train_data.json

[
    [
        "Hello doctor, I get a cough for the last few days, which is heavy during night times. No raise in temperature but feeling tired with no travel history. No contact with any Covid-19 persons. It has been four to five days and has drunk a lot of Benadryl and took Paracetamol too. Doctors have shut the OP so do not know what to do? Please help.",
        "Hello, I understand your concern. I just have a few more questions.Does your cough has phlegm? Any other symptoms like difficulty breathing? Any other medical condition such as asthma, hypertension? Are you a smoker? Alcoholic beverage drinker?",
        "Thank you doctor, I have phlegm but not a lot. A tiny amount comes out most of the time. I have no difficulty in breathing. No medical conditions and not a smoker nor a drinker.",
        "Hi, I would recommend you take n-acetylcysteine 200 mg powder dissolved in water three times a day. You may also nebulize using PNSS (saline nebulizer) three times a day. This will help the phlegm to come out. I would also recommend you take vitamin C 500 mg and zinc to boost your immune system. If symptoms persist, worsen or new onset of symptoms has been noted, further consult is advised."
    ],
    [
        "Hello doctor, I am suffering from coughing, throat infection from last week. At that time fever did not persist and also did not felt any chest pain. Two days later, I consulted with a doctor. He prescribed Cavidur 625, Montek LC, Ambrolite syrup and Betaline gargle solution. Since then throat infection improved and frequent cough also coming out. Coughing also improved remarkably though not completely. From yesterday onwards fever is occuring (maximum 100-degree Celcius). I have not come in touch with any foreign returned person nor went outside. In our state, there is no incidence of Covid-19. Please suggest what to do?",
        "Hello, I can understand your concern.In my opinion, you should get done a chest x-ray and CBC (complete blood count). If both these are normal then no need to worry much. I hope this helps.",
        "Thank you doctor, After doing all these I can upload all for further query.",
        "Hi, yes, upload in this query only. I will see and revert to you.",
        "Thank you doctor, As per your guidelines, I have made one test. Due to city shutdown, I could not able to make an x-ray of chest. Fever is coming every 12 hours. But cough does not persist currently. The only problem is a fever. I am uploading the blood examination report. Please advice.",
        "Hi, I can understand your concern. I have gone through the report you have attached. (attachment removed to protect patient identity).Your total count is on the higher side of normal along with low hemoglobin. So start Azithromycin 500 mg 1-0-0, Tablet Dolo 650 1-0-1. Once your fever and cough subside, start an Iron tablet for low hemoglobin.I hope this helps.",
        "Thank you doctor, How many tablets of Azithromycin to be taken? Is it in the morning? I want to make you know that I have already taken Azithromycin five days before. Should she start it? And also can I start an Iron tablet today itself?",
        "Hi, Yes, you can take iron tablet from today onwards. And no need for Azithromycin now as you have already taken it. Drink plenty of fluids orally and keep yourself hydrated. Do warm water gargles and steam inhalation four to five times a day."
    ],
    [
        "Hello doctor,I am a 23-year-old man. I have anxiety and depression but no immunodeficiency disorders or chronic diseases. First, I wanna know if my immune system is weakened and how likely am I to die of Coronavirus.Second, I have itchiness in my throat and shortness of breath. I always have it because of anxiety but now it is more persistent than before. I also feel a very subtle feeling of pain, burning sensation and itchiness in my chest. I did not go out during the past ten days and have not been in contact with someone with positive Covid. And I quit smoking past week. Down to one or zero cigarettes from 20 a day. Why am I feeling itchiness and pain and burning sensation? How likely am I to have Covid-19? And how likely am I to die from it?",
        "Hello. Anxiety can manifest itself in physical or psychological symptoms or both. The irritation sensation you are experiencing is a part of your anxiety. Also please do not believe the hype about covid. It has a low mortality rate, of 2-3 percent, that too mortality is very high in people above 60-70 years with other co-morbidities. You do not have any such disorders and you have not even been in contact with anyone, so do not worry.Please continue to take your medicines for anxiety if you are taking them, if not, please consider visiting a psychiatrist and get started on some low dose SSRI type of medicines. Also, if needed a low dose Benzodiazepines can be added temporarily. Also, please do some deep breathing exercises, or progressive muscle relaxation. You can also take some honey with water to reduce the itching in the throat and also try doing some gargles with lukewarm salt water."
    ],
    [
        "Hello doctor,Last night I was getting chills, feeling more cold than usual and lightheaded and a lot of burping. Maybe like every 30 minutes or less or so feel more chills running down my body and chest feeling bit weird like I am starting having trouble breathing then goes back to normal and repeats, with weird feeling like chills down my left and right lungs or left and right upper chest. Also, my heart was pumping fast. Also, some minor coughs were there since seven days ago, still here. I have white mucus and have not gotten yellow yet.I took medicines yesterday but today I got severe cold and flu medicine with a pain reliever, the chills did not go away. Then today, I called the doctor on the phone and told him what happen last night and the same thing happened this morning too. I had minor coughs, feeling lightheaded, feel like maybe cannot breathe or something, and a lot of burping. I told him the burping issue was going on for at least two years, but somehow this time I am feeling lightheaded. He just gives Pepcid, a try maybe GERD. I ate that today still feeling chills now and still burping a lot.Right now, still some chills on arms, with breathing issue or something makes my chest feel weird and arm sometimes. So, should I be worried? I do not think I have a fever now but do not feel hot on the forehead? Was it GERD or flu, it is Coronavirus or something else? I hope it is not Coronavirus.I am 21 years old and weigh around 110-115 kg.",
        "Hello,please answer the following:Any travel history in the last one month? Any use of airports? Any fever, have you checked the temperature? Any cough? Any mucus or phlegm? How is your sleep? Is there any malaise or body aches or weakness?",
        "Thank you doctor, I travel to school, nearby grocery stores in the bus. No airport exposure. I have not checked the temperature. I do not feel hot or anything. I have minor coughs and sore throat. Yes, I have mucus which seems white or clear for now.During sleep, I do not have much aches. Last night I have not got much sleep, probably because I was thinking about stuff being worried, but got some sleep though.",
        "Hi, most probably with the history it does not appear like a severe problem or Coronavirus infection. Is sore throat severe and does the pain last the whole day? Do you smoke or drink?Can you try taking Sudafed, Tylenol, and Zyrtec and try getting sleep for a few days? I am sure that will make you feel better.Avoid exposure to smoke dust and cold winds. Keep the AC to a minimum or use ceiling fan instead. Drink plenty of water and warm fluids. Avoid eating out, partying. Avoid unnecessary travel.You need not quarantine yourself in the strictest manner but some amount of restrictions in interacting and meeting with the community is advised.Lastly, where are you currently? Your place of residence and country? Is it a Corona endemic country? Did you talk to or interact with any known or suspected flu patient?Can you please take a picture of the back of the throat with open mouth showing details of the tonsils and pharyngeal wall and send it to me?",
        "Thank you doctor, I woke up this morning, I had trouble sleeping being worried, but I got some sleep then nearby phone ringing woke me up.So far, seems no one got any severe coughs or pain so far. I only hear minor coughs the past week or so. Thanks for those medicine recommendations for sleep. I fall asleep quicker, usually, it takes me around one hour to fall asleep on most days.I will try to avoid smoking as much as possible. Yes, I will be staying inside since many places are on lockdown. And school is online. I recently turned on the air purifier to clean up some air for allergies possible viruses but makes me cold. I might not need AC unless really hot.I will be staying home for the next month at least. My chills right now are feeling a bit better, but a little sick only because maybe I did not get enough sleep.I stay in San Francisco CA, United States, and there are close to 40 confirmed cases around here. No severe reports near my district, and have not heard anyone in serious condition.So, last week I have a sore throat and tonsil pain while swallowing for a few days, then one day drank a lot of honey and water and some tea, then it got better. Not sure if it got smaller, but the pain was less now though. Between my tonsils in the middle (behind the tongue) looks like my throat, got some red stuff, maybe looks like inflamed or rashes. Any recommendations? Any foods or drinks that can help?",
        "Hi, you have got it right. Follow all the precautions. You will be alright soon. Try getting a good sleep tonight.I heard about the cases in SF. My brother was supposed to fly there from India for work but his meeting got canceled in the wake of the virus.Yes, your camera has not done a decent job this time around. It has not focussed on our area of interest. (attachment removed to protect patient identity). But yours has picked up the two big bumps in the back of the throat (enlarged tonsils).The tonsils could be enlarged due to the current infection and sore throat problem you are having. Once the problem is resolved they should get back to their normal size, which I guess, in you, must be slightly big. The pharyngeal wall between the tonsils could be having some granular bumps which are quite common during an infection.Now you do not worry, for most such infections are due to viruses (not Corona). They usually get better with time and supportive treatment. Traditional Indian forms of medicine advise honey and hot water. Tea makes a good addition I guess. Sudafed and Zyrtec appropriate for your weight will help additionally. Tylenol every time you got pain will help you tide over this period wonderfully.Now watch for some warning symptoms fever, increased pain, thick mucus, thick postnasal drip, severe malaise, swelling in the neck, etc. In such cases promptly revert to me. You may need a Z pack then.",
        "Thank you doctor, As of now 12:40 PM I am breathing harder than usual since 30 minutes ago. I only ate some breakfast and drank water.Here is my story: Before Feb 28th - no issues at all, besides always burping a lot, sometimes bloating, no coughs, tonsil was enlarged for a while, no lightheadedness, no breathing problems, not sick.Friday February 28th - I woke up feeling unwell, drank water went back to bed, came back out super lightheaded about to faint, lied on bed for an hour, came out stomach feeling weird, even more lightheaded about to faint, can barely even eat a little noodles and two small pieces of spam, vomited it, then four more times which as water or acid. Hours later was better.Saturday February 29th - diarrheaSunday March 1st - diarrheaMonday March 2 - diarrheaTuesday March 3 - diarrheaWednesday March 4 - No stoolThursday March 3 - No more diarrheaFriday March 4th - Monday March 9th - no issuesMonday March 9th - feeling better, no problems, enlarged tonsil, no coughs really.Sunday march 15 - no problems besides burping, minor coughs, some sore throatAfternoon I ate chicken, burping a lot, stomach uncomfortable, felt like breathing problems, chills on hands, chest and left and right side, felt like could not breathe. 20 minutes later, still chills breathing a bit better, lightheaded kind of feel like fainting, then went to bed for 15 minutes (the breathing problem and weird chest feeling comes back randomly), ate tums, then later I drank cough and flu medicine.On Monday march 16 - woke up around 11:30 AM, feeling breathing problems, chills around body, lightheaded again, chest feeling weird, burping a lot, and I described my story to doctor he said it sounds like you ate something bad, does sound like GERD, of course we do not know for sure unless lab tests maybe on stool. He asked have you tried stronger antacids like Pepcid or Zantac?I said no. Then doctor asked me to try Pepcid and tell me how it goes.Tuesday and Wednesday March 16/17 - feeling better, no lightheadedness, no more chills, minor coughs, sore throat, burping a lot, no breathing problems so far. Pepcid no problems so far besides making me burp almost all day.Wednesday night still coughing a lot and drank severe cold and flu medicine.Thursday march 21 I woke up fine, then once ate Pepcid and drank some water, heart rate was going really fast, started to make worried, called doctor office they said can you count your beats per minute, then I counted, my phone was showing my heart rating going to 120 bpm, when I counted to them was not 120 bpm, then they told me to call back if it gets worse. Then shortly after, I drank some water and ate a little bit of breakfast. My heart rate started to drop slowly and was getting better after that.Friday march 20- 10 AM I woke up with some chest pains (chest area above the stomach), then some coughing and feeling a little sick, little lightheaded, heart beating fast, breathing harder, felt of shortness of breath. Drank some water and breathe harder, a little bit of mucus.15-20 minutes later no more chest pains, still breathing harder.11 AM - still breathing a little bit harder than usual, coughing would make me breathe even harder. Better now, but still breathing a little harder than usual.11:30 AM moving makes me breathe harder, sat in bed.11:58 AM - feeling a bit better12:10 - feeling like breathing a harder than usual.After an hour later, feeling better now which is strange. Not sure if its heart problems, acid reflux, chest issues, or esophagus.",
        "Hello, always Protonix is better than Zantac. Try using Protonix (Pantoprazole). Do not lie down immediately after consuming meals. Do not drink a lot of water after a meal. Avoid spicy and oily foods.",
        "Thank you doctor, I went to the store to look for Zantac they did not have it, so I talked to the pharmacy they said sounds like could be some weird chest tightening and the doctor said since Pepcid and Zantac are the same. He said to try Ranitidine.Right now I tried Pepcid again like now, for the first five to ten minutes I think it means me feel more nervous or anxiety or something, I tried to calm myself by putting fingers on teeth. Then I think now it did not cause my heart to beat super fast this time which was strange. Even water makes my heart beat a little faster. Should I stick with Pepcid? Finish the entire bottle? I think it has 20-30 pieces.I used to lie down after a meal a few years ago like I get hungry before I go to bed then I started eating snacks and lying down. Sometimes I starve myself. Sometimes I wake up with acid feeling in my mouth.I don't know why I woke up this morning with chest pain, like the middle area right above the stomach and felt like I had breathing problems, breathing harder than usual, drank water and barely could eat breakfast (lasted for at least 30 minutes+). I then waited a bit after 10 minutes, drank hot water and ate breakfast, I started to breathe better again.Could it be shortness or breath? May be blood pressure? Esophagus issue? Chest issue? Heart issue? I am having weird breathing. Should I be worried?",
        "Hi, you need to take Pantoprazole or any other proton pump inhibitor. Avoid heavy meals. The issue appears like a heartburn problem due to acidity only. It does not appear sinister.",
        "Thank you doctor, I was trying to finish the bowl of food in one hour. I was eating veggies and rice, halfway through felt something like acid may be some pain in chest and throat. Feeling lightheaded so ate some meat to then coughed after.",
        "Hi, do not worry about it. Drink plenty of water but not immediately after a meal. Eat well cooked meats.",
        "Thank you doctor,I really appreciate your help so much. I appreciate your time and effort to help me and give advice. Only thing I am worried is just the chest pains, breathing issues and esophagus and throat stuff. I will try to wait two to three hours after eating or drinking before bed now. I hope to get less chest issues when I wake up.",
        "Hi, do not worry so much. You will be absolutely alright. Give it some time. If you are not getting better we can do laryngoscopy and check if there is anything wrong with the larynx. Do you eat healthy food and do exercises?",
        "Yeah if it doesn't get better Laryngoscopy would be perfect. Okay, I'll give it some time Thank you!I try to eat vegetables and fruits. I don't eat much junk food that much. I used to eat more junk years ago, but now mostly vegetables, fruits, meat (pork, chicken, beef, fish) usually not fried, and tried to eat whole wheat bread with fried chicken patty from the super market (for school lunch) since its cheap and its chicken (stopped now after acid problems), don't really eat french fries, pizza or drink soda etc...Exercise, haven't been exercising these few months. I have been telling myself that, but then i haven't really been doing it. Used to a lot years ago, now barely.Since high school, when i exercise running when i try to get air feels like throat is tight or chest is tight and air is trying to squeeze its way through. After this point High school until college feels like i'm not breathing enough air. When i was younger (Elementary/middle school) felt like i gotten a lot more air then now through my throat and air doesn't squeezes through.One doctor just used stethoscope for heart and lungs, told me to breathe hasn't said much about it. Then another doctor said, sounds you are not breathing that much, feels like not getting another air (in high school, like 4-6 years ago maybe), they didn't do much about it.So, when i try to breath regularly, seems like not much air comes out through mouth even before acid reflux,.That's why recent breathing problems kinda worry me, but anyways yeah like that.",
        "I guess you are in the right track. With regards to food diet and exercise.Restart doing your exercise. Keep yourself active. Try having more than three meals a day but keep the quantity of each meal less than the usual. That way you eat more frequently but without putting weight or adding unnecessary calories."
