's important to discuss your concerns with your doctor, who can evaluate your specific situation and determine the best course of action. In the meantime, try not to worry too much and try to get some rest. It's always a good idea to follow up with your healthcare provider if you have any persistent or concerning symptoms.",Physician,Physician,Physician,5,5,5,4,4,4,4,3,4,3,4,4,125,136
N77,"Prolapsed hemorrhoid-needing tx (I�۪m scared) 30(F), Ehlers danlos type 3, chronic migraines, PCOS, Arthritis, ADHD, Dysautonomia, insomnia, PTSD, depression 


Current medicines:


Concerta, topiramate, venlafaxine, quetiapine, suvexx, and ajovy. 
Supplements:
Lion�۪s mane, glucosamine, coenzyme Q10, melatonin, magnesium omega 3


My current weight is 220lbs, and I am 5�۪7�۝.  Current BMI 34.1. 
I use a wheelchair/walker when out of the house. I do not leave my home a lot due to accessibility issues. 


The hemorrhoid: I�۪ve had it for 3-ish months. No over the counter medications (natural creams, Prep H ointment and suppositories), sitz baths, increase in fibre, decrease in caffeine, and even decreasing most refined sugar/deep fried food hasn�۪t made a different. I have lost about 20lbs in that amount of time. 


There is no bleeding, but it feels firm. My doctor says I have to go to emergency or urgent care to have it ���drained�۝. The thought of this terrifies me. I would like to know what that consists of, as I cannot find the procedure online from a trusted source. I also have been experiencing a lot of back pain, and stomach pain but I don�۪t now if that�۪s related at all (it�۪s new since like 2 days), because I deal with chronic pain a lot.",y6qg79,isqn4x7,"Not sure what your doctor means but if you've had a thrombosed hemorrhoid for 3 months it can't be ""drained"". Im guessing thats what they were referring to. Has anyone examined you? How do you know its a hemorrhoid","I'm sorry to hear that you're experiencing a prolapsed hemorrhoid and are feeling scared about treatment. Prolapsed hemorrhoids are a type of internal hemorrhoid that has protruded through the anus and become visible outside the body. They can be painful and uncomfortable, and treatment may be necessary to alleviate symptoms and prevent complications.

To drain a prolapsed hemorrhoid, a healthcare provider will typically perform a procedure called a hemorrhoidectomy. This involves removing the prolapsed hemorrhoid tissue through a surgical incision. The procedure is usually performed under local anesthesia, which numbs the area around the anus so you don't feel pain during the procedure.

It's normal to feel anxious about having a surgical procedure, especially if you have chronic pain and other health conditions. It might be helpful to talk with your healthcare provider about your concerns and ask any questions you have about the procedure. They should be able to provide you with more information about what to expect and how to prepare for the procedure.

If you're experiencing back pain or stomach pain that is new and unrelated to your hemorrhoid, you should mention this to your healthcare provider. It's important to have any new or unexplained symptoms evaluated, as they could be a sign of a different health issue that needs to be addressed.

I hope this information is helpful, and I wish you the best in managing your health concerns. If you have any further questions or concerns, don't hesitate to ask.",ChatGPT,Physician,ChatGPT,3,4,3,4,3,5,1,1,2,3,4,5,39,205
N78,"Used a neti pot with tap water for three months (almost everyday) and developed a nasal rash that went away after a few days. I�۪m extremely scared of balamuthia mandrillas. This was between last November- January. Since then I�۪ve had an MRI, CT and lots of blood work and nothing showed up. I read the story of the Seattle woman that passed away a year after using the neti pot and developed a nasal rash and I�۪m bugging out about it. My rash went away but I can�۪t stop obsessing about it and I don�۪t feel the best anymore. My family is sick of me talking about it and so is my girlfriend but I don�۪t know if I should let it go or still worry. Any advice would be great thanks.",xybvfk,irgjadh,You've had an extensive work-up. Wouldn't worry about it.,"I understand that you are worried about the possibility of having contracted Balamuthia mandrillaris after using a neti pot with tap water. It is understandable to be concerned about your health, especially after reading about the Seattle woman who passed away from the infection. However, it is important to remember that the risk of contracting Balamuthia mandrillaris through the use of a neti pot is very low, and the majority of people who use neti pots do not develop any health issues.

The nasal rash that you developed could have been caused by a number of different factors, and it is not uncommon for people to develop rashes or other skin irritation from using neti pots. It is possible that the rash was simply a minor irritation that resolved on its own, and not related to Balamuthia mandrillaris.

It is also worth noting that Balamuthia mandrillaris is a rare infection that is typically found in soil and can be contracted through contact with contaminated soil, not through the use of a neti pot. The symptoms of Balamuthia mandrillaris can take months or even years to appear, and it is usually diagnosed through a combination of clinical findings, laboratory tests, and imaging studies.

Based on the information you have provided, it does not appear that you are at high risk for having contracted Balamuthia mandrillaris. However, if you are still concerned about your health, it is always a good idea to speak with a healthcare provider. They can provide you with more information and help put your mind at ease.

In the meantime, it is important to try to focus on the things that you can control and to take steps to manage your stress and anxiety. This may include engaging in relaxation techniques, such as deep breathing or meditation, or seeking support from friends, family, or a mental health professional.",ChatGPT,ChatGPT,ChatGPT,2,4,3,5,5,5,1,1,1,5,5,4,132,306
N79,"Vagina tastes sweet, concerningly sweet I�۪m 19F, 215lbs , 5�۪4. Generally active, and in good health. No medications. No drugs. No alcohol.

A few months ago my boyfriend pointed out while going down on me that my vagina wetness was tasting super sweet, I ended up tasting it, and it was REALLY sweet, like candy. I�۪ve been monitoring it now and for the most part it�۪s pretty normal, slightly sweet and acidic. I�۪ve noticed after I drink diet soda, at least two cans, I start to taste really really sweet. It�۪s like licking a lollipop. 

Is this normal? I can�۪t find anything online about it! Does this bring health concerns? It�۪s only really when I drink high amounts of diet soda.",y4gdss,ise1o5g,"The environment in the vagina is naturally acidic this is stop bacterial overgrowth, acid is sweet in taste, if no additional symptoms, don�۪t think about it.. Cheers..","It is normal for the vagina to have a slight sweet or musky scent, and this can change due to a variety of factors such as diet, hygiene, and hormonal fluctuations. However, if you are experiencing a significantly sweet taste or odor that is not normal for you and that is not related to diet or hygiene, it is important to speak to a healthcare provider.

The sweet taste you are experiencing after drinking diet soda may be due to the artificial sweeteners that are used in these products. Some people are more sensitive to these sweeteners and may experience a change in the taste of their vagina or other body fluids after consuming them. This is generally not a cause for concern, but if you are concerned about the taste or smell of your vagina, or if you are experiencing any other unusual symptoms, it is always a good idea to speak to a healthcare provider. They can evaluate your symptoms and provide you with appropriate care and guidance.",ChatGPT,ChatGPT,ChatGPT,4,3,3,5,5,4,2,1,2,4,1,3,27,120
N80,"Pregnancy: Abnormal 12 Weeks Ultrasound My (34 F) doctor just called me to inform me about a prenatal ultrasound I had done 2 days ago.

I'm currently 12 weeks, I already had another ultrasound at 8 weeks and everything seemed normal. No issues with the pregnancy so far either.
This additional ultrasound was performed because my doctor told me this pregnancy is considered a ""geriatric pregnancy"".
The technician kept switching the transducer (?) and tried to get the baby to move more to be able to take better pictures. (""The baby is not cooperative"" was what she said.)
Baby was moving and normal heartbeat was measured. Technician printed pictures for me and congratulated me on the pregnancy.

When my OBGYN called today he told me that unfortunately something seems to be wrong with the baby, and asked if I already heard anything from the technician who did the ultrasound (I told him I did not).

He couldn't tell me what medical condition it was, he said that he had never seen this before, the only thing he could tell me was that we need another ultrasound next week to confirm, and that genetic specialists might have to talk to me.
He said that there might have been something wrong with the ultrasound machine, but he sounded so negative on the phone that it made me feel like this pregnancy won't be able to continue. 

When I asked him to be more specific, he mentioned the following
- Cavum Septum Pellucidum (CSP) not seen
- Nasal Bone absent
- Brain is normal size but couldn't see a cerebellum

I googled the CSP and found sites that mentioned it would be difficult to locate before 18 weeks.

I'm devastated right now and find it difficult being left with this information and having to wait for another week, that's why I'm seeking for advise here.

How likely is it that the technician just did a bad job or the ultrasound was not clear enough at 12 weeks, especially considering that so many features seem to be absent on the ultrasound? If the features are absent on the next ultrasound, what genetic disorder does this indicate and should I come to terms with the fact that this pregnancy most likely has to be terminated?
Anything experienced something similar before? 

Ultrasound image https://freeimage.host/i/bdgj2I

Thank you for your help.

Edit: Thank you for all your input so far.

I have asked for the report and it was sent to me.

These are the things mentioned as abnormal:

""Choroid/skull: Abnormal. Head has a rounded appearance. Chloroid plexus appears abnormal. No cerebellum seen. Cavum septum pellucidum not identified.
Abdominal wall/cord insertion: Abnormal. Omphalocele likely containing bowel just to the left of the cord insertion. Overall size measures approximately 8mm. There appears to be incomplete separation of the hemispheres with an apparent cortical defect.""

Everything else is listed as normal and nasal bone mentioned as identified; but then at the bottom of the report it sums up:

""Impression:
Single live fetus at 11 weeks 6 days.
Abnormal appearance head, cerebrum and cerebellum.
Absent nasal bone. Omphalocele.""",yf6kuh,iu3ugde,"The ultrasound that is performed around 11-13 weeks of pregnancy is very important in order to detect certain abnormalities that can be seen early in pregnancy. The one image you have provided does not help a lot. However, absent nasal septum can be a worrying sign, although not always indicative of an actual problem with the fetus since it can be seen later in pregnancy. I have seen mothers with small noses have fetuses that looked like that on ultrasound but were born completely normal. Regarding the brain abnormalities, some cannot be seen clearly so early in pregnancy and some can be corrected later on. If absence of cerebellum is confirmed however, it can turn out to be a very serious condition for the newborn and can lead to severe developmental delay and neurological problems later in life. 

You should for sure have another ultrasound by a specialist in that field. You might need also further testing, e.g. amniocentesis to confirm. I don't want to sound extremely alarming but you should also think about the possibility of terminating such a pregnancy if severe abnormalities are confirmed. 

Excuse the maybe not so great use of the language but English is not my native language. If you need more clarification feel free to ask. Best of luck to you.","I'm sorry to hear about the concerns raised by your recent ultrasound. It's understandable that you're feeling worried and uncertain about what the next steps might be.

It's possible that the technician may have had difficulty obtaining clear images due to the position of the baby or other factors. However, it's also important to consider the possibility that there may be a medical issue that needs further evaluation. In this case, it would be important to follow up with your healthcare provider and specialists as recommended, and to consider any additional testing or follow-up care that may be necessary.

It's not possible for me to accurately diagnose a medical condition or predict the outcome of a pregnancy based on the information you've provided. It would be important for you to discuss the findings of your ultrasound with your healthcare provider and specialists, as they will be able to provide more detailed information and guidance based on their professional expertise and the specific circumstances of your case.

I understand that this must be a very difficult and stressful time for you, and I encourage you to seek support from your healthcare team, loved ones, and any other resources that may be available to you. It's important to take care of yourself and to give yourself time to process your thoughts and feelings.",Physician,ChatGPT,Physician,4,4,5,3,5,4,4,3,4,5,5,4,492,218
N81,"How many days can I safely take 1000mg of acetaminophen without any damage? I�۪m M/26, weigh about 115LB. had a headache come and go this whole week. I am gonna talk to my doctor about it tomorrow, but I�۪ve been taking 2 500mg pills only once each day for the past week and a couple days for this headache. I am worried if I take two more tonight I will add to possible ���medication overuse headaches�۝ or even liver damage.

**Surely I�۪ll be fine because I�۪m not surpassing even half the maximum daily dose. But my concern is how many days in a row I�۪m using it and how I�۪m a pretty light, skinny male so the max dose is probably smaller for me idk if that�۪s even how that works? 
Can anybody fill me in on the safety of taking 1000mg for more than 10 days?** 

The headache is probably coming from using my phone, playing video games, and watching YouTube on my laptop practically nonstop from wake to bedtime only with brief breaks in between. I�۪m addicted to technology and also I�۪m really stressed about a breakup and my own quality of life these days. I�۪m unemployed and idle due to poor mental health so surely it�۪s from all the overwhelm and using technology as a constant distraction from the struggle.. I hope. I have health anxiety and hope it�۪s not cancer or something else. But for now I just want this pain to go away. Let me know if I can take another two 500mg this week, the first of today without freaking about about damage to my body. 

Thanks",ybzf9k,itjgxlw,You could do that for a long time. It's well below the recommended max 24hr limit,"It is generally recommended to not take more than 4,000 mg of acetaminophen in a 24-hour period and to not use it for more than 10 days for the treatment of pain or more than 3 days for the treatment of fever. Taking more acetaminophen than the recommended maximum daily dose can increase your risk of liver damage.

It is important to follow the recommended dosages and to not take acetaminophen for longer periods of time than recommended. If you are experiencing ongoing or recurrent headaches, it is important to talk to your doctor to determine the cause and to discuss appropriate treatment options.

In addition to taking acetaminophen, it may be helpful to identify and address any underlying causes of your headaches, such as stress, excessive use of technology, or poor sleep habits. You may also want to consider other lifestyle changes, such as reducing your screen time, practicing relaxation techniques, or getting regular exercise, to help manage your headaches and improve your overall health and well-being.",ChatGPT,ChatGPT,ChatGPT,1,3,3,4,5,5,1,1,2,5,2,3,272,166
N82,"This is skin cancer, isn't it? Update: called derm yesterday and they were able to see me by lunchtime (awesome!). Dr said she was thinking either malignant or cherry angioma (completely benign). Went ahead and excised entirety at visit and now it should be 5-7 days for results. Thanks again everybody! I'll update when I get results if anyone is interested.

Shit you guys. 37yo female. Just discovered this by chance running my hand over it. L lateral thigh, raised, weird margins, asymmetrical. In a spot where I've never had a mole or freckle. Haven't had sunburn recently but have burned myself plenty of times in teens and early 20s. Is [this](https://imgur.com/a/QbvWqlt) something I need to pursue an appt for aggressively or can it wait a couple months if my derm is booked up?",y55xs3,ishyg3n,"To me, this is little a suspicious mole, to be checked earlier better than later ..","It's difficult to accurately diagnose a skin lesion or growth just by looking at a picture or description. It's always important to have any new or unusual skin changes checked by a dermatologist, especially if they have unusual characteristics such as asymmetry, irregular borders, uneven color, or a diameter larger than a pencil eraser. It's always better to err on the side of caution when it comes to potential skin cancers.

It's great that you were able to get an appointment with a dermatologist quickly. The dermatologist will be able to examine the growth and determine the best course of action. If the growth is found to be a cherry angioma, as the dermatologist suspected, it is a benign (non-cancerous) vascular tumor that can be safely removed if desired. If the growth is found to be malignant, further treatment will be necessary to remove the cancer and potentially prevent its spread.

It's always important to take good care of your skin and to protect it from excessive sun exposure, as sun exposure is a major risk factor for skin cancer. Wearing protective clothing, including a hat and sunglasses, and using sunscreen with a high SPF can help to protect your skin from harmful UV rays.",ChatGPT,ChatGPT,ChatGPT,4,4,3,5,5,4,1,1,3,3,1,3,16,133
N83,"Persistent pain at the bottom of tailbone Age: 24

Sex: male

Height: 6 ft approx.

Weight: 85-90 kid

Race: European

Duration of complaint: 6 days

Location: top of crack/bottom of tailbone

Any existing relevant medical issues: n/a

Current medications: n/a

Include a photo if relevant

I�۪m 24 M, 6 foot, 85-90 kg, European descent. in the last few weeks when I wipe after no. 2�۪s there is a little blood when I wipe the specific area. About 6 days ago I used the other toilet in the house that is basically solely used by 2 of my friends, and they don�۪t clean it (had no choice. I got very sudden pain in the area described and swelling that is almost unbearable without ibuprofen. Should I worry ? It�۪s been 6 days but could it go away on it�۪s own? I can barely sit down without discomfort and I have to lean forward if I want no pain. I can�۪t really lie in bed without pain even when lying on my sides, unless I take 2 ibuprofen. I�۪m pretty worried so any advice would be greatly appreciated. Also it�۪s definitely swollen and very tender and it keeps smelling quite bad when I touch and smell my finger but that could just be normal as$ stuff",y8gp4j,it0lsq4,Could be an infected pilonidal cyst. You should see your pcp or an urgent care,"It is not normal to have persistent pain, swelling, and bleeding in the area around the tailbone (coccyx). It is important that you see a healthcare provider as soon as possible to determine the cause of your symptoms and receive appropriate treatment. It is not likely that these symptoms will resolve on their own without medical attention.

There are a number of potential causes for these symptoms, including:

Hemorrhoids: Swelling and bleeding in the area around the anus can be caused by hemorrhoids, which are swollen veins in the lower rectum and anus. Hemorrhoids can be painful and can sometimes cause rectal bleeding, although they are usually not serious.

Anal fissure: An anal fissure is a tear in the skin lining the anus. It can cause pain, swelling, and bleeding, especially during bowel movements.

Infection: An infection in the area around the anus or rectum can cause pain, swelling, and discharge.

Other possible causes include abscesses, anal cancer, and inflammatory bowel disease.

It is important to see a healthcare provider to determine the cause of your symptoms and receive appropriate treatment. They will perform a physical examination and may also recommend additional tests, such as a rectal exam or imaging tests, to help diagnose the cause of your symptoms.

In the meantime, try to avoid straining during bowel movements and avoid sitting for long periods of time. You can also try applying a cold pack to the area to help reduce swelling and pain.",Physician,ChatGPT,ChatGPT,4,2,3,3,4,5,1,1,2,2,1,3,204,237
N84,"Who do I see for this? 44F, 5'4"", 170.2 lbs, White, no drinking, no drugs, no meds, diet-controlled diabetic (sugar under control).

For a few months now, I have sharp lower abdomen pain right before going #2 (maybe minutes, maybe a couple of hours), like it hurts when waste is going through the large colon.  Like doubled over sharp pain.  IBS?  

​

Who do I even see for this?  The pain goes away once I vacate the offending waste.  Thanks!",y1ngp8,irys2or,"Might be an anal fissure. I'm a surgeon and I manage these in my area, but usually GI or a surgeon can manage these.","It's important to see a healthcare professional for any persistent pain that you are experiencing. In this case, it sounds like you may be experiencing discomfort related to your gastrointestinal system. A gastroenterologist or a primary care physician would be the appropriate healthcare professionals to see for this type of issue.

They will likely ask you about your symptoms, medical history, and conduct a physical examination. They may also recommend further tests such as a colonoscopy to help diagnose the cause of your pain and determine the most appropriate treatment.

It's important to note that this type of pain could be a symptom of a number of different conditions, and it's important to get a proper diagnosis in order to receive the most effective treatment. It's also important to follow your healthcare professional's recommendations for managing your diabetes and to continue to follow a healthy diet.",ChatGPT,ChatGPT,ChatGPT,2,2,3,5,3,4,1,1,3,4,2,3,83,144
N85,"Please help me understand my holter monitor results. ���CONCLUSION:
1. Normal sinus rhythm, baseline rhythm with normal conduction.
2. Rare supraventricular ectopic activity.
3. No ventricular ectopic activity.
4. Symptoms did not correlate with any dysrhythmia.�۝

What does 2 mean? Is this normal, or should I be concerned? My doctor has not explained any of this to me, I just got an email.

Thank you in advance 
21F on no medications, no health issues, 190lb",y12xeu,irvf5pl,Completely normal.,"A holter monitor is a device that continuously records the electrical activity of your heart for a 24-hour period. The results of the holter monitor test are typically analyzed by a healthcare professional, such as a cardiologist, to determine whether there are any abnormalities in the rhythm or functioning of your heart.

In your case, the conclusion of the holter monitor test indicates that you have a normal sinus rhythm, which means that the electrical signals that coordinate your heartbeats are coming from the sinoatrial (SA) node, the natural pacemaker of the heart, and are happening at a normal rate. The results also indicate that you have rare supraventricular ectopic activity, which means that you have occasional extra heartbeats that originate from the atria or the atrioventricular (AV) node, rather than from the SA node. These extra heartbeats are also known as premature atrial contractions (PACs). PACs are relatively common and are usually not a cause for concern. They may be triggered by factors such as caffeine, alcohol, tobacco, stress, or lack of sleep, but they can also occur in people who are otherwise healthy.

The results also show that you do not have any ventricular ectopic activity, which means that you do not have any extra heartbeats originating from the ventricles, the lower chambers of the heart. This is good news, as ventricular ectopic activity can be a sign of a more serious heart condition.

Finally, the results indicate that your symptoms did not correlate with any dysrhythmia, which means that any symptoms you were experiencing, such as palpitations or shortness of breath, did not appear to be related to any abnormal heart rhythm.

In summary, the results of your holter monitor test indicate that you have a normal sinus rhythm and that you have rare supraventricular ectopic activity, which is not uncommon and is usually not a cause for concern. It is always a good idea to discuss the results of any medical test with your healthcare provider, so you may want to ask your doctor for more information or clarification about your test results.


",ChatGPT,ChatGPT,ChatGPT,3,4,3,5,5,5,1,1,1,5,3,4,69,343
N86,"XRay/Radiologist Report Layman's Terms (If anyone is interested, I posted my MRI results from 2020 earlier in the year. To give a history)

Would a physician or medical professional be able to put this into layman's terms for me so that I can understand?

38F  
5'7  


 

## Study Result

### Impression

FINDINGS /IMPRESSION:  
The last fully formed disc space is designated as L5-S1.  


\* No acute fracture; intact vertebral body heights.  
\* No significant listhesis. Minor lumbar levocurvature.  
\* L5-S1 degenerative disc disease with vacuum disc and discogenic  
sclerosis, and milder degenerative disc space narrowing/endplate spurring  
at the remaining levels.  
\* Mild facet arthropathy, greatest at L5-S1.  
\* No other significant findings.

### Narrative

EXAM: XR LUMBAR SPINE 2 OR 3 VIEWS  


Thank you!",y4f5ea,isdzawk,"* No freshly broken vertebrae; no evidence of vertebrae having been formerly broken and crushed either.
* Vertebrae are stacked well on top of each other, not sliding out from under each other. At the lower back the spinal column curves slightly to the left.
* At the border of the sacral bone and lumbar spine, the cartilage disc is deteriorating. The other cartilage discs also started to deteriorate mildly.
* Also the joints between the vertebrae show signs of wear, mostly at the border of the sacral bone and lumbar spine.
* No other significant findings.","Sure, I'd be happy to help! I'll do my best to explain the report in layman's terms:

The report is about an x-ray of your lower back, specifically the lumbar spine (the lower part of the spine that connects to the pelvis). The x-ray was taken from two or three different angles.

The report states that there is no evidence of any fractures (breaks) in the vertebrae (the bones that make up the spine). The heights of the vertebrae are normal. There is also no significant instability (movement) between the vertebrae.

The report notes that you have degenerative disc disease at the L5-S1 level. This means that the disc (the cushioning pad between the vertebrae) has become damaged and is not functioning as well as it should. The disc may also be slightly narrowed and there may be some bone spurs (extra bits of bone) on the endplates (the top and bottom of the disc).

The report also mentions mild facet arthropathy, which means that there is some wear and tear on the facet joints (the joints on the sides of the vertebrae). This is more pronounced at the L5-S1 level.

Overall, the report suggests that you have some degenerative changes in your lower back, but there are no other significant findings.",ChatGPT,ChatGPT,ChatGPT,5,4,4,5,5,5,1,1,2,3,4,4,130,207
N87,"Keep getting sudden feeling of impending doom and that I�۪m dying or I�۪ll die any moment (M20) It feels really scary and depressing, had it on and of for a good month now and it freaks me out.

Why?",y5iirh,islh4a4,It's recurrent panic attacks. You might have panic disorder. Please see a psychiatrist or family doctor.,"It's understandable that you would be concerned and upset by the sudden feelings of impending doom that you have been experiencing. These types of feelings can be very distressing and can interfere with your daily life.

There are many potential causes of these types of feelings, and it's important to speak with a healthcare professional in order to determine the cause and receive appropriate treatment. Some possible causes of sudden feelings of impending doom include anxiety disorders, panic disorder, depression, and other mental health conditions. It's also possible that these feelings could be caused by a medical condition or a reaction to certain medications.

It's important to seek help if you are experiencing these types of feelings. A healthcare professional can help you to understand the cause of your symptoms and recommend appropriate treatment, which may include therapy, medication, or other interventions. Please don't hesitate to reach out for help if you are struggling with these feelings.",ChatGPT,Physician,ChatGPT,3,4,5,4,3,3,1,1,2,5,3,5,16,38
N88,"Convulsive syncope vs seizure workup Age 50

Sex F

Height 5�۪4�۝

Weight 160#

Race white 

Duration of complaint started Monday but have had hx of passing out on blood draws for 25+ years. No convulsions or loss of bladder control until this time. 

Location- at work 

Any existing relevant medical issues- had stated having migraines, tried taking topomax. Took 25 mg for 1 week, increased to 50. Could not tolerate due to memory and muscle effect. Went back down to 25 for a week then stopped taking. Last dose was 4 weeks ago. 

Non smoker. In peri menopause. 

Current medications- Vit D and B12. 

Monday morning I had my first ever episode of convulsive syncope vs seizure.  I was sitting, possibly dehydrated so glad to have it excused by my PCP as likely just vasovagal syncope with her telling me that workups would be overkill. Visited her day after it happened. (My other syncope was explainable due to blood draws and regularly occurs, no convulsive symptoms.) This episode however I had mild contractures and lost bladder control.

Have since talked to the dr who happened to be there when it happened and he suggests to follow through with ER doc recs for neurological and cardiac workups to rule out causes other than benign vasovagal. **I�۪m honestly scared of over treatment**. Would love to know what y�۪all think. Thanks!

BP dropped to 100/60 when it happened, came back to normal 124/72 fairly quickly.  No post ictal s/s. CT and chest xray normal. Fasting labs normal.",xxjfzt,ircdwi1,You are using a lot of medical terms. It would help to know your background. Are you in medicine?,"It sounds like you had an episode that could potentially be a seizure or a case of vasovagal syncope (fainting). Vasovagal syncope is a common cause of fainting, and it is typically triggered by a specific event or condition, such as standing for a long time, seeing blood, or experiencing emotional stress. Seizures, on the other hand, are caused by abnormal electrical activity in the brain and can manifest in a variety of ways, including convulsions, loss of consciousness, and loss of bladder control.

Given that you have a history of fainting during blood draws, your primary care doctor may have assumed that your episode was vasovagal syncope. However, the fact that you had convulsions and lost bladder control during this episode raises the possibility that it could have been a seizure. It is important to rule out other potential causes, such as a cardiac or neurological issue, in order to determine the most appropriate treatment.

I would recommend following the recommendations of the ER doctor and undergoing the recommended workups, such as a neurological and cardiac evaluation. This will help to determine the cause of your episode and ensure that you receive the most appropriate treatment. It is always better to be safe rather than sorry, and undergoing these tests can help to ensure that any underlying medical issues are properly diagnosed and treated.",ChatGPT,ChatGPT,ChatGPT,2,1,2,4,4,5,1,1,1,4,4,4,250,223
N89,"(16, afab)Vaginal pain outside of period I am 4�۪11, 104 lbs, and latino. My period has been painful to the point of vomiting since early quarantine, but the pain from menstrual cramps has intensified over time and more recently I�۪ve been getting sharp vaginal pains for the first two days of my period to accompany the usual cramps. For the past two weeks though, I�۪ve been getting random stabbing vaginal pains despite not being on my period. They don�۪t last long, but they hurt. Is this normal? Is it any cause for concern? Should I bring it up to my doctor?
I have no medical issues that I am aware of, I am not medicated, and I don�۪t drink, smoke, or do drugs.",y49h6k,isei3r4,"Vaginal or ovarian?  Mittelschmertz comes to mind.  If you�۪re having recurrent sharp pain it would be worth discussing with your pcp.  Could be anything from endometriosis to an STI, etc.","It's not normal to experience vaginal pain outside of your period, and it's important to speak with a healthcare provider about this issue. There could be a variety of potential causes for your symptoms, including endometriosis, uterine fibroids, or another underlying condition. It's important to get a proper diagnosis and treatment plan from a healthcare professional.

In the meantime, you can try using over-the-counter pain relievers, such as ibuprofen or acetaminophen, to manage the discomfort. You can also try applying heat to your lower abdomen or taking warm baths to help relieve cramps.

It's important to speak with your healthcare provider about any changes in your menstrual cycle or any new or unusual symptoms you are experiencing. They will be able to advise you on the best course of action and help you find relief from your symptoms.",ChatGPT,ChatGPT,ChatGPT,4,2,3,5,4,5,3,1,1,4,4,4,122,136
N90,"What other kind of testing do I ask for following recent admission to hospital & receiving negative EEG after multiple fainting episodes?? [23F, Hispanic, 131 lbs, recently diagnosed with vertigo, Vasovagal syncope, and possibly POTS Syndrome, primary issue has happened over the course of the past week or so]

So, I�۪m feeling very overwhelmed here. I�۪ve never been diagnosed with epilepsy. I�۪ve had doctors toss around the idea of ���absence seizures�۝ when I would have spells of zoning out over the past few years. I also used to faint randomly. That stopped for a few years. 

Fast forward to this week, I�۪m having issues again; but worse-

Monday: I went to the ER because I�۪ve been getting some messed up vertigo symptoms. I felt very off. They told me the vertigo was related to my bp & hr dropping and going up upon position changes (think they mentioned POTS?)

Tuesday night: I pass out at home after feeling light headed for a while. 
This time (unlike times in previous years) I am out, unconscious on the floor. When I wake up I get told my eyes were fluttering and I wasn�۪t responding. I was out maybe 3 minutes. I still had trouble speaking after waking up.

Wednesday morning: I got to work, my head was killing me in one specific spot in the back of my head for a few hours. Pain started to get intense, started getting heart palpitations, light headed was returns- BOOM, hit the ground - unconscious yet again. One of my co-workers found me, I wasn�۪t responding and I was randomly twitching. My eyes were open but fluttering again. He called an ambulance and once the medics got there (literally within 2 minutes) they tried to wake me up but I wasn�۪t responding still. I was in and out by this point but I couldn�۪t speak or move. I heard him say my eyes were all over the place, next thing I knew he was digging his knuckles into my sternum and that mostly got me conscious again. When I opened my eyes I was dead confused and felt like I was about to slip out again. They brought me to the hospital and the doctor was ready to chalk it up to a migraine until it happened again while she was right next to me. 
Then she decided I needed to be seen by neurology and I was admitted. 

While I waited a few hours for neurology, the nurses noticed my eyes, tried to wake me up but I was again unable to speak or move. More knuckles into my sternum.
They got a rush order for an EEG (still took a few hours to get) but they only did it for about 35 mins and that was with breaks because I had to keep using the bathroom. Once the test was done and read- they said it came back normal and that it was not seizures. I was told it was Vasovagal syncope + vertigo and potentially POTS Syndrome. 

Friday: took day off from work to rest as I felt off still. 

Today at work: started to get odd sensation in back of my head like a tickle or skin crawling feeling almost that moved into back of my neck. Started to feel a bit of twitchiness. Feeling got more intense in my head and I felt myself checking out again. My co worker made sure I was safe and tried to wake me up. He said my eyes again were all over the place and fluttery, and this time I was super twitchy. He had to give me a few minutes after I was awake again because I still couldn�۪t speak right after.  

I just got a notification that the EEG report posted to my portal so I looked at it (even though I am aware I was told it was normal). I read it, it says ���No epileptiform abnormalities are appreciated�۝(I.e-normal), but in the beginning of the report it�۪s says ���subsequently witnessed to have episode of R head turn and unresponsiveness c/f seizure.�۝ 

I know I�۪m not a doctor, I have no clue about any of this, but I feel like I need medication. My body feels SO exhausted after every episode and it�۪s draining me.I just need to know what the hell is going on or what I should do. I�۪m also taking a break from driving for now to be safe. 


I�۪m seriously at a loss. 
It keeps happening and I keep feeling specific things before it happens. 

Please shed ANY light on this. I have a child to chase around and need to get better.",ybnvz5,iti7fyp,"These are atypical symptoms and while I've learned anything can be seizure it can also be other things.

- I'd try my best to keep hydrated, alongside a high salt diet for now to see whether that gets you feeling better. If this helps, would be suggestive of POTS or vasovagal spells (you can youtube ""the fainting lark"" for examples of passing out that look like seizures).

- agree with not driving for now just in case, as you seem exhausted regardless, even if these aren't seizures

- consider requesting an ambulatory eeg via a neurologist or your doc. You'd essentially just wear an eeg for several days, and since you have these spells frequently, are likely to get an answer 

- empiric seizure med could also be tried. Depends on the doc and their comfort level with trying something but something like topiramate could help both prevent migraines and seizures.","It sounds like you have been experiencing a number of concerning symptoms, including fainting episodes, vertigo, and difficulty speaking and moving after waking up. It is important that you continue to follow up with your healthcare provider to address these issues and determine the cause.

Based on the information you provided, it sounds like your healthcare provider has already ruled out epilepsy as the cause of your fainting episodes and has instead diagnosed you with vasovagal syncope and possibly POTS syndrome. Vasovagal syncope is a type of fainting that occurs when the body overreacts to certain triggers, such as standing for a long time or experiencing strong emotions, and the heart rate and blood pressure drop suddenly. POTS syndrome is a condition in which the heart rate increases significantly upon standing up, leading to symptoms such as lightheadedness, fainting, and fatigue.