    ],
    [
        "Hi, I am Chaitanya, 27 years old. I use to swim daily in morning. Does COVID-19 spreads through water ? What precautions should I take to avoid infection?",
        "Hello and welcome to Ask A Doctor service.I have reviewed your query and here is my advice.First few cases were suspected to have spread from food. However human to human spread is mainly from air droplets.I would suggest you to refrain from swimming for sometime. Although the virus will get killed in swimming pool if it doesnot find host for more than few minutes.Other precautions include to avoid social gatherings, wash hands frequently with soap and water, cover face with mask, stay home during sickness, avoid travel.Hope it helps. Let me know if I can assist you further.Dr Vaishalee"
    ],
    [
        "What is the treatment for Covid-19?",
        "Depends on severity. COVID-19 pandemic at this time, so a doctor on video may consult by video instead of requiring an in-person visit. Flu-like symptoms can be from a strep throat infection, a cold or influenza, or from some other cause like COVID-19. Usually, a person calls the doctor if the symptoms are bothersome, serious, recurrent, or persistent. COVID-19 testing depends on local availability."
    ],
    [
        "Criteria for COVID test?",
        "Real vs. textbook. Real-life criteria is different because we don't have enough tests, supplies, or medical staff around the world at this time (March 2020). Textbook criteria are suspected COVID in hospitalized persons or in those with underlying medical conditions; or persons who got symptoms less than 14 days after (1) contact with a suspect or confirmed COVID patient or (2) travel through high-risk COVID area."
    ],
    [
        "I have covid 19 symptoms?",
        "Without any details it's impossible to say."
    ],
    [
        "Do I have covid 19?",
        "Without any details it's impossible to say."
    ],
    [
        "Is vomiting and diarrhea a symptom of covid-19?",
        "COVID-19 symptoms. Nausea, vomiting, and/or diarrhea occur fairly frequently early in the infection, but are rarely if ever the only symptoms. If cough and fever don't develop within a day or two after vomiting or diarrhea, probably it isn't COVID-19."
    ],
    [
        "Anxiety because of the covid 19 news?",
        "Break. At 39 your risk for severe infections is very low. A strategy that I recommend is taking in information daily, but get away from it. Practice prudent precautions. In my off times away from ER (still practicing front line ER) I focus my mind on my cooking, planning my garden, engage with my friends and loved ones and read."
    ],
    [
        "Is the coronavirus 229E the same as covid-19?",
        "CoV229e is one of several coronaviruses that cause common colds. Biologically related to SARS-CoV-2 (the cause of COVID-19), but different viruses."
    ],
    [
        "Can I get a covid 19 test?",
        "Seek care right away if difficulty breathing, other severe symptoms.Seek testing if sick, PLUS known Covid-19 contact, or travel to high risk country, or been in facility treating people with Covid-19, or severe pneumonia of unknown cause. Call 0800 029 999 for test. If sick or possibly exposed (not both), stay home. Seek consultation if sick. If known exposure & not sick, self-isolate 14 days."
    ],
    [
        "Where can I be tested for covid 19?",
        "your local doctor, local health department, we have no idea here what your set up is where you live."
    ],
    [
        "Am I at risk for COVID-19 in the United States?",
        "COVID infections will likely pick up over the next few weeks in US. Avoiding travel and following hand washing recommendations are probably the most important prophylactic measures."
    ],
    [
        "My dad last week was vomiting and had diarrhea now this week it has turned into runny nose and a cough...no fever....any chance it’s Covid-19?",
        "Symptoms of COVID-19 are usually the same as a cold or the flu, with diarrhea being uncommon.The COVID-19 infection is worldwide. The goal is to keep people separated so that the clinics and hospitals are not overwhelmed. Patients with medical symptoms should see their primary care doctor on VIDEO or by PHONE, and get instructed to go to a clinic or ER only if not treatable by video or phone."
    ],
    [
        "11 year old has a cough, runny nose, headache,earache, no fever. Is this COVID-19?",
        "The symptom pattern is not specific to one agent.It suggests a cold and ear infection. Kids have been among those least affected by Covid-19 . Only proper screening and testing could confirm or exclude this or any other agent. Parainfluenza, rhinovirus, or RSV would be more likely."
    ],
    [
        "I am getting headache at night. Been battling with a sore throat and post nasal drip. No fever. Cough only slightly at times. I went for laproscope and removal of my fallopian tubes on 2nd March. All this started after that. Must i test for covid 1o?",
        "In brief: Unlikely.Not at this point.Treat what you have currently symptomatically. Stock up now whilst not yet on lockdown. I don't feel that you qualify for a Covid test right now. Keep posting your questions."
    ],
    [
        "True or false? Anyone infected with COVID-19 start have diarrhea and increases the chances of death compared to person who just start respiratory symptoms, why?",
        "In brief: Data.From Data from China there has been association between worse infection and diarrhea.The seems to be a worse inflammatory response associated with people who have diarrhea."
    ],
    [
        "Do people with the Covid coronavirus get any diarrhea? If yes, how bad is the diarrhea, and what portion of infected people start having diarrhea?",
        "In brief: Respiratory illness.Cough, fever and shortness of breath are most common sx's.Per Clinical Characteristics of 138 Hospitalized Patients With 2019 Novel Coronavirus–Infected Pneumonia in Wuhan, China - JAMA, Wang et al., February 7, 2020 - about 10% of hospitalized patient had diarrhea. This study only looked at people who were so sick that they had to be hospitalized. This is a small study number.In brief: No.To date the process has been a respiratory virus.No gut issues (diarrhea,etc.) are reported so far as part of the symptom pattern."
    ],
    [
        "Can Covid-19 be transmitted sexually? Can any coronavirus be transmitted sexually?",
        "In brief: Sort of.If you are having sex with someone who has Covid-19 you are quite at risk of getting it.High likelihood if kissing and having intercourse but it may not be transmitted through intercourse but the closeness in an intimate situation like that with someone who is infected gives a high likelihood of transmission."
    ],
    [
        "Should I shave my beard to reduce my chances of contracting coronavirus / covid-19?",
        "In brief: Yes.This virus clings to everything especially hairs.Either wash your beard a few times a day and spray with alcohol or shave off."
    ],
    [
        "I have mild asthma which is well controlled if I were to contract Covid 19 would I experience any difficulties as can’t seem to find much information on asthma patients who have had the Coronavirus many thanks ?",
        "In brief: COVID-19 and Asthma.Great question. Yes asthma is a chronic lung disease which carries some increased risk with COVID-19.Good asthma control along with good handwashwng, social distancing avoiding unnecessary travel along with your young age should keep your risk of complications low. Smoking, hypertension, diabetes, obesity or compromised immune system are also risk factors to be considered."
    ],
    [
        "Is mild intermittent asthma an elevated risk group for Covid 19 complications? If so, should I continue to use my inhalers when it's occasionally necessary or will the steroids in them put me at more risk? Thank you.",
        "In brief: Maybe.Being over 50 with a medical condition like intermittent asthma makes you at higher risk for any respiratory illness including COVID19.It appears to be less an issue for children and youth."
    ],
    [
        "I read that people taking steroids for asthma are at higher risk for poor outcomes from COVID19. Does this include inhalers containing steroids? Also, is mild intermittent asthma a risk for poor outcomes or only more severe forms of asthma? Thanks.",
        "In brief: Not quite that way.People with chronic lung problems do worse in a lung disease outbreak.For one specific person... well, there's no way to guess. \"People\" in general do worse if they have UNcontrolled lung disease. That means it's likely that asthmatics using inhaled steroids to give them good disease control will be BETTER OFF than asthmatics who use steroids but still cannot get good control. Be in good control."
    ],
    [
        "What symptoms would make you think I do not have COVID-19. I have a bad cold, but got diarrhea twice, so does diarrhea mean it is not COVID?",
        "In brief: No.Diarrhea does not rule out COVID.If you have traveled to endemic areas or met with people that traveled there, you should test if possible."
    ],
    [
        "Can Covid-19 be transmitted sexually? Can any coronavirus be transmitted sexually?",
        "In brief: Sort of.If you are having sex with someone who has Covid-19 you are quite at risk of getting it.High likelihood if kissing and having intercourse but it may not be transmitted through intercourse but the closeness in an intimate situation like that with someone who is infected gives a high likelihood of transmission."
    ],
    [
        "Have read COVID-19 news quoting some experts as saying that we will see more confirmed cases as more tests are performed, but the mortality rate should drop as that happens. Any sign of that yet?",
        "In brief: COVID-19 mortality.Don't confuse actual mortality rate with REPORTED rate.The actual rate probably will remain stable (and likely lower in the US than some other countries, because of sophisticated intensive medical care). But as testing expands and more people with mild symptoms (or no symptoms) are diagnosed, reported mortality will decline; likely happening now, but it may take weeks for data to be known."
    ],
    [
        "I travelled to Austria on 25 Jan 2020 and returned on 31Jan 2020. My trip included a stopover in Munich. I currently do not show any symptoms listed for coronavirus. Should i get lab tested as a precaution and will this test be covered by the medical?",
        "In brief: Hard to say.The questions you pose are more appropriate to ask your local physicians and health plans.As a USA based site we have no access to or information about the changing local recommendations for world travel around the globe nor would we know what your plan covers. Find a local health contact & contact your health plan for guidance."
    ],
    [
        "For students in dorms living with students from many countries, what extra additional precautions do they need to prevent catching novel coronavirus?",
        "In brief: Standard precautions.COVID-19 is now official name for the illness caused by the newly discovered coronavirus (COronaVirus Infectious Disease - 2019).So far it is extremely rare in the US (2/12/20). Until and unless COVID-19 becomes common no special precautions are necessary. In any dormitory or group living situation people with respiratory symptoms (colds, flu, etc.) should cover their coughs and wash hands frequently."
    ],
    [
        "Can taking extra vitamin C every day help prevent you from catching the coronavirus or the flu? If so, how much vitamin C is recommended?",
        "In brief: Vitamin C.While getting enough vitamin C in your diet is highly recommended, it has no special ability to prevent coronavirus or flu virus.Best preventative measures for these are frequent handwashing and avoiding people with sneezing/coughing/cold symptoms and fevers."
    ],
    [
        "Can taking extra steps for self-care (like staying hydrated, getting more sleep) every day help prevent you from catching the coronavirus or the flu?",
        "In brief: Yes.It helps to keep the body in good shape and good nutrition."
    ],
    [
        "Last tuesday I had a flu shot and a neumonia shot. I am 68 and male. I had a very sore arm and felt bad the next day in which I had blood drawn for a test. The results showed a high white cell blood count as well as high ANC and AMC. Could these high readings be because of the shots the day before?",
        "Hello, * The pneumonia shot per se is not responsible for high WBC count, but as you are telling there are soreness and bad feeling at the injection site over arm, there are all possibilities that you have cellulitis or possible abscess formation at the injection site; which will recruit neutrophils at the site and cause secondary rise in WBC count. * Primary relief with ice application and secondary management with systemic antibiotics and anti-inflammatory medicines with your doc. Hope I have answered your query. Let me know if I can assist you further. Take care Regards,Dr Bhagyesh V. Patel, General Surgeon"
    ],
    [
        "My father recently passed over the weekend. His body was fighting an infection along with pneumonia for 1 week. During that time, he would urinate bloody urine into the foley. The doctors said that was completely normal. It was very dark red. Is that normal?",
        "Hello, * The pneumonia does not give rise to red urine called hematuria.* There can be possible causes for red blood cells in the urine as - uncontrolled urinary tract infection- kidney damage via systemic sepsis- abnormal clotting factors or platelet function- side effects of drugs- dehydration related- secondary effects of diabetes- others * Kindly share all reports if available with you for further discussion ahead and guide in details. Hope I have answered your query. Let me know if I can assist you further. Take care Regards,Dr Bhagyesh V. Patel, General Surgeon"
    ],
    [
        "I have pneumonia and my doctor has me on strong antibodics and albut in my nebulizer. Yesterday after a treatment I spit up fresh blood and I have this second day also. I m on blood thinners and wonder if that may be my problem. I feel better in other ways.",
        "Hello As you explain the situation yes it might be that in pneumonia to have blood with the cough and especially if you take blood thinners do not worry.However of it last for several days than better to talk with your treating doctor for this for safety.RegardsDr.Jolanda."
    ],
    [
        "Hi, my name is XXXX. My grandfather is suffering from pneumonia right now and refuses to go to the doctor because of the price needed to obtain a patented medicine. In Indonesia, it is not hard to find these kinds of doctors that don t want to help people in need. What medicine can you guys recommend for a home treatment?",
        "Hello, As you explain the situation, unfortunately, there is no home treatment for pneumonia. I strongly recommend you to go to the hospital as an emergency which is free mostly. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Jnikolla, Pulmonologist"
    ],
    [
        "I was diagnosed with pneumonia on june 30. I finished taking my antibiotics and cough pills. I still continue to cough sometimes gaging. Shortness of breath and wheezing, I have an inhaler, I am not coughing up anymore phlem. my doctor says to take Mucinex DM. I have finished a bottle. I also have taken robitussin cough medicine. She also sd cough cld last up to 4-6 weeks.",
        "Hello, These symptoms last for 3-4 weeks. So no need to worry if fever is not there. Hope I have answered your query. Let me know if I can assist you further. Take care Regards,Dr Kaushal Bhavsar, Pulmonologist"
    ],
    [
        "Hi my husband has been diagnosed with pneumonia and given roxithromycin, he s had a heart transplant 4 yrs ago he is very tired hardly eating or drinking pretty larthargic to be honest should I be taking him to hospital we are now on day 3 on the antibiotics with no improvement what would you suggest?",
        "Hi, Yes, you should definitely take him to the hospital, seeing that he is especially vulnerable as a heart transplant recipient. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Anders Mark Christensen, General Surgeon"
    ],
    [
        "I ve been diagnosed with pneumonia (I am 63) on Monday evening. My daughter (31) is exhibiting the same symptoms - went to her doctor and currently taking Z-Pak. I was prescribed azithromysin 500 mg for 5 days. I was concerned since we were experiencing the same symptoms. We spend time together but she is married and lives in town. I am married and my husband is not experiencing any symptoms. Totally confused. Is there a way to know if you have a viral or bacterial pneumonia. I have had all kinds of different blood work done, chest x-ray, - can they tell? How long is pneumonia contagious? She has 2 children and we re trying to figure out if it s okay to have someone else watch the kids. They are not sick at this time.",
        "Hello, Usually, he is contagious one week before treatment and until three days after treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards,Dr Jnikolla, Pulmonologist"
    ],
    [
        "18 month old with chronic running nose And cough since August 2014 diagnosed with bacterial infections Took antibiotics did not get better. January 26th and chest x-ray found pneumonia. Took antibiotics did not get better with runny nose and coughing. 10 weeks later another chest x ray still found pneumonia. Has been taking clindamyacin For 11 days now does not seem to be getting better. And just now been prescribed proventil and Qvar. But if she is suffering from bacterial infection with those inhalers make it worse.",
        "Hello, According to the history you prescribed he needs a chest CT to evaluate better the situation. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Jnikolla, Pulmonologist"
    ],
    [
        "My 19 year old son was diagnosed with pneumonia 5 months ago and was given antibiotics but with minimal results. Unfortunately he still suffers from the same symptoms but since he is in the military he refuses to go back to the doctor for fear of reprisal. His cough is still deep and his energy is low. Are there any long term repercussions for his lungs if he continues without treatment.",
        "Hello, As you explain the situation I strongly recommend you to send him to the doctor for a re-evaluation of the situation. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Jnikolla, Pulmonologist"
    ],
    [
        "I was diagnosed with pneumonia 9 days ago. I had been sick a week before that. i get better, then it seems to come back. Now I have a runny nose (which i didn t have before) and I still have a tickle. 1 day good, 1 day bad, 1 day good. etc. Why the runny nose? what does the tickle signify? I am a singer. Got get well by Sat. this is tues.",
        "Hello, As you explain the history you don't have to worry you are in the phase of improvement just so correctly the treatment. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Jnikolla, Pulmonologist"
    ],
    [
        "My son has been diagnosed with pneumonia, and started a five day treatment today. He is 11 years old and very lean almost under weight. He hasn t been eating well this week and coughing is pristant as of today. I believe he should not go on the ice. He does play hard. can I get your opinion?",
        "Hello, As you explain the history for giving you a correct opinion I should see his chest X-ray and blood tests. Hope I have answered your query. Let me know if I can assist you further. Take care Regards,Dr Jnikolla, Pulmonologist"
    ],
    [
        "My mom had pneumonia, bronchitis, the flu and a fungal infection in her lungs. when I brought her to a local hospital she was intubated and had to be ambulance two hours away to a hospital that had a bed for patients on a ventilator. she was on a ventilator for three days and they discovered the fungal infection at the hospital. she was there for a total of 15 days. when I brought her home she was given a home health physical therapist, Home Health occupational therapist, home health nurse to help me take care of her she is still having quite an issue with breathing she can do only so much and gets out of breath, does anyone have any ideals or respiratory Rehabilitation or any help they can offer so that my mom can breathe easier to be able to walk and do what she did prior to this illness thank you so very much.",
        "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Spirometry exercise would be better for her and anti-fungal treatment should be done with other bronchodilator medication and supportive Rx. Hope I have answered your query. Let me know if I can assist you further."
    ],
    [
        "I HAD SUFFERED WITH HARPEZ AND PNEUMONIA. I HAD TAKEN ZOVIRAX INTRAVENOUS DEPOMEDROL,TRICOT XYLOCAINE AND FINALLY SEFTUM 500 MG. THE ERUPTIONS AND IRRITABLE SKIN IN GROIN AND ARM PITS. MY FACE LOOKED I WAS OLDER THAN MY AGE. ONE DAY OUT OF A MIRACLE I HAD FORMULATED MY OWN DRUG WHICH HAS SAVED ME. THE DRUG IS POWDERED AMMOXYCILIN 500mg, SEFTUM500mg, ALTHROCIN 500 mg, CIFRAN 500mgIN RIGHT PROPORTIONS. I APPLIED TO MY GROIN, FACE, ARMPITS. ALSO LIKE HOMEOPATHY I TRIED TAKING ONE MILLIGRAM OF THIS MIXTURE RUBBED ON EPIGLOTTIS. MY LIFE STYLE HAS CHANGED COMPLETELY AND WOULD LIKE TO RECOMMEND TO THIS ENTIRE WORLD THAT THIS IS A MIRACLE DRUG THAT CAN KEEP IN ABEYANCE MANY DISEASES OF THE WORLD. NO SIDE EFFECTS. EXCELLENT HEALTH, LOOKING 30 YEARS YOUNGER WITH NO DAMAGE TO SKIN AND ANY SIDE EFFECTS, B.SHANKAR SHARMA, MAIL ADDRESS YYYY@YYYY.",
        "Hello, As you explain the long history you should absolutely believe in your treating doctor and follow his instructions. Hope I have answered your query. Let me know if I can assist you further. Take care Regards,Dr Jnikolla, Pulmonologist"
    ],
    [
        "Hi, I m a 55 yr old white female, 5`4 , 180 lbs. I had childhood asthma and bronchitis, and were given steroids frequently. I seemed to grow out of it at age 17. During the last 14 yrs I ve developed Fibromyalgia/Chronic Fatigue, RA, for 14 months my SED rate stayed at 53-108 and they could not find out why, Cushing s Syndrome, neuropathy of the feet, and most importantly - Hypogammagobulinemia. I rec d IGG iv s monthly for 4 yrs, then lost insurance 6 yrs. ago. I m disabled and on Medicare, I haven t rec d IV s in 6 yrs. During that time I ve had pneumonia 17 times, once was septic pneumonia, constant sinus problems, PCP infection and a rare form of arthritis associated with the hypo (the Dr. couldn t tell me the name of it). I have contacted Medicare, foundations and pharm companies trying to get help to start treatment again. Reaching out to any possible help has been met with apathy and no one would try to point me in the right direction. I m really worried and would like to know my chances of surviving if I can t get the IGG treatments. Thank you very much for your time.",
        "Hello, The cause of chronic pneumonia is mandatory to be evaluated here with culture of bronchial lavage fluid, CT scan of the thorax and other supportive evaluations. Unless the root cause is identified, one cannot get the complete management chart. Hope I have answered your query. Feel free to post further doubts. Thank you. Regards,Dr. Bhagyesh V. Patel, General Surgeon"
    ],
    [
        "The reading of my chest x-ray states that there are hazed and confluent densities seen in the left upper lung field. The rest of the lungs are clear. The heart is not enlarged. The rest of the included structures are unremarkable. I am very much worried because the impression states that I have MINIMAL PTB, LEFT WITH PNEUMONIA. Please advice me on what to do best as I fear this might affect my application for renewal of contract.",
        "Hello, For Tuberculosis, AKT needs to be started. So confirm tuberculosis by sputum AFB stain and culture. If tuberculosis confirmed, then AKT should be started. And it is to be taken for around six months. Provide reports if available. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Parth Goswami."
    ],
    [
        "my mother has CRE/resistant klebsiella pnuemoneae(excuse the spelling) She is allergic to most antibiotics,sulfa, & penicillin. She has been treated five times obviouly they haven t worked in full! She easily goes anaphylactic! mid way through treatments. Last trtmt. was 7 days ago. 1st day , IV Ertapenem 1mg and litocane, prior to trtmt. she premeds w/ 50 mgs oral benedryl,1 hour cooktime prior ttrtmt.there was to be an additional 9 doses IM and on 6th dose went into shock. She is being readmitted in a.m. for another attempt she is trying oral doses of colodial silver. HELP WHAT TO DO? hOW LONG CAN THIS GO ON BEFORE SHE DIES? wHAT ARE THE SYMPTOMS OF DEATH DUR TO cre?",
        "Hi, In such conditions we recommend another class of antibiotics but in the survey of the allergologist who should monitor closely the patient's situation. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Jnikolla,Pulmonologist"
    ],
    [
        "I was given amoxycillin for a chest infection and did not improve after 48 hours, therefore I went back to the GP who then gave me Clarythmomycin as it resulted in pneumonia. I have been off work for 3 weeks now and feel completely washed out and exhausted. I had a chest x-ray which was clear, but was given an inhaler temporarily as I was out of breath and wheezy. I still have an incredible amount of phlegm which has now changed from brown to sometimes green to clear. Unfortunately, for last 3 days, my trachea is extremely bruised to touch and feel as if someone is pressing my windpipe. Although my tonsils aren t swollen, my ear hurts deep inside. I have had to start taking paracetamol again this week as feel weak, wobbly and feel as if I am going backwards again instead of improving. I am 45 years old. Non-smoker.This is the 3rd time I have had pneumonia in 18 years. I am reasonably fit and healthy, and I don t suffer from colds normally, but whenever I come down with something, I seem to suffer with it. How long does it take to get back to normal? Are the trachea symptoms part of the initial pneumonia symptoms or would I need to see the GP again. I am feeling extremely fed up of generally feeling unwell. I am taking a tonic (Metatone) and drinking and eating healthily. Basically, is it normal to feel this unwell for so long.",
        "Hi, Yes, it might be that after the pneumonia the recovery time lasts up to one week however I recommend you to do a chest CT to see if the pneumonia has gone completely. Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Jnikolla,Pulmonologist"
    ],
    [
        "I was diagnosed with pneumonia and pleurisy Friday 6/22/18.  Dr gave me Azithromiacin and 800mg of ibuprofen .  That was 4 days ago.  Azithromiacin has one pill left, and i no longer take the ibuprofen as not needed.  To date, I take Sudafed PE and Robitussin DM with expectorant & suppressant.  Every 4 hours when the meds wear off, my fever returns with body aches, chills, headache, and coughing. I continually cough up flem, and when lying down need to clear my throat every 30 seconds. I'm also bloated and get air bubbles under my ribs that are painful.",
        "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. * As far as my clinical experience is concerned, the intensity of the symptoms are not under control with oral antibiotics.* In our clinic, I recommend the patient to get hospital admission, start intravenous antibiotics, broncho dilators and other supportive measures to control the same. Do give me further chance to assist in future. Hope I have answered your query. Let me know if I can assist you further."
    ],
    [
        "I ve had symptoms of cough, headache, stuffy nose, fatigue, and sore throat for 4 days. I know these are typical of common cold. However, once before (18 months ago), when I just tried to ride it out, I developed pneumonia and was in hospital for several days. Are there any precautions I can take now to prevent this from getting complicated? Thanks.",
        "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice. Yes, you are right. If you don't pay attention in common cold, it can complicate as pneumonia. So follow these steps for better symptomatic relief in common cold.1. Drink plenty of fluids orally and keep yourself hydrated.2. Do warm water gargles and steam inhalation 4-5 times a day.3. Avoid cold foods like ice cream, cold drinks etc.4. Take treatment for common cold regularly.5. Watch for persistent fever, chest pain, Yellowish green expectoration, breathing difficulty etc. If any of these symptom appears then immediately get done chest x ray.6. Avoid smoking and alcohol if you have these habits. Hope I have answered your query.Let me know if I can assist you further."
    ],
    [
        "My sister, age 72, and living alone drove herself to an emergency room at 4:00 a.m. with temperature of 101+, chills and a little dizziness. They diagnosed her with pneumonia. She has COPD and uses inhalers and oral meds. I am concerned because she just told me she is extremely tired and has been under a lot of stress due to move from home of 45+ years, family concerns and loss of husband 2 years ago. She had hip replacement three months ago. I live an hour and a half away and am wondering if I should drive to her city and check on her. She does have a son and a neighbor friend looking in on her.",
        "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. She is already suffering from COPD (chronic obstructive Pulmonary disease). And pneumonia can be severe in already compromised lungs. So pneumonia in COPD patients should be treated promptly. And hence she needs hospital admission, Intravenous antibiotics, anti pyretic, Intravenous fluids and other supportive drugs. So better to admit her and start appropriate treatment. Hope I have answered your query. Let me know if I can assist you further."
    ],
    [
        "What is a right central pneumonia? My diagnostic x-ray report states there are hazy densities in the right perihilar and paracardiac areas; trachea is midline; cardiac sillhouette is not enlarged; hemidiaphragms, costophrenic, sulci and bony thoracic cage are unremarkable. I don t understand it.",
        "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. According to the chest X-ray results, this is an infection of the lung tissue. Don't worry. In this case, antibiotics are given. Consult your doctor. Regards."
    ],
    [
        "Hi, My uncle has been diagnosed with liver cancer and he is in the last stage. After the first chemotherapy he has been admitted to hospital due to pneumonia. Is he again diagnosed with lung cancer? And what are the chances of getting cure? What treatment you would like us to get it done.",
        "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Though this question requires all reports as scanned copy to be evaluated, with provided data I can suggest that- Any of the treatment would be supportive only for advanced case of liver cancer, it is not going to be curative. Thanks."
    ],
    [
        "I have been on methadone for approx. 5 years now at a dose of 30mg taken 4 times daily. This has not only stopped any unpleasant withdrawl symptoms but has also offered considerable relief in easing chronic pain from a severe back injury 11 years ago. For the first 3 years of taking the medication I found that while it was effective in these areas their was an exceptional side effect in that it absolutely obliterated any interest in sex or even the ability to physically have sex. Also I found that I had next to no energy, making many things I used to enjoy fall by the wayside which in turn led to severe depression. After extensive talks with my Doctor I was sent for blood analysis and it was found that my level of testosterone was so low it barely registered. I was then put on a 3 week cycle of injections of 2mls of Delatestryl and for the past several years I have been the person that I used to be (it gave me my life back). Know I have been given a new Doctor at the clinic I attend and he has informed me that he is only there to prescribe methadone and will not be responsible for any other prescriptions. I do not have a family doctor and our emerg has said that this falls outside their domain. The walk in clinic treats every individual that I know so badly that their is no doubt in my mind that they will refuse to continue this presciption. (to give you some perspective on our walk in clinic - I went their several mnths back with sever pneumonia and the Doctor looked at my chart once and told me that I would get know %$# narcotics from him and to leave immediately) Any suggestions on how to get across to my knew methadone Doctor (who has only been in prescribing methadone for 2 months) just how much this would severely negatively impact my life?",
        "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice. * The pneumonia management depends upon the symptoms which are not narrated here precisely.* The Methadone is known to cause long terms side effects over liver, kidney and other body systems, which should be discussed with the   treating physician. Awaiting for the symptomatic details to guide further. Hope I have answered your query. Let me know if I can assist you further."
    ],
    [
        "My daughter is 11 years old she has has pneumonia she has been sick since January 3rd symptoms keep changing. she is up at night itching all over her upper torso, head, and ears. She has major headache and abdominal pain.. she is very upset and crying because this is going on way to long and she has seen many doctors with no relief any suggestions. Tried most itching products what could be causing the head pain and stomach pain. they check her today for appendicitis.",
        "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. According to the history it might be a viral situation or an allergy.  Don't worry so much she is under medical control. Regards Dr.Jolanda"
    ],
    [
        "I was given a steroid shot at 10am this morning when it was discovered that I have potential pneumonia. I was also proscribed an inhaler and a strong antibiotic, both of which I am now actively taking as directed. The Dr offered a cough syrup with codeine for assistance with sleeping through the symptoms that have been interfering with my ability to sleep, which I declined due to being someone who never takes medications at all and fear of having so much in my system at once. The Dr. clarified that Nyquil would be just fine if needed and if I m more comfortable with. I m having some anticipated potential insomnia from the steroid, and some heart palpitations, and I have an irregular heart palpitations to begin with. I feel inclined to take the Nyquil to ensure I get desperately needed sleep, but am concerned with all that is on board, etc. Definitive guidance would be so greatly appreciated, thank you in advance!",
        "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice. * The Nyquil with its components help to relieve congestion, body ache, allergy related uneasiness.* It is not a substitute for steroid, but will help definitely in your case for symptoms control. Wish you fine recovery.Take care."
    ],
    [
        "My 62 year old sister is currently hospitalized for pneumonia that was dx after foot surgery related to a fall. She had Breast CA 8 years ago. Currently taking Tamoxifin. BRCA II gene. 3 sisters also with gene mutation and hx of breast CA. Youngest sister passed away from recurrance of Breast CA. (Mets to lungs, liver and bones.) Hospital ruled out blood clot in lung. Dx with pneumonia. Should CT scan be done since she has has a long standing cough and multiple bouts of pneumonia.",
        "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice. Yes, she can safely do the chest CT. There is not any contraindication of doing it in pneumonia. Regards,Dr.Jolanda"
    ],
    [
        "Hello, I have had a chest infection about once a quarter for the last year and a half . I was diagnosed with asthma not long ago as well as having developed pneumonia for the first time in the past week. What could be causing such frequent illness? I have generally been a healthy person for all of my life. Sick maybe once every four years.",
        "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Recurrent chest infections in asthma patients can cause bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (Formoterol or Salmeterol) and inhaled corticosteroid (ICS) (Budesonide or Fluticasone). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health! Thanks."