In addition to your EEG, which is a test that measures brain activity, there may be other tests that your healthcare provider may recommend to further evaluate your symptoms and determine the cause. For example, they may recommend a tilt table test, which is a test that helps to determine if your fainting episodes are due to a problem with the regulation of blood pressure and heart rate. They may also recommend other tests such as an echocardiogram, which is an ultrasound of the heart, or a Holter monitor, which is a device that records heart activity for a period of time.

It is also important to consider whether there are any triggers or factors that may be contributing to your fainting episodes. For example, if you have been experiencing vertigo, it may be helpful to avoid activities that may exacerbate this symptom, such as looking up or down for a long time or standing for extended periods of time. If you have been diagnosed with POTS syndrome, your healthcare provider may recommend lifestyle modifications such as increasing your fluid and salt intake, avoiding prolonged standing or sitting, and avoiding certain medications that may worsen your symptoms.

In the meantime, it is important that you take care of yourself and prioritize your health. If you are experiencing any symptoms that are concerning or that interfere with your daily activities, it is important to speak with your healthcare provider as soon as possible. They will be able to advise you on the best course of action and help you manage your symptoms.",Physician,ChatGPT,ChatGPT,5,2,4,4,3,5,3,1,3,2,2,4,772,398
N91,"What do these CT results mean? My sister(19f) and has been throwing up blood a few times in the last month. 

In her third hospital visit they did a CT scan and these were the results. I�۪m not sure what these mean however, and the hospital nor doctors explained anything to us. 

(We actually found this info by checking her chart ourselves. No reaching out on their part.)

https://imgur.com/a/LORNjNm",yhkbr5,iueqim2,Respiratory artifact just means she was moving during the imaging. The other underlined portion mentions a lymph node in the space between right lobes. Neither one are significant findings,"I'm sorry to hear about your sister's condition. It's important that she receives medical attention as soon as possible, as vomiting blood can be a sign of a serious underlying condition.

It's difficult for me to interpret the specific CT scan results without more information. In general, CT scans use x-rays to produce detailed images of the inside of the body. The results of a CT scan can help doctors diagnose a variety of conditions, including infections, injuries, and abnormalities in the organs and tissues.

The images from the CT scan that you provided show a cross-sectional view of your sister's body. The images include the upper part of the abdomen, including the liver, gallbladder, and pancreas, as well as the aorta and the inferior vena cava, which are large blood vessels.

It's important to note that the presence of certain abnormalities on a CT scan does not necessarily mean that your sister has a specific medical condition. Further testing, such as blood tests and additional imaging studies, may be needed to determine the cause of your sister's symptoms and to develop a treatment plan.

I recommend that you speak with your sister's healthcare provider about the results of the CT scan and any other test results. It's also important for your sister to follow the treatment plan recommended by her healthcare provider and to seek medical attention immediately if her symptoms worsen or if she experiences any new symptoms.",ChatGPT,Physician,ChatGPT,2,4,3,2,2,5,1,1,2,4,2,4,68,236
N92,"Radom deafness 21F, 120lbs, POTS and FMF taking metoprolol and colchicine 
I�۪m having my 3rd flare of this issue. In July, I got super bad tinnitus, I couldn�۪t hear anything other than a deep rumbling in my ears. I got a head CT which didn�۪t show anything and it went away after 2 weeks on it�۪s own. In April, it happened again, accompanied with vertigo, and I ended up in the hospital for a week because I also had SVT. Now this week, I�۪m having it again. It sounds like a motorcycle is idling in my ear. My doctors say it�۪s just probably caused by high blood pressure but I checked and my BP is normal. Is there anything that could better explain why this keeps happening and how to prevent it?",yatw9f,itcvcr8,"I'd get a hearing test and consider seeing an ENT. Episodes like this could be related to Meniere's. Classically these are vertigo episodes with hearing loss, ear fullness, and increase in tinnitus that last a few hours, although the dizziness can persist. There are atypical variants though. Other options include migraine. There are some autoimmune causes to fluctuating hearing as well. 

Either way, the starting point is ENT and hearing test.","It is possible that your tinnitus and vertigo are related to your POTS (postural orthostatic tachycardia syndrome) and not necessarily due to high blood pressure. POTS is a condition that affects the way the heart and blood vessels respond to changes in position. It can cause a variety of symptoms, including tinnitus and vertigo, as well as lightheadedness, fainting, and rapid heartbeat.

It is also possible that the colchicine you are taking for FMF (familial Mediterranean fever) could be contributing to your tinnitus and vertigo. Colchicine can cause a variety of side effects, including hearing loss and dizziness.

It is important to continue working with your doctors to determine the cause of your tinnitus and vertigo and to find the most appropriate treatment. This may involve adjusting your medications or trying other treatments, such as physical therapy or vestibular rehabilitation, to manage your symptoms. In the meantime, it may be helpful to try some self-care measures, such as avoiding loud noises, reducing stress, and getting enough rest, to help manage your symptoms.",ChatGPT,ChatGPT,ChatGPT,3,3,3,4,4,5,2,1,2,3,1,4,71,132
N93,"ECG T-wave inversion? Hello,

I (26M, 179cm, 59kg, no smoking/alcohol/drugs) recently went to a clinic because I tend to black out after mild exertion, (like running to the bus), and had an ECG. The results were apparently a bit unusual with a T-wave inversion in V1-V2. After consulting a cardiologist my Dr. told me this could be a sign of either:

A previous heart attack, or 
A natural phenomenon that can be seen in young, tall, skinny people.

This fascinates me, because those two possibilites feel about as far apart as you could get. While I certainly fit the latter category, severe coronary heart disease runs in the family so I am a bit nervous.

I will be having a bunch of tests done sometime in the near future, but out of curiosity I've been reading about this to try and understand why a result like this could indicate two such different things.

As far as I can gather, the inversion is present after an infarction due to electrically dead scar tissue. But it is also common in children and can sometime remain into early adulthood. I can't find any info on why this happens in kids though, and would be grateful if anyone with some insight could explain.

Thanks!",y2cyht,is2f9vn,T-wave inversion in V1 and V2 is completely normal; these leads are supposed to have T-wave inversion.,"T-wave inversion on an electrocardiogram (ECG) refers to a specific pattern in the shape of the T wave, which is a small deflection on the ECG tracing that follows the QRS complex. T-wave inversion can be a normal finding in some individuals, particularly in certain leads (V1-V4) in young, healthy individuals. However, T-wave inversion can also be seen in individuals who have had a heart attack, as you mentioned.

The cause of T-wave inversion in individuals who have had a heart attack is typically due to scarring of the heart muscle that occurs after a heart attack. The scar tissue does not conduct electrical impulses as well as normal heart muscle, which can result in abnormal ECG findings, including T-wave inversion.

T-wave inversion can also occur in individuals who have not had a heart attack and may be a normal finding in some individuals. This is more commonly seen in young, healthy individuals, particularly in leads V1-V4. In these individuals, the cause of T-wave inversion is not well understood, but it is thought to be related to the electrical activity of the heart in these individuals.

It is important to note that T-wave inversion on an ECG can have multiple causes and is not always indicative of a heart problem. It is important to discuss the findings of your ECG with your healthcare provider, as they will be able to consider your medical history and other factors in determining the cause of your T-wave inversion and any necessary treatment.",Physician,ChatGPT,ChatGPT,4,2,3,3,5,5,1,1,1,4,2,4,204,246
N94,"Practical tips for dealing with rectal prolapse? 28F, dealing with rectal prolapse (I frequently have to push the tissue back into place) and cannot fully empty the colon without digital assistance. I realize, however, this will make the prolapse worse over time. I do not have insurance and as this isn't an emergent issue, I'm SOL for the time being. 

Any advice besides fluids and fiber?",ybxlc3,itjid7b,How do you know you have prolapse? Have you been diagnosed by a colorectal surgeon?,"Rectal prolapse is a serious condition that requires medical attention. It is not something that can be effectively managed on your own. If you are unable to seek medical treatment at this time, it is important to continue to take care of yourself as best you can. Here are some tips that may be helpful:

Drink plenty of fluids to help prevent constipation. Water is the best choice, but you can also try juice or broth.

Eat a high-fiber diet to help bulk up your stools and make them easier to pass. Good sources of fiber include fruits, vegetables, and whole grains.

Avoid straining when you have a bowel movement. Instead, try to relax and give yourself enough time to complete the process.

Use a stool softener or a mild laxative if needed to help prevent constipation.

Avoid heavy lifting or other activities that may put strain on your rectal area.

Wear loose, comfortable clothing to help prevent irritation of the prolapsed tissue.

Again, it is important to emphasize that rectal prolapse is a serious condition that requires medical treatment. If you are unable to access medical care at this time, it may be helpful to speak with a healthcare professional or a nurse about your options for managing your symptoms.",ChatGPT,ChatGPT,ChatGPT,3,3,3,4,5,5,1,1,2,3,4,4,66,204
N95,"Peed blood a few times [23M], 5�۪11�۝, 211lbs, Hispanic 

So I�۪m training for a fight And have been for a while. But Friday morning I had a two hour sessions ahead of me and I woke up with my legs hurting so I went straight to the pantry and grabbed 3 ibuprofen and took them. I then made some coffee and ate some eggs and left. I had only drank a couple sips of water. 

The training session was exhausting as usual. But I always push through. I chugged some water beforehand and during the sessions but not too much. During the training, my stomach started to hurt for some reason. It wasn�۪t pain, more like discomfort. Well. After class I got home, peed and couldn�۪t help but notice it was slightly red. I started chuggin water making sure I was crazy and the next one was more red but not thick red. Pee with some color. Then I kept chuggin water trying to filter it out. The third one was clearer which was good to me. Then the fourth was gone. I�۪m no longer peeing bloody but I can�۪t help but notice that my stomach feels discomfort after I eat now. I�۪m also getting full a bit easier. Which is throwing me off. 

I asked a nurse friend and they said possibly a stomach ulcer from dehydration. But I�۪ve also heard people getting ulcers from ibuprofen. So what does it sound like it could be? How do I help myself? No health insurance and can�۪t afford it. Might apply for Medicaid but until then, I got to do it on my own.",xzb81p,irld5oy,If you get hit in the kidney sometimes that can make you briefly pee blood (usually more like tea colored urine). So if you�۪ve taken a leg or fist to kidney could be that since you mention you�۪re fighting. Would also be concerned about ruling out rhabdomyolysis before settling on assuming it is benign episode of peeing blood from trauma. Would definitely go to doctor and get labs checked. Definitely drink lots of fluids over next 24 hrs and stop ibuprofen,"It's important to see a doctor if you are experiencing blood in your urine, as this can be a sign of a serious medical condition. While it is possible that your symptoms are due to a stomach ulcer or dehydration, there could be other underlying causes such as a urinary tract infection, kidney stones, or a more serious condition such as kidney disease or cancer.

In the meantime, it is important to stay hydrated and avoid taking ibuprofen or any other non-steroidal anti-inflammatory drugs (NSAIDs) until you have been evaluated by a healthcare professional. You can try drinking plenty of water and electrolyte-rich beverages to help with hydration. Avoiding alcohol and spicy or acidic foods may also help to reduce discomfort in your stomach.

If you do not have health insurance and cannot afford to see a doctor, you may be able to find low-cost or free healthcare resources in your community. You may also be able to apply for Medicaid, which provides low-cost or free healthcare to eligible individuals and families.

It is important to get a proper diagnosis and treatment for your condition, so I recommend seeking medical attention as soon as possible.",Physician,Physician,ChatGPT,5,5,4,4,2,5,1,1,3,2,2,3,273,192
N96,"(26M) When's a valid age to go get checked for cancer? 
I suffer a lot of health anxiety as a hypochondriac, and big triggers for me is fearing stuff like cancer or heart problems. I always wonder whether i should go get a full body checkup at my age?

I have googled this question and I get a lot of mixed responses.

 I'm not sure if it's a valid thing to do or should only really be done past a certain age. I live in the UK so stuff like checkups are free if I pester the clinic enough.",xx1mvt,irb2okx,"Annual exams and a good relationship with a primary care physician would be your first step. They will evaluate any symptoms to determine whether further testing would be warranted. Unless you have specific family history of certain cancers or genetic conditions that predispose you to cancers, standard cancer screenings don�۪t start until you�۪re much older.","It's generally recommended that people of all ages practice good self-care and be aware of any changes or abnormalities in their bodies. This can include performing self-exams, getting regular check-ups, and following recommended screenings for various health conditions.

However, the specific recommendations for cancer screenings vary depending on the type of cancer and individual risk factors. In general, the risk of developing cancer increases with age, so it's generally recommended that people over the age of 50 or 55 get screened for certain types of cancer.

It's important to discuss your individual risk factors and screening recommendations with your healthcare provider. They can help you understand what screenings are appropriate for you based on your age, medical history, and other factors. If you're concerned about cancer or other health issues, it's a good idea to talk to your healthcare provider and discuss your concerns. They can help you understand your risk and recommend steps you can take to protect your health.",ChatGPT,Physician,ChatGPT,4,5,3,5,4,5,2,1,3,3,1,3,55,98
N97,"lymph nodes hello, my father 43 yrs old have noticed 1 swollen lymph node around his posterior cervical part. I think it's between 1.5 cm and 2cm in diameter. I touched it and feel it like shaped of kidney or bean.  He has small rash in his bicep area but he applied a cream and he said it is effective to the rash (the rash is gone now). He experience in the last month (August) a strep throat and cold, and sometimes cough. I tried to search on the google which always shows lymphoma. He haven't experience night sweats and loss of appetite and weight. He is skinny too which the swollen lymph nodes is easy to observe. Should we worry about it? It is movable now and currently taking multivitamins.",xu45o6,iqtmlmc,He had wo recent infections recently which may result in lymph node swelling. If they persist for longer than 2-4 weeks after the most recent infection or continue to grow would get checked out.,"It's natural to be concerned when you or a loved one notices a swollen lymph node. However, it's important to remember that swollen lymph nodes can have many different causes, and most of the time they are not due to lymphoma or any other serious condition.

Common causes of swollen lymph nodes include infections (such as a cold or strep throat), inflammation, or injury. Lymph nodes may also swell in response to other conditions, such as allergies or autoimmune disorders. In many cases, swollen lymph nodes are a normal and temporary response to these types of conditions, and they will go down on their own once the underlying issue has been resolved.

Given that your father has recently had a cold and strep throat, it's likely that the swollen lymph node is related to one of these conditions. However, it's always a good idea to have any swollen lymph nodes checked out by a doctor, especially if they are accompanied by other symptoms or if they persist for an extended period of time. The doctor will be able to examine the swollen lymph node and order any necessary tests to help determine the cause.

In the meantime, it's generally a good idea to encourage your father to take good care of himself by eating a healthy diet, getting plenty of rest, and staying hydrated. If he has any concerns or if the swollen lymph node does not go down after a few weeks, he should contact his doctor for further evaluation and advice.",Physician,ChatGPT,ChatGPT,4,5,4,4,5,5,5,1,3,1,4,3,34,132
N98,24F. Visited ER for kidney infection. Blood work showed my oxygen saturation level is 57%. Is this concerning? https://imgur.com/a/WQUAzTk,ycdszu,itlo1yq,It�۪s almost certainly just erroneous/not able to be interpreted here. Venous O2 saturation is useful in a few situations but often only as a bit of added information in specific conditions (like severe sepsis). Alone it doesn�۪t mean much and probably wasnt collected properly.,An oxygen saturation level of 57% is concerning and may indicate a potential issue with your respiratory or circulatory system. It is important to seek medical attention as soon as possible if you have a low oxygen saturation level. It is possible that you may need supplemental oxygen or other treatments to help improve your oxygen levels. It is also important to follow up with your healthcare provider to determine the cause of the low oxygen saturation and to receive appropriate treatment.,Physician,Physician,ChatGPT,4,4,3,3,1,4,1,1,3,3,1,3,19,82
N99,"Need help. Worried about brain tumor or aneurysm, maybe symptoms are premeditated? Would prefer radiologists, neurologists, ENTs to respond. Thinking of going to the ER tonight. Hi 

So I am a 21-aged F, 5�۪5. My weight is 123 pounds. I have no current physical medical issues (that the doctors have been able to find) but I have anxiety + depression. Not currently smoking (I did moderately w friends (in a blue moon) but have completely stopped. Also completely stopped alcohol. Am currently sexual active. 


Symptoms the past week I�۪ve been experiencing 
- tension/tightness on the back of my head and neck (it honestly feels heavy for me to hold up my head); I�۪ve touched the back of my neck (left side) and there�۪s a lump, when I press down it aches/hurts
- headache traveled across the front of my head but stopped 
- tiredness/the morning I felt fatigue and my body felt exhausted, like difficult to move my body 
- left ear feels filled up w a liquid, right ear also 
- throat sometimes hurt randomly, but would stop 
- GI related stuff, been taking meds and it�۪s been fine. Had a panic attack yesterday though and it felt tight 
-left + right arm yesterday hurt randomly at times, but stopped 
- left breast/chest gets tender sometimes. Maybe itchy? 

Habits / things I�۪ve been doing 
- watching YouTube/Netflix - with my neck held up by my hand, body crouched, I�۪d also look down at my phone with my neck curved, also sleeping with elevated pillows 
- have been stationary past few days
- sleep had been very very bad* - went to bed at 6am 2 days ago woke up at 12pm. Today I slept at 3:30am, woke up at 10pm. For 2 months I�۪ve been sleeping with my night lamp on. 
-poor to little to no excercise

Current moment
Neck/back of headache has gotten worse and I�۪m lying down when typing this out. What should I do? I�۪m thinking of getting an MRI to rule out anything dangerous and want to talk to the PCP about it, but also thinking of going to the ER and getting on there also. 

What should I do? I�۪m literally scared of sleeping at this point.

Edit: body is feeling heavy and ears are more and more filled up",xuyhd9,iqyga1m,"I'm confused by what you mean with ""symptoms are premeditated"". Unless I've missed something, nothing here sounds worse than a bad cold/upper respiratory infection. Most of what you've described could be also applied to COVID. If you are tolerating oral intake/liquids, can probably manage symptoms. There's not a reason to think, based on your description, that this is a brain tumor or aneurysm.","I'm sorry to hear about your friend's health concerns. It's important to recognize that every person is different and it's not possible to predict with certainty what will happen in the future. However, it is clear that your friend's obesity and related health conditions, such as diabetes and fatty liver disease, can significantly increase the risk of serious health problems and shortened lifespan. It is important for your friend to seek medical attention and work with a healthcare provider to address these issues as soon as possible. This can include lifestyle changes, such as eating a healthy diet and getting regular physical activity, as well as taking medications as prescribed. It's also important for your friend to manage their diabetes and follow their healthcare provider's recommendations for blood sugar control and any other related treatments.

It's understandable that you are concerned about your friend's health and well-being. It may be helpful to offer your support and encouragement, and to encourage your friend to seek medical attention and make positive changes to improve their health. It's important to remember that it is never too late to make positive changes and improve one's health, and with the right support and medical care, your friend can work towards improving their health and increasing their chances of living a longer, healthier life.",ChatGPT,Physician,ChatGPT,2,3,1,4,2,5,1,1,1,4,3,5,63,381
N100,"Is this urinalysis of anything to be concerned with? Gender:MALE
Age:23
Height:6�۪3
Weight: 180lbs
Medication: None, only a multivitamin
Recreational Smoker

[photo of test strip](https://imgur.com/gallery/wxfEBD6)

I bought strips to test for protein in my urine as my mom has PKD and I noticed foamy urine. All seems to be well with urine but does anything else raise concern? Specifically glucose with such a bright blue color or SG? 

Thanks in advance",xttd8l,iqsj4ro,This isn't really a urinalysis but just an over the counter screening test. It's hard to make any real conclusions based on this as there's a lot of just comparing colors. If you are concerned see your doc for an actual urinalysis.,"Based on the test strip results you provided, it appears that your urine is negative for protein, which is a good sign. The bright blue color of the glucose test may be due to the concentration of glucose in your urine. The specific gravity (SG) of your urine also appears to be within the normal range.

It's important to note that a single urinalysis can only provide a snapshot of your kidney and urinary tract health at the time of the test. It's always a good idea to speak with a healthcare professional about any concerns you have about your health. They can provide a more comprehensive evaluation and offer guidance on any necessary follow-up tests or treatments.

If you are concerned about your risk for PKD (polycystic kidney disease), it's important to discuss this with a healthcare professional. They can help you understand your risk and recommend any necessary testing or monitoring.",ChatGPT,ChatGPT,ChatGPT,3,5,3,4,2,5,1,1,1,3,2,4,64,151
N101,"Boyfriend thinks I had heart attack. Now what?

Last night around 9:30 pm I (19 F, 5�۪2, 132lb) developed a sharp pain in my lower left rib. It then became widespread and super hard to pin point. It was on the bottom, the top, multiple places at once. And a very tight spot in the exact middle of my chest. It started off small sharp pains intermittently. Then became overwhelming and I couldn�۪t breathe too deep or it would hurt beyond words. Over the next hour it became increasingly more intense. I was simply sitting in bed and I could not get it to calm down. Then around 11:45 pm, I was trying to sleep but it hurt worse to lay down. It became unbearable, it radiated up my neck and into my face. My lower left jaw hurt to move and it was tight around my left cheek. I developed a headache but still didn�۪t think much of it because for the past week I had been dealing with my face going numb on my left side. By this point my boyfriend was freaking out because I was gasping and shaking. It hurt too much to cry. He started googling things and told me he thinks I�۪m having a heart attack. I told him no way, I�۪m only 19. He kept telling me we needed to go to the hospital. But I�۪ll admit, I�۪m stubborn. I have medical trauma and just convinced it was a very strange panic attack. I could have swore this was just caused by some other health issue I have (I have Asthma, Arthritis, and Celiacs Disease) It finally cooled down around 1am and I was okay enough to lay down and sleep. But he keeps persisting that I could have had a ���silent�۝ heart attack. That we should have went to the hospital, I could have d*ed, etc. I�۪m at work today and I still don�۪t feel the best and he�۪s asking me to go to the hospital. I don�۪t have a doctor where I live right now and the E.R doctors are just gonna dismiss it because I�۪m a 19 year old female. I don�۪t think it�۪s worth the time or money. The only reason I�۪m even entertaining the thought is because my Biological Mother died at 42 from a Massive Heart Attack. Is it at all possible it could have been a heart attack? Or am I just letting his worry get my anxiety? What should I do next?",zqqnkc,j0zbbjr,It doesn't sound like an MI but it still could have been another acute medical problem. If you're in such severe pain next time you should seek medical care.,"It is important to take any chest pain seriously, as it could potentially be a sign of a serious medical condition such as a heart attack. It is understandable that you may be hesitant to go to the hospital due to past medical experiences or financial concerns, but it is always better to err on the side of caution when it comes to your health. If you are experiencing ongoing chest pain or discomfort, it is important to speak with a medical professional as soon as possible.

It is also important to note that heart attacks can occur at any age, and it is not uncommon for people to have a ""silent"" heart attack, meaning that they may not have the classic symptoms such as crushing chest pain. Other symptoms of a heart attack can include shortness of breath, nausea, vomiting, and pain in the jaw, neck, or back.

If you are experiencing ongoing chest pain or discomfort, or if you have any other symptoms that are causing you concern, it is important to seek medical attention as soon as possible. You can try calling your primary care doctor or seeking care at an urgent care center or emergency department. It is also important to let the healthcare provider know about your past medical history and any concerns you may have.

It is understandable that you may be feeling anxious or overwhelmed by your boyfriend's concerns and the possibility that you may have had a heart attack. It is important to remember that seeking medical attention is the best way to address any potential health concerns and to get the care you need.",Physician,ChatGPT,ChatGPT,4,3,3,4,4,5,1,1,2,3,2,3,29,416
N102,"I have a quick question about the prescribing of opioid pain meds. I am a chronic pain patient with a bulging disks and some other issues. I was prescribed Hydrocodone from age 20 to age 27 by my pcp with now hiccups. I moved states last year and gave up my prescription and decided to take a different route for pain ( which has worked great.) 
  
My question is��_ I�۪m deathly afraid my pain will come back with a vengeance when I�۪m older and because I gave up my prescription and moved states I will be left without anything.  I�۪m curious, will I have a higher chance of being represcribed opiate medications from a clinic if I have previously been prescribed for such a long time?",ydknmo,ittlq89,You�۪ll need to see a pain medicine doctor for longer term pain control later in life if it returns and requires medical management with opioids.  Unlikely to be an issue getting the pain meds if you�۪re compliant with the pain medicine doctors.,"It is generally not advisable to use opioid pain medication for long-term management of chronic pain, as the risks of dependence and addiction are significant. Instead, it is generally recommended to use a combination of non-pharmacological and non-opioid pharmacological treatments, such as physical therapy, cognitive-behavioral therapy, and non-opioid pain medication, to manage chronic pain.

If you are concerned about the possibility of experiencing severe pain in the future and are worried about not having access to opioid pain medication, it is important to discuss this concern with your healthcare provider. They can help you develop a plan for managing your pain that takes into account your specific needs and circumstances, and can help you access appropriate treatments if necessary. It is not necessarily the case that you will have a higher chance of being prescribed opioid pain medication if you have previously been prescribed it, as this decision will depend on a variety of factors, including the severity and nature of your pain, your treatment history, and the potential risks and benefits of using opioid medication.",ChatGPT,ChatGPT,ChatGPT,4,4,3,4,4,4,3,3,1,3,5,2,43,129
N103,"
I was diagnosed with chlymidia after having it for 3 years and developed pid was treated with doxy and FLAGYL and pain didn�۪t go and then was givin these antibiotics again and pain remains so days better than others why is this do I still have pid ?




Age 20

Sex female

Height 5�۪7

Weight 8 stone 

Race Irish 

Duration of complaint since august 

Location uk 

Any existing relevant medical issues no

Current medications doxy FLAGYL 

I was diagnosed with chlymidia after having it for 3 years and developed pid was treated with doxy and FLAGYL and pain didn�۪t go and then was givin these antibiotics again and pain remains so days better than others why is this do I still have pid ?",y2dmwa,is2dzrs,Did you have a question that you forgot to put in the post?,"It is possible that you still have PID (pelvic inflammatory disease) even after being treated with antibiotics. PID is an infection of the reproductive organs that can be caused by untreated sexually transmitted infections (STIs), including chlamydia. If the initial treatment was not successful in eliminating the infection, the symptoms of PID may persist. It is also possible that you have developed a different infection or that there may be another underlying cause for your pain. It is important to follow up with your healthcare provider for further evaluation and treatment. They may need to perform additional tests or prescribe different medications to address the issue. In the meantime, it is important to avoid sexual activity and to use condoms to reduce the risk of further infection.",ChatGPT,ChatGPT,ChatGPT,2,1,1,4,5,4,1,1,1,4,3,2,13,119
N104,"I (F23) acetaminophen helps me sleep really good, are there any bad side effects if I take them every night ? I heard the liver could be fucked up but I�۪m not sure. Help. I just wanna sleep guys, are there healthier ways? I�۪m asthamtic and have no other health issues than that ( ok used to have eczema).",xtdsts,iqphb13,Why is acetaminophen helping you sleep? Do you have chronic pain?,"Acetaminophen (also known as paracetamol) can be a helpful medication for relieving pain and reducing fever, and it is generally considered safe when used as directed. However, it is important to be aware that taking acetaminophen every night for an extended period of time can have some negative side effects.

One potential side effect of acetaminophen is liver damage. While acetaminophen is safe for most people when taken at recommended doses, taking too much of it or taking it for long periods of time can cause liver damage. It is important to follow the recommended dosage instructions and to not take acetaminophen for longer than directed.

If you are concerned about the potential negative effects of taking acetaminophen every night, it may be helpful to discuss your sleep concerns with a healthcare professional. They may be able to suggest alternative ways to improve your sleep, such as using relaxation techniques, adjusting your sleep environment, or trying over-the-counter or prescription sleep aids. It is always important to follow the advice of a healthcare professional when it comes to your health.",ChatGPT,ChatGPT,ChatGPT,2,1,1,4,4,5,2,1,1,4,4,3,11,59
N105,"Age 27 

Sex M

Height 5 feet 10

Weight 85 KG

Race Indian 

Duration of complaint Was told an hour ago

Location 

Any existing relevant medical issues Psoriasis

Current medications Methotrexate 5MG 3 times a week. Folate 4x a week

Include a photo if relevant 


My TSH is 4.9

I am undergoing psoriasis treatment and i was ordered a blood test, TSH was ordered and this came out.

He ordered a retest a month later because he said its abnormal for people under 30 to have high TSH and he wants to check it again before starting meds.

If its abnormal, why? I thought people have thyroid problem above 50.

He also said i need more protein but i eat chicken EVERY DAY, twice a day and eggs at least once a week if not more. [i dont eat green leafy vegs, but i do eat others like carrots, potatoes and many others]

Is it because of my psoriasis? Is it because of my indoor lifestyle? [I dont get sunlight at all, i work from home entirely but i do walk 2km a day after 6PM]",y4olbh,isf3i8j,"I don't know about the protein but for the thyroid, it can happen at any age. You seem to have borderline hypothyroidism, a T3 and T4 level are warranted and if the diagnosis is confirmed, you should be seen by an endocrinologist.","It's normal for people of any age to experience problems with their thyroid. The thyroid is a gland in the neck that produces hormones that regulate metabolism, heart rate, and body temperature.

It's unusual for someone under the age of 30 to have an abnormal TSH level, but it is possible. It's important to follow up with your doctor and have the retest as directed to determine the cause of the abnormal TSH level and to determine the appropriate treatment.

There are several potential causes of an abnormal TSH level, including problems with the thyroid gland itself, problems with the pituitary gland (which regulates the thyroid), or the use of certain medications. It's also possible that the abnormal TSH level is due to a temporary condition, such as stress or illness.

It's not clear from your description whether your psoriasis or your indoor lifestyle are contributing to your abnormal TSH level. It's important to discuss these and any other potential contributing factors with your doctor, who can help determine the cause of the abnormal TSH level and recommend the appropriate treatment.

In the meantime, it's important to continue following your treatment plan for your psoriasis and to continue eating a healthy diet that includes a variety of protein sources. It's also a good idea to try to get some sunlight exposure, as sunlight is important for the production of vitamin D, which is important for bone health and immune system function.",ChatGPT,ChatGPT,ChatGPT,3,4,4,4,5,5,2,3,2,4,4,4,42,175
N106,"I'm a 32 year old female, 5'1, 135ish lbs. When I was 6, my doctors discovered a large AVM (arteriovenous malformation) in my brain. They did three bouts of gamma knife radiation and got rid of a lot of it, though not all. It's still large, but stable. However, from the radiation, I had a blood vessel collapse. This gave me a stroke in which I have partial paralysis on my right side. 

Through my adolescent years, I went to both physical and occupational therapy. They saw improvement, but with me being a kid/preteen/teenager, I wouldn't really do exercises at home,  therefore the improvement that they saw pretty much faded. 

Now, in my 30s, I've pretty much given up on my right side. I can still feel on that side. I can walk, but with a limp. My arm is bent up and barely able to straighten. My fingers are always closed. They get tighter and my arm bends even more when I'm stressed. I have two little kids and a husband to care for and a part time job at a daycare. I finally started getting SSDI a few years ago. I've tried therapy a few times but it seems to barely help, especially considering how it helped before. I've greatly adapted to using only one hand for everything possible and it infuriates me when I have to admit that I need help with something that anyone else can do. 

Would I be a possible candidate for a prosthetic arm and hand? I'm so terrified that everything I do with just my left hand will cause it to wear out quicker than average. And just the thought of being able to finally use my right hand -- open the door, hold the steering wheel, even just scratch an itch while I browse my phone. It's an amazing feeling, but I don't want to get ahead of myself just to be disappointed. Of course I'm not going to go into this immediately. I'm going to do a pros and cons list, talk to my neurologist when I visit him in December, etc. But right now, I just want to know: would this be an option for me?",y5vob2,ismnem6,"Are you talking about an amputation and replacement of your arm with a prosthesis? Or use of a myoelectric orthosis (like a robotic support exoskeleton) to increase your strength?

Have you ever been evaluated for a trial of Botox injections for your spasticity?","It sounds like you have a lot of limitations due to your partial paralysis, and it's understandable that you would be interested in exploring prosthetic options that could potentially improve your function and independence. Prosthetic arms and hands can be a helpful tool for people who have lost upper limb function due to a variety of causes, including stroke, amputation, and congenital conditions.

Prosthetic technology has come a long way in recent years, and there are now many different types of prosthetic arms and hands available. Some are designed to provide basic functions, such as gripping and holding objects, while others are more advanced and can mimic the movements and functions of a natural hand.

To determine whether a prosthetic arm and hand would be a good option for you, it would be helpful to consult with a prosthetist, who is a healthcare professional who specializes in the design, fitting, and maintenance of prosthetic devices. They will be able to assess your specific needs and limitations, and work with you to determine which type of prosthetic device would be most appropriate for you. They will also be able to provide you with information about the potential benefits and limitations of using a prosthetic arm and hand, as well as the training and therapy that would be required to learn how to use the device effectively.