    ],
    [
        "How many tablets of Levofloxoacin would it take for a older person who is be told he is just coming down with pneumoria (he already has taken 4 pills & I am to give him another at 4 oclock, the reason I am asking this question is he had a fall & broke his hip but seem to have confusion & I had the doctor give him medicine for the confusion, but can not start it until he finish 6 more pill, thank you for any help you can give me.",
        "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Levofloxacin is generally advised once a day. It's very effective for pneumonia. The dose is generally to be taken once a day for arrest 10 days. This can be up to 14 days for some. patients.so yes give him one tablet daily for 6 more days.this hopefully would be enough for his pneumonia. Hope I have answered your query. Let me know if I can assist you further."
    ],
    [
        "My son is 4 years old. At the age of six months he suffered from pneumonia.since then he has problem of coughing at the interval of 1 to 2 month. The doctor provided bactoclav and beta2 cough syrup till he became 2 years old. But there is no any improvement so the doctor refered budecort 200mcg/dose 2 puff at a time twice a day n also a nasal spray beclometason dipropionate bp 50 micro gram. But still the case is not improve. The frequency of coughing starts almost every months. Please suggest me what could I do now?",
        "Hello As you explain the history it might be a gastric reflux present that has caused the pneumonia. Discuss with his doctor. Regards Dr.Jolanda."
    ],
    [
        "hi gud day doc.i had this right paracardiac pneumonia last nov.27 2013..and i undergone treatment for 2 weeks... after that.im not able to comeback in the hospital for further check up...about my illness....but every now and then im suffering backpain and chestpain...but i also had an asthmatic condition...how can you help me ...",
        "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In my opinion, you should definitely consult pulmonologist for this pain. You will need a chest X-ray and PFT (Pulmonary Function Test). A chest X-ray is needed to rule out recurrence of pneumonia because this can also cause similar kind of pain. PFT is needed to know the severity of asthma. You may need inhaled bronchodilators (Formoterol or Salmeterol) and inhaled corticosteroids (ICS) (Budesonide or Fluticasone). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "I am recovering from pnuemonia. I was thinking that that I tore a muscle coughing but now I am beginning to wonder. On the right side of my chest, under my breast it hurts when I cough. It hurts when I press on it, but when I pinchthe muscles with my fingers I have no tenderness. It hurts as i go to touch my toes. Could I be having a problem with an organ under my ribs ? I have no pain on my left side.",
        "Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Pneumonia can cause pleurisy (inflammation of pleura) and this can cause similar kind of pain. So in my opinion, you should first get the chest X-ray done. If the chest X-ray is worsening, then your pain is due to pneumonia and you will need higher antibiotics. But if the chest X-ray is improving, then possibility of musculoskeletal pain is more likely. So apply warm water pad on the affected areas. Avoid movements causing pain. Avoid sudden jerky movements of the chest. Take simple painkillers and muscle relaxant drugs like Ibuprofen and Thiocolchicoside. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "Dear Sir, good evening, my mother is aged about 58 years and is patient of acute diabetic since last 30 years, she is now in ventillation due to pneumonia in lungs and spreading of infection speticemia all over the body and she is having becoly too. It is almost 14 days on ventilation but there is no progressive result of her ailment. she is surviving on artificial lungs. E.C.G. - SR Respiratory - 28 Oxygen - 84 B. P. - 118/70 Heartbeat - 96 Pulse - 96 Sugar - 130 mg/dl Lungs Pressure - 39 Other organs of the body are working properly and are good in condition till now. What should I do?. What specific treatment should be given to her?. Please help me in this regard. I am in very much need of your help?. Raashid Mustafa, Ranchi, Jharkhand. Mother Name - Shahin Mustafa - 58 years Admitted - Abdur Razzaque Ansari Weavers Hospital fernchizee of Apollo Group of Hospitals. MICU - BED NO - 07.",
        "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.If your mother is on a ventilator due to pneumonia, then 1. ET tube sputum for culture and sensitivity 2. Higher antibiotics 3. Monitoring of BP and O2 4. She will improve when best intensivist will see this case  Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Chandra Shekhar."
    ],
    [
        "I was given Doxycycline while in the hospital for pneumonia and took it several days when home. Since March 3rd I have had loose bowels. I took peto-bismol for a week and no help a week ago I started Imodium softgetl and only little help...then I read about probiotics and started taking Ultimate FLORA probiotic 80 billion live cultures.. the question is can I take Imodium also the same day? Thanks.",
        "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Imodium is having loperamide. It is not a good drug for diarrhea. So you should not take it. You should definitely take probiotics as they are the first line treatment for diarrhea. Along with probiotics, eat more curd and yogurt. Avoid oily and spicy food. Avoid junk food. Drink oral re-hydration solution (ORS) and zinc tablet. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Kaushal Bhavsar."
    ],
    [
        "My dr. Did a routine CNBC last week. His nurse called and my blood showed signs of anemia. Ok today his nurse called and the blood they deeper searched on showed: the disease of chronic pneumonia? Ok I do not have hiv/AIDS. My question is she said no cure. My mom died from a chronic infection in her longs acronym Boop. I contacted cdc.gov they put me in touch with center for rare diseases. No cure for mom. Question: the told me Boop was not genetically transferred. This is exactly how my moms lung diseases started. is thimy lung disease genetic? Is it curable? Help please.",
        "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Though BOOP (Bronchiolitis obliterans organizing pneumonia ) is serious lung inflammatory condition, 65 - 80% of patients do respond well with corticosteroid therapy and cure. It is the remaining 20% of fatal cases which progress rapidly and have adverse outcomes.So, I do recommend to discuss the case and prognosis in details with his treating physician. Hope I have answered your query. Let me know if I can assist you further.Regards,      Dr. Bhagyesh V. Patel."
    ],
    [
        "My 3 year old son is complaint of stomach pain he also has fever and 1 week before he was diagnosed with pneumonia.he was on amoxicillin.he just finished his antibiotics yesterday and this morning he has fever stomach pain increased heart rate what is causing it.",
        "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Maybe pneumonia didn't resolve. You have to change medications. Add Azithromycin, syrup Ascoril thrice and tablet Pantop D twice. Also take Mucaine gel twice. Hope I have answered your query. Let me know if I can assist you further.Regards,      Dr. Chandra Shekhar."
    ],
    [
        "I am positive for Alpha 1 but at this point am not being treated. I developed bilateral pneumonia 4 weeks ago, have been on two rounds of Levaquin, and other than my fever leaving (which was 102 for three days) don t feel any better. My ribs feel like someone punched me, and whenever I cough, I taste copper which I am assuming is blood. It s probably from how hard I cough,. Been to the doc twice, this time added mucinex to the mix to try to loosen things up. Not sure how much longer I can do this! YYYY@YYYY.",
        "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Pneumonia causes pleurisy (inflammation of pleura). So chest pain is commonly seen with pneumonia and anti-inflammatory painkiller drugs like paracetamol or ibuprofen should be tried. You can also apply warm water pad on affected areas of the chest. Once your pneumonia is cured, your pain will definitely subside. Mucinex is a good drug for pneumonia. It actually dilutes the secretions and made them easy to cough out. So continue with Mucinex. Hope I have answered your query. Let me know if I can assist you further.Regards,      Dr. Kaushal Bhavsar."
    ],
    [
        "My mother was admitted to St. Jude s last Wednesday with pneumonia. She is 82 and also has COPD and Parkinson s. She was treated with antibiotics and released four days later. She is to continue with antibiotics treatment at her skilled nursing facility for another 7 days. The day after she returned to her skilled nursing facility, she was given a new roommate who has advanced pneumonia and in critical condition. A few days earlier, the doctor at the hospital said that my mother s pneumonia was negative and she was taken out of isolation. Is it dangerous for my mother, who seems to be recovering or has recovered from her pneumonia, to be placed in the same room as a patient with advanced pneumonia?",
        "Hello,To be honest, there is a chance of cross infection from one person to another. However, this depends on so many factors and most of the infections, especially bacterial pneumonia, do not transmit easily. If more than one arm distance, the chance is very little and if not too close (like kissing etc.) the chance is further reduced. If two of them are already on antibiotics, as in your case, there is a chance but in the setting what u described, it is extremely unlikely. Hope I have answered your query. Let me know if I can assist you further.Regards,      Dr. Mahboob Ur Rahman."
    ],
    [
        "My daughter has been sick with the flu for over a week and now has Strep throat and pneumonia. She s saw her doctor, ran some tests and her white blood cell count keeps dropping. They just sent her to the ER. What would cause her wbc to drop? I know there s probably a few reasons, but given this recent background of her health?? Thank you. Very worried mom.",
        "Hello,Any infection if severe can suppress bone marrow. And this is responsible for low WBC (white blood cells) count. So better to start injectable antibiotics for control of infection. She may need leucovorin injection to stimulate bone marrow for producing WBCs. Once her infection is controlled, she will have a normal WBC count. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar."
    ],
    [
        "I have been using CPAP machine for a year on pressure 6 with a nasal pillow mask.  I have never had pneumonia in my life.  I am 52 years old and just got my first case of pneumonia (discovered by a CAT scan).  Could the CPAP machine be responsible for causing my pneumonia.  They also found a small 3mm nodule.",
        "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Yes, CPAP machine if not properly maintained can cause pneumonia. Actually, there are a lot of things in CPAP machine that can be infected.Things like tubing, mask, and filters etcetera are very prone to infection. So, proper care should be taken to prevent infections from these parts.Better to ask CPAP provider to check all these parts and if infected replace them.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar."
    ],
    [
        "I am a 76 year old female non smoker and non drinker I drink 1 cup of decaf a day . in the past year I have had 3 or 4 bouts of pneumonia one was infiltrated just got bronchitis I have have been treated with Z pack and amoxicillin to taking blood thinners due to Atrial Fibulation. I have a pacemaker I had a pneumonia shot in 2011 .one month after taking the shot I got pneumonia. My brother who is 2 years older had the very same reaction. Our parents were very heavy smoker can this be the cause of all my problems now.",
        "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Pneumococcal vaccine is protective against 23 types of Streptococcus pneumonia bacteria. This bacteria is the most common organism (80% cases) for pneumonia.But there are other bacterias which can cause pneumonia. And in such cases, pneumococcal vaccine is not protective.So you and your brother might be having some other bacterial pneumonia. Second-hand smoking is also a contributing factor to your pneumonia.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar."
    ],
    [
        "How much will this cost? I have had pneumonia 8 time last year. Not 1 specialist could find the bacteria causing this. By December of that year I almost passed away. I had just been dismissed by a hospital and sent home, and 1 hour layer I could barely breathe. I was filling up with fluid and foamy blood was coming out. The paramedics saved me and took me to another hospital The drs. found a serious heart condition, still waiting for open heart surgery. I fill up to my bronchials with fluid every few weeks, it bubbles up and I can hear gurgling. I have no lung problems, such as copd, or emphasyma. What can I do.",
        "Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.As per your history and description, the possibility of end-stage heart disease leads to heart failure is more likely. Surgical treatment is best for this. So try to get it done urgently as soon as possible.Diuretics and other cardiac supportive drugs are advisable until surgery. So better to consult the cardiologist and try for early surgery.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar."
    ],
    [
        "I started a cough in 2009 that was diagnosed as severe bronchitis and then a couple years I had pneumonia twice and now I ve got combination of bronchitis and pneumonia bad cough. I just had a second CT scan one was August 22nd and the other one was October 23rd and I ve never been told a diagnosis before but I happened to see it on my chart What: Hospital Outpatient Visit with LKS CT 1 When: Monday October 23, 2017 7:30 AM (30 minutes) Where: Lakeside Hospital Cat Scan (Lakeside)Diagnosis: Interstitial lung disease.I am going November 27th to discuss this diagnosis I hope I was just told I don t have COPD and then I get this lung disease which I ve never heard of and it doesn t have a very good survival rate I m 63 female.",
        "Hello, CT scan is diagnostic for interstitial lung disease (ILD). It can develop after the age of 60 years especially if the patient is having bronchitis and recurrent pneumonia.Yes, you are right about survival. It is not having a good prognosis.But, now day’s newer treatments like Pirfenidone and N acetylcysteine (NAC) drugs are available. So consult pulmonologist and discuss these newer treatments.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar."
    ],
    [
        "Hi, my name is Becky and I exasberated back in Sept with heavy pneumonia in my right lung...... the last few months I have experienced tremendous hair loss and breakage--it is so thin I only have about 1/3 of my hair left but no bald spots. I also have a big lump (or bulge) about 1 inch above the base of my hairline on the back of my head. It goes all across the back of my skull. Any advice? I thought you were here to help....... but hell no....... everybody wants my money....... which I don t have. Thanks alot.",
        "Hello, After a long chronic disease, there is hair fall present, it is normal but you have a lump, and it is back, maybe it is a lipoma or subcutaneous abscess.You have to investigate all these things like serum biotin level, zinc level, FNAC of that lump after USG. Till then take tablet Astymin M forte for three months at least and biotin-rich foods.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Chandra Shekhar."
    ],
    [
        "Hi,got pneumonia,1month ago.had hemoptasis,positive blood culture x1.have been treated with erythromycin x5days,clindamycin x10 xays,then levaquin,x10days,and prednisone.I have been thru with medications for 5dags,but have had low grade temp(99) a couple of evenings since.I still feel horrible,but my NP hasn t done anything since.I did contact my Pulmanologist today,and waiting for response.is there anymore I can do?really don t want to go back to hospital.thank you.",
        "Hello, Go for vaccinations given below:- flu vaccine- staphylococcal vaccine - improve immunity Do exercise daily and take citrus food. Rule out diabetes.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Chandra Shekhar."
    ],
    [
        "My son is 3.3 yrs old , he is allergic to dust and weather conditions , in the recent x Ray report it has been detected that he is having a little congestion in heart which is a symptom of pneumonia and his wbc count is 39000 ( normal range is 4K-11k) doctors have suggested to give ibugesic paracetamol 7.5 ml in case if fever ( he got fits during fever tht lasted few seconds) , frizium for 3 days ,s- mucolite 5ml , Duolin nebuliser and refzil 5ml for infection .is all these medicines are safe ?",
        "Hello, These are the best management frame work for your son, which is including antibiotic, decongestant, anti-pyretic, bronchodilator medications needed to cure the issue.Be in regular follow up with your doctor, he will be recovered within some time.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel."
    ],
    [
        "My sister works in a dialysis center and has had pneumonia twice in the last couple of months. This second bout is fairly recent and was again treated with antibiotics. She has not been able to get rid of the cough and in the last few days developed swelling in her legs as well as a rapid heartbeat. Her bp is normal. Her pcp is sending her for a couple of tests, a lexi and I can t remember the other. Any thoughts.",
        "Hello, The most possible issue here is systemic manifestation of underlying infection in form of sepsis, side effects of medicines currently used or others.In our clinic, we recommend thorough work up with lab tests and guide to manage in accordance.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel."
    ],
    [
        "Hi, I got diagnosed with Pneumonia yesterday and have been sent home with antibiotics (amoxicillin and doxycycline) I was just wondering what the risk factors would be if I were to have at least one cigarette? I know it wouldn’t be good for the healing process(will probably slow it down) but is there any serious risk with smoking (ciggerattes or maybe even weed mixed with tobacco?) my doctor at the hospital that diagnosed me knew I smoked and also knew I smoked at least one or two bongs and he said NOTHING when I was leaving about trying not to smoke etc etc?",
        "Hello, The tobacco with or without seeds will contribute to bronchi spasm effects and hamper the pneumonia condition to a great extent. In our clinic, we strongly recommend quitting all tobacco items till complete recovery.Hope I have answered your query. Let me know if I can assist you further.Regards,  Dr. Bhagyesh V. Patel."
    ],
    [
        "well quick question i had pneumonia back in november2013 and theres a concern i have now i took antibiotics s and got better but im simply not all there in the breathing department. lately ive been waking up with a raspy chest but goes away as day progresses also feel as tho if i had dust in my throat when i manage to get the plegm out its not all colorful its just clear. i get a tight chest feelings sometimes albuterol does help before exerting myself/ excersise.",
        "Hello, Since, you are feeling better after albuterol (inhaled bronchodilator), possibility of bronchitis (inflammation of airways) is more likely for your symptoms.Bronchitis is common after lung infection (pneumonia). So, it is better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only.You will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar."
    ],
    [
        "I had a colonoscopy last Wednesday and aspirated. Ended up in the emergency department and diagnosed with aspiration pneumonia.I am on antibiotics now. I am able to breathe better than yesterday but I am still coughing a lot, at times producing dark phlegm. And I am very tired. How long should I expect this to last? Thank you! Dani B.",
        "Hello, For your pneumonia, complete the course of antibiotic. Sputum culture and examination done if needed to do further work up.If your cough is not expelled properly, then cough expectorant syrup containing Ambroxol plus Terbutaline drug can be prescribed. Kindly attach your reports for giving more comment.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Parth Goswami."
    ],
    [
        "I have been sick for a week with what I thought was a head cold. My temp keeps going up and I m having trouble breathing. Sinuses are clear, ears are ringing but semi clear but hurt when swallowing along with sore throat. Non productive cough but lungs feel heavy and full. Could this be pneumonia I have developed? I have at it before. I must tell you that I do have asthma. Thank you!",
        "Hello, In my opinion, you should definitely consult a pulmonologist. There are two main possibilities for your symptoms. 1. Lung infection (pneumonia).2. Worsening of asthma.So you will need a chest x-ray and PFT (Pulmonary Function Test). A chest x-ray is needed to rule out lung infection. PFT is needed to know the severity of asthma. You may need antibiotics, longer acting inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry you will be alright with all these.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Kaushal Bhavsar."
    ],
    [
        "Hello, im a female of 26, heavy smoker with last breath reading of 33 and drink daily. On Thursday I suffered from a severe headache which stayed until Friday evening, as the headache subsided I had a tingling and pressure sensation over head which was also over my nose. I have had no fever, cold etc Yesterday I felt very lightheaded and also after an episode of diarrea this morning am lightheaded again... I have no trouble breathing as such but I suffer from anxiety which I think has been happening alot today. I have had some twinge type pains in my lower chest ( like at the bottom of ribs) for a few days but not necessarily when I breath in and out and when I do cough I have had mucus? Come up, it s almost like it s stuck in my throat also.... I have some head pressure and am getting cold feet every now and then everything I ve checked says pneumonia does this sound like what I could have or could it just be anxiety, I m a little worried...the symptoms separately come and go but my head stays feeling.a little heavy! Chills now and again.",
        "Hello, According to history, yes, it might be pneumonia, but you should do a chest x-ray. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Jnikolla."
    ],
    [
        "my mother was diagonesed with multiple myloma after a hip fracture surgery 5 yrs ago by Dr Mathews at St. Stephens. She was treated for the cancer at aiims. the disease has advanced now and as a result she developed aspirational pnemonia . Due to a knock down incident we rushed her to Max hospital on 19th jan and ever since she is on the ventilator all though some antibiotic is being administered there is talk of trichotomy for her. since its nt possible to take her home and in her stage more than anything palliative care is reqd. Max being to expensive is nt sustainable. is stephens the right place for taking care of her? Can she be please adjusted in the ICU there? Also, what wouldbe the cost per day?And who will be the pulmonary expert?",
        "Hello, She requires ICU care as per the symptomatic details. Stephens is right place for her; you will get pulmonologist there to take care of the issue.She has to be shifted with ICU on wheels along with ventilator support. Cost there has to be inquired.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel."
    ],
    [
        "I've been recently having more nose bleeds lately. 4-5 times per day to be exact. And I have the worst cough ever that comes with it. Even when I am asleep my nose starts to bleed and I wake up due to the blood running down my mouth. Is this pneumonia?! Or some other illness?",
        "Thanks for your question on Healthcare Magic.I can understand your concern. Pneumonia is less likely to cause nose bleeding. Recurrent nose bleeding with coughing are commonly seen with sinusitis. So better to consult ENT doctor and get done clinical examination and CT scan of paranasal sinuses (PNS). Also get done chest x ray for pneumonia. If chest x ray is normal then no need to worry for pneumonia. You may also need endoscopic evaluation of sinuses if CT PNS is suggestive of infection or erosion.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "About 6 weeks ago I was diagnosed with PE in right lung and phnemoia in the left lung. I was in teh hospital for 9 days. I am on 20mg of Warfin per day! My blood levels are holding steady at 2.67. Yesterday I had a bit of lower back pain and today it is between my shoulder blades, mostly on my right side. It hurts my back to breathe, swallow, and move. Just sore muscles or could it be something serious with the blood clot? I hate to rush into the doctor if it is nothing....I hope you can help! Thanks.",
        "Thanks for your question on Healthcare Magic.I can understand your concern. Since you are taking warfarin (blood thinner), possibility of pulmonary embolism (PE) related pain is less likely.Possibility of musculoskeletal pain is more likely. So avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected areas of chest and back. Take painkiller and muscle relaxant drugs like ibuprofen and thiocolchicoside. You will mostly improve with all these in 2-3 days. If not improving then consult doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "hello sir this is arvind from lucknow ...sir my mom is suffring from lugs pnemonoia.......she was hospitalized 15 days in hospital but ,,,,still she is suffer from pneumonia.....there are many check up has done ...during ct scan of thorex  a mass of cell is seen in right lungs ......but i get test  a FNAC through USG AND CT GUIDED ... but there is no maligant cell are seen in both FNAC... sir i am very worry about this i am not able to undestand what i  should do for  it......pls give me better advice which hospital will be best for me ......",
        "Thanks for your question on Healthcare Magic.I can understand your concern. In my opinion, you should take her to SGPGI, Lucknow and consult pulmonologist there.She needs bronchoscopy, BAL (bronchoalveolar lavage) analysis and TBLB (Trans bronchial lung biopsy).BAL analysis will identify the causative organism for pneumonia. TBLB is needed to rule out lung cancer. Don't worry, she will be alright. First diagnose her and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks."
    ],
    [
        "Hello Doctor,My mother is an asthamatic and diabetic and has been suffering from pneumonis and being treated an MAdam Mohan MAlviya hospital in Malviya Nagar Delhi. The doctors there have recomended for a HRCT test done for her chest. Cld u recomend the hospital where we shld go for this test?",
        "Thanks for your question on Healthcare Magic.I can understand your concern. HRCT thorax is done at radiology center. So ask your doctor about near by CT scan centers.Usually CT scan is not required for diagnosis of pneumonia.But in some cases if diagnosis is not confirmed or patient is not improving or we suspect TB or ILD (interstitial lung disease) then HRCT thorax is advised.Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks."
    ],
    [
        "I am 63 years old female a year ago I had bacterial pneumonia and since then I am not feeling normal, also pulmonologist told me I have COPD , I am not smoking since pneumonia have SPIRIVA once a day and ADVAIR 500 twice /day, don feel that is doing any good anymore is there any other medicine that may help me to function more normal? Apparently ANORO ELLIPTA was approved by FDA but is not on Canadian market yet, thank you Zofia.",
        "Hello Usually in such conditions we recommend Claritromycin twice orally for some days. Regards Dr.Jolanda."
    ],
    [
        "Hello,I am a student and dealing with a microbiology assignment.I am given a paitent sample.My paitent is 4 years old-diagnosis Pneumonia- summary of peresent illness =Recurrant colds, ear infections,and bronchitis.She has been sick for past 3 weeks. Developed a fever yesterday.Also nausia and vomiting,muscle aches.Past Medical history= Cystic Fibrosis diagnosed at age 3.I did all the lab work and found out that the bacteria causes the disease is Psudomonas aeruginosa. What is the appropriate treatment? Please help.",
        "Hello As you explain cefuroxime or the group of kinolones are the right choice of treatmentRegardsDr.Jolanda."
    ],
    [
        "Thank you. My doctor told me after taking an ex-Ray that I have pneumonia on my left side. I am coughing and running fever of 100 to 102 and jumping taking antibiotics amoxicillin-clav 875-125mg twice a day and azithromycin 250mg once per day also one Tylenol extra strength to bring fever down unfortunately fever won t go down just fluctuates - am I doing the right treatment - I am 86 years old.",
        "Hello Yes i agree with the treatment its ok continue it as the doctor gad prescribed it for you Regards Dr.Jolanda."
    ],
    [
        "My 80 year old wife is home recovering from pneumonia (double) twice in August. Her blood pressure has dropped to 82/44. How dangerous and how can I increase the level. Hospital sent her home with oral antibiotics the first time, no antibiotics the second time. She has been treated for this disease 4 times in past 12 months.",
        "Low blood pressure can be a serious and life-threatening problem. Is her blood pressure normally a lot higher than this? If so, then I would suggest urgent evaluation by a physician. Infections can lead to a response called sepsis, and part of this may include a drop in blood pressure, which can be dangerous to her organs. Ensuring adequate hydration is important, as dehydration can cause low blood pressure as well. If she is acting confused, fatigued, or more tired than usual then I would suggest urgent medical evaluation. I hope she feels better."
    ],
    [
        "my daughter is 3 and a half...has had pneumonia twice and is currently being treated with seretide inhaler, ventoline exohaler, brozedex and ebastel.  Her chest infection though isn't clearing and her appetitie is low.  She complains of chest pains.  What is the best way to get her treated and cured?   She has used seretide for over 4 months now and it has a steroide and that may have side effects, but the doctor says she must have it to stop the infection, but that isn't working either.",
        "Thanks for your question on Healthcare Magic.I can understand your concern. In my opinion, you should consult pediatric pulmonologist and get done bronchoscopy and BAL (bronchoalveolar lavage) analysis.BAL culture and sensitivity report will isolate the causative organism and guide about effective antibiotic treatment. So we can achieve faster recovery from this. Don't worry, with effective antibiotic treatment, she will be alright with 2 - 3 weeks treatment.Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks."
    ],
    [
        "I HAVE A AUNT THAT IS IN THE HOSPITAL AT ST VINCENTS BLOUNT IN ALABAMA SHE MAY OR NOT HAVE PNEUMONIA SHE HASNT NEVER EAT RIGHT ALL SHE LIVES ON IS COFFEE AND JUNK FOOD AND TOASTER STRUDEL, WHAT CAUSES NAITED HOWEVER U SPELL THAT SHE TRIED TO EAT SOMETHING BUT SHE GOT NASATED.",
        "Hello welcome to the health care magic Your concern is regarding pneumonia... In pneumonia cough,  dyspnea,  fever like presentation seen For its diagnosis chest x ray and sputum examination done Hope your concern solved Take care."
    ],
    [
        "My mom has inclusion body myositis and is 81 years old - she has had the disease for approximately 20 years+ . . .she has been experiencing bouts of pneumonia and congestive heart failure - I am wondering if she will deal with this to the end and if you can tell me what the end will look like?",
        "Hello It is hard to predict her clinical picture. Usually it depends on her heart situation and her treating doctor knows better. Regards Dr.Jolanda."
    ],
    [
        "I have had constant chest inf was hospitalised for 4 days said they think phnewmonia out now still on lots of anti biotics and steroids however I'm still sweating have right lower back pain and still really coughing and short of breath. I am MBL deficency and alpha 1.",
        "Hello Yes according to the history it might be pneumonia.Continue the current treatment.RegardsDr.Jolanda."
    ],
    [
        "I have been sick for going on four weeks now. It keeps changing each week from a stuff nose wear i cant breathe at all to my throat hurting and my chest hurting when i breathe or talk. Im constantly falling asleep and keep having a fever on and off all the time. I went to the urgent care a week ago n they said i had the beginning of pneumonia. He only gave me a zpack and some cough medicine. The thing is I feel worse not better at all....what should i do?",
        "Hello First do a chest x ray and some blood tests such as hemogram CRP ESR than it would be the proper treatment.RegardsDr.Jolanda."
    ],
    [
        "I am a family doctor in an outpatient family medicine setting, and the question was raised reguarding treatment for community acquired pneumonia. If reoccurance of infection occurs, after treatment with z pack within 90 days how  should patient be treated.Would it be safe to treat again with levaquin as an outpatient?",
        "Hello It depends on the age, commodities, immunity status and the cause why the pneumonia is come back again.RegardsDr.Jolanda."
    ],
    [
        "My husband (age 63 and in great health) was diagnosed with strep pneumonia and spent 3 days in the hospital, he was released with antibiotic Levaquin, after 5 days I had to bring him back to the ER because he spiked a fever of 101. They discovered that the original pneumonia of the right upper lung was almost gone but it had spread to the lower lobe. They discharged him with prescriptions for Azrithomycin 500 mg once a day for 7 days and Amox TR-K CLV 875-125 twice a day for 10 days. The Amox is making him very nauseated and he gets headaches from it. Can he stop taking it after 7 days instead of 10? Generally he is feeling better, no fever since beginning the two antibiotic combination?",
        "It will be better if he takes it for 10 days. In order to prevent from nausea and headache you cam give him combination of antacid with antiemetic i.e drugs like PANTOP D OR NUPENTA DSR OR GEMPRAZ DSR ONCE A DAY for the rest of the treatment period."
    ],
    [
        "I was swimming in a pool on 2/15 and I slipped and went under the water unexpectedly and I wound up choking quite badly on some water.  I couldn't catch my breath and I felt like I had water in my lung that I couldn't expel with coughing.  Yesterday I began having a hacking cough and a sore throat (fells like my throats on fire).  Today I feel even worse, my cough is worse and sounds more \"cruddy\" and my throat still hurts, my head is pounding and my body is starting to ache.  Could I be developing aspiration pneumonia?",
        "Hello If the situation has been very short under the water i do not think it might be aspiration pneumonia.RegardsDr.Jolanda."
    ],
    [
        "I have pneumonia and I am on Levaquin with one day left on my cycle but i feel really crappy, tired, short tempered, headache, and my temperature is 97 do I have anything to worry about? Before taking the Levaquin my temperature was around 102.4 and normal for me is 98.6 on the money.",
        "really crappy, tired, short tempered, headache are beacause of fever low grade and also pneumonia, evaluate yourself by CURB 65 score and pneumonia severity index and get you answer."
    ],
    [
        "My husband has advanced M.S.  After battling a cough for a month, he had a chest X Ray and we were told he had pneumonia. He was on an antibotic for 10 days which ended 1 week ago today. His nurse was here halfway through the dose and said his lungs sounded clear  He has not been coughing or a temprature in over a week. This evening he started coughing, phlegm is not discolored but when he coughs there is a strange odor that I can not describe. I have never smelled an odor like this.",
        "Hello dear Warm  welcome to Healthcaremagic.comI have evaluated your query for your husband in details  .*  This odor is in relation with underlying pneumonia causing pathogens  *  Must seek doctor`s opinion immediately , this is not normal .Wishing him fine recovery .Feel  free  to ask any further doubts .Regards  ."