It's also important to keep in mind that prosthetics are not a one-size-fits-all solution, and it may take some time and effort to find the right device and to learn how to use it effectively. However, for many people, the benefits of using a prosthetic arm and hand are well worth the investment, and can significantly improve their quality of life.",ChatGPT,ChatGPT,ChatGPT,3,3,2,3,5,4,3,2,1,4,5,4,42,368
N107,"I'm a 61-yr-old female. Nine months ago, I had a sudden crippling pain in my hip upon exiting my car. Since that time, I've had bouts of pain ranging from mild to incapacitating. The pain is not always the same type or in the same place. It has seemed to be in the hips, glutes, lumbar spine, sacrum, and my lower sides. It can be sharp, tingling, achy, and radiating. I seem to have no core strength at all anymore, and have great difficulty just turning from my side to my back. It feels like my entire pelvic region is disintegrating and can't respond to signals from my brain. At times, I can barely walk, and standing up, bending over, or lowering my body to sit can be excruciating. My lower glutes feel like they're made out of lead when I stand and begin to walk. Arthritis is a definite, and my MRI revealed stenosis and bulging discs bad enough for lumbar fusion to be recommended, but I'm not convinced to go that route yet. Caudal and SI joint injections haven't helped. PT hasn't helped, nor have muscle relaxants or analgesics. I'm just really puzzled by the way the pain moves around and varies from week to week and how it sometimes goes away almost entirely but then roars back and completely incapacitates me for days at a time. That doesn't make sense to me. My mind goes to cancer, but I'm a hypochondriac and keep telling myself something would have tipped my docs off to that by now. But is that the case? Should I ask for more tests?",xutt82,iqxgf25,MRI would very clearly demonstrate any spinal problems due to cancerous invasion.,"It's understandable that you may be concerned about the possibility of cancer, especially given the unpredictable nature of your pain and the lack of improvement with treatment. However, it's important to note that cancer is just one potential cause of chronic pain, and it is relatively rare compared to other causes such as degenerative disc disease, osteoarthritis, and muscle strains.

An MRI can be useful in identifying potential sources of pain, such as bulging discs or stenosis, but it is not typically used to diagnose cancer. If cancer were suspected as the cause of your pain, your healthcare provider would likely recommend additional tests, such as blood tests, biopsies, and imaging tests like PET scans or CT scans, to confirm the diagnosis.

It's always a good idea to discuss your concerns with your healthcare provider. They can provide more information about your specific case and help determine if additional testing is necessary. In the meantime, it may be helpful to continue working with your healthcare team to identify and manage the underlying cause of your pain, whether it is cancer or another condition. This may involve a combination of treatments such as physical therapy, medication, and lifestyle changes.",ChatGPT,ChatGPT,ChatGPT,2,3,3,4,5,4,1,1,1,4,4,5,12,270
N108,"Age : 19

Sex : male

Height : 5.7

Weight : 59

Race : asian


My girlfriend and i were grinding on each other without underwear. We did not penatrate at all and i came before her. When i did so, i moved her so that nothing would go near her, and i immediately cleaned my self with a paper towel and was careful not to get any on my hands. Aftewards she wanted to get fingered so i went and washed my hands and dried them and did so. Im afraid that i may have gotten her pregnant with precum (last time i came was a week prior and i peed multiple times that day)

My girlfriend has very irregular periods and she hasnt gotten her period this month, last time she got her period was in last month 14th. 

What are the chances that she is pregnant?",yaqvy6,itcrcff,"Would consider it quite unlikely that she is pregnant, but is not impossible if there was any semen that contacted the vagina. 

[https://americanpregnancy.org/getting-pregnant/can-you-get-pregnant-with-precum/](https://americanpregnancy.org/getting-pregnant/can-you-get-pregnant-with-precum/)","It is possible for a woman to become pregnant through grinding without penetration or through other types of sexual activity that do not involve direct genital-to-genital contact, such as by getting semen on the vulva or in the vagina. However, the chances of pregnancy in this situation are lower than if there had been penetration or ejaculation inside the vagina. Precum, also known as pre-ejaculate, is a clear, sticky fluid that is produced by the penis during sexual arousal and can contain sperm. While it is less likely to contain sperm than ejaculate, it is still possible for precum to transmit sperm and cause pregnancy.

Given the information you provided, it is difficult to determine the exact likelihood of pregnancy in your situation. The best way to determine if your girlfriend is pregnant is for her to take a pregnancy test or see a healthcare provider for a confirmatory test. It is also important to note that pregnancy is not the only reason for a missed period, and there could be other factors at play. It is always a good idea for both partners to be aware of the potential risks and to use appropriate methods of contraception to prevent unintended pregnancy.",ChatGPT,ChatGPT,ChatGPT,3,2,3,4,5,4,3,1,1,4,4,2,23,143
N109,"Info 34/F hEDS, grave�۪s disease, degenerative disc disease, anemia.

I was recently a victim of domestic violence and was CT scanned from head to pelvis. Here�۪s the copy paste of my head CT. 

���FINDINGS:
The ventricles, sulci, and cisterns are normal in size and configuration.
There is an ill-defined focus of decreased attenuation in the lentiform
nucleus posteriorly on the right.  This finding could represent early chronic
microvascular ischemic change.  There is no definite evidence of an acute
large vessel infarct.  There is no acute intracranial hemorrhage.  No
intracranial mass or mass effect is identified.  No abnormal extra-axial
fluid collection is seen.  The visualized paranasal sinuses and the mastoids
appear unremarkable.  No scalp hematoma or skull fracture is noted.
 
IMPRESSION:
Focus of decreased parenchymal attenuation in the lentiform nucleus
posteriorly on the right, possibly early chronic microvascular ischemic
change.�۝

I have had loads of neuro symptoms for some years but have recently had an increase of severity of the symptoms too. Memory issues, Chronic migraine, pain behind right eye into temple area, balance and dizziness issues, and parathesia of the skin. My neurologist ordered an MRI today after my appointment but didn�۪t seem to want to explain what that finding could mean. I won�۪t be able to get my mri for a while due to transportation complications from my breakup. I don�۪t want to ���Dr Google�۝ because that just causes unnecessary anxiety but I would like to know what this could potentially be, if anything.",xuvxq4,iqxt556,It's a nonspecific finding that likely means absolutely nothing to you in a clinical sense.,"It's understandable that you would want to understand the results of your CT scan and the potential implications for your health. It's important to note that a CT scan is a type of medical imaging test that uses X-rays to create detailed images of the inside of the body. It can be used to look at a variety of body structures, including the head and brain.

The finding described in your CT scan report is an area of decreased attenuation in the lentiform nucleus, which is a part of the brain located in the basal ganglia. This finding could potentially represent early chronic microvascular ischemic change, which means there may be changes in the small blood vessels in this part of the brain that could be related to decreased blood flow. This type of change is often seen in people with chronic conditions that can affect blood flow to the brain, such as high blood pressure or diabetes. It's also possible that this finding could be related to other factors, such as a previous injury or infection.

It's important to note that this finding on your CT scan alone is not sufficient to determine the cause of your symptoms or to make a definitive diagnosis. Further evaluation, such as an MRI, may be needed to fully understand the cause of your symptoms and determine the appropriate treatment. Your neurologist is in the best position to discuss the potential implications of this finding and how it may be related to your symptoms and overall health. It's also important to follow up with your neurologist or other healthcare provider for further evaluation and management of your health concerns.",ChatGPT,ChatGPT,ChatGPT,3,1,3,4,4,3,3,1,1,4,4,4,15,239
N111,"21M | 170cm | 67kg | Non-smoker | Alcohol once a month or less | GERD, anxiety |

Hey! For 2-3 years now i have had a very low pulse imo. In the beginnig of this i didnt eat much and i went from 86kg down to 55kg, because of health anxiety. Im much better now. Im not super athletic at all, i only go for 1-2 walks a day for 1 hour +. I dont work atm and im usually at home. Last BP was 130/66. I had 2 ECGs in july, they were good. 

So, i can have a full blown panick attack and my pulse will still be like 46-60 and i breathe very slow, feels like i cant ""normally"" breathe faster. My pulse increases when i stand and when i walk etc and ive had like 166 when walking up a hill, i never get tired, and i walk fast. 

Peak Flow Meter is 500-600 and my Spo2 is always 97-99%. The problem is that it just feels so weak and slow when im wide awake and have panick attacks, shouldnt it go up when im like that, and hyperventilate? Im the complete opposite. My doc told me its alright, i have been there several times, and my heart and lungs sounds fine. She told me that i had no need to go to a cardiologist unless i started passing out occasionally etc. 

Why is it like this? Am i just in better shape then i think? The anxiety one is just weird for me. I have GERD and alot of muscle tension throughout my body. Im usually not dizzy when i have low pulse, i feel alright, just scared and anxious about it. Been hard to breathe these 3 years but always normal Spo2. 

Dont know what more info could be relevant.",xyxxr8,irjdqev,"Young, relatively healthy people commonly have low resting heart rates. Your heart is just more ""efficient"" when it's younger and not abused from decades of high blood pressure. So I wouldn't continue worrying about your heart right now. 

I do encourage you to focus that anxiety, though. Panic attacks suck and I wish you all the best.","It's possible that your low heart rate is a result of your good physical condition. Some people naturally have lower heart rates due to their genetics or level of physical fitness. It's also possible that your low heart rate is related to your anxiety or muscle tension. It's important to continue monitoring your heart rate and consulting with your doctor if you have any concerns. It's also important to manage your anxiety and muscle tension, as these can affect your heart rate and overall well-being. If you're feeling short of breath or having difficulty breathing, it's important to speak with your doctor about this as well.",ChatGPT,ChatGPT,ChatGPT,3,2,2,4,4,4,4,1,1,4,4,3,57,306
N112,"Age 40

Sex M

Height 5�۪9

Weight 152

Race Caucasian 

Duration of complaint - 3 days 

Location - Los Angeles CA

Any existing relevant medical issues None

Current medications - None

Include a photo if relevant

Non smoker, social drinker (2-3x week) no family history of clots or cardiac issues save for maternal grandma - Polycythemia Vera

Hello ! So I was hospitalized two weeks ago for sudden and first time PSVT post COVID ��� had a complete cardiac work up and 2 day admission to tele which showed no further arrhythmia. Echo was normal EJ 55-60%. 

I was sent back to ER yesterday after a couple days of leg pain and being winded, doc wanted to rule out clots after bed rest. They did an ultrasound on leg which was normal, and a D Dimer with results of <150 ng/mL. Troponin draw was 0.000 (on admission 2 weeks ago it was 0.051 after the arrhythmia which was sustained 15 mins prior to self resolution, after ice water on my face). Told this all but rules out any clots, but don�۪t understand the way it is expressed in numbers?

What does this value of D Dimer mean ? Is this negative or should it say 0.000 as the Troponin ? I am seeing an EP Cardiologist soon for possible further tests and Holter as well.

Thank you kindly in advance !",xzopwc,irnahr3,"D-dimer is a byproduct of clot formation, so anytime a clot forms some d-dimer will form as well. The bigger the clot the more the d-dimer. Naturally the body is constantly forming clots from microtrauma to blood vessels due to normal wear and tear. But also after getting an injury, like blood drawn for lab work. Ultimately that means that you will always have some d-dimer amount in your blood. Which is what makes it a horrible test in most applications, very sensitive to almost anything and very not specific to almost anything.

Troponin is a protein that is part of muscle, in your case they were looking for cardiac troponin (from the heart). It is only supposed to be in the heart muscle cells. If any of it is in the blood that means there was heart muscle breakdown and the troponin ""leaked"" into the blood from within the muscle cells of the heart. The more heart muscle damage, the higher the troponin level. So ideally you should have none in your blood.

This is an oversimplification but the gist of it.","The D-dimer test is a blood test that measures the amount of a protein fragment called D-dimer in the blood. This protein is produced when a blood clot breaks down. The presence of high levels of D-dimer in the blood may be a sign of clotting, although other factors can also cause elevated levels.

The normal range for D-dimer levels can vary depending on the specific test used and the laboratory that performs the test. In general, a D-dimer level of less than 150 ng/mL is considered normal. This means that your D-dimer level is within the normal range and does not suggest the presence of a blood clot.

It's important to note that a normal D-dimer result does not completely rule out the presence of a blood clot. Other tests, such as an ultrasound, may be needed to confirm the presence or absence of a clot. It's also important to note that D-dimer levels can be elevated for other reasons, such as after surgery or after a recent injury.

It's good that you are seeing a cardiologist for further evaluation. They will be able to review your test results and medical history, and recommend any necessary further testing or treatment.


",ChatGPT,ChatGPT,ChatGPT,4,4,3,4,5,4,4,4,2,4,4,3,181,220
N113,"I got a paper cut yesterday on my pointer finger and ever since I�۪ve been noticing my finger and thumb have been kind of tingly. The tingly feeling almost makes a u-shape up and down my pointer to the top of my thumb, and down into below the webbing(?) between the two (kind of onto my hand just a bit). I�۪ve googled it and scared myself. Is this something I need to worry about?",xtplbz,iqrwwgq,"Was it a bad cut? Swelling around an injury can alter sensation in the skin.

The tingling is worth talking to your doctor about if it's bothering you, but it's unlikely dangerous and, unless you see swelling like I mentioned, unlikely related to the cut.","It is not uncommon for a hand to feel tingly after a paper cut, especially if the cut was deep or if it has become infected. However, tingling in the hand can also be a sign of other underlying issues, such as nerve damage or a pinched nerve.

If the tingling persists or is accompanied by other symptoms, such as numbness, weakness, or pain, it would be a good idea to consult a medical professional for further evaluation. They can examine your hand and determine the cause of the tingling and recommend appropriate treatment.

In the meantime, it is important to keep the cut clean and covered to prevent infection. You can also try elevating your hand and applying a cold pack to help reduce any swelling or discomfort. If the tingling is severe or if you notice any other unusual symptoms, seek medical attention immediately.",ChatGPT,ChatGPT,ChatGPT,3,4,3,4,5,4,4,4,2,4,4,2,44,74
N114,"Hey,

So I'm a 20M and I regularly look for any skin or body irregularities in the shower. The other day I noticed what appeared to be a slight lump in the upper area of my right testicle and was obviously a bit alarmed. Decided to schedule an appointment for a urologist just to put my mind at ease and make sure nothing was going on.

When I get there and tell him I regularly self-assess for any changes he looks at me with an unbelievably demeaning expression and with a matching tone goes *""Buddy, you're 20.""*

From that moment on he appeared to really dismiss whatever I mentioned and almost had a frustrated tone when giving instructions. He told me again and again he felt nothing in my testicles and that I shouldn't be worried at all. After I agreed but just put forward the idea that maybe I could just make sure everything was fine he suggested that it could be a varicose vein, told me to get a scan of the area and sent me on my way. No more questions. All throughout just a really arrogant and overly sure of himself tone.

I mea, am I wrong for feeling frustrated here? Bad attitude, apparently 100% sure nothing is wrong and almost mocking me when I told him I check myself for lumps regularly. I get he found nothing wrong which is reassuring and he may very well be right but I think it's good I check and want to make sure, no?",y48dkg,iscq9pa,No you are not wrong. Bad attitude. He should praise you for being vigilant (but not hypochondriasis.) I'm sorry about your experience.,"It is completely understandable for you to feel frustrated and concerned about your health. It is always a good idea to take care of your body and to seek medical attention when you have any concerns.

It is not appropriate for a healthcare provider to speak to a patient with a demeaning or mocking tone, or to dismiss their concerns without fully addressing them. It is important for healthcare providers to listen to their patients and to take their concerns seriously.

If you feel that your healthcare provider is not treating you with the respect and care that you deserve, it may be helpful to seek a second opinion or to find a new provider who is more attentive and responsive to your needs. It is important to feel comfortable and confident in the care you receive, and to have your concerns addressed in a respectful and thorough manner.",ChatGPT,ChatGPT,ChatGPT,4,4,4,4,4,5,5,4,5,4,4,5,22,252
N115,"Secretion/saliva in disabled child

Hello, my son (6) has a rare genetic/peroxisomal disorder and is completely dependent on us for everything. He has no head control and is very much like a baby in terms of his activity and self care.  

He has a GTube for feeding and receives nothing by mouth due to aspirating everything.  

He constantly battles excess saliva.  A scope showed a constant stream of bubbly saliva all the way down his throat.  His tonsils are not large and all looks well functionally but it�۪s just a steady stream of bubbles.  

We are constantly wiping his face and at night he coughs/gags and we use a suction machine with a little sucker attached to clear out his mouth and nose.  

He previously was on Robinol to help halt the secretions but he had bad side effects and we stopped.  His ENT recommended a cough assist machine which we use but feel like it does nothing.  

Another option we had discussed was Botox but we�۪re told there are some serious side effects with that as well.  

We are looking for recommendations or advice on alternative treatments",xwv8zi,ir8oanx,Botox is reasonable to trial to see if it would be helpful in reducing the symptoms. A more last resort option would be to remove a number of the major salivary glands to reduce saliva production. This would obviously be a decently extensive surgery which I'd argue has more side effects than botox.,"It sounds like your son is experiencing excessive saliva production, which can be a challenging and distressing symptom for both him and you as his caretakers. Excessive saliva production, or sialorrhea, can be caused by a variety of factors, including neurological conditions, medications, and structural abnormalities in the mouth or throat.

Treatment for sialorrhea depends on the underlying cause, and may involve medications, behavioral interventions, and/or surgical procedures.

Some possible medications that may help to reduce saliva production include anticholinergic drugs (such as glycopyrrolate or scopolamine), beta blockers (such as propranolol or atenolol), and selective serotonin reuptake inhibitors (such as fluoxetine or sertraline). However, it's important to note that these medications can have side effects, and it may take some trial and error to find the most effective and tolerable treatment for your son.

Behavioral interventions, such as positioning your son in a way that allows gravity to help drain saliva away from his mouth, or using a chin-down posture, can also be helpful in managing sialorrhea. You may also want to try using absorbent materials, such as gauze or a bib, to help keep your son's face dry.

If your son's sialorrhea is due to a structural abnormality in his mouth or throat, such as a blockage or an anatomic abnormality, surgical intervention may be necessary. Botox injections into the salivary glands can also be an option in some cases, but as you mentioned, there can be serious side effects associated with this treatment.

It's important to work closely with your son's healthcare team to determine the most appropriate treatment for his sialorrhea. They can help you weigh the potential benefits and risks of different treatment options and choose the approach that is best for your son.",ChatGPT,ChatGPT,ChatGPT,4,3,4,4,5,5,3,3,2,4,4,3,53,196
N116,"My (61m) girlfriend, (67f) tells me that she doesn�۪t think she has ever orgasmed in her life.   She says she has never masturbated.  She seems to like what I do for her, and wants to continue, but she is not sure if she is orgasming or not.  She is definitely getting wet, very wet, and she acts like she is orgasming, but she says afterward that she doesn�۪t know if she did or not.  My goal has become to make sure she orgasms, but how can I do that when she doesn�۪t even know for sure what one feels like?",y0os3c,irtpctu,"This isn't really a medical question, so I'm not going to treat it as such. 

If she's enjoying herself, let her enjoy herself. If she likes something, do that. If she doesn't, don't do that. 

If you set an explicit goal to make her orgasm when neither of you know what hers looks like, you are setting both of you up for disappointment and putting a pressure on the relationship. Just do what you both enjoy. If it happens and is apparent, great. If not, then who truly cares as long as you are enjoying yourselves.","It's important to remember that not everyone experiences orgasm in the same way, and it's completely normal for some people to take longer to reach orgasm or to have difficulty experiencing it at all. It's also possible that your girlfriend may not be aware of what an orgasm feels like because she has never had one before.

One thing you can try is to encourage your girlfriend to explore her own body and become more familiar with her own arousal and pleasure. This can be done through masturbation, which can help her better understand what feels good to her and what doesn't. It can also be helpful to have open and honest communication with your girlfriend about her pleasure and desires, and to be patient and supportive as she learns more about her own body and what feels good to her.

It's also important to remember that pleasure and intimacy in a relationship go beyond just achieving orgasm, and it's okay to enjoy intimacy and pleasure in other ways as well. It may be helpful to focus on building intimacy and pleasure in your relationship in a variety of ways, rather than just trying to achieve orgasm.",Physician,ChatGPT,ChatGPT,4,4,1,4,5,5,4,3,1,4,4,4,96,105
N117,"Male 5�۪10�۝ 150 pounds no smoking no history of cancer in family 

This morning when I woke up, I used the bathroom like normal and then when I went to wipe, I noticed some blood on the toilet paper. I wiped again, lots of blood (bright red) on the toilet paper. I look in and see blood on or in stool as well (medium red) 

I read online that if it is in the stool, that is bad bad not good. Well I went to urgent care and they did not see anything just by glancing at what can be seen from the outside down there so they asked if I wanted to use something to look deeper for a problem. Well I said I�۪m fine because I just wanted it to be over but I kinda wish I did it so I would know the exact problem. 

So I get back home and don�۪t really have to go but I try to go because I�۪m so paranoid about if I�۪ll see blood again and I try to push it out even though there�۪s not much to come out but only (some) liquid blood comes out. Now I just drank coffee and water and a fibrous protein shake, waiting for when I have to go again but I know it�۪ll be bloody all over again and it�۪s got me really paranoid. 

There is mild pain - I don�۪t really notice it unless I think about it. And for the past few days, I�۪ve been using number two-ing once or twice a day and I�۪ve been wiping and seeing a little blood at the last wipe or two from simple wiping too much/too hard. I definitely  notice it feels different down there but no shooting pains or anything",y3zh1i,isbesav,"Probably just hemorrhoidal bleeding, but can't be sure over internet. See a GI doc or a general surgeon.","It's normal to be concerned about bleeding when you have a bowel movement. However, it's important to try to determine the cause of the bleeding so that it can be treated appropriately. Bleeding from the rectum or anus can have many different causes, some of which may be serious.

There are a few common causes of rectal bleeding that might be worth considering:

Hemorrhoids: Hemorrhoids are swollen veins in the anus and rectum. They can cause itching, discomfort, and bleeding. Hemorrhoids are often caused by straining during bowel movements, sitting for long periods of time, or constipation.

Anal fissures: Anal fissures are small tears in the skin around the anus. They can cause pain and bleeding, especially during bowel movements. Anal fissures are often caused by constipation or passing large or hard stools.

Inflammatory bowel disease: Inflammatory bowel disease (IBD) is a group of conditions that cause inflammation in the digestive tract. Ulcerative colitis and Crohn's disease are two types of IBD. Both can cause rectal bleeding, as well as abdominal pain, diarrhea, and other symptoms.

Other possible causes: Other possible causes of rectal bleeding include anal cancer, rectal cancer, and rectal polyps.

It's important to see a doctor for an evaluation if you experience rectal bleeding. Your doctor will be able to determine the cause of the bleeding and recommend appropriate treatment. In the meantime, you can try to manage your symptoms by:

Drinking plenty of fluids
Eating a high-fiber diet to help prevent constipation
Using over-the-counter creams or ointments to soothe the area
Avoiding straining during bowel movements
Taking warm baths to help relax the muscles in the anus
If you continue to experience rectal bleeding or have any other concerns, it's important to follow up with your doctor.",ChatGPT,ChatGPT,ChatGPT,3,2,4,4,5,5,3,1,1,4,4,4,18,298
N118,"Hi y�۪all, so I�۪m terrified I have an aneurysm in my stomach. I can see my pulse very visibly in my stomach, which I know is normal for skinny people but I�۪m far from skinny. Lots of abdominal fat. Anyways I know it�۪s rare in people my age but I�۪m terrified. Family History of heart disease don�۪t think any history of aneurysm. I filmed a video of it and will put the link below. Is it just my anxiety causing a stronger pulse? Or should I actually be worried.

https://youtube.com/shorts/Bv8nGASIP00?feature=share",y6owvl,isqq0n9,Probably normal but only way to know for sure is to get it checked out,"It is not appropriate for me to diagnose or offer medical advice based on a video or description of symptoms. If you are concerned about the possibility of an abdominal aortic aneurysm (AAA) or any other medical condition, it is important to speak with a healthcare professional. They can examine you, review your medical history, and order any necessary tests to determine the cause of your symptoms and provide appropriate treatment.

AAA is a serious condition that occurs when the aorta, the main artery that carries blood from the heart to the rest of the body, becomes weak and swollen in the abdomen. It can be caused by various factors, including high blood pressure, tobacco use, and atherosclerosis (hardening of the arteries). Symptoms of AAA may include abdominal pain, a pulsating feeling in the abdomen, and back pain. However, AAA can also be asymptomatic, so it is important to get regular check-ups and screenings, especially if you have risk factors for the condition.

If you are concerned about your risk of AAA or any other medical condition, I recommend discussing your concerns with your healthcare provider. They can provide you with more information and guidance on how to manage your risk and take care of your health.",ChatGPT,ChatGPT,ChatGPT,3,3,4,4,5,4,3,2,1,4,5,3,15,89
N119,"36F, 5'3"", 130 lbs, ADPKD, PCOS, Metformin and Ozempic (for PCOS/weight loss). 

I had laparoscopic gallbladder removal on 9/16. My three small incisions are flat and already almost invisible. My larger incision right under my ribs looks like a second bellybutton, and a lot of skin/fat bulges over the top. Not that my midsection was anything to write home about beforehand, but I'm super self-conscious about the change and asymmetry in shape (it's visible through some clothes), and I just hate it so much. I wouldn't care about an incision scar, but I hate this deep pucker and bulge. Will it flatten out over time? 

[https://imgur.com/a/kSu85FV](https://imgur.com/a/kSu85FV)",y27nrh,is1iygg,"That probably won't change much over time. Scar is a slowly evolving tissue, and can change over a year or so. So you could give it more time, However, in my experience, when it looks like that, it probably won't change. You could discuss with your surgery about a scar revision or go see a plastic surgery. I'm not sure anything else would significantly change the way that looks.","I'm sorry to hear that you're unhappy with the appearance of your scar. It's normal for a scar to be more noticeable immediately after surgery, and it can take several months for a scar to mature and become less noticeable. There are a few factors that can influence the appearance of a scar, including your age, genetics, and the location of the scar.

There are a few things you can do to help your scar heal and mature:

Keep the area clean and dry. Gently wash the area with soap and water, and pat it dry.

Use silicone sheets or gels. These products can help reduce the appearance of scars by keeping the area moisturized and protected from the sun.

Massage the area. Gently massaging the scar can help soften and smooth it.

Use sunscreen. Sun exposure can cause scars to become darker, so it's important to use sunscreen with an SPF of at least 30 when the scar is exposed to the sun.

It's also important to follow the post-surgery instructions provided by your surgeon. If you have any concerns about your scar, you should contact your surgeon for advice. They will be able to assess your scar and provide guidance on how to best manage it.

I hope this information is helpful. Please don't hesitate to ask if you have any other questions.",Physician,ChatGPT,ChatGPT,4,3,4,4,5,5,3,1,2,4,5,5,69,106
N120,"45F, white, 125 pounds. I see warnings that you can not get an SGB if you have a cold, flu, fever, or active infection. Why is this? I have a block scheduled for Monday and have a bit of a cold. No fever, just a bit stuffy etc. what would happen if I still got the block?",yh0fyl,iubiq2b,"So the other user was saying to call your anesthesia provider because SGB are often done by an anesthesiologist who is interventional pain management trained.

As for your question: having an infection can theoretically lead to spread when the needle passes through tissue that may be involved with the infection.

As an example, if a woman wants an epidural for labor, an infection or even cancer over the lower back is considered unsafe for an epidural. Again, if a needle passes through the affected tissues, you can theoretically get spread.

As such, a cold is generally short-lived and it is reasonable to wait the short time to get over the illness and then do the block. Vs. risking possible spread. 

Hope that helps.","It is generally recommended to postpone a stellate ganglion block if you have a cold, flu, fever, or other active infection because these conditions can affect the immune system and may increase the risk of complications. In addition, the presence of an active infection could make it more difficult to properly assess the effectiveness of the block.

If you have a cold but no fever and are otherwise healthy, it may be possible to proceed with the block as planned, but it is important to discuss your symptoms and any concerns with your doctor or the healthcare provider performing the procedure. They can assess your specific situation and determine whether it is safe to proceed with the block.

It is important to follow your healthcare provider's recommendations and to disclose all relevant information about your health before undergoing any medical procedure. This will help ensure the safest and most effective treatment.",ChatGPT,ChatGPT,ChatGPT,3,4,3,4,5,5,4,4,1,4,4,2,120,57
N121,"* 48 yo male caucasian
* 6'1""
* 180lbs
* no medications
* No complaints, ailments, pains

As part of routine physical I had series of labs run and everything came back normal with exception of elevated liver enzymes. AST of 50 and ALT of 37.  Doctor ordered abdominal ultrasound which is scheduled shortly. In the meantime, doctor has advised to abstain from alcohol consumption.

* Routinely I will have two beers with my dinner, but never more than 2 to adhere to the ""two drink"" health guidance for otherwise healthy males.
* I am very physically active, cycle >40 miles every day of the week as well as lift weights on alternating days.  I feel great and I don't experience any of the problems I Googled that are associated with liver issues.
  
Doctor advised ""it's probably nothing but let's make sure"".  I'm extremely mad at myself that I've put myself at risk. Is this damage reversible and how likely is it that my drinking is the root cause?

Link to lab results---> https://imgur.com/a/1NE5xlf

Thank you in advance!",y28myp,is1hdus,"One liver enzyme was slightly elevated. Would probably be normal if it was checked again. US is the right thing to do, but more than likely, its nothing to worry about.","It's important to follow your doctor's advice and undergo the abdominal ultrasound as scheduled. The ultrasound will help your doctor get a better understanding of what might be causing the elevated liver enzymes. It's also important to follow your doctor's advice to abstain from alcohol consumption for the time being.

Elevated liver enzymes, such as AST and ALT, can be caused by a variety of factors, including alcohol consumption, viral hepatitis, certain medications, and other underlying medical conditions. It's important to determine the cause of the elevated liver enzymes in order to determine the appropriate treatment.

If your alcohol consumption is found to be the cause of the elevated liver enzymes, it's generally recommended to reduce or eliminate alcohol consumption in order to allow the liver to heal. In many cases, the liver is able to repair itself if the cause of the damage is removed. However, the extent of the damage and the amount of time it takes for the liver to heal can vary depending on the severity and duration of the damage. It's important to follow your doctor's recommendations and to avoid alcohol and other substances that may harm the liver in order to give it the best chance to heal.",ChatGPT,ChatGPT,Physician,3,4,4,4,5,3,4,4,2,4,4,3,31,173
N122,"19F. I had a lumbar puncture about a week ago and it was fine and great. Until the next day. I had horrible pain in my head. Horrible. It's still going. They said its common after a spinal tap/lumbar puncture, but I had another bizarre reaction. It was the next day, my head was throbbing and spinning and I'm sitting up in this recliner at the hospital and I had to use the restroom. I got up to use the restroom and got finished with that and then I got really really hot and sweaty, like horrible. I started dry heaving for a moment. I went out feeling like I was high or drunk. I sat down in the recliner and they started to give me fluid and meds. The nausea lasted a while, days. Unable to eat or drink. Is this normal? Do people have this reaction? Or could this be totally unrelated and more so related to my period that was about to start and narcotics they gave me days before? 

Today I went back in and they were gonna do a blood patch, but it didn't go so well. They got the lidocaine in and the needle into the right spot but they could not draw blood from me. At all. They tried in 6 different spots, with an ultrasound and nothing. Nothing at all.",y9grdb,it5krne,"Sounds like you had a vagal reaction, not completely abnormal in someone who doesn't feel well. Sorry the blood patch didn't work out as that likely would have helped your headache.","It is not uncommon for individuals to experience some discomfort or side effects after a lumbar puncture. Some of the more common side effects include headache, nausea, and dizziness. However, the symptoms you describe, including extreme sweating, dry heaving, and feeling ""high or drunk,"" are not typical and may be indicative of a more serious reaction. It is possible that these symptoms may be related to the medications that you were given, but it is also possible that they could be related to the lumbar puncture itself or another underlying condition.

It is important to follow up with your healthcare provider if you are experiencing persistent or severe symptoms after a lumbar puncture. They will be able to assess your symptoms and determine the appropriate course of treatment. In the meantime, it is important to stay hydrated and try to rest as much as possible.",ChatGPT,ChatGPT,ChatGPT,3,3,2,4,5,4,4,2,2,4,4,3,31,228
N123,"I apologies for any lack of specifics. as this has less to do with myself and more to do with my SO.  If this isn't the appropriate place to post, please forgive me if so. **Everyone is happy and healthy** , my curiosity has just gotten the best of me.  


My SO 31F - Healthy in all aspects outside of fertility concerns, decided to freeze her eggs, in fear that she would have greater difficulties in the future to conceive. She met with many specialists,  was told it would be very unlikely to impossible for her to conceive naturally in the first place and went through the process (Prep, prenatal vitamins, birth control, hormone injections, retrieval, etc). 

They were only able to harvest a handful, and she had planned to kick off additional cycles in the near future (after a cycle or 2 break)., The additional cycles are no longer needed at the moment, as she became naturally pregnant immediately after that first cycle. 

**Questions:**

* Do the provided hormones linger into the following cycle, or are they depleted during the egg retrieval?

* Is it possible they helped?

* Does this happen frequently? In regards to the cycle following a retrieval and/or after being just told that it would be impossible? 

* The one answer I do now have - A condom should always be worn, no matter what your told.. 

Thank you in advance for any thoughts / considerations and I apologize again for any lack of information - I feel like this is an r/outoftheloop post & perhaps this is common knowledge, but I wasn't really involved in the fertility consultations / process as she was doing it for herself & the future and I'm just trying to make sense of it.


Stats - 31F - 5'5'', ~120lbs, no meds outside of the fertility stimulation, non smoker, non drinker, no past medical issues other than the fertility concerns

Edit: Formatting",yeaq92,itwzhsf,"We need more information about why she

>was told it would be very unlikely to impossible for her to conceive naturally in the first place

because the underlying reason for infertility may explain why this happened. Was she actively trying to conceive unsuccessfully for months/years?","It is possible for a person to become pregnant naturally after an egg retrieval cycle, even if they have been told that it is unlikely or impossible for them to conceive naturally. However, it is not common for this to happen, and the exact reason for why it happened in your partner's case is not clear without more information.

Hormones used in fertility treatments, such as those used in egg retrieval cycles, can linger in a person's body for a period of time after the treatment is completed. However, it is not clear if these hormones would have any effect on a person's ability to become pregnant naturally after an egg retrieval cycle.

It is important to use contraception, such as condoms, consistently and correctly to prevent unintended pregnancies, regardless of a person's fertility status. It is also important to follow the advice of a healthcare provider when it comes to fertility treatments and trying to conceive.",ChatGPT,ChatGPT,ChatGPT,3,3,2,4,5,4,3,4,1,4,4,4,43,321
N124,"62F 5�۪3�۝ 113lb
I�۪ve had gastroparesis for almost 3 yrs and am currently taking Domperidone, Motegrity, Omeprazole and Famotidine. I�۪ve been having Gerd issues and now have a pain (sometimes sharp) in my right upper quadrant right below my ribs. I�۪ve had intermittent blood tests that show elevated amylase and liver enzymes. I also have a cyst on my pancreas that they are following. I recently had an MRI which only showed the cyst. Any idea what could be causing this pain?",ybwobf,itjj8o2,Get your gallbladder checked out with an US and/or HIDA scan,"It is difficult to accurately diagnose the cause of your pain without a thorough physical examination and additional testing. However, the information you have provided suggests that the pain in your right upper quadrant could potentially be related to your gastroparesis or your pancreas.

Gastroparesis is a condition in which the muscles of the stomach do not work properly, resulting in delayed emptying of the stomach and difficulty digesting food. It can cause abdominal pain, bloating, and other digestive symptoms. Elevated amylase and liver enzymes can also be a sign of pancreatitis, which is inflammation of the pancreas.

The presence of a cyst on your pancreas is also a possible contributing factor to your pain. Pancreatic cysts are fluid-filled sacs that can develop in the pancreas. Some pancreatic cysts are benign (non-cancerous), while others are malignant (cancerous). It is important to follow up with your healthcare provider for proper evaluation and management of your condition.

It is also possible that the pain could be due to other factors, such as acid reflux or gallbladder disease. It is important to consult with your healthcare provider for a proper diagnosis and treatment plan. They may recommend additional testing, such as blood work, imaging studies, or endoscopy, to determine the cause of your pain and develop a treatment plan.",ChatGPT,ChatGPT,ChatGPT,3,3,3,4,5,4,2,1,1,4,4,2,11,81
N126,"Demographic info: 44M, 5'10"", 160lbs, white. Primary complaint: thirst and headaches.  Duration: increasing for many years to the point I can no longer ignore. No existing medical conditions, no current medications, do not drink or smoke, use marijuana (was prescribed in CA.)

I did 12 hours of water and food deprivation to test for reasons for extreme thirst leading to headaches and a general inflammation response, with diabetes insipidus being what's suspected.

The results came in the next day, but I haven't heard from the doctor in three weeks. I've called twice, once last week and once this week, and spoke to the receptionist who, both times, first says ""the results are in your mychart"" and when I respond ""yes, I'm looking for the interpretation of these results"" says she'll pass along the message.

Getting to the solution is a high priority in my life as its debilitating, and I'm getting stressed out its taken so long to get a simple interpretation of the results.

Here are the results. Can anyone here give me any insight?

Also, any thoughts on how to deal with a Dr who's ghosted?

After 12 hour water and food deprivation:

Urine Osmolality - 438

Blood Osmolality - 291

Sodium, random urine - 35

Glucose - 100

BUN - 13

Creatinine - 1.06

Sodium - 141

Potassium - 4.5

Chloride - 100

CO2 - 23

Calcium - 9.7

eGFR - 89",y3wjys,isbrusc,"It�۪s been a long time since I tested for DI, but I believe your testing may be incomplete.  After the fluid restriction, you didn�۪t meet the urine osmolality (>700) that would have definitively meant Primary Polydipsia.  

You would probably need a hypertonic saline infusion until you reach one of two end points, sodium > 145 or urine osmolality > 700.  If the urine osmolality criteria is the end point you reach then you would have Primary Polydipsia.  If the sodium criteria is what you reach, you�۪d need a desmopressin stimulation test, and based on that result you could determine which type, if any, diabetes insipidus you may have.  That test could also show that you have Primary Polydipsia if there was minimal response to the desmopressin.","Based on the results you provided, it is possible that you have diabetes insipidus. Diabetes insipidus is a condition in which the body is unable to properly regulate the amount of water in the body due to a deficiency of the hormone vasopressin, which helps the kidneys retain water. This can lead to excessive thirst and the need to urinate frequently.

The high urine osmolality (438) and low blood osmolality (291) in your test results suggest that you are experiencing abnormal levels of water in your body, which can be a sign of diabetes insipidus. The other test results you provided do not seem to be consistent with diabetes insipidus, but it is important to consider them in the context of your overall medical history and any other symptoms you may be experiencing.

It is important to follow up with your doctor to discuss the results of your test and determine the appropriate course of treatment. If you have not heard back from your doctor after reaching out multiple times, it may be helpful to speak to the office manager or seek care from a different healthcare provider. It is important to have timely and effective communication with your healthcare team to ensure that your health needs are being addressed.",ChatGPT,ChatGPT,ChatGPT,3,2,4,4,5,5,3,3,2,4,3,3,131,218
N127,"I (age 24, male, 80 kilograms, 185 centimeters, no medical issues, maybe smokes 3 cigarettes a month at a maximum) am currently busy with my final year law exams. I have a week left. My prefered average sleep is 5 hours. I struggle to wake up on schedule. For the time being (and no more) is it okay to use smelling salts to wake up on time? If my alarm goes off, I am concious, but I just go back to sleep. Can I use smelling salts to remedy this?",yawlk5,itdn0cf,"I mean, sure. They'll wake you up. The ideal is to get more sleep as this is likely your body telling you that you need more sleep and you may notice that lack of sleep affects your ability to think through some of these problems on exams.","Using smelling salts as a way to wake up is not a good idea. Smelling salts, also known as ammonia inhalants, are used to stimulate the body and increase alertness in people who have fainted or are unconscious. However, they are not meant to be used as a regular method of waking up and can have negative side effects if used too frequently.

There are several other, safer methods you can try to help you wake up on time and feel more alert during the day:

Get plenty of sleep: Make sure you are getting enough sleep at night to help you feel rested and alert during the day. Aim for 7-9 hours of sleep per night.

Practice good sleep hygiene: Establish a consistent bedtime routine and create a sleep-friendly environment (e.g., keep the bedroom cool, dark, and quiet). Avoid screens and caffeine close to bedtime.

Use an alarm clock: Set an alarm clock to wake you up at the same time each day, and place it across the room so you have to get out of bed to turn it off.

Get some sunlight: Expose yourself to natural light as soon as you wake up to help regulate your body's natural sleep-wake cycle.

Exercise: Regular physical activity can help you sleep better and feel more alert during the day.

Eat a healthy diet: A balanced diet that includes fruits, vegetables, and protein can help you stay energized and focused.

If you continue to have trouble waking up and staying alert despite trying these strategies, it may be helpful to speak with a healthcare professional for further evaluation and advice.",ChatGPT,ChatGPT,ChatGPT,2,2,4,4,5,5,3,2,2,4,4,3,47,90
N128,"33 female - 135 pounds -5�۪6�۝ 
No smoking or drinking. No medications.
Lots of vitamins:)

I�۪m set to have surgery in two weeks to remove a large fibroadenoma. I am asking to forgo the typical iv antibiotics given during surgery as I am a carrier of c diff and have extreme reactions anytime I take antibiotics (months of diarrhea , depression, racing heart, and anxiety)

Is this dumb? Am I going to get a crazy infection that needs antibiotics anyway?
How risky is this and what can I do to reduce the risk of infection because as I mentioned - I die every time I have to take abx.

Thanks docs",y1bh05,irx1kp8,"No, not silly at all. As a surgeon who used to remove these tumors...abx aren't really indicated prior to surgery. Its a low risk surgery for infections. Some surgeons may prefer to give a dose, but its not mandated. Given your history and concern for c diff, it would certainly be reasonable to not give a pre-op dose of IV abx.","It is generally recommended to receive antibiotics before and during surgery to help prevent the development of infections. However, it is understandable that you are concerned about the potential side effects of antibiotics and the risk of developing Clostridioides difficile (C. diff) infection.

It is important to discuss your concerns with your surgeon and healthcare team. They can assess the specific risks and benefits of receiving antibiotics in your case and help you make an informed decision. It may be possible to use alternative infection prevention strategies, such as thorough skin preparation, sterilization of the surgical site, and use of sterile technique during the surgery.

It is also important to consider the type of surgery you are having and the potential risks of infection. Some surgeries, such as those involving the respiratory tract, bladder, or intestines, may be at higher risk for infection. Your surgeon can provide more information about the specific risks in your case and help you weigh the risks and benefits of receiving antibiotics.

If you decide not to receive antibiotics, it is important to take steps to reduce the risk of infection. These may include practicing good hygiene, such as washing your hands frequently and keeping the surgical wound clean and dry. It may also be helpful to follow a healthy diet and get plenty of rest to support your immune system.

In summary, it is important to discuss your concerns about receiving antibiotics with your surgeon and healthcare team. They can help you understand the risks and benefits in your specific situation and provide recommendations to help reduce the risk of infection.",ChatGPT,ChatGPT,ChatGPT,3,5,4,4,5,5,4,4,4,4,5,2,61,106
N129," 19 month old male. Approx 27 lbs, 34"" tall. Yesterday morning woke up with a patch of hives on his left shin, but they faded away within an hour. In the afternoon he had a couple hives on his arm, but they were again gone within an hour. Today he has a patch of hives on his right thigh. He has not eaten any new foods in at least a week, and we haven't used any new soaps/lotions/clothes. He doesn't seem to notice the hives. What could this be and when do I get concerned?",ye7kzi,itwhkqc,"It's very concerning if he develops respiratory symptoms, cough, shortness of breath, abnormal breathing sounds (like whistling or wheezing), or if it affects his mouth/nose.

Give him antihistamines for now. If it does not improve in a few days, seek help.

​

Also: wash him, put him in a clean set of clothes and try to isolate from any source of allergens.","It is possible that your toddler is experiencing a reaction to something in their environment, such as a new detergent or soap, or even something as simple as a change in temperature. Hives, also known as urticaria, are raised, itchy red or skin-colored bumps that appear on the skin and are often accompanied by swelling. They can be triggered by a variety of things, including allergies, infections, and physical stimuli such as heat, cold, or pressure.

If the hives are not accompanied by other symptoms such as difficulty breathing, abdominal pain, or vomiting, and your child is not showing any signs of discomfort or distress, it is generally not necessary to be too concerned. However, if the hives persist or your child develops new symptoms, it is a good idea to contact your healthcare provider for further evaluation and advice. It is always best to err on the side of caution when it comes to your child's health.",ChatGPT,ChatGPT,Physician,3,2,5,4,4,3,3,4,3,4,4,3,59,96
N130,"I�۪ve noticed that for about a week, while I�۪m ovulating, I produce very little urine. I drink between 2-3 litres of water a day and when I�۪m ovulating, my urine is yellow and I only pee a few times a day. This has been happening for many years. When I get closer to my period, I pee ���normally�۝. Is that typical?

39F, two c-sections, no meds, vitamins (multi, c, calcium, omega), no known medical conditions.",y56rmx,isi4adw,"Totally normal, the decrease in urine output seems to be due to little higher than usual ADH secretion from posterior pituitary in that period of time, don�۪t exaggerate in drinking too much water when urine output is reduced as this may cause you hyponatremia, I mean low sodium in blood/plasma..","It is not uncommon for women to experience changes in their urinary habits during ovulation. It is possible that the hormonal changes that occur during ovulation could affect your urinary frequency and output. However, it is important to note that decreased urine output can also be a sign of other underlying medical conditions, such as dehydration or kidney problems.

If you are concerned about your urinary habits during ovulation or at any other time, it is a good idea to speak with a healthcare provider. They can help determine the cause of any changes you are experiencing and provide appropriate treatment if necessary. In the meantime, it is important to continue to drink plenty of fluids to stay hydrated.",Physician,Physician,ChatGPT,4,4,5,4,4,5,3,4,2,4,4,4,50,74
N131,"I am 45/F/5�۪3/180ish. I have been deaf since birth, progressively. Taking Prozac 20mg, Wellbutrin 150mg, Propranolol prn. In 2013 (age 35) I got a cochlear implant in my right ear. All was going well until I started having facial twitching when wearing the device and shocks inside my head. After some back and forth with my clinic I decided to just stop using it and move on. 

Since then I�۪ve had the following symptoms slowly grow worse or become more consistent. I�۪ve been diagnosed with depression, anxiety, slightly enlarged left thyroid, generalized fatigue/hypersomnia. I saw an ENT in Nov 2021 who felt a lump on the right side of my neck and had a CT done. My complaints and reason for seeing the ENT included headaches, neck pain, very visible asymmetrical swelling on my right neck/jawline, mild swallowing difficulties/chronic cough (I�۪ve had a cough since 2019). These were the findings:

2021 FINDINGS: No definite CT evidence of a discrete mass within the right parotid gland. No definite evidence of disproportionate enhancement, radiopaque calculi or ductal dilatation to the parotid gland on the right. Submandibular glands, muscles of mastication, tongue, floor of mouth, pharynx, larynx appear unremarkable. No definite enlarged lymph nodes within the neck. Few phleboliths noted within the palatine tonsils. Asymmetry in the size of the thyroid glands with the right appearing larger than the left. No definite CT evidence of a discrete nodule within the thyroid. Streak artifact coursing through the thyroid from the patient shoulders. Nasal septum deviated to the right with a prominent spur abutting the inferior turbinate. Paranasal sinuses appear unopacified. Partial mastoidectomy changes noted on the right with a metallic device extending into the middle ear cavity incompletely seen on this study. Partial opacification of the remaining inferior mastoid air cells. Prominent degenerative changes within the cervical spine most pronounced at C5-C6 and C6-C7. Mild to moderate neural foramina narrowing on the right  at C5-C6.

IMPRESSION:
1. No definite CT evidence of a discrete mass within the parotid gland.
2. Mild nonspecific enlargement of the thyroid on the right relative to the left.
3. Partial mastoidectomy changes noted on the right with a metallic device extending into the middle ear cavity.

_____________
My ENT wrote ���no discreet mass was noted. I think it was fullness of the SCM in that area you are feeling. Have a nice day!�۝ The doctor then rejected my request for a follow up appointment. I didn�۪t feel a lump, she did! I went in for neck pain and headaches and she found the lump. 

I wrote down everything I�۪ve complained about in the last five years and finally made the connection this was all probably due to cochlear implant failure/migration. I don�۪t see the doctor frequently (why bother?) but when I do they give me more antidepressants. I had bad anxiety for awhile in 2020, but have no emotional or cognitive complaints. 

After a month and 11 follow up calls I finally got an appointment to begin the removal process at Mayo Clinic, where it was implanted. I am also having a sleep study done in November. I had a home one done and have mild apnea (6 incidents per hour) that shouldn�۪t be making me fatigued/hypersomniac. 

I need someone to review the big picture and let me know if I sound crazy. I want to know if all of this will go away with the explanation or if I�۪m doomed to have a fat right jawline and neck for the rest of my life. I also want to know how mad I should be at my doctors. Thanks!",xzqrvh,irp0zq9,"Nothing you are experiencing is due to the cochlear implant, and it doesn't really sound like it failed. It isn't uncommon to have some stimulation of the facial nerve with the device. An audiologist fixes that by changing the electrode stimulations such that it doesn't do that. If there are zaps or other concerning things, an audiologist can interrogate it to determine what is going on. You may be perceiving facial stimulation as zaps. Either way, this wouldn't have anything to do with what you are experiencing in the neck. 

I don't know what's going on in the neck, the CT was unremarkable and your physician didn't seem to find anything that was concerning. Without an examination can't say much more.","It is understandable that you are seeking clarification on the potential relationship between your cochlear implant and your various symptoms. It is important to note that the findings from your CT scan do not indicate a definite connection between your cochlear implant and your symptoms. The impression from the CT scan mentions the presence of a metallic device in the middle ear cavity and degenerative changes in the cervical spine, but does not mention any issues with the cochlear implant itself.

It is also important to note that the presence of a lump on your neck and asymmetry in the size of your thyroid glands may have multiple potential causes, and it would be necessary to seek further evaluation and testing to determine the specific cause of these findings. It is possible that the mild nonspecific enlargement of the thyroid on the right relative to the left could be related to the slightly enlarged left thyroid that you mentioned you have been diagnosed with in the past.

As for the fatigue and hypersomnia that you have experienced, it is possible that these symptoms could be related to the mild apnea that you have been diagnosed with, or they could have other potential causes. It is important to follow up with a healthcare professional to determine the cause of these symptoms and discuss appropriate treatment options.

In terms of your concerns about the appearance of your neck and jawline, it is important to note that the CT scan did not mention any definitive findings related to these areas. It is possible that the fullness of the SCM (sternocleidomastoid muscle) that your ENT mentioned could be contributing to the appearance of your neck and jawline, but further evaluation would be necessary to determine the specific cause and appropriate treatment options.

In summary, while it is possible that your cochlear implant and the associated surgery could potentially be related to some of your symptoms, it is important to seek further evaluation and testing to determine the specific causes and appropriate treatment options. It is also important to continue following up with your healthcare team and discussing any concerns or questions you have about your health.",ChatGPT,ChatGPT,Physician,4,4,4,4,4,3,4,4,2,4,5,5,121,594
N132,"43F, 5'3"",130lb, nonsmoker, only daily med is Zyrtec. I am scheduled for arthroscopic surgery on my wrist, to be done under general anesthesia in mid November. I'm not a smoker of any kind, but my spouse is. He uses a vape with high nicotine content about every 20 minutes as we are home together, usually in the same room as I. I know nicotine can cause issues during procedures and while healing, but is it likely I'm being exposed enough to be problematic? If so, how long would it take to clear my system?",ycpcgp,itnj2oy,We recommend stopping smoking 8 weeks prior to surgery. I don't know if there's good data on when to stop secondhand exposure but I'd assume the sooner the better for both you and your spouse,"It is generally recommended to avoid secondhand exposure to vapor from electronic cigarettes or other vaping devices prior to surgery. This is because nicotine, which is present in many e-cigarette liquids, can affect your blood vessels and heart rate, and may interfere with the action of certain medications used during surgery. Additionally, inhaling vapor from these devices can irritate the respiratory system and potentially increase the risk of respiratory complications during and after surgery.

It is difficult to determine the specific level of exposure you may be experiencing, as it will depend on factors such as the type and strength of the e-cigarette liquid your spouse is using, the amount of vapor they are exhaling, and the ventilation in your home. However, it is generally recommended to minimize your exposure to secondhand vapor as much as possible, especially in the days leading up to your surgery. This could involve limiting the time you spend in the same room as your spouse while they are using their e-cigarette, and increasing ventilation by opening windows or using an air purifier.

If you are concerned about the potential effects of secondhand vapor on your surgery, it may be helpful to discuss this with your healthcare provider. They can provide guidance on how to minimize your exposure and address any specific concerns you may have.



",ChatGPT,ChatGPT,ChatGPT,4,4,3,4,5,4,4,2,1,4,4,2,35,94
N133,"45 female 120lbs migraines sarcoidosis 

Study Result
Narrative
�ۢ Left Ventricle: Left ventricle size is normal. No wall motion
abnormalities noted. Normal systolic function with a visually estimated EF
of 55 - 60%. Normal diastolic function.
�ۢ Aortic Valve: No cusp thickening. No annular dilation. Trace
transvalvular regurgitation. No stenosis.
�ۢ Mitral Valve: Valve structure is normal. Trace transvalvular
regurgitation. No stenosis.
�ۢ Tricuspid Valve: Mild transvalvular regurgitation. RVSP estimated at
26 mmHg

Component Results
EF - 2D
Your Value
60.40 %
Standard Range
%
LVOT SV
Your Value
65.80 cm3
Standard Range
cm3
IVSd
Your Value
0.76 cm
Standard Range
0.6 - 1.1 cm
LVPWD
Your Value
0.8 cm
Standard Range
cm
LVIDd
Your Value
4.2 cm
Standard Range
3.5 - 6.0 cm
LVIDs
Your Value
2.90 cm
Standard Range
2.1 - 4.0 cm
LV ESV 2D teichholz
Your Value
31.7 mL
Standard Range
mL
LV EDV 2D teichholz
Your Value
80.1 mL
Standard Range
mL
LVOT diameter
Your Value
1.8 cm
Standard Range
cm
LVOT area
Your Value
2.60 cm2
Standard Range
cm2
MV pk E vel
Your Value
88.3 cm/s
Standard Range
cm/s
MV pk A vel
Your Value
62.6 cm/sec
Standard Range
cm/sec
MV e' lateral
Your Value
13.9 cm/s",y4e9g7,isdph5x,It looks fine.,"Based on the information provided, it appears that your heart is functioning normally. The left ventricle size is normal, there are no wall motion abnormalities, and the systolic and diastolic functions are normal. The aortic and mitral valves are also normal, with only trace amounts of regurgitation. The tricuspid valve has mild regurgitation. The estimated right ventricular systolic pressure (RVSP) is 26 mmHg, which is within a normal range. The ejection fraction (EF) is 60.4%, which is also within a normal range. The other measurements of your heart's size and function, such as the left ventricular outflow tract (LVOT) diameter and area, and the mitral valve peak velocities, are also within normal ranges. Overall, it appears that your heart is functioning normally. However, it is important to discuss these results with your healthcare provider to determine the best course of treatment and management for your specific condition and overall health.",ChatGPT,ChatGPT,ChatGPT,3,4,4,4,5,5,2,4,1,4,4,2,3,130
N134,"34M 278lbs caucasian 
I take escitalopram.

I have found a firm bump on my side under my arm pit. It is red in colour and is very tender. It has been there for 6 days. There are no holes or ""head"" like on a pimple. I have to wear a bandaid on it as it irritates very easily. It is about the size of a dime. Does not seem to look like an in grown hair either.

Link is for a couple photos.

https://imgur.com/a/wZW6Tw5

http://imgur.com/a/soYCLWc",ya4jox,it98dck,Could be a blocked and now soon become infected sweat gland. Common with shaving and then antiperspirant use. Try not shaving and using antiperspirant if possible and see if it opens on its own. If it becomes unbearably painful and enlarges then it�۪s time to see your PCP or go to urgent care for it to be drained and packed.,"It is difficult to accurately diagnose a skin condition based on a description and photos alone. It is important to see a medical professional for an accurate diagnosis and appropriate treatment. Some possible explanations for the symptoms you describe include an abscess, a cyst, or a dermatitis. These conditions can be caused by a variety of factors, including infection, inflammation, and irritation. It is important to have the bump evaluated by a healthcare professional to determine the cause and determine the most appropriate treatment. In the meantime, try to keep the area clean and avoid picking or scratching at the bump. If it is painful or causing discomfort, you may find relief by applying a warm compress to the area. If you are concerned about the bump or if it does not improve within a few days, it is important to contact a medical professional for further evaluation.",ChatGPT,ChatGPT,ChatGPT,3,4,4,4,5,4,2,4,2,4,4,2,60,81
N135,"I (30f) was having sex with someone and we didn't realise the condom broke. Condoms hurt me, so I was wondering whether the probability for Sti's increases if I continue having unprotected sex with that person now that we've already done it once...",xty7p3,iqslc6x,"The risk doesn't go to zero because you had sex. If there is a transmissible disease present in either partner, the risk is still there.","The probability of acquiring a sexually transmitted infection (STI) does not change based on the number of times you have had unprotected sex with a particular person. However, having unprotected sex with any partner does increase your risk of acquiring an STI, and this risk can increase if you have multiple partners or if you or your partner(s) have had unprotected sex with other people. It is important to use condoms or other forms of barrier protection to reduce the risk of STI transmission. If you are concerned about your risk of STI transmission, it is a good idea to get tested regularly, especially if you are having sex with new partners or if you have had unprotected sex.",ChatGPT,ChatGPT,ChatGPT,3,4,1,4,5,3,2,2,1,4,4,2,25,43
N136,"16M, 166cm, 49kg, I do not smoke, drink or do drugs, white, romanian , I have been waking up early for the past 2 months because of school after a summer of barely sleeping 3 hours a ""night"" and falling asleep at 9 am. I do not have any known heart issues. 

This has happened every few months, but for the past few days, it's been happening daily. Right before falling asleep, my heart starts beating extremely hard, my ears start ringing and I cannot move,even though I am not in deep sleep. 
This can happen multiple times a night if I don't fall asleep. It's 2 am over here and it just happened three times in the last 2 hours. what are these palpitations about, should I be worried? 

I'll be posting this issues in other subreddits",ya89i1,it9xarm,"This is likely a hypnogogic reaction called sleep paralysis. I would work on better and more predictable sleep patterns in a cool, dark room free from distractions. No exercise in the evening and avoid caffeine and stay hydrated.","It sounds like you are experiencing a sleep disorder called sleep paralysis, which can cause temporary paralysis of the body and strange sensations such as a racing heart and ringing in the ears. Sleep paralysis typically occurs when a person is either falling asleep or waking up, and it can be triggered by irregular sleep patterns, sleep deprivation, and certain medications or substances. It is generally not a cause for concern, but if you are experiencing these symptoms frequently or if they are causing significant distress, it would be a good idea to speak with a healthcare professional for further evaluation and treatment. In the meantime, you might try establishing a consistent sleep schedule and practicing good sleep hygiene, such as avoiding caffeine and electronics before bedtime, to help reduce the frequency of these episodes.",ChatGPT,ChatGPT,ChatGPT,3,4,3,4,5,4,3,3,1,4,4,2,38,138
N137,"20M 150lb 5'8

Slightly above and left of my dick I've felt something has been wrong for while. When I cough, it feels like something gets poked out, and if I feel around the area I can seemingly push it back in. When standing for awhile I start to notice it, too. It doesn't necessarily hurt, it's more uncomfortable and achy. I got it checked out  few years ago when I was younger, but the doctors didn't notice anything despite my concerns. I don't know how to find out more about it so I decided to ask here. Any insights would be helpful. Thanks.",y6o2yj,isqr5c0,"Could be an inguinal hernia.  Go get checked and if they don't notice anything on exam, ask for an ultrasound","It is important that you consult a healthcare professional in person for a proper evaluation and diagnosis. There could be a variety of potential causes for the symptoms you describe, and it is important to have a healthcare professional examine you in person and potentially order further tests or imaging to determine the cause. It is also important to mention any and all symptoms you are experiencing to your healthcare provider, as they can help determine the cause of your symptoms and provide appropriate treatment.",Physician,Physician,Physician,3,4,3,3,4,2,3,3,1,3,3,2,21,104
N138,"29 Female
185lbs
Non smoker
No daily meds


I came into the ER for left side and back pain.. they ordered a CT, and everything looks fine except for this��_

Now I am really really scared :(

What does this mean??

Hepatobiliary: The liver has a normal size with a smooth surface. Mildly low attenuation of the hepatic parenchyma consistent with steatosis. There is a subcentimeter low-attenuation lesion in the medial segment of the left hepatic lobe, too small to characterize by CT but statistically likely benign. The portal veins are patent. There is no biliary dilatation and the gallbladder is unremarkable with no calcified stones.


Thanks :(",y0sjd9,irtudzj,"It's probably a liver cyst. So many people have them but if they are less than a centimeter, we technically don't have enough information to just flat out say it's a simple liver cyst due to the resolution limitations of a CT. Literally nothing to worry about. It likely wasn't mentioned on your part CT because either the radiologist missed it, that last CT was poorer quality, or it is new/larger (which again is normal, cysts tend to slooooowly grow over time until whatever size they decide to stop at).

The terminology you see is radiology-speak for ""I see a cyst, but I can't technically call it a cyst, but I have to point it out."" I'm a radiology resident, so I spit this line out almost daily lol","I'm sorry to hear that you're feeling worried. It's understandable to have concerns when something unexpected shows up on a medical test. It's important to keep in mind that the presence of a subcentimeter liver lesion does not necessarily mean that there is something seriously wrong. In many cases, subcentimeter liver lesions are benign (not cancerous) and do not cause any symptoms or require treatment.

However, it's also possible that the lesion could be something more serious, such as a cancerous tumor. The only way to be sure is to have the lesion further evaluated. Your healthcare provider will be able to recommend the best course of action based on your specific situation.

It's also worth noting that the presence of a liver lesion does not necessarily explain the pain that you were experiencing in your left side and back. There could be other explanations for this pain, and it's important to follow up with your healthcare provider to determine the cause.

I hope this information is helpful. It's always a good idea to discuss any concerns or questions you have with your healthcare provider. They are the best resource for information about your specific situation.",Physician,ChatGPT,Physician,4,3,4,4,5,3,3,3,2,4,5,3,128,100
N139,"Male, heavy smoker, drinker, 6', 200lbs, white USAmerican, unknown simultaneous conditions.

Posted earlier, removed for lack of information.

I'm looking at a medical record from the 90s. It lists something I think says HIV but there is no follow-up paperwork regarding HIV anywhere else in the file. It could also say ""KIV"" but I can't find any information on what that would be. This a military medical file from the United States. The person in question has denied having any STIs at any point.

If a patient had HIV/AIDS, would a medical file from the 1990s list only ""HIV"" with no context or further information given? It could also be that the portion of the file that covers HIV testing was removed on purpose.

I found my ex partner's medical file while packing to move and am now worried that I have been exposed to HIV. Please and thank you for any help you can give.",y0mi4d,irsnq4f,"Very unlikely for a record to mention HIV and then have no follow up studies or notes. The 90s were the gray ages for HIV but not the dark ages so I can�۪t see any medical file being scrubbed of this diagnosis.

KIV - shorthand for potassium IV in orders but that�۪s all I can think of 

If you�۪re worried, get tested. No one will deny you this test. Not worth guessing.","It's understandable that you would be concerned about your potential exposure to HIV after finding an old medical record that mentions the virus. However, without more information about the specific context and content of the record, it's difficult for me to provide a definitive answer about what the notation ""HIV"" or ""KIV"" might mean in this case.

It's possible that the record simply notes that the patient has tested positive for HIV, without providing any further details about their diagnosis or treatment. It's also possible that the record is incomplete or that relevant information has been removed.

If you are concerned about your potential exposure to HIV, it is important to speak with a healthcare provider as soon as possible. They can help you understand your risk and advise you on the appropriate steps to take, including getting tested if necessary. It's also important to remember that HIV can be effectively managed with antiretroviral therapy, so if you do test positive, it is important to seek medical care and follow your treatment plan to maintain your health and prevent transmission of the virus to others.",ChatGPT,ChatGPT,ChatGPT,3,4,3,4,4,4,3,3,1,4,5,4,71,152
N141,"29M 5'8"" 165lbs. Don't smoke, drink or do drugs.

On 10/14 I had 3 wisdom teeth removed. My top 2 wisdom teeth had been emerged for years, my bottom left tooth was impacted and had began an infection 1 week prior, and I di not have a lower right wisdom tooth.
All 3 were extracted on 10/14. I've been healing well and careful with what I eat, only eating more solid foods in the last 2-3 days.

When my infection started I was prescribed amoxicillin 500mg 4x/day. I did that until my surgery, after which I was prescribed penicillin 500mg 4x/day. I had taken the penicillin up until 2 days ago, when I stopped (so 4-5 days after surgery). I don't like the harmful, sometimes permanent effects that destroying your gut microbiome can have and I want to mitigate that as much as possible.

I started getting paranoid about getting an infection in the lower left again and I took a penicillin, thinking I'd run it for another 2-3 days. But then I thought, what if I broke a pill and placed it gently directly on the socket that I'm worried about.

Would this be effective at treating it locally and mitigating the systemic effects of the antibiotics? As I said, I have both amoxicillin and penicillin, if one is somehow better than the other.

To be clear, I am asking about the efficacy of my proposal. I'm not interested in hearing about how some of you might think that the gut microbiome is a non-factor.

PS: Is there a better of the 2, between amoxicillin and penicillin to use for my situation? Be it orally or my proposed topical solution?",y8zk3t,it2vyy7,"Topical would not be effective. It is very important to complete the entire antibiotic regimen as prescribed to prevent antibiotic resistance and ensure the infection gets treated completely. 

Your concerns about your gut microbiome are not unfounded and antibiotics can cause diarrheal illness. There is [data](https://www.singlecare.com/blog/taking-probiotics-with-antibiotics/) to support using a probiotic during your antibiotic course to prevent diarrheal illness while taking the antibiotic. This would be a better approach to treating your infection with proper antibiotic use and limiting your risk.","It is not recommended to apply amoxicillin or penicillin directly to the wisdom tooth socket. These medications are designed to be taken orally, and applying them topically to the socket is not likely to be effective in treating any potential infection.

If you are concerned about the possibility of infection in the wisdom tooth socket, it is important to follow the instructions of your healthcare provider and take the prescribed medications as directed. If you have any concerns about the medications you have been prescribed, it is important to discuss these with your healthcare provider.

In terms of which medication is better for your situation, it is important to consider the specific type of infection you are trying to treat. Both amoxicillin and penicillin are antibiotics that are effective against a wide range of bacterial infections, but they may not be equally effective against all types of bacteria. Your healthcare provider will be able to determine the most appropriate medication for your specific situation based on the type of infection you are trying to treat and any other factors that may be relevant.

It is also important to note that antibiotics can have side effects and can also cause changes to the gut microbiome, as you mentioned. It is important to take antibiotics only when they are prescribed by a healthcare provider and to follow the instructions for taking them carefully.",Physician,ChatGPT,ChatGPT,4,5,3,3,5,4,4,4,2,4,4,2,81,274
N142,"23F 155 lbs 5�۪3�۝

Hi everyone, can someone help me understand my chest x-ray findings? I went to get some x-rays done for a TB test because I am starting a new job. I was exposed to TB when I was a child, therefore I can�۪t get another regular TB test ever again. Anyways, I went to get this done then I guess they might have found something??

This is what the findings say:

IMPRESSION:
Apparent nodular opacity at the left lung base favored to be artifactural related to nipple shadow and osseous structures superimposition. Follow-up PA/lateral radiographs may be obtained with nipple markers for confirmation.

No radiographic evidence of active pulmonary tuberculosis.