    ],
    [
        "I have been ill for 6 weeks and my GP suspected pneumonia and I was put on antibiotics.  The third one has almost cleared the infection.  However, I had an X-ray and it apparently showed nothing at all, although all my symptoms were in line with pneumonia and my GP had definitely heard a lot of crackles in the left lung.  Is it possible that I had pneumonia if the Xray was clear?",
        "Thanks for your question on Healthcare Magic.I can understand your concern. For diagnosis of pneumonia, chest x ray need to have infiltration.With normal chest x ray, pneumonia is not possible. Cough, congestion, crackles on auscultation are also seen with bronchitis. And bronchitis shows normal chest x ray too.So it is quite possible that you improve within antibiotic because antibiotics also work in bronchitis. So I don't think you are having pneumonia because your chest x ray is normal. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "i am a 14 year old female that was recently diagnosed with a slight bit of pneumonia, i took the antibiotics that i was supposed to take: once a day for 6 days, i completed it. But I want to know if I'm know cured, it's been a week or two since I finish the tablet treatment, How can I tell that i'm cured?",
        "Thanks for your question on Healthcare Magic.I can understand your concern. If you are not having fever, cough or chest pain after completing antibiotics, you are probably cured from pneumonia. You are should also get done chest x ray. If recent chest x ray is showing normal results or resolving infiltration then you are cured from pneumonia. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "My friend had pneumonia a few weeks ago and was given cipro and flagl antibiotics.  She had to return to the hospital two more time because of spiking temperatures.  Fluid was tested from her lungs and came back negative.  Could she possibly have contacted mersa?",
        "Thanks for your question on Healthcare Magic.I can understand your concern. Repeated spiking temperatures (fever) in pneumonia patient is suggestive of nonresolving pneumonia.So better to consult pulmonologist and get done sputum culture and sensitivity report. Culture report will isolate the causative organism (if it is MRSA or other bacteria) and sensitivity report will guide about effective antibiotic treatment.He may need higher antibiotics on the basis of sensitivity report. By this, we can achieve speedy recovery. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks."
    ],
    [
        "I am 33 years old, I was diagnosed with pneumonia almost a month ago after a short period of low grade fever and dry cough. Even after treatment with 4 courses of antibiotics dry cough has not resolved.I am having pain on the right lower side of the rib which is constant and experiencing back pain and pains all over my back and chest in a nonspecific pattern. A chest CT was performed and found subsegmental consolidatory changes in the anterior and lateral basal segments of right lower lobe with bronchial wall thickening, minimal ground glass opacification in the adjacent posterior and medial basal segments, few small mediastinal and axillary lymph nodes, plus few lymph nodes seen in the pretracheal region, few of them showing dense calcification.My last lab report from december 23rd is as followsTOTAL COUNT-7200/cummNeutrophils-70%, Lymphocytes-28%, Eosinophils-2%ESR-28 mm/hr.Still I am having fatigue, dry cough and pains. What can it be?",
        "Thanks for your question on Healthcare Magic.I can understand your concern. Possibility of post infectious bronchitis is more likely. Bronchitis (inflammation of airways) is common after pneumonia.And persistent dry cough and chest pain are mostly due to bronchitis.So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "I ve had pneumonia numerous times always in my left lung. The last time was a year ago, it never went away. My pulmonary explained that the disease is between all the scar tissue. I also have Crohns Disease and am treated with remicade. After several C-Scans which showed a mass and biopsies and cultures which came back negative,I had the left lung completely removed last month and was diagnosed with pulmonary eosinothioia. Does this sound correct?",
        "Hello dearWarm  welcome to Healthcaremagic.comI have evaluated your query in details  .*  According to the narration it was seemingly the correct decision of     surgery  on part of the surgeon as well  as  patient , because  the      medicines  were  not  going to cure it at  all .Wishing you fine recovery .Feel free to ask any further  queries .Regards  ."
    ],
    [
        "I had a fever from Friday to yesterday (Sunday), along with a cough. The temperature is now gone, but my cough is still here. I have been clearing my throat for a couple of weeks, but the coughing part started I believe on Saturday. Today, the cough is breaking, and other then the cough I feel 100% fine. Do I have pneumonia?",
        "Thanks for your question on Healthcare Magic.I can understand your concern. Possibility of pneumonia is very less because you are not having chest pain, mucus expectoration and your fever is also gone.So drink plenty of fluids orally and keep yourself hydrated. Avoid oily and spicy food. Avoid junk food. Avoid hard to chew food. Take levocetrizine and paracetamol combination twice daily. Do warm water gargles and steam inhalation 4-5 times a day. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "I was diagnosed with double pneumonia 1 week ago having had the symptoms for a week, I have been on heavy penicillin and am left with weakness and a bad cough. My query is that my urine is reddish brown, looks like some blood could be there. Is this part of pneumonia. Thank you for your time. Jean aged 72 and normally healthy except for overweight.",
        "Hello dear Jean , hiWarm  welcome to Healthcaremagic.comI have evaluated your query in details  .* The urine color is in relation with side effect of penicillin , not a part of pneumonia .*  Has to be   addressed  immediately  to  your  treating  doctor for  this    issue .Wishing you fine recovery .Welcome for any further  guidance .Regards  ."
    ],
    [
        "NAME: Brent.AGE: 22SEX: MaleSYMPTOMS :I have a cough that seems to be reccursive. It occurs usually at nightime, or if I gave a very intense sneeze or laugh. When this cough occurs, it is very dry, that it would sound like a yelping dog. Also, besides cough, I do experience a reccursive runny nose, sometimes coupled with watery red eyes and itchy throat. The runny nose discharge is transparent, almost like saliva or tears. Ironically, after a while, these symptoms would disappear, and when they do disappear, I feel completely normal.  I have already consulted a doctor and was diagnosed of allergic rhinits. She adviced me to take anti histamines, either zirtec or iterax, which ever do i prefer. Unfortunately, it works at often but not at all times.HOW MANY DAYS?:Reccursive cough has been going on since april of this year. As for the runny nose, since november of last year ALLERGIES: not that i know of, When I was five years old, I remember being diagnosed of Primary Complex, but was able to be treated before it goes into something else. Also, TB runs in the family, as my uncle had it before, and so as my mom (although the doctor said it was already a scar). As for me, 2009 was a stressful year. There were months, when my hours of daily sleep was only around 3 to four hours due to school work. Also, for a period of time I was involved in smoking, although it has been a month since I stopped. Doctor, I would just like to know what are the chances of me, acquiring respiratory illness like pneumonia or tuberculosis, or development of asthma? Also, if i get to consult a doctor personally with my parents, will the doctor be able to detect my past smoking habit, based on the procedures he will do, or with tests that he will recommend like xray? The truth is, I am hesitant to go to a medical clinic, because my parents have to accompany me, and I am afraid that the doctor might make \"bisto\"  towards my parents, as they don't know that I do smoke. But i do really want to seek medical attention. Besides the incovenicence of symtpoms, I am worried that it might be something serious. Hoping for a  share of your brilliant expertise. thank you doctor and good day.",
        "Thanks for your concern. The dry cough basically has a few causes....First is Post nasal drip, second  Gastroesophageal reflux'heart burn', third Cough variant aasthma, forth Heart failure and finally Interstitial lung disease. Based on the information if you don't have a heart burn or reflux of food or sour brash into your mouth, you are having a cough variant asthma, make sure you do not have difficulty breathing. There is something called cardiac asthma, but it's not much of a likelihood given your young age.I advice you that you give up on smoking as it causes a multitude of problems and may well be related to the cough you've been having now called as 'smokers cough'.It's time that you stop smoking, avoid animal dancers, mites, pollens and any thing that would exacerbate the illness, make sure you don't have a heart burn, and if still the cough persists , meet a pulmo neologism and get a Pulmonary function test with methacholine challenge."
    ],
    [
        "my boyfriend was put in the hospital for strep a nemonia 5 days ago yesterday they done another x ray and said that his nemonia was getting worse and had spread to his left lung and was also in his right real bad they also done a culture on the stuff that hes been coughing up out of his lungs and today they told us he has staph in his lungs how dangerous is this and what should be done.",
        "Hello Thank you for trusting HCM Dear what is the culture report suggestive?? Staphylococcus aureus pneumonia take more time to come under control, usually community acquired Staphylococcus infection may present with methicillne resistance(MRSA) , for this patient cases need to treated with vancomycine, and linezolid. Some patients also developed vancomycine resistant staph aureus (VRSA) infection, this infection very problematic to control. very few drugs like Quinupristin-dalfopristin and linezolid available to control VRSA. Please follow your doctor orders they will treat you in right way. I think I answered to your question if you have more questions please feel free to ask."
    ],
    [
        "Just found out I was pregnant. Yesterday diagnosed with pneumonia. I am a high risk pregnancy. Fertility issues, pcos, weak cervix. Delivered first daughter at 29 weeks, miscarried, and gave birth at 38 weeks to second daughter, but was on bedrest for weak cervix beginning at 5 months. I m a wreck. When I miscarried they said my progesterone level is low which caused me to miscarry, and gave me progesterone shots every week. Can t see doctor for two days.",
        "Thanks for your question on Healthcare Magic.I can understand your concern. Pneumonia with pregnancy is always critical.Antibiotics as early as possible is the treatment of choice for pneumonia. So better to immediately consult doctor and start antibiotics for pneumonia. Drink plenty of fluids orally and keep yourself hydrated. With prompt and appropriate treatment, pneumonia can be cured easily. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "I was recently diagnosed with pneumonia. I believe this started from bronchitis. I am now having some mild chest pain after a meal and it goes into both shoulders and can last anywhere from 15 to 90 minutes. Any ideas. This has occured for about two weeks. I am taking ceclor.",
        "Hello dear , hiWelcome to Healthcaremagic.comI have evaluated your query thoroughly .*  The shoulder pain is in relation with the referred pain from the Phrenic  nerve irritation via pneumonia patch .Hope this clears your query .Wishing you fine recovery .Regards ."
    ],
    [
        "I have been recently diagnosed w the flu (nose swab test done). I am 34 years old- ex-smoker (quit completely for 7 years now) however each year I get \"walking pneumonia\" at least once. I'm almost certain I've got it again now. Anything I can do to stop getting pneumonia??",
        "Thanks for your question on Healthcare Magic.I can understand your concern. You should do following things to prevent recurrent pneumonia and improve your lung health. 1. Drink plenty of fluids orally and keep yourself hydrated.2. Do steam inhalation and warm water gargles 5-6 times a day.3. Take pneumococcal and influenza vaccine. Influenza vaccine should be taken annually while pneumococcal every five yearly.4. Avoid smoke, dust, fumes, chemicals etc and wear mask.5. Avoid unnecessary hospital visits.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "Hello. About 3-4 weeks ago I was diagnosed with pneumonia. After two weeks I felt well enough to start getting back out, but I continued to cough up mucus. I got in the swimming pool last night and it was an outdoor pool and kind of cool. this morning I woke up with fever, wheezing bad and my back in my lung area hurts so bad. The coughing is getting worse too. Could the pneumonia have came back or never left? What should I do?",
        "Thanks for your question on Healthcare Magic.I can understand your concern. Swimming pool water is full of organisms. So possibility of relapse of pneumonia is more likely because your symptoms, coughing, wheezing, chest pain are more suggestive of pneumonia. So consult your doctor and get done clinical examination of respiratory system and chest x ray. If chest x ray is showing fresh infiltrates then you will need another course of antibiotics, mucolytic and expectorant drugs. Avoid swimming for atleast 1 month.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "my daddy is mystenia patient and he is suffering from pnemonia , and has been given augmneton from 3 weeks three times a day. Now when we have done his sputom test , he has got Gram -ve as 2+, so he is been given medicine doxiflow, and have been asked to go for asthama test. I am afraid if this is really a asthama case.",
        "Hello dear , hiWelcome  to Healthcaremagic.comI have evaluated your query thoroughly .*  The asthma is basically restriction of  airway due to  variety of reasons     which may be pneumonia or other .*  Amount of chances depends upon the  severity of pneumonia , host     factors , aggressiveness of  the  treatment  with body response .Hope this clears your query .Regards ."
    ],
    [
        "Hi, my Mom is 65 years of age, she never took ANY medication except for antibiotics in March when she broke her wrists of osteophyroses, about 4 weeks back she went to  a doctor  for a cough who tokd her she had brochites, and gave her a antibiotic of 400mg that she had to take twice a day, then that night she got worsr, thwe next day she went to another doctor who admitted her to hospital, said she had neumonia.Shes been in ICU ever since. She develop water in her lungs, her kidneys and liver had failed to work twice now, and she have infection in her muscles, (Cant Walk, talk & struggle to brath.",
        "Thanks for your question on Healthcare Magic.I can understand your concern. By your history and description, possibility of severe pneumonia with sepsis and MODS (multiple organ dysfunction syndrome) is more likely.Best treatment of pneumonia is identification of causative organism and then start appropriate treatment. So get done bronchoscopy and BAL (bronchoalveolar lavage) culture and sensitivity report.Also get done blood culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. By this we can achieve faster recovery. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "I have been sick for five weeks, I had pneumonia or bronchitis my doctor said.  Three weeks later I wasn't better so I went to doctor and had spatum test and she said I had significant ammounts of strep in my spatum.  I have chest pains and burning in my lungs, dizziness, caughing and a lot of mucus. I don't really understand what strep is and if this is serious.",
        "Step short form for Streptococcus pneumonia. It is a microorganism which causes pneumonia or infection. With antibiotics it should get treated. It can be serious if not treated."
    ],
    [
        "Hi, may I answer your health queries right now ?  Please type your query here...I had pneumonia in Aug. of 2010, then again in Oct, of same year with fluid on my lung, this past week I started with sore head eyes and ears, within 2 days I started coughing and wheezing, went to urgent care, no temp.,b/p 148/84, o2 95, wbc low,3 was given antibiotic and inhaler. I still have bouts of coughing so much I get exhausted and a lot of wheezing, the wheezing is so bad , when I go to bed I am unable to sleep, should I return to urgent care or will this get better soon, thank you so much.",
        "listen carefully, you need full check up of lung and heart and some extent blood. i mention here some investigation if you prefer to do it1. cbc LFT, KFT, 2. SERUM IgE TOTAL3. XRAY  PA CHEST 4. ECG AND 2D ECHO5. IF POSSIBLE HRCT THORAX."
    ],
    [
        "i am 46yrs old two wks ago i was diagnosed with pneumonia and the same time i had this suffercation feelin which was really scary i have had two lots of antibiotics and a nasal spray, today is the first day it has felt ok but im worried its goin to come back.",
        "Thanks for your question on Healthcare Magic.I can understand your concern. In my opinion, you are mostly having bronchospasm which is causing this suffocating feeling. Pneumonia causes inflammation in airways and this in turn causes bronchospasm. So in my opinion, you should ask your doctor about starting inhaled bronchodilators like formoterol or salmeterol to relieve bronchospasm. Also avoid stress and tension, be relax and calm. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "My daughter had a fever since monday. Maximum temp is 39 & the loweest is 38.4C. She also has cough & colds. Doctos saif she has pneumonia and wants to give her antibiotic already. When i asked if its viral or bacterial, she said she doesn't know. How would you know if it is viral of bacterial? I'm hesitant in giving her antibiotics because last month she took 2 kinds of antibiotics already.",
        "hi hope to satisfy youactually there is an viral infection there must be superimposed bacteria infection too.viral resolves with the passage of time on its own but to treat bacterial one we have to give antibiotics.for pneumonia you should give her azithromycin according to her weight 10 mg /kg wight once a day and for 5 days.plz mention the age n weight for next onwards.also give ibuprofen 10 mg /kg weight three times a day for 3 days n for nasal congestion give give arinac syrup twice a day for 7 days.hope she feels better soon."
    ],
    [
        "Hello Doctor, I am COPD patient. I was taken a vaccine called Pneumo 23 almost 4years and 8months ago. The doctor advised me to take the vaccine once in every 5 years. But before the completion of 5 year I am diagnosed with Pneumonia. What should I do? Should I take the vaccine before the completion of 5 year period? Please advise.",
        "Thanks for your question on Healthcare Magic.I can understand your concern. Pneumococcal vaccine is live attenuated vaccine. So it is contraindicated in active infections like pneumonia because it can flare up infection. So better not to take pneumococcal vaccine at present. Get complete cure from current pneumonia and then take pneumococcal vaccine. Don't worry if time period between two vaccine is more than 5 years.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "My sister has recently had a bone marrow transplant. In June she had a lung infection and since has had breathing problems. She has just been readmitted and a scan showed pneumonia, pus and fluid has been drained and further tests have shown she has a fistula? If this is treated will her breathing problems be eased?",
        "Thanks for your question on Healthcare Magic.I can understand your concern. Yes, if we treat Fistula, drain pus and fluid and cure pneumonia, her breathing will be eased.Since she is bone marrow transplant patient, possibility of atypical bacterial infection is more likely because of immunosuppression.So get done bronchoscopy and BAL culture. Also get done fluid culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. By these, we can achieve faster recovery. Hope I have solved your query. I will be happy to help you further. Wishing good health to your sister. Thanks."
    ],
    [
        "my son who is 19, suffered from mono last spring with a tonsillar abscess requiring hospitalization for steroid and antibiotic infusion. due to how ill he was, they did not want to remove the tonsils but recommended he have them removed when he improved. he went off to college, became ill, was diagnosed with pneumonia and still had a positive mono spot. so we were unable to schedule it for the christmas break as we planned but now he has a piece of his tonsil that is actually hanging off=it looks like the strands between his cryptic tonsil areas broke off and left this piece dangling. it is umcomfortable but i am not sure if it is emergent. no fever or c/o sore throat right now, but overall still not up to par since this continued bouts of illness.",
        "Hello dear , hiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .*  Suggestions for better  recovery in this case -  Maintain hydration with plenty of liquids .-  Balanced nutritious diet .-  Avoid excess sugar , spicy , oily , non veg , chilled beverages .-  Gargles with salted lukewarm water added peppermint  oil  3  times / day -  Avoid exposure to dust / pollens , if necessary use triple layer face mask-  Continue antibiotics , decongestants  as  per  advise  of  the  doctor .-  ENT  visit  for  tonsillar  issue .Hope this will help you for  sure .Regards ."
    ],
    [
        "diagnosed with type b flu on sunday, getting worse even with meds, now have rattling breathing and cough, only slight fevers that come and go, chest hurts, throat hurts, very weak, no appetite. And almost 33 weeks pregnant... could this be the sign of pneumonia coming on?",
        "Thanks for your question on Healthcare Magic.I can understand your concern. Yes, your symptoms are suggestive of pneumonia more. Pneumonia (lower respiratory tract infection) is common after upper respiratory tract infection (URTI).Worsening cough, chest congestion, rattling sound from chest, weakness, loss of appetite etc are characteristic symptoms of pneumonia. So better to consult pulmonologist and get done clinical examination of respiratory system and chest x ray (with abdominal shield).You should definitely start higher antibiotics to recover faster as you are pregnant. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "My girlfriend was admitted into the hospital one week ago with pneumonia. A week later ,after being on constant IV antibiotics and fluids, her chest x-ray came back worse than a week ago. Also they have said something about a problem with her kidneys.",
        "Thanks for your question on Healthcare Magic.I can understand your concern. Pneumonia is lung infection. If not treated appropriately, it can cause generalized sepsis in the body.This sepsis can damage other vital organs like kidney, heart, liver etc. Since her chest x ray is worsening after 7 days of antibiotic and her kidneys are also-ran showing problem, possibility of severe pneumonia with sepsis is more likely.Best treatment of pneumonia is identification of causative pathogen and start appropriate treatment. For this bronchoscopy and BAL (bronchoalveolar lavage) is needed. BAL culture and sensitivity should be done. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. So discuss about bronchoscopy and BAL with your doctor. Hope I have solved your query. I will be happy to help you further. Wishing good health to your girlfriend. Thanks."
    ],
    [
        "my son is 2 month old and when he was one month old then namuniya atak him and he was admited one month in Eraz hospital in balagung and after 15 days he having problem in the breathing he cant breathing well can u tell me what is the problem he have and what is the sulation?",
        "Hello dear, Warm welcome to Healthcaremagic.comI have evaluated your query thoroughly .*  This has different  reasons  as    -  residual effect of pneumonia  -  decreased lung  immunity  -  spasm of       bronchi or alveoli with secretions  -  others .*  Need  urgent pediatric consultation for further management .Wishing your angel fine recovery .Regards ."
    ],
    [
        "hi doctor,pls help me as my 67 year old mother is critical due to Tuberclosis and pneumonia .Her right lung is almost destroyed due to TB..This is a 3rd attack of the disease in last 14yrs.She is having difficulty breathing without oxygen and her oxygen levels are pretty low without support..they dropped to 50% at one time when she was off it.pls tell me if she is a candidate of lung transplant and what are her chances.urgently help..i live in dubai but right now i am in delhi to take care of it..i am told lung transplant isnt an option for her also it is not done in india..we r ready to come any where...pls helpdistressed daughter.",
        "Hello dear, Warm welcome to Healthcaremagic.comI  have  evaluated your query in depth , I can understand your feelings for your mother .*  She is in advanced stage of the disease , as it must be now drug     resistant  TB by now with multiple relapses .*  You have to accept the condition and give her symptomatic supportive     treatment  as  per  the  narrations  , she is not going to be cured totally     from  this  stage  of  the  systemic  illness .Wishing her fine health ahead .Regards ."
    ],
    [
        "Hi, may I answer your health queries right now ?  Please type your query here...I have been to the doctor 2 times. First time, it was a severe sinus infection, week later had to go back, turned into pneumonia, had to go back third time. All 3 times I was given a shot, antibotics & c-pack first time, steroids, antibotics & shot second and antibotics & shot third. I have been hurting under my ribs and has gone to my back and shoulder. Do you think the pneumonia has gotten worse? Do I need to go back to the doctor?",
        "Hello dear, Warm welcome to Healthcaremagic.comI have evaluated your concern in depth .*  This indicates lung pathology giving nerve endings pain with hurting ribs    radiating to back and shoulder .*  If  not  carried  out  x-ray chest  with or without  CT thorax is a must for    proper  diagnosis and management  guidelines .Hope this clears your query .Regards ."
    ],
    [
        "My father 82 years old was in the hospital for pneumonia and per cardiac catherization showing blockage. It was diagnosed that blockage was too much for bypass or stent. Only medication is given to help heart. Heart muscles also showed dead so it was no use to have bypass surgery per cardiac physician as even if blockage removed muscles would not help heart. My question is that now released from home he has been very uncomfortable during night sleep. He moans while asleep. He gets up and sits on bed. He then lays back and the same continues. He states being tired from hospital stay. He states he is tired from stay in hospital like hospital bed etc.  He really gets to sleep at 6 am and then during the day he is fine. Then the next night it starts again. Has been home since Feb. 2. Current medical doctor provided meds to sleep but that was worse. My mother is the primary caretaker and has reported his night sleep is off after returning home. Does the new diagnosis cause this or is there is a reason. Thanks.",
        "Hello dear, Warm welcome to Healthcaremagic.comI have evaluated your query thoroughly .*  There are different  reasons  for this as    -  lung abscess -  effusion  -  cardiac  distress induced  -  lung hypoxia     due  to  altered  pulmonary pressure  -  anxiety  exacerbation  -  others .Hope this clears your query .Regards ."
    ],
    [
        "Dear Dr.Mahashur, i have been diagonised with 'MYCOPLASMIC PNEUMONIA' by a Dr in Singapore,(mycoplasmic pneumonia antibody fbc=  >1:1280) and am now on a 20-days course of 'avelox' ( moxifloxacin 400 mg) and have also been advised to take steroids for 10 days. I have already gone through a course of antibiotics to treat pneumonia (CLAVICEF)and TB has been eliminated by carrying out a bronchoscopy and lab analysis for TB. I am apprehensive about taking steroids, so pls advise if it is necessary to take steroids? thanks.",
        "Hello dear, Warm welcome to Healthcaremagic.comI have evaluated your query thoroughly .*  The need of steroid is determined by the clinician taking into     considerations  many parameters .*  Steroids help to relieve mucosal  inflammation of the bronchi , gives     faster recovery , so under medical guidance a short course of steroid     to  be  consumed  has  no  harm in it .Hope this will help you for sure .Welcome for any further assistance .Regards ."
    ],
    [
        "Hi, may I answer your health queries right now ?  Please type your query here...I am 42 year old female with known case of pneumonia and constant coughing and low body temp of 35.3c  feeling anemic advise please ? currently using Bioxin and guafinicine/codein.",
        "Thanks for your question on Healthcare Magic.I can understand your concern.Constant coughing and hypothermia (low body temperature) in pneumonia patient can be due to1. Worsening of underlying pneumonia2. BronchitisSo better to consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test).Yoi may need higher antibiotic and inhaled bronchodilators (formoterol or salmeterol).Don't worry, you will be alright with all these.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "i had a severe bout of pneumonia is Nov.  I am feeling pain in the same area of my right lung again. Am coughing a bit but do not have a cold. Did notice a little mucos over the past couple of days. could the pneumonia be back?  typcially i ma in great shape.",
        "Thanks for your question on Healthcare Magic.I can understand your concern.Pneumonia can recur.So better to first rule out pneumonia for your symptoms.So get done chest x ray.If chest x ray is normal then no need to worry for pneumonia or other lung disease.Take simple painkiller like paracetamol or ibuprofen. Apply warm water pad on affected areas.You will mostly improve with all these.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "A friend of mine has been treated for an, as yet unidentified, intestinal parasite with the antibiotic Levofloxacin. He was also diagnosed with a right lower lobe pneumonia discovered on CT scan. His physician told him that the antibiotic would take of both the pneumonia and the parasite. As a NP, I am familiar with Levaquin s use to combat pneumonia but the only antibiotics I can find for use as an antiparasitic are Tetracyline and Emycin if Metronidazole cannot be tolerated. Is Levofloxacin now also being used the way Emycin might be used in the absence of Flagyl?",
        "Respected user , HiWarm welcome to Healthcaremagic.comI have gone through your concern in depth .*  Levofloxacin is best effective molecule for pneumonia and many intestine    bugs .*  Metronidazole  may be kept reserved on waiting for certain test reports      or clinically physician may not need  to  add to the drug cart according     to the evaluation and clinical experience .Hope this clears your doubt .Regards ."
    ],
    [
        "hi last night i went to emerg i heard the nurse tell my doctor i might have pnemonia he didn't even bother coming to see me and when i left upset and walked to his office he prescribed me meds that may react somehow with the meds i'm taking  should i be concerned should find a new doctor is this common way to treat your patients? he was the doctor on call last night.",
        "Thanks for your question on Healthcare Magic.I can understand your concern.Yes, you should definitely consult another doctor.Pneumonia is lung infection and it should be treated promptly and correctly.And chest x ray is must for the diagnosis of pneumonia.So better to consult another doctor and get done chest x ray to rule out pneumonia.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "Son is 9 years old.  He has strep and is on amoxicilin.  His fever is gone now, but he still doesn't feel good.  Very tired and dark circles under the eyes.  Very pale.  He has been on the med for 3 full days and I think the antibiotic is not working.  Could he also have pneumonia (no cough though).",
        "Thanks for your question on Healthcare Magic.I can understand your concern.No need to worry for pneumonia as he is not having coughing.Coughing is first symptom of pneumonia.So pneumonia is unlikely in the absence of coughing.And 3 days antibiotic duration is too early to decide about effectiveness.You should give full 7 days course of amoxicillin.Fever was subsided so amoxicillin Island definitely working.Along within amoxicillin, give him plenty of fluids orally, fruits, juices etc for energy.Don't worry, he will be alright.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "My 1 year old daughter has been congested for about 2 days no coughing. Today she was fine this morning other than the stuffy nose. Now she is just laying around, just wants held interested in absolutely nothing and she has projectile vomited 3 times. Pneumonia is going around I know numerous people that have it. Are those symptoms?",
        "Thanks for your question on Healthcare Magic.I can understand your concern.Yes, possibility of pneumonia is more.Children don't show high grade fever sometimes.Vomiting can be seen in pneumonia. Chest congestion is classical symptom of pneumonia in children.So better to take her to pediatrician and get done clinical examination of respiratory system and chest x ray.She may need antibiotics and other supportive drugs.Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks."
    ],
    [
        "I was diagnosed with a very large  pneumonia about a month ago in my left upper lobe, I have been on 3 different kinds of antibiotics.  I just received a phone call from my doctor with the results from my follow up chest xray and find out that the pneumonia has not gone away and is still about the same size.  What should be our next step?  She wants to put me on another type of anibiotic.",
        "Thanks for your question on Healthcare Magic.I can understand your concern.You are having persistent lung opacity despite of antibiotic treatment.So possibility of these is very high. 1. Drug resistant infection2. MalignancySo better to first diagnose and then start appropriate treatment.Bronchoscopy and CT scan of thorax are advised in your case.Bronchoscopy will isolate the causative organism and guide about specific antibiotic therapy.CT scan will tell you if there is mass lesion present or not.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "the bottom of my lungs hurt when i yawn. Its been going on for about 3 months right after my boyfriends grandmother got sick with pneumonia and sepsis. Im worried that something could be wrong because I was in the hospital with her a lot and she cough on me quite a bit and I am a type one diabetic should I go talk to my family doctor about it?",
        "Thanks for your question on Healthcare Magic.I can understand your concern.Yes, you should definitely consult your doctor.Pneumonia spread by coughing. So you might have cought infection from your boyfriend 's grandmother. You are also a diabetic, so lung infections are very easy to affect you.So better to consult your doctor and get done clinical examination of respiratory system and chest x ray.If chest x ray is normal then no need to worry for pneumonia, take simple painkiller like paracetamol for your chest pain.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "I was diagnosed with pneumonia 5 days ago and went to urgent care. been on prescribed antibiotics and I completed the 5 day treatment today, (Levofloxacin) I have flight reservations to Michigan on Friday morning 4/28/2017. Will it be safe to fly. Please advise. your anticipated help will be appreciated.",
        "Thanks for your question on Healthcare Magic.I can understand your concern.You have given oral antibiotic for pneumonia.This itself suggests that you are had walking pneumonia (no serious type).Levofloxacin is broad spectrum antibiotic and usually sufficient for walking pneumonia.So if you are don't have fever or coughing at present and feel good then you can definitely fly. No harm in it.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "I am recovering from Double Bilateral Pneumonia in hospital 3 days. I m an RT so I knew I had to use incentive spirometer and nebulizers for 2 weeks I am 2 weeks post discharge. I have to wear 02 at night only .5 to. 1 liter to keep sats above 90. During the day I occasionally need o2 I am on medical leave for 4 weeks is this going to get easier to breath soon I am resting as much as possible. I don t have much choice rather rest than feel pain I. Chest.",
        "Thanks for your question on Healthcare Magic.I can understand your concern.Pneumonia usually takes 2-3 weeks for complete recovery.Your oxygen requirement is decreasing. This is suggestive of recovery. So you will definitely be alright after 4 weeks. So get done repeat chest x ray to see how much pneumonia is recovered.Chest physiotherapy, deep breathing exercises, incentive spirometry are vital to achieve good lung functions after pneumonia.Don't worry, you will be alright.Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "Good day,My son, who is 4 yrs old, has been diagnosed with lobar pneumonia and is now hospitalised.  This is about his 6th or 7th infection.  He had a double aortic arch that led to the entrance of his right lung and his trachea and esophagus being squeezed. He is now diagnosed with asthma.  Can the pneumonia deplete his lung function over time? What, if anything, can I do to reduce the number of infections?",
        "Thanks for your question on Healthcare Magic.I can understand your concern.Yes, recurrent lung infections can directly diminish lung functions.Recurrent infections can also cause asthma, bronchitis and further deteriorate lung functions.Best way to prevent respiratory tract infection is vaccines.Give him pneumococcal and influenza vaccines.These vaccines will provide 80% protection. Give him fruits, multivitamin tablets and protein powder for high immunity.Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks."