EXAM DESCRIPTION:
X-RAY CHEST SINGLE VIEW

CLINICAL HISTORY:
History of latent TB infection

COMPARISON:
None available 

TECHNIQUE:
Frontal chest radiograph

FINDINGS:
Lungs are well expanded. No consolidation. Apparent nodular opacity at the left lung base. No pleural effusion or pneumothorax. Normal trachea and hilar regions. Normal cardiac silhouette. No acute osseous abnormality. 

I will try to link the X-Ray image. Please someone let me know what this is because I have severe health anxiety. :(
[https://i.imgur.com/BLnQ0iW.jpg](https://i.imgur.com/BLnQ0iW.jpg)",xy8i1g,irfyjrf,"Most likely normal, there is an area that could be a nodule but there are bones and possibly your nipple at that area and they don�۪t suspect it�۪s pathological.  They recommended an X-ray from the side of you want confirmation of that finding.

I wouldn�۪t stress it.","It sounds like the radiologist who reviewed your chest x-ray noted an apparent nodular opacity at the left lung base. This means that there is a small, round, or oval-shaped area of increased density or thickness in the tissue of your left lung. The radiologist mentioned that this finding may be related to the shadow of your nipple or the superimposition of bone structures, which means that it may be caused by the position of your body or the way the x-ray was taken, rather than a specific issue with your lung tissue.",ChatGPT,ChatGPT,Physician,3,4,4,3,4,2,2,4,1,3,4,1,47,174
N143,"20f and i�۪ve had a bad cold recently, many covid tests done every day and all were negative - it�۪s been a week since i came down with the cold, i was coughing crap up off my chest, sore throat, temperature etc. all symptoms except the sore throat have gone now but i�۪ve noticed that it�۪s gotten worse and really does hurt quite a lot to swallow? no tonsil stones but one tonsil seems to be quite inflamed (which is the side of my throat and mouth that hurts a lot) and has some spots Around it but i�۪ve been brushing and flossing my teeth regularly and doing salt water gargles regularly every day too

the cold cleared itself up just fine but the throat is the only thing i�۪m worried about, will it get better over time like the cold or does it seem like i need to contact the doctors? i don�۪t get ill very often at all, the last cold i had was before covid started and i usually shake them off quite easily",y9aq2m,it4o1k0,"Tonsils are lymphatic tissue, they will swell with viral infections. With most recent strain of covid (and I can speak from personal experience on this as well and I don't even have tonsils) the sore throat can be quite miserable, so make sure you don't have that. There are numbing sprays and lozenges, etc. 

If this has persisted for over a week to 10 days, may need to be seen just to make sure didn't get a secondary bacterial infection like strep and need antibiotics.","It's not uncommon for the tonsils to become swollen and inflamed during a cold or other upper respiratory infection. This is usually due to inflammation caused by the infection, and it should resolve on its own as the infection clears up.",ChatGPT,ChatGPT,ChatGPT,3,4,3,3,4,4,4,4,2,3,4,1,85,176
N145,"Hi All,

​

Thanks for taking the time to read this.

I have been pursuing a long distance relationship for around 4-5 months with a wonderful woman. We plan to meet  soon, and she told me quite recently that a while ago on one of her screenings (way before we met)  she  has HPV. She seemed pretty upset about it. (Her last partner berated her for it)

She mentioned that it means she has a higher risk of getting cancer, and she has a wart on her finger because of it? Her doctor didn't elaborate on exactly what type etc and i have no idea if it will go away? Her doctor also told her she doesn't have to inform partners about it.

I am a 30yr old man, and have not had any vaccines for HPV. (I didn't even know about it)

​

My question is, what do i do? What affect will it have on me? If i get vaccinated against it can i still catch it? It seems the majority of what i have seen seems to say that most people will have it in some form, and it's nothing to worry about really.

​

I'd really appreciate advice on this!",yfm6uf,iu4o57y,"Chances are you have HPV too. It is super super common, before the vaccine about 50% of people had it. There is no proven benifits at getting the vaccine at your age due to the fact that you likely already have it

Honestly, I would not worry about it","Human papillomavirus (HPV) is a very common virus that is spread through sexual contact. There are many different types of HPV, and some can cause health problems, such as genital warts and certain types of cancer. Other types of HPV have no visible symptoms and may go away on their own.

It's understandable that you may have concerns about your partner's HPV infection, but it's important to remember that HPV is very common and most people who have it do not have any serious health problems as a result. While HPV can increase the risk of certain types of cancer, including cervical cancer, most people with HPV do not develop cancer.

If you are not already vaccinated against HPV, you may want to consider getting the HPV vaccine. The vaccine can help protect against the types of HPV that are most likely to cause cancer. It is most effective when given to people who have not yet been exposed to HPV, so it is generally recommended for people who are younger than 26 years old. Even if you have already been exposed to HPV, you may still benefit from vaccination, as the vaccine can protect against some types of HPV that you have not yet been exposed to.

It is up to your partner to decide whether or not to disclose their HPV infection to you or to future partners. However, it is important for both partners to be honest with each other about their sexual health and to discuss ways to reduce the risk of transmission. This can include using condoms and/or dental dams during sexual activity, and getting vaccinated against HPV.

In the end, the most important thing is to have an open and honest conversation with your partner about your concerns and to make decisions together about how to protect each other's health. It may also be helpful for you to talk to a healthcare provider about your specific situation and any questions or concerns you may have.",ChatGPT,ChatGPT,ChatGPT,2,4,2,4,5,3,2,4,3,4,4,2,48,198
N146,"Hello, 

I�۪ve found that a lot of people are using topical Minoxidil on their faces to enhance facial hair growth.
I am 30yo male, overall healthy but I have hypertension, anxiety and ocd. Currently I am not taking any meds.
I�۪ve read that Minoxidil could cause pericardial effusion and I am super worried about that.
I am planning to use topical Minoxidil 5% 0,5ml once a day. Is it safe?
What are your thoughts?",xw8qxb,ir76ow5,"Unless you plan on drinking the minoxidil - and even then, the dose is low enough it's unlikely to cause an issue - it's pretty much harmless.","Minoxidil is a medication that is primarily used to treat hair loss and promote hair growth. It is available in both a topical form (applied to the skin) and an oral form. While it is generally safe to use, there are some potential side effects to be aware of.

The most common side effects of topical minoxidil are skin irritation, redness, and dryness. These side effects usually go away after a few weeks of use.

In rare cases, minoxidil can cause more serious side effects, including chest pain, rapid heartbeat, fainting, and swelling of the hands and feet. These side effects are more likely to occur with the oral form of the medication, but they can also occur with the topical form.

If you have a history of hypertension, anxiety, or OCD, you may be at an increased risk of experiencing these side effects. It is important to discuss your medical history with a healthcare provider before starting any new medication, including minoxidil.

It is also important to use minoxidil exactly as directed by a healthcare provider or the product labeling. Using more than the recommended amount can increase the risk of side effects.

In summary, minoxidil is generally safe to use for the treatment of hair loss and to promote hair growth, but it is important to be aware of the potential side effects and to use it as directed. If you have any concerns or questions about using minoxidil, it is best to speak with a healthcare provider.",ChatGPT,ChatGPT,ChatGPT,3,3,3,4,5,4,1,4,1,4,4,1,27,70
N148,"31 years old
Female
Australia 
34 weeks pregnant 

Just received my blood test results online and I see I have low Albumin levels.

No one has called me to discuss anything further.

Is this normal for someone who is in their third trimester of pregnancy?

If it wasn�۪t normal would other blood  levels be abnormal too?

I wonder if I have any reason to be concerned..

https://imgur.com/a/F3YzKpW",ygb4cy,iu7zezl,"Hello,

Yes, albumin levels decrease throughout pregnancy. Normal range is ~4g/dL. In pregnancy, there is an expected decrease in albumin to 3.6 earlier on and down to as low as 3.2 during term/labor. 

For your knowledge, it is likely due to a dilution effect of the larger volume of plasma in pregnant patient�۪s blood.

This would look normal to me. Best of luck and congrats!","It is not normal to have low albumin levels during pregnancy, especially in the third trimester. Albumin is a protein produced by the liver that helps to maintain the proper balance of fluids in the body. Low levels of albumin can indicate a number of different conditions, including liver disease, malnutrition, or kidney disease.

It is important to speak with a healthcare professional about your low albumin levels as soon as possible. They will be able to assess your medical history and determine the cause of your low albumin levels, and recommend the appropriate treatment. It is also possible that other blood levels may be abnormal as well, so it is important to have a full evaluation by a healthcare professional.

I recommend that you contact your healthcare provider as soon as possible to discuss your blood test results and any concerns you may have. It is important to follow their recommendations and seek medical attention if you have any concerns or if you experience any symptoms that may be related to your low albumin levels.",Physician,Physician,Physician,4,4,4,2,2,3,4,4,5,3,4,1,63,61
N149,About 3 hours ago I (37f) got bleach splashed into my eye. It wasn�۪t diluted. It burned for a few minutes but now it�۪s just feeling irritated and dry. It�۪s not all that red. I googled it just now and it said to rinse the eye. I didn�۪t do that because I figured the eye does that for itself with tears. I don�۪t have any issues just irritation. I�۪m healthy and don�۪t have any medical problems. Im 5�۪6 180lbs Am I going to go blind?,y5r6oy,ismi1b1,Sounds like you will be fine. You should flush the eye anytime you get a chemical or foreign body in the eye. You can also contact Poison Control 18002221222,"I'm sorry to hear that you got bleach splashed in your eye. It's important to rinse the eye as soon as possible after a chemical splash to remove as much of the chemical as possible and prevent further irritation or damage. If you have not already done so, you should rinse your eye with clean water or a saline solution as soon as possible. You can do this by holding your eye open and directing a gentle stream of water over your eye from the inner corner to the outer corner for at least 15 minutes. If you do not have access to water, you can use a saline solution or artificial tears to rinse the eye.

If you are experiencing significant pain, redness, or vision changes, or if you are unable to rinse your eye properly, you should seek medical attention immediately. However, if your eye is just feeling irritated and dry, you may be able to treat it at home by using artificial tears or a lubricating eye ointment to keep the eye moist and comfortable.

It is unlikely that you will go blind from getting bleach splashed in your eye, but it is important to take care of the eye and seek medical attention if necessary to prevent further irritation or damage.",ChatGPT,ChatGPT,ChatGPT,3,5,2,4,3,5,3,2,2,4,5,5,29,85
N150,"Age 19

Sex F

Height 4�۪11

Weight 105lbs

Race caucasian: 

Duration of complaint: 1 week > ongoing

Location: Neck/back

Any existing relevant medical issues: back sprain due to car accident 

Current medications: IUD, naproxen, cyclobenzaprine
~~~~~

Hi docs, i just got into a car accident on thursday and had gone to the doctor after. I have a minor back sprain, following neck pain, minor concussion. 

I got an x-ray done and while my results came back fine, no fractures or anything there was one result that confused me but no notes following. i�۪m awaiting my appointment for physical therapy and for my primary physician

result stated: Incomplete fusion of the posterior C1 arch

is this something to be concerned about? could this be related to the trauma in the car accident or have i always had this and it was just now discovered because of the x-ray?",xvze8q,ir40awa,"It�۪s a fairly common congenital thing (I.e.- you were born with it).

Incidental finding.","It's understandable that you would be concerned about the finding of an ""incomplete fusion of the posterior C1 arch"" on your x-ray after a car accident. This finding refers to the fact that the bones in the upper part of your neck, called the cervical vertebrae, have not fully joined together (fused) in the posterior (back) part of the C1 vertebra.

It's possible that this incomplete fusion was present before your car accident, and it was just discovered on the x-ray. Incomplete fusion of the posterior C1 arch is a relatively common finding, and it may not cause any symptoms or problems. However, it's important to discuss this finding with your doctor, as it may be relevant to your current symptoms and treatment plan.

It's also possible that the trauma from the car accident could have caused or exacerbated the incomplete fusion. Again, it's important to discuss this with your doctor to determine the cause and the best course of action.

In the meantime, it's important to follow your doctor's recommendations for managing your neck and back pain, including taking any prescribed medications and participating in physical therapy as directed. It's also a good idea to take good care of yourself by getting plenty of rest, staying hydrated, and eating a healthy diet.",Physician,Physician,ChatGPT,4,4,4,4,4,5,3,4,4,4,5,4,13,137
N151,I was working the other day and my stupid boss left a small board with nails sticking out in the grass where we were working and while carrying a bunch of heavy stuff the I stepped on it and the nail went directly through my shoe into my foot. I cleaned it immediately and all that jazz it�۪s been 3 days since and today I woke up with a very sore back and chills as well as being quite nauseous all day. I�۪m not sure if those are related symptoms or if I�۪m just overreacting. I had my last shot around 7 or 8 years ago. Please let me know if you can provide any information or if I should go to the ER. Im a 21 year old male 6foot1 178lbs no pre-existing medical conditions other than those related to mental health. I drink fairly often and did drink(although not heavily) the night before the symptoms(yesterday October 14th). I used to smoke I don�۪t anymore and I am on 300mg of Bupropion XL. Hope this helps,y55lk9,isi4f2p,You should get another tetanus vaccine if it�۪s been over 5 years since your last dose.  Unlikely to be tetanus but you may have another infection.  Worth having it all looked at while you get your vaccine.,"It's possible that you may have contracted tetanus, a serious and potentially life-threatening infection caused by the bacterium Clostridium tetani. Tetanus is usually transmitted through puncture wounds, such as the one you described, and the bacteria produce toxins that can cause muscle spasms and other symptoms.

You should seek medical attention as soon as possible if you suspect that you may have tetanus. The symptoms you described (back pain, chills, and nausea) are not specific to tetanus and could be caused by other factors. However, if you have a puncture wound and are experiencing muscle spasms or difficulty swallowing, these are more specific symptoms of tetanus and you should seek medical attention immediately.

Your doctor will be able to assess your risk for tetanus and determine the best course of treatment. If you have not received a tetanus booster within the past 10 years, your doctor may recommend that you receive one. It's also important to keep up to date with your tetanus vaccinations to protect against this infection in the future.",Physician,Physician,ChatGPT,4,4,4,2,4,4,4,4,1,4,4,1,39,177
N152,"18M White 72kg 177cm/5�۪9

This has happened a couple times but this was the loudest.

Last night while I was having sex I accidentally pulled out too far and managed to push myself against an area that was without a hole decently hard, not super hard but a little bit. 

I heard a loud crack while my girlfriend is saying was just a slap noise but in not sure. Afterwards we continued to have sex and despite losing my erection slightly right after what happened I was ok and had no problems keeping it up.

There is no discolouration on my penis, I have no trouble peeing or keeping an erection however there is a slight, very tiny, pain (which could be in my head because I�۪m worried) around the middle area when i get erect. 

Should I head to the doctor or will I be ok to leave it be?",ygsj02,iuaps1k,"What will a doctor do if you�۪re fully functional and have no complaints, just a question? This is a practical question. If you�۪re fine you�۪re fine","It is always a good idea to consult with a healthcare professional if you are concerned about any changes in your body or if you have experienced an injury. While it is possible that you may have experienced a minor injury that will resolve on its own, it is important to have a healthcare professional evaluate the situation to determine the cause of the noise and whether any further treatment is necessary.

If you are experiencing any pain or discomfort, or if you have any concerns about your overall health, it is important to speak with a healthcare professional. They will be able to assess your symptoms and advise you on the best course of action.

In the meantime, you may want to avoid sexual activity until you have had a chance to speak with a healthcare professional. This will give your body time to heal and will reduce the risk of further injury.

It is also important to remember to use proper technique and to communicate with your partner during sexual activity to reduce the risk of injury. If you have any concerns about your sexual health, it is a good idea to speak with a healthcare professional about these as well.",Physician,ChatGPT,Physician,3,2,3,3,4,2,2,1,1,4,3,2,26,148
N153,"F61, Obese 167cm, 82kg
Diagonised condition: Liver Cirrhosis(5 years in), Diabetis and High Blood Presser
Current medications, Metformin,Refoximine 550, Cardivas, Telmisartan 

In 2019 december she had portal hypertension and doctor repaired it through surgery. 

2022 April she food poision and hospitalized and heald and checked.

Now I live in other country and currently visitng my home country(india). I she that she was physically okay but mentally was not happy so planned a trip to Thailand to cheer her up. She was very happy and suddenly just before boarding she got chills. Finally we arrived bangkok and she was feeling fine. 

Today morning she woke up with bit of chills but then was fine. We had a light lunch then she took a nap post nap she had bit of fever (99.8) She had a small snack and 500mg Paracetamol. She felt fine all evening and suddenly she got high fever right now(101.8). I am scared shit right now on what to do? She managed to fell asleep. She says she has no pain in stomach or anything in abdomen. She feels it might be viral or something. 

What should I do? I feel it might be sign of liver failure or what? 

Should I wait till morning to take her to medical clinic? 

p.s. I am in center of Bangkok",y4ur7e,isgch9j,"It could have any number of causes, ranging from your typical viral infection (COVID is still a thing) to bacterial infection in the abdomen (what we worry about with cirrhosis). I'd say continue to monitor her and if she seems to be getting sicker then offer to take her to the hospital","I'm sorry to hear about your loved one's fever. It's important to seek medical attention as soon as possible if someone has a fever and underlying conditions such as liver cirrhosis, diabetes, and high blood pressure. In this situation, it would be best to take your loved one to a medical clinic as soon as possible, rather than waiting until the morning.

Fever can be a sign of an infection or other underlying medical condition. It's important to have a healthcare professional assess your loved one and determine the cause of the fever. They may need to do some tests, such as blood tests or imaging studies, to determine the cause of the fever and determine the best course of treatment.

It's also important to continue taking the medications that have been prescribed for the underlying conditions, as directed by the healthcare provider. If your loved one is experiencing any new symptoms or changes in their condition, be sure to let the healthcare provider know.

I recommend following the advice of the healthcare professionals who are treating your loved one. They will be able to provide the most appropriate care based on your loved one's specific medical history and condition.",ChatGPT,ChatGPT,ChatGPT,3,2,3,4,4,4,3,3,2,4,4,4,52,217
N154,"https://ibb.co/8xvVrSD (idk why it's on the left but it's the right tonsil)
I'm a man, 6'6, 100kg, have an inactive form of asthma, and eat relatively healthily. 3 days ago I noticed my tonsil was hurting and nothing was up until it felt swollen, looking yellowish on the photo, and it secreting blood. This doesn't happen all day but it's hard to swallow and I'm constantly thinking about this. Doctor's is closed on weekends, otherwise I'd have gone by now. Thanks!",yaqdqe,itcthfn,"I'd consider bleeding from the tonsil atypical. There are things such as hemorrhagic tonsillitis, but that is usually larger volume and quite persistent. It's hard to tell in the photo if there's active blood or shadow near the tongue base.

If there is bleeding (as in you are able to spit out blood), would consider being evaluated in person as may need treatment.","It's understandable that you're concerned about your swollen tonsil and the bleeding. While it's not possible for me to diagnose you remotely, there are a few possible explanations for your symptoms. Here are a few possibilities:

Tonsillitis: This is an infection of the tonsils that can cause them to become swollen and painful. It can also cause a yellow or white coating on the tonsils and difficulty swallowing. Tonsillitis can be caused by bacteria or a virus.

Peritonsillar abscess: This is a collection of pus that forms near the tonsil. It can cause swelling and pain in the tonsils, as well as difficulty swallowing.

Tonsil stones: These are small, hard masses that form in the tonsils and can cause symptoms like swelling, pain, and difficulty swallowing.

It's important to see a doctor for a proper diagnosis and treatment. In the meantime, you can try using a saltwater rinse to help reduce swelling and discomfort. To make a saltwater rinse, mix 1/4 teaspoon of salt into a cup of warm water. Swish the solution around in your mouth for 30 seconds, then spit it out. Repeat as needed.

I recommend contacting a healthcare professional as soon as possible for further evaluation and treatment. In the meantime, try to drink plenty of fluids and get rest to help your body fight off any infection.",ChatGPT,ChatGPT,ChatGPT,2,2,3,4,5,5,3,3,3,4,4,5,62,80
N155,"I�۪ve just moved in to this new flat. Usually tap water is clean in this area but this water tastes really really odd. Despite my landlord saying it is clean. I took 2 sips and then went and bought a filter. Apparently I didn�۪t install the filter how you�۪re supposed to do it and so I have drunk about 3 cups from it now. I�۪m noticing I�۪m struggling to swallow things like croissants lately but I don�۪t know if it�۪s because of the water. I�۪ve had general sickness the past week with sore throat, cough and slightly sore neck every now and then. Am I overthinking it all?",xuczsn,iqv2wn0,"Yes, overthinking it.

Water filters aren�۪t magical devices that turn tap water into purified water. Any bacteria that were in there before filtration are largely still in there after. In most developed countries, tap water is safe to drink and any difference in taste is from differences in mineral content.","It is possible that the water you drank could be causing some of your symptoms, but it is also possible that you are experiencing these symptoms for other reasons. It is generally recommended to filter tap water to remove any impurities or contaminants that may be present. If you have concerns about the water you have been drinking, it is a good idea to contact your local water utility or health department to ask about the quality of the water in your area. In the meantime, it is important to stay hydrated and to drink plenty of fluids, especially if you are experiencing symptoms like a sore throat or cough. You can try drinking water that has been filtered or bottled water to help alleviate any concerns you may have about the water you have been drinking. If your symptoms persist or worsen, it is a good idea to consult a healthcare professional for further evaluation and treatment.",ChatGPT,ChatGPT,ChatGPT,3,4,2,4,4,5,2,4,2,3,4,2,49,108
N156,"Not a medical issue per se, but I cannot for the life of me figure out what my cardiologist is trying to get across here. I got ���rare PACs�۝ and that�۪s it. Think any of you can tell what he means?

https://imgur.com/a/LGJCvV0

For context: 16F, Caucasian, previously diagnosed Ehlers Danlos + Dysautonomia, had ripping chest pain 2 months ago and now have random episodes of stabbing chest pain with pre-syncope and slight oxygen drops. Chest CT, routine EKG, and Echocardiogram were all normal, these are the results of a 5-day holter monitor.",xybqq8,irgossa,Rhythm during trigger events was sinus with rare PACs,"It would be best for you to ask your cardiologist to clarify the meaning of the note for you. It is important to ensure that you have a clear understanding of your medical care and treatment, and your doctor is the best source of information about your specific case. If you are having ongoing concerns or questions about your medical condition, it would be advisable to schedule a follow-up appointment with your cardiologist to discuss them in more detail.",ChatGPT,ChatGPT,ChatGPT,2,1,1,3,2,3,1,2,1,3,4,2,9,90
N157,I went to get some blood work done while sick with a cold and my CRP level was well above 300.  Should I be concerned or is it just because I have an illness at the moment?  34 year old healthy male.  6 ft 200lb.,yctd9i,ito97ov,"What is the unit of measurement? CRP is reported differently on different scales by different labs. On its own, an elevated CRP doesn�۪t mean much other than that you were inflamed. Treat your symptoms, not the number.","C-reactive protein (CRP) is a substance produced by the liver that increases in the bloodstream in response to inflammation. High levels of CRP in the blood may indicate the presence of inflammation or infection somewhere in the body. It's normal for CRP levels to be slightly elevated during times of infection or inflammation, but very high levels of CRP may indicate a more serious underlying condition.

It's not uncommon for CRP levels to be elevated during an illness like a cold, especially if it is a more severe cold. However, if your CRP level is significantly elevated (above 300), it is important to discuss this with your healthcare provider. They may want to run additional tests to determine the cause of the elevated CRP and determine the best course of treatment.

In general, it's a good idea to maintain good health and seek medical attention if you have any concerns about your health. If you are experiencing symptoms that are severe or persist for an extended period of time, it is especially important to consult with a healthcare provider for proper diagnosis and treatment.",ChatGPT,ChatGPT,Physician,3,4,3,4,5,3,3,1,1,4,4,1,37,48
N158,"My dad (62 M about 5' 5"" dont know his weight but he isnt noticeably fat.) was sent home from the hospital today. He had a heart attack early on monday. They said he has moderate damage (or moderate heart failure? Not sure as im hearing it from dad and not the doc and things get lost in translation)

He is cutting sodium out to almost nothing, and following doctors orders. Thaking his meds etc. One nurse said his heart will never get better but another nurse and the doctor said it may get better if he goes to phisical therepy for a year and watches his diet.

What are the usual results of this? Is it 2/3 people heal or 1/10 or 9/10? Is it entirely dependant on adhering to the no salt rule or does age play a facor?

Thanks.",y2dptm,is2dnlj,"There is a degree of cardiac remodelling that can take place after a heart attack (which you might regard as ���healing�۝) but many of the interventions post-MI are more about secondary prevention; that is, preventing another heart attack.

The heart muscle will never be 100% again, but you can still live a normal, healthy life after a heart attack and having had one does not always mean you will end up with heart failure. Preventing further episodes is the big thing, as subsequent heart attacks will increase risk of long-term complications exponentially.","I'm sorry to hear about your father's heart attack. It's understandable that you would have questions about his prognosis and what to expect in terms of recovery.

The chances of healing after a heart attack depend on several factors, including the extent of the damage to the heart, the patient's overall health, and whether they are able to make lifestyle changes to support their recovery.

It's important to note that the heart is a muscle and, like any muscle, it can be damaged and then heal to some extent. However, the degree of recovery can vary widely from person to person. Some people may experience a complete recovery, while others may have permanent damage to their heart muscle.

In general, the chances of recovery are better for people who are able to make lifestyle changes, such as following a healthy diet, getting regular physical activity, and managing stress. For example, reducing sodium intake can be an important step in helping the heart recover from a heart attack, as high levels of sodium can increase blood pressure and strain the heart. However, it's also important to follow the guidance of your healthcare team and take any prescribed medications as directed.",ChatGPT,ChatGPT,ChatGPT,4,5,4,4,5,4,3,4,1,4,5,5,91,139
N159,"25 year old male, 130lb. I'm not sure if it's an anal fissure or a hemorrhoid but I've noticed a painless bump underneath the skin outside my anus. I haven't had any serious symptoms like blood or anything, just mild constipation. You can't see it from the outside either. I'm not a drug user or smoker, and I rarely drink. It's probably been around for a month or so and hasn't grown. No other related current medical issues.",xzzvq7,irprl11,Not a fissure. Hard to know without seeing it or examining it. Get it checked out by your pcp,"It is difficult to accurately diagnose a condition without a physical examination and more information. However, it is possible that the lump you are describing could be a perianal hematoma, also known as a thrombosed external hemorrhoid. This occurs when a blood clot forms in a vein within a hemorrhoid, causing a painful, swollen bump on the anus. Hemorrhoids are a common problem, and they can occur for a variety of reasons, including constipation, diarrhea, and straining during bowel movements.

Anal fissures, on the other hand, are small tears or cuts in the skin around the anus. They can also cause pain and swelling, but they are usually accompanied by other symptoms such as bleeding and a sharp, stabbing pain during bowel movements.

If you are experiencing discomfort or any other symptoms, it is important to speak with a healthcare provider for proper diagnosis and treatment. They will be able to examine the area and determine the cause of the lump, and recommend the appropriate treatment.",ChatGPT,ChatGPT,ChatGPT,3,3,3,4,4,4,3,2,1,4,4,1,19,78
N160,"Hello! I just randomly discovered a huge, a bit bigger than a chickpea, pile almost outside my anus. I have a balanced diet and regularly use the loo so that was out of the blue and it�۪s the first time I get it. 

How can I make it go away? I�۪m kinda scared. 

Thank you!!",yb4df8,itevbih,Do you have any symptoms? A pic may be helpful here.,"I'm sorry to hear about your piles (also called hemorrhoids). Piles are swollen veins in the anus and rectum that can cause discomfort and bleeding. They can be caused by a variety of factors, including constipation, diarrhea, and pregnancy.

Here are some home remedies you can try to help relieve the symptoms of piles:

Take warm baths: Soaking in a warm bath can help to reduce swelling and discomfort caused by piles.

Use over-the-counter creams: There are several creams available over the counter that can help to reduce swelling and discomfort caused by piles. These include products containing hydrocortisone or witch hazel.

Use ice packs: Applying ice packs to the affected area can help to reduce swelling and discomfort.

Keep the area clean: It's important to keep the area clean to prevent infection and further irritation. Use mild soap and warm water to gently clean the area, and be sure to dry thoroughly.

Eat a high-fiber diet: A diet high in fiber can help to prevent constipation, which can contribute to the development of piles. Good sources of fiber include fruits, vegetables, and whole grains.

It's always a good idea to speak with a healthcare professional if you have any concerns about your health. They can help to determine the cause of your piles and recommend the most appropriate treatment.",ChatGPT,ChatGPT,ChatGPT,2,2,1,4,5,5,2,1,1,4,4,5,11,55
N161,"27M, 140 LB. I had a mole on my face removed by scalpel yesterday, no stitches inserted. I forgot to ask the dermatologist if exercise is ok, and he�۪s out of office for weekend. Is physical activity like jogging generally ok so long as the area is kept covered and moist (petroleum jelly)?",y43l4b,iscq0k5,Wait a day or two,"It is generally safe to engage in physical activity such as jogging after a mole removal, but it is always best to check with your healthcare provider for specific recommendations.

In general, after a mole removal procedure, it is important to keep the area clean and dry, and to avoid any activities that may cause excessive sweating or irritation to the area. You should also avoid picking at the area or pulling on any scabs that may form.

If you have any concerns about the healing process or the safety of engaging in physical activity, it is best to contact your healthcare provider for guidance. They will be able to give you specific recommendations based on the specifics of your procedure and your individual healing process.",ChatGPT,ChatGPT,ChatGPT,3,3,3,4,4,4,2,2,1,4,4,2,5,53
N162,"mri safety

I am Female 46 year old Caucasian dont smoke or drink. 1.65 height/63 kgs . Migraines, thyroiditis on thyroxine for 26 years  0.75/0.88 mg per week. Dangers of brain MRI ?? Can I keep my eyes open or it will damage them? Anxiety and can't keep them closed. Will wearing an eye mask and opening them under the mask be safe? I am panicky already",y2hvot,is3c2lf,"You can keep your eyes closed or open, it doesn't matter. It will not damage them.","MRI (magnetic resonance imaging) is a safe and effective way to produce detailed images of the inside of the body. It is commonly used to help diagnose and monitor a variety of medical conditions. MRI does not use ionizing radiation, so it is generally considered safe for most people.

While MRI is generally safe, it is important to follow the instructions of the MRI technologist and the radiologist during the procedure. This will help ensure your safety and the quality of the images produced.

Regarding the safety of your eyes during an MRI, it is generally recommended that you keep your eyes closed during the procedure. This is because the strong magnetic field used during an MRI can potentially affect the muscles in the eye and cause discomfort or movement. Wearing an eye mask and keeping your eyes closed under the mask should be safe.

If you have anxiety about keeping your eyes closed during the MRI, it is important to communicate this to the MRI technologist and the radiologist. They may be able to provide you with additional support or accommodations to help you feel more comfortable during the procedure.",Physician,ChatGPT,ChatGPT,4,4,4,4,5,4,3,4,2,3,4,3,16,67
N163,"Hello! I am a 21 y/o (F) who was diagnosed with oral thrush back in May 2022 (however I noticed it a month prior, I wanna say?) & have been getting treated for it ever since. I did a week long course of Diflucan first, followed by a week course of Fluconazole when that didn�۪t work. Since that also failed, they then gave me another week of Fluconazole, mixed with Nystatin swish & swallow. That did not work. Since then, I�۪ve done three rounds of Itraconazole (100mg, 2 pills) along with the Nystatin swish & swallow. I still have oral thrush after these 10-ish treatments. It makes me sick to my stomach if I just go without the medicine and I dry-heave & puke, but I�۪m sure they�۪re losing their efficacy at this point. The Itraconazole has been the most effective, but as soon as it�۪s almost completely gone, it pops right back up. Itraconazole is the one I�۪m currently on.

I do have gastro issues (I wake up dry-heaving sometimes, and regularly have diarrhea & stomach pain) but I have a specialist appt coming up to get myself checked out. I�۪m chronically ill with Hypermobile Ehlers-Danlos, but that�۪s my only DX�۪ed illness at this point. 

I�۪ve done two HIV tests which came up negative, hepatitis tests, and a HOST of other bloodwork including a CBC. My WBC count was elevated for a couple of months along with a swollen lymph node by my collarbone, but my WBC count is back to normal & the node is no longer swollen. Other than that, my only abnormal numbers are my Chloride (just a smidge low) and my Alkaline Phosphate (also a smidge low!)

My dr rec�۪d an oral swab to see what kind of Candida it was, however her own office, both Labcorp locations by me, and the hospital near me don�۪t do that swab. I am at a loss & this is becoming so, so distressing. All of my treatments have been in succession with 4 days between at the most. I�۪ve been doing saltwater rinses to help, and limiting my sugar, but I�۪m so lost as far as what to do next.

The only medicines I currently 

Edit: I say I�۪ve completed 10-ish treatments, as they�۪ve varied in length! Some have been 1-week courses, some have been 2-week. I�۪m unsure of the exact number, but my treatments been consistently happening since May. with 4 days btwn treatments at the very most.

Edit 2!: Just wanted to add a tiny more info- occasionally some tastebuds seem to ���die�۪ off, and I get smooth, pink patches. Since I was told this was thrush, I�۪ve been buying big value packs of toothbrushes & switching them out every single time I brush my teeth. When I drink/eat something with sugar in it, my mouth tastes really weird, so I�۪ve been avoiding sugar. 

[Pic of my tongue currently!](https://imgur.com/a/W4FHQQV)",xtwbb2,iqs9wq4,Not sure if this is thrush. Thrush are white patches that are super hard to scrape off. Sometimes ulcerated and painful. Maybe this is hairy tongue. Taste buds grow long and trap bacteria and debris giving brown discoloration. I�۪d start with a tongue scraper daily which should help. Common causes are dry mouth from meds and smoking.,"It sounds like you have been experiencing a persistent and difficult-to-treat case of oral thrush. It is understandable that you are feeling distressed by this.

Oral thrush is a fungal infection caused by the yeast Candida. It typically appears as white, raised lesions on the tongue and inside of the cheeks. In some cases, it can cause difficulty swallowing, a loss of taste, or a burning sensation in the mouth.

There are a few potential reasons why your oral thrush has been difficult to treat. One possibility is that you have an underlying health condition that is making it harder for your body to fight off the infection. For example, people with weakened immune systems, such as those with HIV or cancer, may be more prone to developing persistent thrush. Additionally, certain medications, such as corticosteroids or antibiotics, can disrupt the balance of bacteria in the mouth and make it easier for Candida to grow.

It is also possible that you are dealing with a resistant strain of Candida. In this case, the usual treatment options may not be effective. In such cases, your healthcare provider may need to prescribe a different antifungal medication or use a combination of drugs to treat the infection.

There are a few things you can try to help manage your symptoms in the meantime. These include:

Rinsing your mouth with saltwater several times a day
Avoiding sugary foods and drinks
Using a soft toothbrush and avoiding toothpaste with a strong flavor
Sucking on ice chips or popsicles to soothe a sore throat
I recommend discussing your treatment options with your healthcare provider. They may be able to suggest additional steps you can take to manage your symptoms and get the infection under control. It may also be helpful to see a specialist, such as an infectious disease specialist, for further evaluation and treatment.",ChatGPT,ChatGPT,ChatGPT,3,4,3,4,4,4,3,3,2,4,5,3,57,480
N164,"Female age 32, 11weeks pregnant

Confirmed endometriosis in 2013, has only left hand side ovari. 

Complaint yesterday, could barely urinate. Felt as though she had a kidney stone. 10/10 during urination, 8/10 pain when sitting. 

Issues began 10days ago, went to walk in clinic. Felt she needed to urinate but had very weak stream and never fully emptied bladder. Clinic doctor ran labs, no infection, trace amount of blood in urine. Nothing significant for them to be concerned. 

My wife found a specific yoga pose that helped her and allowed her to more thoroughly empty her bladder. Doctor suggested following up if it got worse. 

Yesterday morning things got worse quickly. Once in ED ultrasound found baby is ok. Bladder showed 1400ml full. She could only urinate 100-200ml at a time with extreme pain during. 

Labs found no infection or increased white blood count. 

Nurses inserted a catheter and sent her home after draining 1800ml fluid. She has relief now, however we were told the catheter cannot remain for longer then 72hrs. 

Waiting to get an appointment with a urologist at this time. Afraid appointment may be weeks away. Also afraid if we go back to ER to have catheter removed she's back to square 1. 

Spoke with physician today, suggested doing a covid test. Stated ob doctor has seen urine retention in covid patients. 

She tested negative for covid twice with antigen test. 

Any ideas what might be going on?",xuxhrb,iqy1r0e,"As to what is going on, it could be simply the uterus itself obstructing the bladder outlet but it's a little early in pregnancy for that. How much blood was in the urine? With the blood and pain, I'd say they should rule out a stone.

​

As to what can be done, don't worry, if the catheter is removed and she develops these symptoms again and we still don't know the cause, your wife can self-catheterize intermittently as needed. Ask them to show you how in the E.D in case it happens again.","It sounds like your wife is experiencing urinary retention, which means that she is unable to completely empty her bladder. This can be caused by a variety of factors, including pregnancy, endometriosis, and kidney stones. It is possible that her symptoms are related to her endometriosis or pregnancy, as both of these conditions can cause changes in the bladder and urinary system.

It is important that your wife follow up with a urologist to determine the cause of her symptoms and receive proper treatment. In the meantime, she should continue to drink plenty of fluids to help flush out her system and try to empty her bladder as completely as possible. It is also important for her to report any changes in her symptoms or any new symptoms to her healthcare provider.

If your wife's symptoms worsen or she experiences any severe abdominal pain or difficulty urinating, she should seek immediate medical attention. It is also important for her to follow the instructions of the healthcare provider who inserted the catheter and ensure that it is removed within 72 hours as recommended.",ChatGPT,Physician,ChatGPT,3,5,3,4,4,3,3,2,2,4,5,2,92,240
N165,"I�۪m not suffering any symptoms but I�۪ve struggled to find an answer online.
So I�۪m currently in Uganda and I�۪ve given my malaria pills to some villagers suffering from malaria. 
I don�۪t have enough to finish my trip, however, there�۪s enough to take as a cure (4 tablets daily x 3)

How is this approach? Save the pills for concentrated dosage in case of symptoms or stretch them out?

It goes without saying I am using mosquito nets and taking precautions, I have means for emergency transportation, and I barely get stung.

Thanks for your time and I hope this post is appropriate after reading the community rules",y83v0p,isygkq8,"How long do you have left until you return home? 

In areas with low risk it is fine to just have the emergency treatment and take it when you start feeling symptoms. In high-risk areas it would be better to take the prophylactic dose. Personally I�۪d probably gravitate to not stretching them out and risk having neither are working prophylactic dose nor a working emergency dose��_ Then there�۪s also a consideration that in more urban areas area, you might be able to receive proper treatment in the hospital if you get infected. In countries where malaria is common, the doctors are usually also experienced with treatment. Obviously it depends on where exactly you are, and if you�۪re in a very rural area, you might be out of luck.

If you can use your tablets to keep up the proper prophylactic dose until 1 1/2 weeks before returning, that might be a good option, because as far as I know the incubation period for malaria usually is around two weeks, so if you return and start feeling sick, you can get proper treatment at home. 

If you are staying for a longer time, I would really recommend trying to find medication on location to replace what you gave away. Otherwise keeping the emergency dose is probably not a bad idea. There�۪s always concerns about fake meds unfortunately, but in areas where Malaria is common, you should be possible to get the meds at a pharmacy.

You seem to be doing well with the whole preventative measures like mosquito netting, behavioural choices etc., so keep that up. Not getting stung/bitten is the best protection, and if you have spent some time down there, you probably have minimising exposure down well.

I might not be on top of my malaria game, so if someone else could chime in, that be great. Take care!","It is generally recommended that you take your malaria prevention medication as directed by your healthcare provider or the instructions on the packaging. This typically involves taking the medication daily or weekly, depending on the specific medication. Taking the medication only after you start experiencing symptoms is not an effective way to prevent malaria, as the disease can progress rapidly and become severe.

If you do not have enough medication to complete your trip, it is important to speak with a healthcare provider as soon as possible to obtain a sufficient supply. It is not advisable to stretch out your medication or take it at a different frequency than what is recommended.

In addition to taking your malaria prevention medication as directed, it is important to continue using mosquito nets and taking other precautions to reduce your risk of being bitten by mosquitoes. This can include wearing long sleeves and pants, using insect repellents, and avoiding being outside during peak mosquito biting hours. It is also important to have a plan in place for seeking medical care if you do develop symptoms of malaria, such as fever, chills, body aches, and fatigue.",Physician,Physician,Physician,3,5,4,3,4,3,4,4,1,4,4,1,307,104
N166,"71M, 5' 7"", 177 lbs, Caucasian, quite fit.

How does medical tech in physician's office determine respiration rate?  During recent visit to hematologist, tech used automatic blood pressure device and pulse oximeter.

When reviewing visit summary and notes (there was a scribe present during the 40 minutes I spent with the doctor), I noticed that my respiration rate was given as 18/minute.  I have monitored by respiration rate in the past and believe that the correct number is far closer to 9 or 10 then 18.

Where did that number come from?  Is it a function of the automatic blood pressure device or the pulse oximeter?  If so, would the fact that the tech and I were engaged in conversation at the time have affected the result?

If neither of those, was it just based on observation?  I mean, I'm pretty confident that I do not take a breath every three seconds!",y2d1t4,is2f0za,"They were probably just counting without you realising.

18 is far more likely than 9; 9 is quite low. Anything less than 8 is considered severe bradypnoea (slow respiratory rate).","There are several ways that medical professionals can determine a person's respiration rate, including observing the rise and fall of the chest and counting the number of breaths taken in a minute, using a device called a spirometer to measure the volume of air inhaled and exhaled, or using a pulse oximeter to measure oxygen saturation in the blood. It is possible that the medical technician used one of these methods to determine your respiration rate during your visit to the hematologist.

If the technician used a pulse oximeter to measure your respiration rate, it is possible that the device may have recorded an unusually high rate due to a variety of factors, such as the fact that you and the technician were engaged in conversation or the device was not placed correctly on your finger. It is also possible that the technician made an error in recording the respiration rate or that there was a mistake in the visit summary or notes.

If you are concerned about the accuracy of your respiration rate, it may be helpful to discuss this with your doctor or the medical technician who took the measurement. They can explain the method used to determine your respiration rate and address any concerns you may have.",Physician,ChatGPT,ChatGPT,4,1,3,3,4,3,3,1,1,3,3,1,29,153
N167,"Still dealing with it, it�۪s not that i don�۪t have them at all, but more so that they�۪re weird. For example, Nutella tastes like garbage, smells too. I�۪m M20, 6�۪1�۝. Is there any way to get them back to normal? Thank you!",y2hnue,is3cv4x,"Would look into olfactory retraining

​

[https://mcpress.mayoclinic.org/healthletter/olfactory-retraining-after-covid-19/#:\~:text=Olfactory%20retraining%20involves%20smelling%20specific,several%20weeks%20or%20several%20months](https://mcpress.mayoclinic.org/healthletter/olfactory-retraining-after-covid-19/#:~:text=Olfactory%20retraining%20involves%20smelling%20specific,several%20weeks%20or%20several%20months).","It's not uncommon for people who have had COVID-19 to experience changes in their sense of smell and taste as a result of the infection. In many cases, these changes are temporary and resolve on their own within a few weeks or months. However, in some cases, the changes can persist for a longer period of time.

There are a few things you can try to help improve your sense of smell and taste:

Try to clear any nasal congestion you may have. This can be done with nasal irrigation (using a saline solution to flush out your nasal passages) or with over-the-counter decongestant sprays or drops.
Practice good oral hygiene, including brushing your teeth regularly and using mouthwash.
Eat a well-balanced diet that includes a variety of fruits, vegetables, and other healthy foods.
Avoid smoking or being around smoke, as this can irritate the lining of your nose and make it more difficult to smell.
If you continue to have problems with your sense of smell and taste after trying these measures, it may be a good idea to consult a healthcare professional for further evaluation and guidance. They can help determine the cause of the problem and recommend appropriate treatment options.",ChatGPT,ChatGPT,ChatGPT,3,2,3,4,4,4,2,1,1,3,3,2,5,42
N168,"Hi all!

My wife (34F) suffers from chronic pain and has many of the symptoms of migraine or cluster headache: mainly on one side, face pain around the sinuses and jaw, photophobia, pain at the base of the neck.

She also has other long standing pain issues in her shoulder, shoulder blade, and down to her mid back on the same side. 

Not looking for a diagnosis but I can�۪t seem to understand how almost all of her ailments are so much better on 50mg sumatriptan (prescribed by doctor). 

The headache and face pain makes sense, as does the photophobia , but the sumatriptan also seems to help with neck, shoulder and general upper back pain. Her overall mood seems better (no doubt because she�۪s in less pain). It�۪s almost a miracle - on days with no sumatriptan she�۪s bed-bound, but on days where she takes it, she can almost live a life again. 

Could her shoulder, neck and upper/mid back pain be related to migraine/cluster headaches? So by helping with the origin of the pain, the sumatriptan helps with other areas? 

Also, am I correct in understanding that sumatriptan specifically works on migraine/cluster headaches and nothing else? 

Thanks, trying to make sense of why this works while also struggling to get GP appointments that aren�۪t weeks away.",yeswhs,itzv3w0,"She should ask about a CGRP antagonist like Emgality if she�۪s needing to use sumatriptan this frequently. Many get migraines from cranial nerve dysfunction, most notably the trigeminal nerve which can cause all sorts of funky, very painful sensations to occur. Triptans do work well for migraines and act at the level of the blood vessels in the brain stop them from spasming. Newer drugs like CGRP antagonists actually help to calm the nerves that are inflamed. She might benefit from this if she is having so many extra cranial nerve issues as well. Some with migraines get more widespread symptoms, which can even affect the GI tract. If triptans work this well for her functionality, it�۪s time to find something preventative, not just abortive meaning chasing symptoms instead of preventing them.","Sumatriptan is a medication that is specifically used to treat migraines and cluster headaches. It belongs to a class of medications called triptans, which work by constricting blood vessels in the brain and blocking the release of certain chemicals in the body that can contribute to the development of migraines.

It is not uncommon for people with migraines or cluster headaches to experience pain or discomfort in other areas of the body, such as the neck, shoulders, or upper back, in addition to their head pain. This is known as ""referred pain"" and can be caused by the activation of nerves that originate in the head and travel to other areas of the body.

Therefore, it is possible that the sumatriptan is helping to alleviate your wife's neck, shoulder, and upper/mid back pain by reducing the underlying headache or cluster headache pain. However, it is always important to discuss any new or unexpected symptoms with a healthcare provider, as they can help to determine the cause of the symptoms and recommend appropriate treatment.",Physician,Physician,ChatGPT,4,4,3,3,4,3,3,4,1,3,4,1,132,216
N169,"46 year old female
Mild rectocele
185lbs 5�۪5�۝

I take ventolin for what was previously controlled asthma. 

This is rather embarrassing for me to discuss. But I think that it might help other women too. 

Covid positive 10 days ago

Initial covid was just headache and spinal pain.  Two days ago I began coughing.
Today  when I have episodes of coughing I cough so hard I can literally feel my rectocele bulge past the opening of  my vulva. 

It eventually gets gas trapped in it, and I can hear and feel it click as I cough. 

Is there a better way to cough, or am I just destined to have Covid completely ruin my pelvic floor? I�۪m ok until about 4pm when the coughing starts, the inhaler helps a little, but I feel like I would benefit from a nebulizer treatment, however all clinics near me still want covid patients to go to the hospital.
 
I can�۪t see a physiotherapist until I�۪m covid negative. 

Help my poor aching pelvic area!!",y59ju7,isj3lqv,Really only think you can do is either more frequent inhaler use or ask your primary for a stronger cough suppressant.,"I'm sorry to hear about your symptoms. It is not uncommon for coughing to cause discomfort or even pain in the pelvic area, as the muscles in this area can become strained during a coughing fit. However, it is important to remember that it is not normal for your rectocele to bulge out of your vagina.

It is important that you seek medical attention as soon as possible, as your symptoms could be a sign of a more serious underlying condition that needs to be addressed. It is possible that your rectocele is causing or contributing to your symptoms, and a medical professional will be able to evaluate you and recommend the appropriate treatment.

In the meantime, there are a few things you can try to help reduce your symptoms:

Practice good coughing technique: This can help reduce strain on your pelvic muscles. To cough effectively, take a deep breath in and let out a sharp, explosive cough.
Use a humidifier: This can help keep the air in your home moist, which can help reduce irritation in your throat and make coughing less painful.
Drink plenty of fluids: Staying hydrated can help thin out mucus, making it easier to cough up.
Take over-the-counter pain medication: Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or acetaminophen can help reduce inflammation and pain.
Try relaxation techniques: Deep breathing, progressive muscle relaxation, and visualization can all help reduce stress and discomfort during a coughing fit.
Again, it is important that you seek medical attention as soon as possible to properly address your symptoms. In the meantime, I hope these suggestions help provide some relief.",ChatGPT,ChatGPT,ChatGPT,2,3,3,3,5,5,2,1,1,4,5,5,21,168
N171,"I�۪ve been having neck pain on the back right of my head for around 3 years and had an MRI done after physical therapy didn�۪t help. Can anyone explain what the report means? My follow up with my primary care doctor isn�۪t for a few weeks and I�۪d like to have a rough idea of what is going on based on the report and what they found. I�۪m a 25 year old male.

MRI Report https://postimg.cc/gallery/1P9VRhy

Thanks!",y7okms,isvpre9,"Very minimal degenerative changes, which would not explain the symptoms that you are describing.","I'd be happy to try to help you understand your MRI report. It's important to keep in mind that I am just a computer program and do not have access to your actual medical records or images, so I can only provide general information about what the various terms and findings in the report might mean. It's always best to discuss your specific case with a qualified healthcare provider who has access to all of your medical information and can provide personalized advice.

Based on the information in the report, it looks like you had an MRI of your neck. The MRI showed a few findings that might be contributing to your neck pain.

One finding is degenerative changes in the cervical spine, which means that the bones in your neck (the vertebrae) have started to wear down or break down due to age or other factors. This can lead to pain and other symptoms.

Another finding is disc degeneration, which means that the cushions between the vertebrae (the discs) have also started to break down and wear out. This can cause pain and other symptoms as well.

The report also mentions some mild to moderate narrowing of the spinal canal in the neck (called spinal stenosis), as well as some mild bulging of the discs (called disc bulges). These findings can also contribute to neck pain and other symptoms.

It's important to keep in mind that MRI findings like these are common as we age, and they may not necessarily be the cause of your neck pain. It's important to discuss these findings with your doctor and consider other factors, such as your symptoms and any previous injuries or conditions, to determine the cause of your neck pain and the best course of treatment.

I hope this information is helpful. Again, it's always best to discuss your specific case with a qualified healthcare provider.",ChatGPT,ChatGPT,ChatGPT,3,2,3,3,5,4,2,1,1,4,4,4,14,75
N172,"Found a bump on my breast, Idk what to make of it. Slightly freaking out

It's half way in the nipple region, half way in regular skin 

Red, tender, warm to the touch (sometimes I think)
About the size of a thumb (that last segment with the nail lol) 

Skin feels hard and when I feel around it
idk if there is a tiny lump under the hard skin or if it's all one small lump making the surface of the skin hard but .. like I can grab the thing, if that makes sense, it's movable and doesn't feel attached to anything deep in the breast

I found it last night and assumed/ wanted to believe it was an infection or an angry pimple from bras and sweat and all that and slightly squeezed (I know, but it's hard to think straight in some situations) but nothing really happened. It has a dome shape, and I have a little acne scar in the centre of it so idk if this is a head or just the scar in the centre... Idk 

What do I do? 
Google is practically saying it is and isn't cancer. What exactly am I checking/ feeling for? 
I think it's getting smaller but I'm not sure, the redness is the same though

I would really rather have more ""proof"" before I need to tell my family and start getting tests and all that. Even if it turns out to be a false alarm, I don't want to put them through it

I'm not currently on any meds, just an inhaler occasionally, no family history of cancer that I know of, non smoker, non drinker, I eat healthy-ish, don't go to gyms but walk regularly and move around at work",y5l48q,ismbyim,Is it visible? A picture may help if it is.,"I'm sorry to hear that you're feeling worried about the lump you found in your breast. It's completely understandable to be concerned and to want more information before taking any further steps.

It's important to remember that most breast lumps are benign (non-cancerous), but it's always a good idea to have any breast lump checked out by a healthcare professional. Breast cancer can be treated effectively when it's found in the early stages, so it's important to seek medical attention as soon as possible.

To determine what's causing the lump, your healthcare provider will likely recommend a breast exam, a mammogram, and possibly a breast ultrasound or biopsy. These tests can help determine whether the lump is cancerous or benign.

In the meantime, try not to worry too much and try to take care of yourself. It's understandable that you don't want to worry your family, but it's important to remember that they care about your health and well-being and will want to support you through this process.

If you're feeling overwhelmed or anxious, it might be helpful to talk to a mental health professional or a trusted friend or family member. It's also a good idea to continue with your self-care routine, including eating a healthy diet, exercising regularly, and getting enough sleep.

Again, it's important to follow up with a healthcare professional as soon as possible to determine the cause of the lump and to get the appropriate treatment, if necessary. Take care.",ChatGPT,ChatGPT,ChatGPT,2,1,2,3,4,5,1,1,1,4,5,4,10,288
N173,"Hey all 33M 350lbs 5�۪11�۝. I have a cuticle infection that is so freaking painful.  I�۪ll attach pictures so you can see it.  Is there anything I can do myself at home for it or do I need to see my doc?  Thank you all! 

 [Cuticle Infection](https://imgur.com/gallery/3aBpQbd)",y4xrpc,isi551d,Paronychia. I�۪d see a doctor to have it drained.,"It is generally a good idea to see a doctor if you have a cuticle infection that is causing significant pain or if the infection does not improve after a few days of home care. Cuticle infections can be caused by bacteria or fungi, and they can sometimes spread to the nail or the surrounding skin if left untreated. Your doctor can determine the cause of the infection and prescribe appropriate treatment, which may include antibiotics or antifungal medications. In the meantime, you can try to keep the affected area clean and dry and apply an over-the-counter antibiotic ointment or cream to help prevent the infection from spreading. Avoid picking at or biting your nails, and keep your hands and nails clean and trimmed to help prevent future infections.",ChatGPT,ChatGPT,ChatGPT,3,3,3,3,4,5,3,2,2,4,3,4,9,51
N174,"24f, 215lbs, 5'8"". I have complex regional pain syndrome and have a history of DVTs. I have high blood pressure. Current medications I take are mirtazapine, pantoprazole, gabapentin, and hydrochlorothiazide. I took a medrol pack somewhat recently (finished it about 3 weeks ago) so I don't know if that could be affecting things. I have also been using cortisone cream a lot due to a rash on my leg (can topical steroids even affect blood sugar?).

My mom, grandma, and pretty much everyone on my mom's side if the family has type 2 diabetes. I've never had any symptoms of it, but I take my blood sugar occasionally just to be safe. I also get blood work done fairly often (because of other health issues) so I'm sure they would see if something was up.

My sugar is rarely, if ever, higher than 120, but I took it today and it was 226. I took it again 20-30 minutes later and it was 245! I've tested numerous times and the numbers are consistent. I ate rice for lunch, but that was several hours ago and I haven't eaten anything since. I feel bloated and I'm really thirsty but okay other than that. How worried should I be? Is this an emergency?",y8h8cd,it0qdh4,Not an emergency but you should have a formal fasting glucose checked and maybe a hgbA1c by your pcp," It's important to speak with a healthcare professional about your blood sugar level and any concerns you have. High blood sugar levels can be a sign of diabetes or prediabetes, but there are other factors that can also cause high blood sugar, such as certain medications or medical conditions. It's also possible that you may have experienced a temporary increase in blood sugar, known as hyperglycemia.

In the meantime, it's important to take care of yourself and monitor your blood sugar levels. Try to drink plenty of water to stay hydrated and avoid sugary drinks and foods. If you have any other symptoms, such as frequent urination, increased thirst, fatigue, or blurred vision, it's important to let your healthcare provider know. They will be able to assess your overall health and help determine the best course of action.",Physician,Physician,ChatGPT,4,4,3,3,3,5,2,1,2,4,4,4,19,209
N175,"Last night I burst my eardrum and I hurt really badly, my ear kept popping and it got all the blood and liquid out. I had to miss out on the football game because of it. Today I have a competition that I really really want to go to. I�۪ve been taking medication and my ear doesn�۪t really hurt it�۪s just constantly ringing. I want to go but I don�۪t want to cause permanent damage or make it worse _��_. 
Info that it requires: female, 14, 5�۝3, I don�۪t smoke or anything.",yatvth,itcw73v,"Some people find that they will be more sensitive to noise because of the burst eardrum, others are not bothered. 

It shouldn't cause significant issues, but I would strongly consider using hearing protection/ear plugs if you do go to the competition.","It is not recommended for you to attend the band competition if you have a burst eardrum. A burst eardrum is a tear or hole in the thin membrane that separates the middle ear from the external ear canal. This can cause pain, ringing in the ear (tinnitus), and hearing loss. It is important to allow your eardrum to heal properly and avoid activities that could further damage it or cause additional pain. You should consult with a healthcare professional before making any decisions about participating in activities while you have a burst eardrum. They can provide you with more specific recommendations based on the specific circumstances of your injury and your overall health.

",Physician,ChatGPT,ChatGPT,4,3,2,3,4,5,3,4,2,4,4,4,41,92
N176,"I (19F,) have been suffering from moderate constipation since the pandemic started, which i suspect is related to lack of exercise. Usually it's not too bad, with bowel movements once every three days, which is apparently not great but not terrible. But anyways, I've been having some unpleasant stomach pain today, which I attributed to gas for awhile. But it seems I have both diarrhea and constipation at the same time, since I think the diarrhea is having a slightly difficult time passing through. I had something somewhat spicy for lunch, so I guess that's probably why? But anyway, would it be okay to use a fleet enema in this situation? I try to use them as little as possible because I don't actually want to make my constipation worse, but I figured it's probably better than not letting diarrhea out. Sorry, this has been a pretty gross paragraph. If you need any other information, just ask. I'm not on any other medicines.",xvzieg,ir3x9bn,"Why do you think you have diarrhoea? Have you actually had a loose bowel movement? If so, why do you also think you�۪re constipated?

Diarrhoea and constipation at the same time doesn�۪t make sense; if you�۪re having loose motions, you are by definition not constipated.

The exception to this would be what we call ���overflow incontinence�۝ where you are so severely constipated that you get watery stool passing around the point of blockage.","It is generally not recommended to use an enema if you are experiencing both diarrhea and constipation at the same time. Enemas can cause dehydration and electrolyte imbalances, which can be particularly dangerous if you already have diarrhea. Additionally, enemas can disrupt the natural balance of your colon's bacteria, which can worsen both diarrhea and constipation. Instead of using an enema, it is generally more effective and safer to try to address the underlying cause of your symptoms.

If you are experiencing abdominal pain and both diarrhea and constipation, it is important to speak with a healthcare provider. They can help determine the cause of your symptoms and recommend the most appropriate treatment. In the meantime, you can try the following steps to help manage your symptoms:

Drink plenty of fluids, such as water, broth, and electrolyte solutions, to help prevent dehydration. Avoid caffeinated and sugary beverages, as they can worsen diarrhea.
Eat a balanced diet that includes fiber-rich foods, such as fruits, vegetables, and whole grains. This can help regulate your bowel movements and ease constipation.
Try taking over-the-counter medications, such as loperamide or bismuth subsalicylate, to help control diarrhea.
Avoid foods and drinks that may irritate your digestive system, such as spicy or fatty foods, alcohol, and caffeine.
Avoid straining during bowel movements, as this can worsen constipation and lead to other digestive problems.
Get regular exercise and stay active, as this can help regulate your bowel movements.
Again, it is important to speak with a healthcare provider if your symptoms persist or worsen. They can help determine the cause of your symptoms and recommend the most appropriate treatment.",ChatGPT,ChatGPT,ChatGPT,3,4,3,3,4,4,1,2,2,4,4,4,71,163
N177," 

22F/53kg/methylohenidate >2yrs

Recently confirmed hemorragic cyst. Doc ordered repeat scan in 6 weeks. I hope it goes but...i dont want it to rupture.

Its started getting a little more consistently painful in that specific spot. When I sit down the pain spikes. It is at an oddly consistent dull pain now. Not bad, but I keep thinking of the fucking Hindenburg

Are there ways to decrease chance of rupturing?

All you ever see about it rupturing is where they compare it to childbirth and bone breaks....big traumatizing pains. I never see any stories of ""oh my cyst ruptured but it was just like bad cramps!"" because that would be 200% better.

Light meals? Don't sleep on belly? Avoid coffee? Go keto? Avoid grapefruit juice? Pray to satan? Or is it just is what it will be regardless?

If the answer is no a picture of a crying cat would help ease the blow but feel no obligation. Thank you for any advice!",xst6l6,iqm58cb,"Sorry, there is nothing you can really do to help this one way or the other

Being on hormonal birth control may help prevent further cysts, but other than surgery (which you wouldn't do unless it was like 10cm) there is nothing you can do","I'm sorry to hear about your ovarian cyst. Rupturing a cyst can be a painful and potentially dangerous experience. Here are some steps you can take to try to prevent your cyst from rupturing:

Follow your doctor's instructions: It's important to follow your doctor's recommendations for managing and monitoring your cyst. This may include getting regular scans or taking medications as prescribed.

Avoid strenuous activity: Engaging in activities that put a lot of strain on your abdomen, such as heavy lifting or high-impact exercise, can increase the risk of rupturing a cyst. It's important to avoid these activities while you have a cyst.

Eat a healthy diet: A healthy diet that includes a variety of fruits, vegetables, and lean proteins can help support overall health and potentially reduce the risk of cyst rupture.

Get enough rest: Getting enough rest and avoiding activities that cause fatigue can help reduce the risk of rupturing a cyst.

Avoid constipation: Constipation can increase the risk of rupturing a cyst, so it's important to make sure you are getting enough fiber and staying hydrated to avoid constipation.

It's also important to remember that every person and every cyst is different, and it's not always possible to prevent a cyst from rupturing. If you have any concerns about your cyst or experience any unusual symptoms, it's important to talk to your doctor.",ChatGPT,ChatGPT,ChatGPT,3,3,2,4,4,5,3,1,1,4,4,5,44,157
N178,"28/M/5'10/Caucasion

Hey all, wouldn't normally post here but having a freak out.

After years of neglect, got onto my blood pressure, but cardiologist is checking for a possible undiagnosed aortic coarctation. I am freaking out as I finally looked into it (It sounded minor, as it just sounded like less blood possible went to my legs) and it states the average life expectancy for someone that didn't get it treated as an infant is 35 years old. I'm 28. I'm actually freaking out. 

My question is, does this seem unlikely? I was consistently checked up on until I was 18. My blood pressure wasn't ""High for my age"" until around 18 (Despite how I was never put on meds for it until now).

I feel like maybe I'm being over paranoid, but I match too many of these symptoms. Pale legs, easily cold feet, as a side note laying down in certain ways makes the top of one of my legs go numb now. 

I suppose a second question: if this turns out to be what it is, are my next steps very optimistic? I see papers claiming life expectancy and life long challenges for infants that get surgery for this, what about a 28 year old? 

Thanks for any help.",xvgcoa,ir0r2j8,"Hi OP. I'm sorry you're going through this, must be difficult.

​

Could it be coarctation of the aorta? Maybe. I can't know without examining you thoroughly and without an ankle brachial index (BP comparison between ankle and bicep.) You would also need an echocardiogram to confirm it.

​

Let me answer the other question about the life expectancy. There is something you need to understand about life expectancy: It is a statistical figure.

YOU are not a statistic. You are a real person with a real body that may or may not be similar to others. Not only that, but also the statistic you are pulling is for those who NEVER get treated. I don't like to tell patients their chances of survival or death based on averages. I prefer to tailor the discussion to the patient. From what you've said so far, it seems you have been mostly asymptomatic. The cause of morbidity and death for patients with this disease is development of hypertension, kidney disease, coronary artery disease, stroke, aortic dissection, and heart failure. From what you've said so far, I can say you most likely have not developed any of those complications, however some lab tests and imaging need to be done to check for sure. Your condition can still be salvaged and your life expectancy prolonged. Yes I believe you do have ""optimistic"" chances.

IF it is coarctation of the aorta, you will need more lab tests and imaging and you will be managed accordingly. I assure you though, you will not drop dead suddenly just because you have coarctation of the aorta, it usually leads to complications which you will definitely notice. Try not to think too much about it, once you have confirmation of diagnosis, then work up can start and management can proceed.","I'm sorry to hear that you are experiencing these symptoms and are worried about a possible aortic coarctation. It is understandable that you are feeling anxious about this situation.

It is difficult to say whether it is likely or unlikely that you have an undiagnosed aortic coarctation based on the information you have provided. Aortic coarctation is a narrowing of the aorta, the main artery that carries blood from the heart to the rest of the body. It can cause high blood pressure, cold feet, and numbness in the legs. However, these symptoms can also be caused by other conditions. It is important to have a thorough evaluation by a cardiologist to determine the cause of your symptoms and to determine the best course of treatment.

If you are diagnosed with aortic coarctation, the next steps will depend on the severity of the condition and your overall health. Aortic coarctation can be treated with surgery, which may involve repairing or replacing the narrowed section of the aorta. The success of surgery and long-term outlook depend on many factors, including the severity of the coarctation, the presence of other medical conditions, and the patient's age and overall health. It is important to discuss your treatment options with your cardiologist and to follow their recommendations.

I understand that this can be a difficult and uncertain time, but it is important to trust in your healthcare team and to follow their recommendations. It may also be helpful to speak with a mental health professional to help you cope with your anxiety and concerns.",Physician,Physician,Physician,4,5,5,4,5,4,5,5,5,4,5,5,295,208
N179,"25F, 125lbs, non-smoker, undetermined neurological condition 

My neurologist has me on 15mg of prednisone to bring down some leftover swelling in my brain. My PT recently told me there�۪s a risk of bone fracture with long-term prednisone use. I�۪ve been on it for 4 months. What else should I be aware of?",xz0z58,irjtc6z,"In addition to the bone density issues your PCP brought up, there are also metabolic issues, commonly boiling down to weight gain, diabetes, and heart disease, as well as dramatic stretch marks. There are also the issues with mood and immunosuppression you may experience while taking them.

A lot of the long term effects can be mitigated with diligent lifestyle adjustments; i.e. the classic ""diet and exercise."" With 4 months, you may see some of these long term effects start, but that doesn't have to seal your fate, as long as you keep up with healthy lifestyle and keep your appointments with your doctor.

I would definitely consider the brain swelling to be top priority, of course. You'll want to keep up closely with your neurologist, who may be able to find a good long-term way to manage your disease, which doesn't always have to mean steroids.","Prednisone is a type of corticosteroid medication that is commonly used to reduce inflammation in the body. While it can be effective in treating a wide range of conditions, long-term use of prednisone can have a number of potential side effects and risks. Some of the concerns with long-term prednisone use include:

Osteoporosis: Long-term use of prednisone can lead to decreased bone density, which can increase the risk of osteoporosis and fractures. It is important to speak with your doctor about ways to protect your bones, such as getting enough calcium and vitamin D, and possibly taking medications to help prevent osteoporosis.

Weight gain: Prednisone can cause weight gain, especially in the face, back, and abdomen. This can be due to an increase in appetite, as well as fluid retention.

Mood changes: Prednisone can cause mood changes, such as increased irritability and anxiety.

High blood pressure: Prednisone can raise blood pressure, which can increase the risk of heart attack and stroke.

Weakened immune system: Long-term use of prednisone can weaken the immune system, making it harder for the body to fight off infections.

It is important to discuss the potential risks and benefits of long-term prednisone use with your doctor, and to closely monitor for any side effects. Your doctor will be able to recommend the best treatment plan for you based on your specific situation.",Physician,Physician,Physician,4,4,5,4,4,4,3,2,4,4,3,4,145,52
N181,"**Age:** 29  
**Sex:** M  
**Height:** 6'0"" (183cm)  
**Weight:** 180lb (81kg)  
**Race:** Caucasian  
**Existing Medical Issues:** None  
**Medications:** None  
**Drink:** Rarely  
**Smoke:** No  
**Recreational Drugs:** No

**Primary Complaint:** A few months ago, I scraped my leg on a coffee table and it never fully healed. It's been 2-3 months. Instead, it turns into dry, hard skin. You can actually see two of them on my leg (scraped on two separate occasions) and neither of them healed properly.

When I get cuts or scratches on my hands / arms, they heal fine. Does anyone know what this is from the picture?

They do not itch or hurt at all, just feels like dry flaky skin to the touch. I have had eczema in my ears and I also have periods of dandruff which I'm trying to figure out (e.g. diet), not sure if this is related.

[**https://imgur.com/a/RqsYcRW**](https://imgur.com/a/RqsYcRW)",yg035n,iu6b9ym,This looks like psoriasis,"It's difficult to accurately diagnose the issue without being able to see the affected area in person or with more detailed images. However, based on the information you've provided, it is possible that the dry, hard skin on your leg is due to an injury that has not fully healed. When the skin is injured, it goes through a healing process that involves inflammation, the formation of new blood vessels and tissue, and the formation of scar tissue. If the healing process is disrupted or slowed down for some reason, the skin may not fully heal and may develop dry, hard, or scaly patches.

There are several potential causes for this type of skin issue, including infection, scarring, and skin conditions such as eczema or psoriasis. In some cases, underlying medical conditions or medications may also play a role.

It's important to have this issue evaluated by a healthcare professional, as they will be able to examine the affected area and determine the cause of the dry, hard skin. They may recommend a course of treatment, such as the use of topical creams or ointments, to help promote healing and improve the appearance of the skin.",ChatGPT,ChatGPT,ChatGPT,2,3,3,4,4,5,2,1,1,4,4,4,4,150
N182,"I(29f) had what my doctors said was a panic attack. I�۪ve never experienced one before. I remember sitting on the couch watching tv and then my ear suddenly stopped ringing and I started to feel this impending doom in my chest and all I could think of was ���something�۪s not right�۝. I got up to get to my husband across the room but soon because disoriented and had slurred speech and almost passed out. He managed to get me to sit on the couch but I remember I could think fairly clearly, no racing thoughts, didn�۪t feel like I was hyper ventilating but I was very sweaty. By back and legs were uncomfortable and it felt like someone was squeezing my kidneys so hard. It lasted for maybe five minutes and eventually stopped. Months later I was having heart problems and told him my heart rate goes up
In the heat. He tools a bunch of tests and says I have very low cortisol am level. Is it possible i had an Addison crisis and not a panic attack?",xxjh0w,ircdqf8,No as it wouldn't have resolved on its own back then.,"It is possible that what you experienced was an Addison crisis, also known as an adrenal crisis, rather than a panic attack. An Addison crisis is a medical emergency that occurs when the adrenal glands, which produce hormones such as cortisol, do not produce enough hormones. Symptoms of an Addison crisis can include fatigue, muscle weakness, low blood pressure, dizziness, fainting, and abdominal pain, among others. If you have low cortisol levels and have experienced symptoms similar to what you described, it is important to speak with your healthcare provider to determine the cause and receive appropriate treatment. It is also important to seek immediate medical attention if you experience any of the symptoms of an Addison crisis, as it can be life-threatening if left untreated.",Physician,ChatGPT,ChatGPT,3,3,3,2,4,4,1,2,1,3,4,3,11,178
N183,"20F 5' i think im 65kg no medication taking and i dont smoke or drink alcohol and i dont know if i have other conditions i barely go to the hospital. I dont exercise i only do the bare minimum of moving my muscles (if  house chores that is)

So occasionally i experience this for hours where i feel like around my joints, knees arms, fingers and toes have this tingly itchy feeling that i cant scratch since its on the inside. It happens at night and all my weight is taken by my mattress. I cant sleep and its like its taking away my energy its just making me weak ig.

I know that i suck at describing it but yeah thats what i call what im really feeling currently as im writing this while experiencing the symptoms? Ive describe above. 

 I want to know if i can pit a label on this feeling....",yimsvq,iuk7n2w,Restless leg?,"It sounds like you may be experiencing a condition called paresthesia, which is characterized by abnormal sensations in the skin such as tingling, numbness, or itching. Paresthesia can be caused by a variety of factors, including nerve damage or irritation, certain medications, vitamin deficiencies, and even prolonged pressure on a nerve.

It is also possible that your symptoms could be related to an underlying medical condition, such as diabetes or multiple sclerosis. In order to properly diagnose and treat your symptoms, it is important to see a healthcare professional. They will be able to conduct a physical examination, review your medical history, and possibly order some tests to determine the cause of your symptoms.

In the meantime, it may be helpful to try and identify any possible triggers for your symptoms, such as a particular position or activity that seems to worsen them. You may also want to try some self-care measures, such as taking breaks to stretch and move around, and avoiding activities that put excessive pressure on your joints.",ChatGPT,ChatGPT,ChatGPT,2,2,2,4,4,4,1,1,1,4,3,3,2,155
N184,"
Male, 25, OCD relating to my body fluids, about to start taking fluoxetine. It was around early 12 am and I was lying in bed almost ready to sleep, scrolling through social media when all of a sudden I got turned on from something I saw. 15 minutes later when I was trying to stop thinking about what turned me on/got an erection again, I started feeling pressure and started ejaculating without even touching down there. The last time I had masturbated was 5 days before that (I can usually go 5-10 days without doing it) and I�۪ll be honest I�۪ve been really anxious the whole week since I have OCD and I feel bad since I didn�۪t touch there yet still ejaculated. I showered after but am confused on why I still ejaculated without touching.",yau2er,itcvz3k,Physical contact/genital contact is not a requirement for ejaculation. Significant arousal independent of contact can cause this to occur.,"It's completely normal to experience spontaneous ejaculation, especially in men who are sexually active and have a healthy sex drive. It's also not uncommon for men to experience an erection and ejaculation while they are asleep or when they are not actively thinking about sexual stimuli. This is known as a nocturnal emission or ""wet dream.""

In your case, it sounds like the combination of being turned on and having anxiety may have contributed to the spontaneous ejaculation. It's important to note that ejaculation does not always require physical stimulation, as it can also be triggered by mental arousal or stress.

It's also worth mentioning that fluoxetine, a type of antidepressant medication, can sometimes cause changes in sexual function, including delayed ejaculation or difficulty achieving orgasm. If you are starting a new medication and are concerned about potential side effects, it's always a good idea to speak with your doctor or healthcare provider. They can provide you with more information and support, and help you manage any potential side effects.

",Physician,ChatGPT,ChatGPT,4,4,4,4,5,5,3,3,2,4,5,5,19,136
N185,"So I've been extremely tired and kinda nauseous, with occasional dizziness. I went to the doctor on October 4 and they tested for vitamin deficiency, thyroid, and iron and all those come back normal but as I was looking at my results my monocytes relative percent was high as well as my WBC being low. They haven't called me yet but I feel im running myself into the ground. Should I be concerned at all? 
Height- 5ft Weight-100lbs
I take baclofen, compazine, and ibuprofen as needed. Usually daily.",xwwfj3,ir8xc73,It depends what the actual numbers are. Things that flag as ���low/high�۝ on the reference range are quite often of absolutely no consequence depending on the context.,"It's important to follow up with your doctor about your test results, as they can help determine the cause of your symptoms and provide appropriate treatment. Monocytes are a type of white blood cell that play a role in the immune system. It's not uncommon for monocyte levels to fluctuate, but a high relative percentage of monocytes can sometimes be a sign of an underlying health issue. Similarly, a low white blood cell (WBC) count (also known as leukopenia) can also be a sign of an underlying health issue.

It's also worth noting that some medications can affect the levels of certain blood cells in the body. For example, baclofen, compazine, and ibuprofen can potentially cause leukopenia. It's important to let your doctor know about all medications you are taking, as they can help determine if any of your medications may be contributing to your symptoms or test results.

In the meantime, it's important to take care of yourself and try to get enough rest. If you are experiencing dizziness or nausea, it may be helpful to avoid activities that require concentration or coordination, such as driving or operating heavy machinery. If your symptoms are severe or persistent, it's important to contact your doctor for further evaluation and guidance.",ChatGPT,ChatGPT,ChatGPT,3,4,3,4,5,4,2,3,2,4,4,4,27,87
N186,"Since 3 years ago (before COVID) I (24F) started to loss my sense of smell. It was very gradual. First, all smells seemed to be the same, like everything I smelled seems like beans or cigarrettes. 
A few months later I wasn't be capable of smell anything. the problem: COVID 19 started and no one was concerned about going to a doctor for ""little diseases"". 

First I thought that was a sinusitis crisis so I waited a while for the whole COVID thing passes and then I  go to a doctor. 
The first one told me that probably the cause was the tobacco use. He prescribed me prednisolone and an CAT scan from the perinasal sinuses. 
The prednisolone don't resolve at all my problems and I waited a long time for the next appointment because the doctor has left the hospital and they put me on a waiting list. 
Meanwhile I payed for a private specialist who prescribed me more prednisolone and didn't do or say anything important to help me. 

The third and last doctor told me that probably was a virus that anyone could catch in a simple flu, and said that probably I would never get my smell sense back ever again because it's been a long time and my nerve is already so damaged that it doesn't recover anymore.

Right now, I'm waiting a call from a septum deviation surgery (that will help me to breath better but no recovering my smell senses) and I'm a little bit lost here.
I'm thinking that the cause could be the sinusitis, the tobacco, a random virus, some medication that have an side effect... or could be anything worse??? like an indicative of degenerative desease? Idk. I feel like the doctors don't discarted other causes and I'm just waiting to see what happens. Nothing, because I won't get able to smell anything in my life. 

And now I'm also losing my sense of taste too... I'm very worried. 

I need some medical advice, please _٪�_ُ_",xtmerc,iqqzm69,"If there was sinusitis, the CT you had should have picked it up. It also would have likely picked up a number of other things that could cause smell loss. Otherwise viral causes would be the next most likely. There is smell retraining therapy which you can try. Essentially it involves intentional exposure to essential oils throughout the course of the day in an attempt to retrain the brain to smell appropriately","I'm sorry to hear that you are experiencing a loss of your sense of smell and taste. It can be very frustrating and concerning to have changes in your senses, and it's understandable that you are worried about the cause.

There are several potential causes for a loss of sense of smell, and it's possible that more than one factor may be contributing in your case. Some common causes include:

Infections, such as sinusitis or a viral illness
Allergies
Medications, including some over-the-counter and prescription drugs
Nasal polyps (small, non-cancerous growths in the nasal passages)
Trauma to the head or nose
Chronic nasal congestion
Hormonal changes, such as those that occur during menopause
It's also possible that your loss of sense of smell could be related to tobacco use, as the first doctor suggested. However, it's important to consider all potential causes and to get a thorough evaluation from a medical professional.

It sounds like you have already seen several doctors, but it might be helpful to consider seeking a second opinion from an otolaryngologist (ear, nose, and throat specialist) or a neurologist. They will be able to assess your medical history and perform any necessary tests to determine the cause of your symptoms and recommend the appropriate treatment.

In the meantime, it's important to try to manage any underlying conditions, such as allergies or sinusitis, and to avoid any known triggers for your symptoms. It's also important to practice good hygiene, including washing your hands frequently, to help prevent the spread of infections.

I hope this information is helpful. Please don't hesitate to reach out if you have any other questions or concerns.",Physician,ChatGPT,ChatGPT,4,3,3,4,4,5,3,3,1,4,5,4,72,335
N187,"Caucasian, 95lbs, 5�۪4�۝.
Diagnosed PTSD, Anxiety, Depression, Essential Tremor, Hypoglycemia. 
Taking 150mg Oxcarbazepine 2x/Day, .5mg Clonazepam 1x/Day. 
Vape nicotine and cannabis.

I�۪m currently dealing with several medical issues but am unable to get them treated/diagnosed because I sleep all *day*, every day. The sleep issues have been ongoing and worsening over the past decade. 

I sleep 16+ hours every day, cannot sleep at night, nothing and no one has been able to wake me up (incl. medical professionals in a hospital setting, my partner, assorted alarms, ���resetting�۝ my sleep schedule, etc)

I had an appointment with my PCP on the 26th at 8 AM that I had to pull an ���all nighter�۝ for to be able to go to. I got an abnormal EKG reading and needed labs. They proceeded to try to draw blood..but my veins are tiny (they used pediatric needles) and kept collapsing, so they requested I come back today (the 28th) at 10 AM, extra hydrated and rested (they said my not sleeping could�۪ve been partially to blame for labs difficulty).

Well, that�۪s about 2 hours past my body�۪s chosen ���bedtime�۝, so I accidentally fell asleep (and woke up at 8 PM today).

Everyone�۪s getting frustrated with how many appointments I�۪ve missed (myself included). If I continue to miss appointments (especially therapy) I could be labeled as non-compliant, which could royally fuck everything up.

How can I make my appointments? How can I ���treat�۝ my condition myself enough so that I�۪m able to get professional care (for this and other issues)? At the very least, how can I show/prove that I�۪m invested in my care despite my repeated missed appointments?",ygalb3,iu7zzfr,Taking a sedative (clonazepam) whilst also smoking a sedative (cannabis) certainly won�۪t help you to not fall asleep.,"It sounds like you are dealing with some significant health issues, and it's understandable that you would be frustrated with your inability to make it to your appointments. It's important to remember that you are not alone in this struggle, and there are steps you can take to try to improve your chances of being able to make it to your appointments.

First, it's important to talk to your healthcare provider about your sleep disorder and the difficulties you are having with making it to appointments. Your provider may be able to suggest strategies or medications that could help you sleep more consistently or stay awake during the day.

In addition to working with your healthcare provider, there are a few things you can try on your own to try to improve your sleep and wakefulness:

Establish a consistent sleep schedule: Try to go to bed and wake up at the same time every day. This can help regulate your body's natural sleep-wake cycle.

Create a sleep-friendly environment: Keep your bedroom dark, cool, and quiet, and avoid screens (e.g., phones, TVs) for at least an hour before bed.

Exercise regularly: Regular physical activity can help improve your sleep quality and duration.

Avoid caffeine and alcohol: These substances can disrupt your sleep, so try to limit your intake, especially in the evening.

Practice relaxation techniques: Things like deep breathing, meditation, or progressive muscle relaxation can help you wind down and prepare for sleep.

If you continue to have difficulty sleeping or staying awake despite trying these strategies, it may be helpful to seek the guidance of a sleep specialist. A sleep specialist is a healthcare professional who is trained to diagnose and treat sleep disorders. They can help identify any underlying causes of your sleep issues and recommend appropriate treatment.

In the meantime, it may be helpful to let your healthcare provider and other medical professionals know about your sleep disorder and the challenges you are facing with making it to appointments. It may also be helpful to enlist the support of a friend or loved one to help you get to your appointments.

I hope this information is helpful. Please don't hesitate to reach out if you have any other questions or concerns.",ChatGPT,ChatGPT,ChatGPT,3,2,3,3,4,5,1,1,1,4,4,5,18,268
N188,"I am 22 yr old female. Only vape, no drugs/drinking. I'm about 160lbs and 5'8.

For a little over a week, when I would poop, I had a little tiny blood on the tissue. Pinkish. Thought nothing of it, thought it may be an anal fissure and let it heal. Well, yesterday it got worse. I pooped a good amount of blood this time. Still brightish red. Looked fresh.

I tried to examine my anus and the pics below are what it looks like. I bleed every time I poop, (almost looks like if you were on your period) but it goes away after wiping a few times. I can't even stick hemmorrhoid cream in my anus without it bleeding.

​

[https://ibb.co/LPJv4rq](https://ibb.co/LPJv4rq) <---- What my anus looks like a few hours without touching/pooping

[https://ibb.co/ck5Pwdp](https://ibb.co/ck5Pwdp) <---- What my anus looks like after stopping bleeding after a few mins

\[WARNING BLOOD\] [https://ibb.co/gvp5zyc](https://ibb.co/gvp5zyc) <---- what my anus looks like immediately after sticking medicine in it or pooping",yfczfd,iu3dd8e,"Hemorrhoids.


Stool softeners for several days.  Sitz baths as needed.  And I�۪d probably do a steroid cream.","In general, it is important to see a doctor if you are experiencing rectal bleeding or discomfort in the anus. These symptoms can be caused by a variety of conditions, including hemorrhoids or perianal hematoma. Hemorrhoids are swollen veins in the lower rectum or anus that can be painful and may cause rectal bleeding. A perianal hematoma is a collection of blood outside of a blood vessel in the tissue around the anus. It can also cause rectal bleeding and discomfort.

It is important to get a proper diagnosis from a healthcare provider to determine the cause of your symptoms and to receive appropriate treatment. Treatment options may include medications, changes to your diet and lifestyle, or procedures such as surgery.

In the meantime, you can try to manage your symptoms by keeping the area clean and dry, avoiding straining during bowel movements, and using over-the-counter creams or ointments to soothe the area. It is also important to stay hydrated and to eat a diet that is high in fiber to help soften your stools and reduce the strain on your anus during bowel movements.",Physician,ChatGPT,ChatGPT,4,4,3,4,5,5,4,3,1,2,4,4,18,158
N189,"On my bottle of children's advil (100 mg/5 ml) it says the dosing for 4-5 years old (36-47 lbs) is 10 ml. Everything I'm finding on the internet is saying the dosage for that age & weight is 7.5 ml. 

Why is there a difference between the bottle and kids hospital websites & what dosing should I use? I have always used the 10 ml dosage and just gave my son 10 ml but now am wondering if I'm dosing properly.",y7otm4,isvqzgp,"Proper dosage for ibuprofen (Advil) for pediatrics is 10 mg/kg.
So a theoretical 40lb child is 18kg, this 180mg.

Using a concentration of 100mg/5ml, this gives you a dose of 9mL.

Also acetaminophen/Tylenol is 15mg/kg. (Standard concentration is 160mg/5ml)

Also remembered there are max doses and for most pediatrics I still at 400mg max per dose for Ibuprofen.","It is important to always follow the dosage instructions on the medication label or as directed by a healthcare professional. The dosage instructions on the bottle of Children's Advil that you have should take precedence over any other sources of information, including websites.

If you have any concerns about the proper dosage for your child, you should consult a healthcare professional, such as a pharmacist or your child's doctor. They can provide you with the most accurate and up-to-date information on the appropriate dosage for your child based on their age, weight, and other factors.

It is also important to note that over-the-counter medications, such as Children's Advil, should be used only as directed and should not be used for longer periods of time or in higher doses than recommended. If you have any questions or concerns about your child's medication, it is always a good idea to consult a healthcare professional for guidance.",Physician,Physician,Physician,4,4,4,3,3,4,3,3,3,4,4,2,54,81
N190,"My 79 year old dad ( 170 lbs, 5�۪9) has been struggling with an undiagnosed cause of pain for 1.5 years. After he was dismissed by his urologist and nephrologist(long history of kidney stones, always refused pain meds during bouts) he was put on pregabalin thinking his pain was from unresolved shingles. My dad has never tolerated strong medications( OxyContin). The pregabalin medication made him suicidal and only helped with the pain the first three weeks. At this time a cat scan was finally ordered and metastasis renal carcinoma was noted with tumors in the liver, the spine, nodules on his lungs and growth in his larynx. He was taken off the pregabalin and put on tramadol. This seemed to help for 2 weeks or so and then the pain seemed to intensify. His dose was doubled to 100 mg. After the first time taking this dose he landed in the er because his pain became so bad and it was thought a cardiac event was occurring ( 3 days in the er and all cardiac tests are normal). While in the er he was given low doses of morphine and managed ok with this. Unfortunately they will not prescribe morphine unless he stays in the hospital for further monitoring. My dad wants to be home so we are honoring this. My question is this: is it possible, or are there cases where tramadol or other opioids cause an increase in pain ? Thank you for sharing your knowledge 




 pain for 1.5 years.",xxmbxa,ird2229,"Yes, it is possible. Called opioid hyperalgesia syndrome or opioid-induced hyperalgesia

[https://pubmed.ncbi.nlm.nih.gov/21412369/#:\~:text=Opioid%2Dinduced%20hyperalgesia%20(OIH),sensitive%20to%20certain%20painful%20stimuli](https://pubmed.ncbi.nlm.nih.gov/21412369/#:~:text=Opioid%2Dinduced%20hyperalgesia%20(OIH),sensitive%20to%20certain%20painful%20stimuli).","It is possible that tramadol could potentially increase the intensity of pain in some individuals. This is known as opioid-induced hyperalgesia (OIH), which is a condition in which the use of opioids actually causes an increase in sensitivity to pain, rather than relieving it. This phenomenon is not well understood and it is not clear why it occurs in some people and not others. It is also not known how common OIH is, as it is difficult to study and may not be reported or recognized by healthcare providers.

It is important to note that while tramadol is an opioid medication, it is generally considered to be less potent than other opioids such as morphine. It is possible that your father's pain may have increased due to the progression of his cancer, rather than as a result of the tramadol. It is important to discuss this issue with his healthcare provider, as they will be able to assess your father's specific situation and determine the most appropriate course of treatment.",ChatGPT,ChatGPT,ChatGPT,3,4,4,4,4,5,2,1,1,3,1,4,11,254
N191,"30
Male
No health conditions
77kg
5�۝11
Vape low mg nicotine for one year. 

Last week I noticed that I have a hard lump half way up my penis. It�۪s underneath the skin. Seems like it�۪s attached to the muscle. It�۪s very close the the urethra tube. It stays the same size erect or flaccid. It�۪s doesn�۪t move. You can move the skin over it and it stays in the same place. Sometimes occasionally my urine stings but that�۪s usually if I�۪m dehydrated. I�۪ve had what I�۪d say sounds like inflamed epididymus in the past, aching tubes and enlarged. But not for maybe a year.  Not sure if that�۪s normal or not. I�۪m obviously quite worried about penile cancer. I forgot about it until today and I checked and it�۪s still there. All the doctors offices are closed Until Monday. Should I pay a visit to the ER? I�۪m assuming not, as it�۪s not an emergency. I�۪ll add that I�۪ve been screened for sti�۪s maybe 6 months ago and I�۪ve only been with the same partner since then. So unless you guys tell me to go to the ER then I�۪ll either make an appointment or go to a walk in centre. Should I go to a walk in asap so I get seen sooner? What else is it likely to be? Is there anything common? Any glands in the area?",ygt7a7,iuap0z5,"No glands in the area. Not an emergency. Emergency room isn�۪t going to do much for you between now and Monday. Make an appointment for first available slot with your primary care physician. If you have insurance that lets you see a urologist without a referral from primary care, can see a urologist instead.","It is not uncommon for men to have lumps or bumps on their penis. Many of these are benign (non-cancerous) and are caused by a variety of factors, such as irritation or infection. However, it is important to have any new or unusual lump or bump on the penis evaluated by a healthcare provider to determine the cause and appropriate treatment.

In this case, given the location and description of the lump and the fact that it does not move, it is possible that it could be a benign cyst or abscess. It is also possible that it could be a lymph node that has become enlarged due to an infection or other condition. It is not possible to accurately diagnose the cause of the lump without a physical examination and potentially additional testing.

Given the concern about the possibility of penile cancer, it is important to have the lump evaluated as soon as possible. If you are unable to see a healthcare provider until Monday, it is reasonable to visit a walk-in clinic or an emergency department if you are experiencing pain or discomfort, or if the lump is rapidly growing or changing in any way. If you are not experiencing any symptoms and the lump has not changed in size or appearance, it may be reasonable to wait until you are able to see a healthcare provider on Monday.

It is important to remember that the vast majority of lumps or bumps on the penis are benign and are not cancerous. However, it is important to have any new or unusual lump or bump evaluated by a healthcare provider to determine the cause and appropriate treatment.

",ChatGPT,ChatGPT,ChatGPT,4,3,3,5,5,5,3,1,1,4,2,4,54,227
N192,"23F, visiting my friend�۪s home in Oregon and am super allergic to her dog. I�۪ve been here for about 48 hours and have been sneezing nonstop. I�۪ve now developed this sore throat that�۪s towards the back of my nasal cavity. Normally when I get a sore throat from a cold or virus, my throat is sore around my tonsils and actual throat area. Is this allergies? Or something more? I have no other symptoms aside from a persistent runny nose, sneezing, wheezing and a sore throat. All of these symptoms started arising since I�۪ve been around the dog. How do I make this better aside from getting away from her dog?",y0e15x,irrlkp0,"Certainly can be allergies. I would try some Zyrtec or something similar, and Flonase.","It's possible that your sore throat is caused by your allergies to your friend's dog. When you sneeze or have a runny nose, the irritation can sometimes extend to your throat and cause it to feel sore. In addition, allergies can cause inflammation in the nasal passages and throat, which can also contribute to a sore throat.

To help alleviate your symptoms, you can try the following measures:

Avoid exposure to the dog as much as possible. If you have to be around the dog, try to keep your distance and limit your time with it.

Use over-the-counter allergy medicine. Antihistamines can help reduce sneezing, a runny nose, and other allergy symptoms.

Drink plenty of fluids. Staying hydrated can help soothe your throat and flush out any irritants.

Use a humidifier. Dry air can irritate your throat and nasal passages, so using a humidifier can help add moisture to the air and reduce irritation.

Try throat lozenges or warm liquids. Sucking on a throat lozenge or drinking warm liquids (such as tea or soup) can help soothe your throat and reduce irritation.

If your symptoms persist or worsen, it's a good idea to speak with a healthcare provider for further evaluation and treatment.",ChatGPT,ChatGPT,ChatGPT,4,3,4,4,3,5,3,1,2,4,2,3,14,111
N193,I found a lump right underneath the buttock while snapping on a bodysuit. It feels hard but it�۪s not painful. Would it be cancer?,xxnnj5,ird2f5w,"Can you attach a picture?

​

Some questions:

How does it feel like? Describe its shape, size, is it painful?

Have you been losing weight recently? Have you been feeling tired? Have you been having decreased appetite? Any night sweats? Any recurrent infections?","It is not possible for me to accurately diagnose the cause of a lump without examining the area in person or obtaining more information. Lumps can be caused by a variety of factors, including infections, inflammation, and tumors. Some lumps may be benign (non-cancerous), while others may be cancerous. It is important to have any new or persistent lump checked by a healthcare professional to determine the cause and appropriate treatment.

If you are concerned about the lump you have found, I recommend that you make an appointment to see a healthcare provider. They will be able to examine the area, ask you about your medical history and any other relevant information, and perform any necessary tests to determine the cause of the lump. They will also be able to provide you with appropriate treatment, if necessary.


",ChatGPT,ChatGPT,ChatGPT,3,2,2,4,4,4,1,1,1,4,2,4,39,24
N194,"Hey, I�۪m a 21 year old male, around 60 something KG, and 180 cm high.

I am feeling really ill with my heart. It�۪s like my chest is heavy. Two days ago, I think my heart stopped while I was trying to sleep. I was having the chest discomfort and all of a sudden, I couldn�۪t breathe, my face went hot, I got extremely dizzy and my vision was going black as I was screaming for my mom to help me (she didn�۪t hear me, so I�۪m lucky I�۪m alive). Anyways, that only lasted for 3-4 seconds and I came back to life and my heart started beating really fast as if the heart had to pump the blood fast. I now started measuring my blood pressure and it�۪s low, while lying down, my blood pressure can be anything from normal 110/65, to 90/49, and Ill feel all ok, but as soon as I stand up, it goes up to 125/79. My heart rate while lying is 49-59, and standing can go up to 95. A few years ago I noticed when breathing in, my heart beats faster, when exhaling it beats slower, and when I do this while taking my BP, it shows an irregular heart beat symbol that flashes. This doesn�۪t happen all the time as I�۪m purposely taking deep breaths that triggers my heart to beat faster. I also need to mention that my heart has been listened to a few times by many doctors, and they have told me it�۪s no heart murmur and it sounds normal, and two EKG that�۪s normal, but I swear to God these EKG were taken in less than a minute, which was weird, and also one doctor told me I had some physiological arrhythmia but that could maybe be sinus arrhythmia? Can someone help me or am I just dying and I�۪ll die soon?

Update for more information: I don�۪t take medication for anything, and I suffer from anxiety but this doesn�۪t feel like anxiety at all, this felt like I was suffocating and blacking out while already lying down.",xx0z16,is496a0,">A few years ago I noticed when breathing in, my heart beats faster, when exhaling it beats slower

This is called sinus arrythmia and is normal, and in fact healthy in young people","I'm sorry to hear that you are experiencing these symptoms and are concerned about your health. It's understandable to feel anxious and worried when you are experiencing unusual symptoms, especially if you think that you might be facing a serious health issue. However, it's important to remember that only a qualified medical professional can properly diagnose and treat your condition.

Based on the information you have provided, it's possible that you may be experiencing a heart condition or some other serious health issue. However, it's not possible for me to diagnose you or provide specific medical advice based on the limited information you have shared.

I strongly recommend that you seek medical attention as soon as possible. If you are experiencing chest pain or difficulty breathing, it is important to call emergency services or go to the nearest emergency department immediately. These symptoms can be a sign of a serious health issue, such as a heart attack, and prompt medical treatment is necessary.

In the meantime, try to remain as calm as possible and focus on taking care of yourself. This may involve getting plenty of rest, eating a healthy diet, and avoiding activities that could potentially worsen your symptoms.

It's also important to address any underlying stress or anxiety that you may be experiencing. This can involve seeking the help of a mental health professional or finding healthy coping mechanisms to manage your feelings.

Again, I recommend that you seek medical attention as soon as possible to determine the cause of your symptoms and receive appropriate treatment.


",ChatGPT,Physician,ChatGPT,3,4,2,4,3,5,3,1,1,4,3,4,32,348
N195,"25yr F, no hx of any cognitive problems. No family hx of cognitive diseases either. Not on any medications or illicit/recreational drugs. Non smoker and no alcohol consumption. Occasional caffeine intake. 

For context, I�۪ve done well in a four yr college (pre-health student) and never really struggled with getting a passing grade, so I think that I am of average intelligence. With that said, I swear that I seem to be so effing dumb. I work as a Medical Assistant, which isn�۪t crazy challenging. However, I�۪ve noticed that I�۪d do things like:

​

* Not changing the bed sheets before bringing patients into the room
* Thinking I just let the patient go before getting their bloodwork when their room number OBVIOUSLY does not match the room number on the lab work folder that I have on hand
* Frequently forgetting the stuff that a provider wants me to do
* Forgetting that I did not run a pregnancy test on a urine sample
* Not printing out a form for a patient to sign before they get their vaccine
* Forgetting to put down the name of a patient when they get their vaccine
* Skipping sections of the vital signs on the EHR even when I took the patient�۪s vitals
* Forgetting that I had taken the patient�۪s vitals and thinking that I have to take them again (one occasion only)
* Getting a patient�۪s weight to be 13 when he weighed 139. CANNOT believe I didn�۪t even notice until the provider pointed it out to me

I swear I think I�۪m a dumbass at this point. I don�۪t even know how I made it to college and graduated. And this is not only at one job. This across all 3 jobs, same position but different specialties. NO other MAs seem to have problems like this. I�۪m the one who constantly is pointed out, and am incredibly distressed by my inability to get such simple tasks down. 

Should I directly get a referral to see a Neurologist, a Cognitive Psychologist, or a Psychiatrist? 

I know that you cannot make a precise dx with limited information, but what does this etiology resemble?",y51sli,ishlhrr,"you haven�۪t included any of the required information about yourself including age which would be pretty informative to the aetiology of this sort of issue 

I�۪d recommend seeing a family physician for proper assessment and they can guide you to the most appropriate specialist as needed","It sounds like you are experiencing some difficulties with memory and attention, which can be concerning. It's important to speak with a healthcare professional about your concerns, as they can help determine the cause of your symptoms and recommend appropriate treatment.

There are a few different types of doctors that you could consider seeing for this issue. A neurologist is a medical doctor who specializes in diagnosing and treating disorders of the nervous system, which includes the brain and spinal cord. A cognitive psychologist is a mental health professional who specializes in understanding and treating problems with cognition, which includes memory and attention. A psychiatrist is a medical doctor who specializes in the treatment of mental health conditions, including those that affect cognitive functioning.

It's difficult to make a precise diagnosis without more information, but the symptoms you are describing could potentially be related to a variety of different conditions. It's possible that you may be experiencing problems with your memory or attention due to a medical condition, such as a brain injury or a neurological disorder. Alternatively, you may be experiencing these issues as a result of stress, anxiety, or other mental health conditions.

I recommend speaking with your primary care doctor or a mental health professional about your concerns. They can help determine the cause of your symptoms and recommend the appropriate treatment. If necessary, they may refer you to a specialist, such as a neurologist or a cognitive psychologist, for further evaluation and treatment.",ChatGPT,ChatGPT,ChatGPT,3,1,2,4,4,4,1,1,1,4,3,4,46,352
N196,"Hi everyone, I appreciate you all giving insight to those of us concerned and unable to see our doctors for a while. 

I�۪m 32F, 5�۪7�۝ and 130 lbs. Can you take a look at my results and tell me if it�۪s something more severe than iron deficiency anemia? I�۪ve only listed the ones out of range. For the urinalysis, I recently went through a uti. The results are indicative of that, right? I did take antibiotics but there�۪s probably a trace left? Thank you so much in advance. 

**Hemoglobin - 10.4 -** range: 11.7-15.5
**Hematocrit - 33.2 -** range: 35.0-45.0 
**MCV - 78.9 -** range: 80.0-100.0
**MCH - 24.7 -** range: 27.0-33.0
**MCHC - 31.3 -** range: 32.0-36.0
**RDW - 15.7 -** range: 11.0-15.0
**MPV - 12.8 -** range: 7.5-12.5 

**Iron - 28 -** range: 40-190
**Ferritin - 3 -** range: 16-154



Urinalysis-
Ketones - trace 
Protein - trace 
Leukocyte Esterase - trace 
Bacteria - few",y0m752,irsjokd,Bog standard mild iron deficiency anaemia and UTI.,"Based on the laboratory values that you have provided, it appears that you may have iron deficiency anemia. Anemia is a condition in which there is a deficiency of red blood cells or hemoglobin, a protein in red blood cells that carries oxygen to the body's tissues. The most common cause of anemia is a deficiency of iron, which is needed to make hemoglobin. The laboratory values that are most consistent with iron deficiency anemia are a low hemoglobin level, a low hematocrit level, a low MCV (mean corpuscular volume, which is a measure of the size of red blood cells), and a high RDW (red cell distribution width, which is a measure of the variability in size of red blood cells).

It is also possible that you may have other underlying conditions that are contributing to your anemia, such as a chronic illness, a bleeding disorder, or a vitamin deficiency. It is important to speak with a healthcare provider to determine the cause of your anemia and to determine the appropriate treatment.

As for the results of your urinalysis, it appears that you have a trace amount of ketones, protein, leukocyte esterase, and bacteria in your urine. These findings may be due to a urinary tract infection (UTI) or other underlying medical condition. It is important to speak with a healthcare provider to determine the cause of these abnormalities and to determine the appropriate treatment.

",ChatGPT,ChatGPT,ChatGPT,3,3,3,4,4,5,2,1,2,4,2,4,8,148
N197,"Age: 24, Male, 170cm

My medical history is maily psychiatry: Severe recurring depression with somatic symptons (headache, high BP, GERD, stomach pains, shivering but not cold).

Medications: Mirtazapine 30mg, pantoprazole 40mg twice a day, metoprolol 75mg once/day, the rest is optional anxiolytics and for insomnia (max 50mg quetiapine before bed, 10 - 20mg zolpidem, hydroxyzine sometimes only 50mg, trazodone max 200mg a day).

WARNING: self-harm in photo

Now for my symptoms, [here](https://imgur.com/a/HID0qOc) is a photo which shows the location of the symptom. Around it you can see self-harm cuts, they are about 6 months old. For me it looks like the yellow spot is bruising along with the bruise spots.

I have no idea where they come from, they just appeared today.

I have to mention that in both my arms at the exact same location i Have a sharp pain when I raise my arms or other movement, but not always, it seems to be the worst in the morning.

I also remember that there were several occasions that I woke up with either my left arm or right arm COMPLETELY numb. I Couldn't move it, literally, I had to push up with either my other arm to get the pressure off the nerve or what, then the stinging feeling began and everything was restored.

I suspect that I sometimes sleep in a weird position, in which I put pressure on my upper arm(s) and I don't wake up. My guess is that I have some kind of nerve damage or something.

I also noticed the yellow thing a month before, but it was much, much smaller and it went away.

One other thing to add, I mostly take 10mg of zolpidem, but I took 20mg with other sedatives. I heard about zolpidem and the weird things it can do to you, but I took precautions, I was tired and I took quetiapine, hydroxyzine and 100mg trazodone.

This is all my guess, but I am not a professional.

If you need any more details feel free to ask me, thank you very much!",yd3nyk,itqgafy,"This looks like old bruising. It would make sense that you had bruising weeks ago as this looks like old stage of bruising. It doesn't sound related to arm numbness when you sleep, positional numbness happens. It sounds like you can follow up with your GP regarding these issues.","It's important to seek medical attention if you have unexplained bruising or yellowing of the skin. While it's possible that the symptoms you describe could be related to nerve damage or sleeping in an awkward position, it's also possible that they could be related to other underlying health conditions or side effects of the medications you are taking.

Given your history of severe depression and self-harm, it's especially important that you seek medical attention as soon as possible. It's possible that the bruising and yellowing of the skin could be related to your self-harm, but it's also important to rule out any other possible causes.

I recommend contacting a healthcare provider or visiting an emergency department for further evaluation and treatment. It's important to seek medical attention if you have any concerns about your health, even if you're not sure what's causing your symptoms.",Physician,ChatGPT,ChatGPT,4,2,1,4,3,5,3,1,1,4,2,5,49,332
N198,"45M

1.8 meters

90kg

Non smoker

No medication

My partner and I are having a disagreement about proper wound care and would appreciate professional feedback.

Immediately after getting injured, for example if you step on broken glass or skin a knee, is it correct procedure to clean it with water, then to use surgical spirits / rubbing alcohol / hydrogen peroxide, and finally apply an appropriate antibacterial ointment?

Or should you skip the rubbing alcohol / hydrogen peroxide step?",xvmvib,ir2byjy,"Soap and water are your best bet. You can apply peroxide but its really not necessary. I prefer peroxide when the wound is grossly infected. As in your example, you just punctured the skin, so the best next step is adequately washing with soap and water.","It is generally recommended to clean a wound with water and then apply an appropriate antibacterial ointment. Using rubbing alcohol or hydrogen peroxide to clean a wound is not recommended because these agents can damage healthy tissue and delay the healing process.

Here is the recommended procedure for wound care:

Stop any bleeding by applying gentle pressure to the wound with a clean, dry cloth.

Clean the wound with cool water and mild soap. Gently pat the wound dry with a clean, dry cloth.

Apply an appropriate antibiotic ointment to the wound. This will help prevent infection and promote healing.

Cover the wound with a sterile bandage or dressing to protect it from further injury and keep it clean. Change the bandage or dressing daily or as needed, and wash your hands before and after changing it.

It's important to follow these steps to ensure proper wound care and promote healing. If you have any concerns about the wound or if it does not appear to be healing properly, you should consult a healthcare professional for further evaluation and treatment.",ChatGPT,ChatGPT,ChatGPT,3,3,4,4,5,5,2,1,2,4,2,2,46,72
N199,So I have tonsillitis with pus and I tried augmentin for 7 days then this didn�۪t work until the end so they put me on zinnat( cefuroxime)  for 10 days. I still have a very little spot of pus on my left tonsil. What the hell is going on? My boyfriend had the same thing but he recovered already. We had covid 3 months ago. Am I dying? I am very scared as I am a hypochondriac and this made me really depressed. I am going to my ENT tomorrow but I am losing my mind.,xtqztc,iqrcpcv,May be you just have a stone that looks like pus. ENT tomorrow can tell you for sure. This isn't something to freak out over.,"I understand that you are feeling worried and distressed about your tonsillitis. It's completely normal to feel anxious when you are sick, especially if you have a history of hypochondria. However, it's important to try to stay calm and not let your fears get the best of you.

It's possible that the antibiotic you were prescribed may not have been effective at treating your tonsillitis. This can happen for a number of reasons, such as if the bacteria causing the infection are resistant to the antibiotic or if you did not take the medication as directed. If your tonsillitis was caused by a virus, such as COVID-19, antibiotics will not be effective as they only work against bacterial infections.

It's also possible that you may have a persistent or recurrent tonsillitis, which means that the infection has not fully resolved and continues to come back. This can be caused by a number of factors, including a weakened immune system or underlying health conditions.

It's important to follow your healthcare provider's recommendations and complete the full course of treatment as prescribed. If you are still experiencing symptoms after finishing your course of treatment, it's important to follow up with your healthcare provider to determine the cause and determine the appropriate next steps.

It's understandable that you are feeling anxious and depressed, but it's important to remember that you are not alone and that there are effective treatments available for tonsillitis. If you are struggling with anxiety or depression, it's important to seek support from a mental health professional. They can help you manage your feelings and cope with your illness.",ChatGPT,ChatGPT,ChatGPT,4,3,3,4,4,5,4,1,1,4,5,4,25,97
N200,"26M, 6�۪1, 210, Duration of complaint 1.5 week, PMH psoriasis on Otezla

I had a stye last week; it popped a couple days ago. Pain initially went away but now my eyelid is red and swollen, tender to touch, and my eye feels ���full�۝/pressure when trying to look up. I�۪m unsure if this may be a natural progression after a stye pops and I should continue warm compresses or if I should head to the ED tonight. Thanks for your advice.

[pics](https://imgur.com/a/BKkGTO8)",yfsmvk,iu5mmx9,It looks like you still have a stye. This does not look cellulitic. Warm compresses and massage. Nothing here looks to warrant an ER visit. Call your GP or eye doctor if you have one for follow up next week if it's still present.,"It is difficult to diagnose a condition based on a description and pictures alone. It is possible that you are experiencing a complication of your stye or that you have developed a new infection or cellulitis. It is important that you have this evaluated by a healthcare professional as soon as possible.

If you are experiencing redness, swelling, tenderness, and pressure in your eye, you should go to the emergency department or seek medical attention as soon as possible. These symptoms can be concerning and may indicate the need for antibiotics or other treatment.

In the meantime, you can continue to use warm compresses to help reduce any swelling and discomfort. However, you should not delay seeking medical attention based on this alone. It is important to have a healthcare professional assess your condition and provide the appropriate treatment.

",Physician,ChatGPT,ChatGPT,4,3,3,3,4,4,3,1,2,4,2,3,44,80
N201,"5 foot 4 inches height, 150 lbs, I take citalopram for anxiety/depression 10 MG, I do NOT smoke or drink or use recreational drugs, my existing conditions are mental conditions such as mild autism/add/anxiety.

I've had pain that has been persistent on the right side of the lower abdominal area, and also lower back pain but on both sides, for the past at least 2 to maybe 3 days, I went to the ER yesterday for it and they said there was nothing wrong with my appendix according to the CT scan I did that day, but they could not give a clear diagnosis and said my appendix is fine. A few hours later I noticed if I applied pressure to the other side then it would also feel some pain, and the day i went to the ER I felt nausea, but I went to my regular doctor today and they tested my urine and said there is minor amounts of blood in it, though to me it looked like a normal yellow with no red, so the doctor think it's a UTI but they did not prescribe me anything for the pain and took my blood for lab testing, however I found out I might have to wait until Monday, and I'm afraid if its something more serious I could die. The pain is still persistent in my stomach, but I am unsure if the pain worsened much since then. But it does feel a bit sharper than earlier. I never had a fever while this was happening, I was mildly constipated a few times but was able to use bathroom normally a few times and pass gas. But it felt gurgly in the lower right area as well. I'm scared I might have been misdiagnosed with a UTI, because I heard that can happen. I have really bad anxiety and I'm afraid,",yf9st4,iu2ly23,Doubt it's appendicitis with a negative CT after 3 days of symptoms,"I understand that you are concerned about your abdominal pain and are worried that you may have been misdiagnosed with a UTI. It's important to note that abdominal pain can be caused by a wide range of conditions, including appendicitis, urinary tract infections (UTIs), and other digestive issues. It's also possible that the pain could be due to something unrelated to your digestive system, such as muscle strain or menstrual cramps.

It's important to follow the recommendations of your healthcare provider and continue to monitor your symptoms. If you are experiencing persistent or severe abdominal pain, or if your pain is accompanied by other concerning symptoms, such as fever, vomiting, or difficulty passing urine, you should seek medical attention as soon as possible.

In the meantime, it's important to stay hydrated and try to get plenty of rest. Over-the-counter pain medication can help to alleviate some of the discomfort. If you are concerned about your symptoms or the care you are receiving, you can also consider seeking a second opinion from another healthcare provider.",ChatGPT,ChatGPT,ChatGPT,2,3,3,4,4,4,1,1,1,4,3,5,12,314
N202,"I'm a mom of 4 kids (ages 12, 11, 6, and 4). They're all fully vaccinated and always up-to-date on regular check-ups. 

My 6-year-old, who I'll call J, is the only kiddo with any issues, and they've generally been mild. He has moderate asthma which is controlled with Flovent, but has otherwise been a healthy and active kid. 

But recently, J has been getting sick a LOT. I just picked up his third prescription for antibiotics in 30 days, and he has had a fever for 6 days now that doesn't completely go away even with multiple fever reducers (it does go down enough that he's comfortable though). Yesterday I noticed he has swollen, bleeding gums and a few ulcer-like sores in the back of his throat which the doctor diagnosed as hand, foot, and mouth disease (no tests were done though). Today I brought him back in due to his fever spiking to 104.6 and him struggling to walk/move last night (also improved - but not completely fixed - with meds) and they did a strep test which came back positive.

The reason I'm really worried though is the weight loss and his medical record in general. I looked up his growth chart when I got home (I can access his records online) and he has grown 1.3 inches in the last 6 months but his weight dropped by 1 pound, causing his BMI to go from the 20th percentile to the 1st. 

I also looked at his blood work. They checked his hemoglobin at his 6-year checkup in July and that was low at 10, but they told me to just make sure he's eating iron (he eats a lot of iron-rich foods but doc said to just increase them). The last time he had a CBC was 5 years ago at his 1 year check-up but I looked at it anyway and his lymphocytes were high and neutrophils were low, but I don't think his doctor ever said anything about abnormal results so maybe that's not a concern? I didn't have online access at the time so I'm sure when they didn't call with results, I assumed they were normal.

Should I have the doctor do a CBC if he keeps getting infections or not gaining weight/losing weight? Or should the doctor tell me if these things are concerning? I feel like a hypochondriac but I really just have a feeling something isn't right. :(",xvsmb5,ir3k5ac,"Not likely to be something to stress over.

Though it varies by your community/exposure risks, I have seen multiple cases between the hospital and clinic this last month with multiple viruses, back to back viruses, etc. It is not unreasonable that he was sick multiple times.

The fever is likely from whatever viral processes he had going on.  Outside of strep nothing sounds bacterial from what you�۪ve mentioned so I think 3 rounds of antibiotics was more appeasement or risk stratification than ���appropriate�۝ treatment.  Without a known or suspected bacterial nidus, no reason for antibiotics.

He could have poorer dental hygiene with being sick, inflammation from infection, or it could be something like a vitamin C deficiency with the bleeding gums and recurrent infections.  Load him up with some emergenC.

Weight loss is normal when being sick and I wouldn�۪t even look at his weight again until he�۪s been healthy for around 4-6 weeks with normal appetite.

HFM is a clinical diagnosis, I wouldn�۪t send you to get the $800+ PCR test to confirm it in just about any case, since the management wouldn�۪t change.

His CBC 5 years ago is has virtually no relevance to his current state unless there was a pathological anomaly like leukemia found on the initial one.  I wouldn�۪t even concern myself with mild anemia in 1-2 year olds at that level due to increased milk consumption and the body still ramping up production while growing rapidly.

At the end of the day nothing here is concerning for him being sick beyond seasonal illness but you should speak to your pediatrician about it in more detail so you feel comfortable that you�۪ve covered your bases if you�۪re truly still worried.","I can understand your concern about your son's health. It is certainly possible that there is an underlying issue causing the frequent infections and weight loss, and it is important to address these issues as soon as possible. It is also important to follow up with the doctor about any abnormal test results that you have noticed in your son's medical record.

I recommend discussing your concerns with your son's doctor. It may be helpful to bring a list of your son's symptoms and any questions or concerns you have about his medical history or test results. The doctor can perform a thorough evaluation and determine the best course of action for your son's care. It may be necessary to perform additional tests, such as a CBC, to help identify any underlying issues.

It is also important to make sure your son is getting enough rest, staying hydrated, and eating a healthy and well-balanced diet. These measures can help support his immune system and promote overall health.

I hope this information is helpful. Please don't hesitate to ask if you have any further questions or concerns.",ChatGPT,ChatGPT,Physician,3,3,5,3,4,3,3,2,1,4,5,4,282,406
N204,"45 F. 5'7"", 220 lbs, former smoker. Drink occasionally. Nothing recreational. Meds: omeprazole daily, famotidine prn, cetirizine daily. 

I had an abdominal/pelvic CT today for months long issue of epigastric pain radiating to the back. Endoscopy was normal, symptoms not relieved by PPIs or H2 blockers, hence the CT.

My question is regarding an incidental finding on the CT that the GI office did not bring up when they called me to discuss results. I only saw the complete report after getting off the phone.

There was nothing on the CT that could explain my GI symptoms, but under the ""Findings"" section for lower chest ""mild scarring/atelectasis"" is listed. No other description is given. However, these findings are left out of the ""Impressions"" section of the report. As I said, I'm a former smoker. I have also had pneumonia at least 3 times in my life with a bout back in April. I didn't have a chest x-ray until May, a couple of weeks later, and that read ""Impression: Peribronchial thickening consistent with bronchiolitis and/or reactive airway disease"". No one called me to discuss those particular results and I had mostly recovered from the pneumonia (I thought) so I just shrugged it off. Turns out that since that bout of pneumonia, I have a harder time catching my breath than I used to and it's even a bit painful sometimes depending on the level of strain.

The CT report is verbatim as follows:  ""Lower chest: mild scarring/atelectasis""

 Can someone explain to me what this actually might mean for me clinically? Google U just screams ""COLLAPSED LUNG"" at me and that is not helpful. Is this something I need to be concerned about? What could be the cause? Can it be related to the findings on that x-ray? Should I get a pulmonology consult?

I should add that I am changing insurance plans for the 2nd time in one year and the town I live in has a provider shortage and most of them are only accepting new OB patients. It has been difficult getting care because of this.

Thanks for the input.",xy8yib,irfzzx9,"Atelectasis isn�۪t an uncommon finding. It just means your lung in that area is not being inflated. It is indeed collapsed. This can be for any number of reason but for most it is due to lack of exercise or activity. It�۪s also common in those with recurrent infections or get bronchitis because gunk builds up and blocks airways from getting proper aeration. Typically when you work your body, you tend to breath in harder which opens up all portions of your lungs. 

Your lungs are made up of tons of tiny little balloons (alveoli). The balloons at the bottom of your lung sometimes need extra force to really open them up. In your case, if you have scarring in that area, it may be even harder to inflate. Atelectasis is when the balloons collapse and haven�۪t been opened up in some time. It looks like your lung tissue has shrunken but typically isn�۪t a problem unless a large portion of your lung is affected. 

If you�۪ve never tried one, a spirometer might be beneficial to help open up this portion of your lung. Guaifenesin to clear out mucus may also help. It can also be painful to open that portion of the lung up if atelectasis has been long standing.","Atelectasis is a condition in which there is a collapse or blockage of the small air sacs (alveoli) in the lung. This can lead to difficulty breathing, coughing, and chest pain. Atelectasis can be caused by a variety of factors, including pneumonia, smoking, and surgery. In your case, it is possible that the atelectasis in your lower chest could be related to your history of pneumonia and smoking.

It is important to follow up with your doctor about this finding, as atelectasis can sometimes require treatment. If you are having difficulty breathing or chest pain, you should seek medical attention right away. Your doctor may recommend further testing, such as a chest x-ray or lung function test, to assess the extent of the atelectasis and determine the best course of treatment. In some cases, treatment may include medications or oxygen therapy to help you breathe easier, or procedures to remove fluid or mucus from the lungs.

If you are having difficulty finding a provider in your area, you may want to consider contacting your insurance company or a local medical center for help finding a provider who is accepting new patients. You should also let your doctor know about your difficulties getting care, as they may be able to recommend alternative options for treatment.",Physician,Physician,ChatGPT,4,5,4,4,3,5,3,3,2,4,3,2,211,348
N205,"There seems to be some muscle near my ear that I can control somewhat, when I focus on it I can hear this rushing/ringing sound very loudly in my ear. I was wondering if anyone has any idea what this is, or if anyone else is experiencing something similar?",yb6fvc,itfetk9,You have a few muscles near the ear. There are two that connect to the bones of hearing (stapedius and tensor tympani) which can have intermittent spasms and give an interesting sound that may e what you are describing. It's called stapedial myoclonus or tensor tympani syndrome. Neither have to have anything done about them if they aren't causing issues. Could also be you just have tinnitus that you are noticing.,"It's possible that you are experiencing tinnitus, which is a perception of sound in the absence of any external stimulus. Tinnitus can have many different causes, including exposure to loud noise, ear infections, and damage to the auditory system. It can also be a symptom of certain medical conditions such as high blood pressure or anemia.

If you are concerned about the rushing or ringing sound you are hearing in your ear, it is important to speak with a healthcare professional. They will be able to evaluate your symptoms and determine the cause of your tinnitus. In some cases, treatment may be necessary to help manage the symptoms of tinnitus.

It's also possible that the sound you are hearing is related to muscle contractions in the ear. The muscles in the ear can sometimes contract involuntarily, which can cause a variety of sounds to be heard. Again, it is important to speak with a healthcare professional to determine the cause of this and to discuss any treatment options that may be available.",Physician,ChatGPT,ChatGPT,4,2,4,4,2,5,3,4,3,4,4,3,71,49
N206,"Hello medical people!

I just got back from the ER after falling and breaking multiple fingers, and bones in my hand. I was given two aspirin for a 5 hour wait to see the plastic surgeon. I'll put my injuries into layman's terms so I don't misuse medical terms. My middle and index finger were broken so severely that they were clearly deformed, my entire hand was swollen and discolored. I was told that I could only have aspirin as it was hospital policy to try non-narcotic pain medication first. My question is, Is this policy normal? 


Some additional details (I don't know if you need them)

I live in a major North American city

I'm in my 30s and male

I have moderate cerebral palsy and I'm severely hypertonal on the injured side.

I overheard the on-call physician make multiple comments to a nurse about a previous visit where I exaggerated a wrist injury. I had never been to this hospital before.

I have an extensive medical history and this was one of the most painful experiences of my life.",ygdixm,iu872ak,Definitely policy to try first but you can tell them it isn�۪t working/wasn�۪t enough. I think sometimes we go too far with withholding opiates for patients clearly in pain.,"It is not uncommon for hospitals to have policies in place regarding the use of certain types of medication. Aspirin is a non-narcotic pain medication that can be effective in relieving mild to moderate pain. It is also an anti-inflammatory medication, which may be helpful in reducing swelling and inflammation in your injured hand. While aspirin may not provide the same level of pain relief as a narcotic medication, it can still be effective in managing pain.

It is important to keep in mind that every individual is different, and the appropriate treatment for a particular injury or condition can vary from person to person. If you feel that the pain you are experiencing is not adequately managed with the medication you have been prescribed, it is important to speak with your healthcare provider about your concerns. They will be able to assess your condition and determine if any changes to your treatment plan are necessary.

Regarding the comments that you overheard the on-call physician make about a previous visit where you supposedly exaggerated a wrist injury, it is not appropriate for a healthcare provider to make such comments about a patient. If you feel that you have been treated unfairly or disrespectfully by a healthcare provider, you may want to consider discussing your concerns with the hospital administration or contacting your insurance company to report the issue.",ChatGPT,ChatGPT,ChatGPT,3,4,3,4,4,5,2,2,3,4,5,3,29,175
N207,"Hi I am 17F and i�۪m 5ft 1 and 110 pounds. I have had a cold for a while now it�۪s been like three or four weeks.  I had a lot of snot in my nose and it was green for a while and was like a never ending supply.  I also have been coughing up little phlegm globs at least once every other day for like 2 months.  I�۪m feeling better now and have sort of a deep wheezy cough that I can�۪t keep in, and my mucus and phlegm is clear.  Yesterday I coughed up a blue glob but i think it was because i used blue raspberry chapstick.  This morning I woke up and my right nostril started bleeding and my left ear slightly hurts when i swallow.  I don�۪t usually get nose bleeds so I was like omg what. Later at work, I coughed up another phlegm wad and it was bloody.  Should I be concerned???  Last week also I threw up randomly after eating an enchilada and had a slight headache. I also noticed a brownish film booger thing in my eye. Idk i�۪ve been very paranoid recently. Do I have like bronchitis??",yaqagu,itctoi8,See a doctor. May have started viral and transitioned to a bacterial infection; whether that be a sinusitis or a walking pneumonia.,"It's possible that you have an infection in your respiratory system, such as a cold or bronchitis, which can cause symptoms like a runny nose, coughing, and phlegm. The presence of blood in your phlegm and nosebleeds could be a result of irritation or inflammation in your respiratory system caused by the infection. It's also possible that the bleeding and ear pain could be unrelated to your respiratory symptoms.

If you are concerned about your symptoms, it's important to see a healthcare provider for a proper diagnosis and treatment. They will be able to assess your symptoms and determine the cause of your bleeding and other symptoms. In the meantime, try to get plenty of rest and stay hydrated by drinking plenty of fluids. If you have a fever, over-the-counter pain relievers like acetaminophen (such as Tylenol) can help to reduce it. Avoid smoking and exposure to secondhand smoke, as this can irritate your respiratory system and make your symptoms worse.",ChatGPT,Physician,ChatGPT,3,5,4,4,3,4,1,3,2,4,4,3,22,206
N208,"They are 25 years old, 150 pounds, female, Caucasian, 5 foot 8. Duration: 30 minutes? an hour? no medications other than what they took. 

They took 1 oxycodone, 1 tramadol, 15 benadryl, 5 hydroxyzine, and 5 shots of alcohol. They were found nonresponsive and taken to the ER. What is the prognosis? We aren�۪t being told anything.",xwk86x,ir6ywax,"No way to know without more info. Were they breathing? Was cpr needed? Are they awake now? Or on the ventilator? Too many variables to account for. I am sure your friend is in good hands at the hospital. I'm sorry this happened, but hopefully you can help them get the help they need so this does not happen again.","I'm sorry to hear about your friend's overdose. It's important to remember that every person is different, and the effects of an overdose can vary depending on many factors, including the specific substances involved, the person's age, weight, and overall health, and the amount of each substance that was consumed.

In general, an overdose of oxycodone, tramadol, and benadryl can cause respiratory depression, which means that the person's breathing may slow down or stop altogether. This can be life-threatening and requires immediate medical attention. Alcohol and hydroxyzine can also cause respiratory depression and may increase the risk of an overdose.

If your friend was found nonresponsive and taken to the emergency room, it's likely that they are receiving medical treatment to help them recover. This may include medications to reverse the effects of the overdose and support their breathing, as well as supportive care to help them stabilize. It's not uncommon for people who have overdosed to be placed on a ventilator (breathing machine) for a period of time.

It's important to remember that the prognosis for someone who has overdosed can be difficult to predict, as it depends on many factors. It's important to stay in touch with your friend's medical team and follow their recommendations for treatment and care. If you have any further questions or concerns, don't hesitate to reach out to a healthcare professional for guidance.",ChatGPT,ChatGPT,ChatGPT,3,4,3,4,5,5,4,4,1,3,5,4,60,57
N209,"{23, Male ; from Belgium}

​

Hi Everyone !

I hope you are well. As far as I am concerned, I am not fine :/. Indeed, I have had pain in my wrist for almost a year now. The pain appeared after a game of bowling (I don't remember exactly how I got hurt because at the time I didn't feel any pain). At first I thought it was tendonitis, so I rested my wrist, but nothing helped: the pain persisted.

The pain is on the radial side of the wrist. To be precise, I would say that the pain is located in the synovial sheath at the level of the radial extensors. The pain is quite diffuse (from the extensor pollicis longus to the abductor pollicis longus), so it is complicated to determine a precise location of the pain.

The pain is always present to an acceptable degree but it intensifies when I pronate or flex my wrist, for example. Tennis is typically the kind of sport I can't do anymore because the pain is too intense.

A few months ago I had an MRI scan but the radiologists didn't see anything abnormal. I think they must have looked wrong because when I did an ultrasound scan a few weeks later, they told me I had inflammation of the sheath and that an infiltration would solve the problem. The problem is that the cortisone infiltration (done on the radial extensors) that I did, didn't work. So now, I don't know who to believe and I don't know the cause of my pain. I think that maybe the problem is related to the nerves (radial or medial) and not to the tendons  but that's just a guess.

Is there anyone here who could look at my MRI (I'll send you a video) because I'm sure they didn't look properly...

​

Cheers !",xtoswv,iqrzu6y,"Sure sounds like tendonitis. Nerve pain in that area would generally not be exacerbated by moving the wrist, though pain with pronation could potentially point to nerve entrapment at the elbow. Any history of elbow injuries?

 The negative MRI is good news that there wasn't anything lurking at the wrist like a missed broken bone. Typically for tendinitis - or pain at the radial wrist for a variety of reasons - a [thumb spica splint](https://www.amazon.com/dp/B0B5Q3LBLJ?pd_rd_i=B0B5Q3LBLJ&pf_rd_p=8df9856b-9cff-4e77-9cb1-dc4719b9c19d&pf_rd_r=4MEXZW2FR80E7K1KXMRS&pd_rd_wg=kSfKc&pd_rd_w=WN1Ye&pd_rd_r=0545045d-c9b5-4f0f-bc46-c0ca0633e140) and hand therapy will do the trick, and we only reach for cortisone injections if you've tried those and failed.","I'm sorry to hear that you've been experiencing wrist pain for such a long time. It can be frustrating and difficult to figure out the cause of pain when there isn't a clear diagnosis.

Based on the symptoms you've described, it's possible that you could be experiencing radial tunnel syndrome, which is a condition that occurs when the radial nerve becomes compressed as it passes through the wrist. This can cause pain and other symptoms in the wrist and hand.

It's also possible that the pain could be due to another condition, such as De Quervain's tenosynovitis or a ligament injury.

If the MRI and ultrasound scans did not reveal any abnormalities, it may be helpful to see a specialist, such as a hand therapist or a hand and wrist surgeon, who can evaluate your wrist and determine the cause of your pain. They may also be able to suggest treatment options that could help to reduce your symptoms.

In the meantime, it may be helpful to rest your wrist as much as possible and avoid activities that make the pain worse. Using a wrist splint or wrap can also help to support the wrist and reduce strain on the muscles and tendons.

I hope this information is helpful, and I hope you are able to find relief from your wrist pain soon.

",Physician,ChatGPT,ChatGPT,4,4,3,4,5,5,3,4,1,4,4,5,95,304
N210,"29F, 5�۪11, 200lbs. I had a baby 8 months ago via c section and within a week of having her I started having this dull pain in my right abdomen between bottom of ribs and belly button. I�۪ve had ultrasound which came back normal. My liver enzymes were high but have made their way back to normal range as of a few months ago. GFR slightly declined between having baby and a few months ago but still in normal range. I continue to have this dull pain ( 2-3 on scale of 10) basically every day I might get lucky and go a day or two when I don�۪t notice but I�۪m worried there is something more going on internally but can�۪t seem to get any more out of my Doctor. When standing and putting pressure on the area I swear I can feel a couple tiny lumps under the skin. Any suggestions?",y54tbr,ishqwjh,Could get a HIDA scan and get examined for an umbilical hernia,"It's good that you have already had an ultrasound and that your liver enzymes and GFR have returned to normal ranges. However, it's understandable that you are still concerned about the persistent abdominal pain you have been experiencing.

There are many potential causes of abdominal pain, and it can be difficult to pinpoint the exact cause without further testing. It's possible that the pain you are experiencing is related to the c-section you had 8 months ago, but it could also be due to other factors. Some potential causes of abdominal pain include:

Musculoskeletal issues, such as muscle strain or a hernia
Digestive problems, such as constipation, irritable bowel syndrome (IBS), or inflammatory bowel disease (IBD)
Infections, such as a urinary tract infection (UTI) or an infection in the abdomen
Hormonal imbalances, such as those related to the menstrual cycle
Gallstones or kidney stones
It's important to continue working with your doctor to try to identify the cause of your abdominal pain. They may recommend further testing, such as a CT scan or an MRI, to help determine the cause of your symptoms. In the meantime, you can try to manage your pain by taking over-the-counter pain medication as needed, staying hydrated, and eating a healthy, balanced diet. It may also be helpful to try relaxation techniques, such as deep breathing or meditation, to help manage your pain.",ChatGPT,ChatGPT,ChatGPT,2,3,3,4,5,5,2,1,1,4,4,4,12,153
N211,"I�۪ve recently been experiencing a weird sensation where the left side of my face feels like it goes tingly/numb for a few seconds. I do the FAST test on myself immediately in which I smile to check if I still have facial muscles (which I can), am able to raise both hands above my head, and can still talk normally. This tingly/numb sensation also happens on small regions of my left arm and left leg as well. This sensation has happened about 3 times since I first noticed it a week ago. 

Could these be signs that I�۪ve been having strokes, mini-strokes, or TIAs?

Background: 23m non-smoker, currently dealing with other neurological conditions such as dizziness/vertigo, internal shaking in head and legs, and head pressure since July. Have been working with ENT and Neurologist but not done any testing yet due to labs being backlogged. Will be getting VNG and ECOG test in a few weeks.",y4ipaw,isebbbt,"Hello.

It sounds neither like a stroke nor a TIA to me.","It is possible that you could be experiencing transient ischemic attacks (TIAs), also known as mini-strokes. TIAs are temporary episodes of stroke-like symptoms that resolve within 24 hours. They are caused by a temporary disruption of blood flow to the brain, just like a stroke, but the blockage is resolved before it causes lasting damage.

The symptoms you describe, such as numbness or tingling on one side of the face and limbs, could be consistent with a TIA. However, it is important to consult a healthcare professional for a proper diagnosis, as these symptoms could also be caused by other conditions.

It is also important to mention that the symptoms you describe could potentially be related to the other neurological conditions you are experiencing, such as dizziness, vertigo, and head pressure. It is important to continue working with your healthcare team to identify the cause of these symptoms and determine the appropriate treatment.

In the meantime, it is important to take care of your general health by eating a healthy diet, getting regular exercise, and avoiding smoking and excessive alcohol consumption, as these factors can increase the risk of stroke and TIA.",ChatGPT,ChatGPT,Physician,2,1,3,4,2,3,1,1,2,3,2,3,11,155