    ],
    [
        "Hi .. I have been diagnosed with Pnemonia and have not slept in 4 days because of the coughing .. i'm hurting everywhere, going sligtly insane and cannot get to sleep no matter how much i try .. as soon as i breath in, it hurts and a cough .. any suggestions ?",
        "HiAfter spme days of the proper treatment you will feel better again. Don't worry it takes ssometime to recover. Dr.Jolanda."
    ],
    [
        "hello doc.Im Gigi 51 yrs old previously i have ptb but the doctor told me that it was cured already 7 yrs ago every time i go to his clinic he told me i have a pneumonia after en x-ray result even though i told him that i spit w/ blood last monday i go to his clinic agin for a medical check up and he prescribed me cefuruxime kefstar i bought 9 pcs only and switch to another brand of cefuruxime Axetil after 4 days i spit mucus w/ blood as for now im suffering severe backpain what should i do thank you so much doc.",
        "Hello Gigi !Coughing up blood with sputum (henoptysis) is a red flag sign .. meaning to say it definitely needs Medical attention . Considering you have had TB in the past there are many possibilities for your present episodes of hemoptysis.  It could me a bacterial infection or relapse of TB or post TB bronchiectasis (abnormal permanent dilation of your airways at few places which happens when they get damaged due to your past TB). Take a course of antibiotic as prescribed by your physician ,Consult with your physician  and discuss about taking drugs like tranexemic acid which reduce the bleeding tendency , cough suppressants . while sleeping, Lie on the side which was previously affected by TB and be on complete bed rest . Once your hemoptysis gets controlled go for sputum examination to check for TB bacilli , chest x ray and if needed HRCT thorax (to pick up bronchiectasis which can sometimes be not evident on x ray). Since u mentioned severe back pain , vascular abnormalities concerning  the descending aorta (the major blood vessel carrying blood from the heart)needs to be also considered  Treatment is to be decided based on the cause for your hemoptysis.Do review with your physician and get the necessary investigations done."
    ],
    [
        "Hi- I was diagnosed a month ago with community pneumonia. After two rounds of antibiotics I was feeling better. Now my cough is back and I have a strange heavy feeling especially in my legs. I have been exhausted too for the last few days. Could this be from pneumonia?",
        "Hello! Just because you have previously had a pneumonia does not necessarily mean this time too You will be having it again. Since how long have you been having cough ? Are you having a dry cough or produce phlegm ? what's the colour of the phlegm ? last time you had pneumonia was it properly n completely treated ? Apart from cough what are your other complaints at present ? your cough can be due to inflammation of your throat lining or it can be something to do with your lungs like previous time.  Kindly get your checked by a physician with an open mind and go for a Chest X ray if necessary."
    ],
    [
        "dear doctor my littel son 11 months when he was 2 months and 15 days he got chest infection pneumonia in the right lung and after 2 weeks of treatment in the hospital with antibiotic he discharged next day he was admitted again with new infected by pneumonia in the right lung and then doctor did some test a barium swallow and ph. the resulte GE reflux grade 4. he was with NGT and AR formula by NGT for 3 moths with zantac and Motinorm also with sitting position ,but all of those dosn t change any thing.after that when he was 5 months and 15 days he had an a laparoscopic fundoplication 5 ports, 360m degree wrap over 10fr ryles tube. he trying to vomit but he can t.I Observed every time when he trying to vomit like for 5 to 7 minutes and when he sneeze every time after trying vomit then he got back to normal after sneezing.. and he drinking now neocate formula based on free amino acid. also he is allergy with lots of food ,.",
        "primarily he suffering reflux disease which causes repeated aspiration and pneumonia so correction of underlying pathology will resolve pneumonia and as for concern about antibiotic and treatment of pneumonia use of antibiotics for prolong period can cause development of resistant organisms."
    ],
    [
        "Hi, my fiancé has got a case of pneumonia. She was admitted into Wellstar Douglas Hospital in Douglasville, Ga. last Tuesday. She was moved to ICU Saturday and they still can t seem to get it under control. I am very desperate and need a 2nd professional opinion.",
        "Thanks for your question on Healthcare Magic. I can understand your concern. Best treatment of pneumonia is identification of causative pathogen and start appropriate antibiotics. So get done sputum culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "Hi, My chest x-ray reveals i have a small lingular infiltrate.WBC,lymphocytes,HCT etc elevated due to infection.I had a course of augmentin duo and steroid.currently on azithromycin 250 mgs.symptoms of pneumonia still persisting.Do i need to change my treatment?",
        "Hello dear, Warm welcome to Healthcaremagic.comI have gone through your query thoroughly .*  X-ray result indicates infection of the lung with some sort of bacteria     giving  rise to pneumonia .*  Pneumonia  recovery  takes  time  depending upon the virulence of the    organisms , host immune  response and other co morbid conditions .*  If  your  symptom score has declined  from  the  initiation of the therapy    wait  for  further  progress , if  the  intensity  of  the symptoms  is  as    it  is  then  have  to  consider  the change  of  therapy  or  consultant .Hope this clears your doubt .Thanks .Regards ."
    ],
    [
        "my cousin was admitted yesterday for pneumonia and a collasped lung which was diagnoised yesterday. they did surgery this morning by cleaning out and draining fluids. she is now heavily sadated with a tube in her right lung. what will it take for her to get well again?",
        "It sound like your cousin has something called- Empyema. It is basically an abscess in the chest cavity. And the correct treatment for it is drainage - which was done appropriatley. But he should receive antibiotic treatment with coverage of both aerobic and anaerobic organisms. Usually specimens are send from the procedure to see which organisms grow and provide a more directed antibiotic coverage."
    ],
    [
        "my mother was diagnosed with left basal pneumonia she is 74 yeas old and was discharged from hospital yesterday was given amoxicillin and clarithromycin but now she is being sick and has diarohhea she has had amoxicillin before which hasnt effected her this way will it be the other antibiotics also what is left basal pneumonia.",
        "Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, her diarrhoea is mostly due to amoxicillin. Amoxicillin can cause diarrhea on second exposure. So you should stop amoxicillin. There are options for oral antibiotics other than amoxicillin like cefixime, levofloxacin, moxifloxacin etc. And left basal pneumonia means lung infection in lower lobe of left lung. So antibiotics are the mainstay of treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother.Thanks."
    ],
    [
        "my mom was diagnosed with bacterial pneumonia back in late december. After a round of antibiotics, she felt much better but the xray still showed pneumonia. A round of stronger antibiotics were then given to her. She went back for a follow up xray last week and the xray now shows the pneumonia is in both lungs. The strange thing is...she has NO symptoms. No coughing, no fever, nothing. Could it possibly be viral? or fluid? or cancer???? Btw she has never smoked in her life.",
        "Thanks for your question on Healthcare Magic. I can understand your concern. Radiological resolution takes 2-3 weeks in pneumonia. So it is possible that patient of pneumonia is improved symptomatically but still show pneumonia on chest x ray. So in my opinion, you should should waiting for 2 weeks more. Get done repeat chest x ray after 2 weeks.If chest x ray is showing pneumonia then go for CT thorax and bronchoscopy to rule out lung cancer, Tuberculosis, Fungal pneumonia. If xun4 ray is improving then no need to worry. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks."
    ],
    [
        "I have been sick with a sinus infection and tonsillitis over the last week and a half. i am on antibiotics for these. Now I feel it in my chest. I am coughing non stop. My throat doesnt hurt much just from the coughing. My chest feels heavy and I have some issues with breathing. Could this be bronchitis or pneumonia ?",
        "Thanks for your question on Healthcare Magic. I can understand your concern. Your symptoms are seen with both, bronchitis and pneumonia. And both of these them are common after upper respiratory tract infection (URTI - sinusitis). So better to consult pulmonologist and get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test). Chest x ray is needed for the diagnosis of pneumonia. PFT is must for the diagnosis of bronchitis. Antibiotics are the mainstay of treatment for pneumonia. Inhaled bronchodilators and inhaled corticosteroid (ICS) are the mainstay of treatment for bronchitis. So first diagnose android then start appropriate treatment.. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "My husband passed away in March after a short illness his doctor said was bronchitis then pneumonia. He was diagnosed wit small cell lung cancer after an ex-ray revealed a mass in his lung. He was a 22 year Veteran in the Army. He also was a smoker. Can you tell me hat causes Small Cell Lung Cancer? He was 66.",
        "Thanks for your question on Healthcare Magic. I can understand your concern. Small cell lung cancer is commonly caused by cigarette smoking. Actually cigarette smoke causes irritation to lung mucosa. Chronic irritation causes structural and genetic changes which leads to malignant nodule. This nodule grows with time and forms mass like lesion. Hope I have solved your query. I will be happy to help you further. Thanks."
    ],
    [
        "I was recently diagnosed with Pneumonia. I had pneumonia when I was a baby but never since. I was shocked when I heard the diagnosis. The symptoms became apparent on March 28. I began taking Doxycycline Monohydrate on Monday April 3 and must take them for seven days. I am mega healthy and have not been sick in years. I can t even remember the last time I was sick. This has really knocked me out. I have zero energy and very little appetite. How does pneumonia manifest in the lung and how does bacteria get in there? How long will it be until I recover? I am really having a hard time with this. Help!",
        "Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .*  Mechanism of pneumonia follows as   -  Susceptible pathogens in form of bacteria enters the respiratory tract      via  nose or throat ( air borne ) , settles  there in respective lung tissues      through aleveoli and bronchi  -  start manifestations in form of various symptoms  of bronchitis ,      effusion or others .*  Treatment  guidelines   -  Maintain hydration with plenty of liquids .  -  Balanced nutritious  diet .  -  Regular antibiotics , anti inflammatory , decongestants as per advise      by your doctor .  -  Regular walking , exercises ( deep breathing ) , YOGA .  -  Avoid smoking , alcohol .  -  Have patience , recovery time depends upon the causative organism ,      host response factors and type of treatment ( it may take days to       weeks ) .Hope this clears your query .Welcome  for  any  further  assistance .Regards ."
    ],
    [
        "Hi, may I answer your health queries right now ?  Please type your query here...My husband has a chest infection - a small pocket of pneumonia is in his left lobe. He is coughing up large long blood clots and also coming through his nose when blowing. Will this settle or continue.",
        "Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .*  Recovery time of the pneumonia vary from days to weeks depending     upon    -  extent of pneumonia  -  associated  co morbid conditions  -  causative        organisms virulence  -  host immune response  -  type  of  treatment  - smoking consumption  -  activity level  -  exposure to noxious        substances as pollen or dust  -  diet  .*  So , to answer the question , lot many conditions have to be calculated     and  based upon that we can comment .*  One thing I  want to convey that it will be surely recovered with proper     line of management .Hope this clears your query .Welcome for further doubts .Regards .    of management ."
    ],
    [
        "my friend suffers from diagnosed bronchiectias and gets pneumonia constantly.  She is 72  Each time they give her antibotics for a week and then the xray will show the pneumonia gone, however, it contantly returns.  She has been to Mayo, Iowa City   had many test.  It's beginning to take a toll on her.  I would say she had pneumonia about 6 times last year and so far 2 or 3 this year.  Any suggestions.",
        "Thanks for your question on Healthcare Magic. I can understand your concern. Bronchiectesis is permanently damaged part of lung. So bacterial colonization is common in bronchiectesis. And this gives repeated pneumonia attacks. So best and permanent cure for this is surgical removal of bronchiectic part of lung. So consult Cardio thoracic surgeon and discuss about surgical removal. Another option is culture and sensitivity based treatment. Get done sputum culture and sensitivity report. Culture will identify the causative organism and sensitivity report will guide about effective antibiotic treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks."
    ],
    [
        "I went to the doctor yesterday and shesaid I had a sinus infection,bronchitis, and I was starting to getPneumonia. She gave me a shot ofantibiotics and steroids. She also wroteme a prescription for Bactrim DS andcough syrup. The cough syrup isn'tworking, I'm up all night coughing, Ihaven't slept for more than 30 min sinceSaturday. I feel worse than I didyesterday. What should I do? Any Advice?Thanks!",
        "Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, you need higher antibiotic,inhaled bronchodilators and inhaled corticosteroid (ICS) for your current symptoms. Constant coughing at night can be due to worsening of pneumonia or bronchitis. So consult pulmonologist and get done chest x ray and PFT (Pulmonary Function Test). Chest x ray is for pneumonia and PFT is for bronchitis. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks."
    ],
    [
        "I have a pneumonia and have gone through 1 full round of a zpack and steroid. I m also using an inhaler, had to go back to dog on Thursday night because I was still not any better. They gave me a antibiotic shot and a 1/10day script for levaquin which I started about 10am Friday morning. I m still not feeling better. I now as of this morning have a sharp pain inbetween shoulder blades that comes and goes, my heart flutters sometimes and sometimes beats really fast, I also woke up to chest pain that would go from burning feeling to sharp pain for about 30 min consecutively, then stopped and has been on and off since then. My cough is so bad that when I cough it feels like my ribs/lower sides of my back/lung area are bruised/fractured and takes my breath away when I take deap breathes or bend my waiste. I noticed bout a 5 days ago that I would get really hot at random times. Ao thinking i was having a fever, I ve been keeping track daily of my bt as of about 3/4 days ago and it s seems to have steadily slowly dropped. It s ranging usually from 96-97 but sometimes it ll get to like 98.0 and thats while I m sweating so bad that s my shirt will be soaked and hair wet like I was standing outside in the sun for an hr in middle of summer. It s sick. Should I be worried?",
        "Respected user , hi Thanks for using Healthcaremagic.comI have evaluated your query thoroughly .* All symptoms are in relation with underlying lung condition giving rise to   broncho alveolar constrictions , pleura irritation with systemic    manifestations* As there is not much relief of oral medications given till now , I strongly   recommend to get hospitalised treatment & early better recovery through   IV antibiotics , bronchodilators, supportive nursing care Hope this clears your queryWelcome for any further assistance Regards ."
    ],
    [
        "my son is 3 years old, and came down with a head cold wed, it moved immediately to his chest (he is a preemie-grad, and has had trouble with pneumonia and rsv in past) he is running a temp, and his respiratory rate is between 48-50.  I just don't know if i should wait it out a little longer to see what the day brings or take him in. I hate feelling like i'm always there for the slightest things with him, but his history proves medical intervention always was the case. It just seems so quick that a lung issue would be evident, when he only started showing signs of a cold wednesday night.",
        "Hello, Your son’s respiratory rate is too high. Please take him to ER immediately and take a chest x-ray immediately.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Siva Kumar Reddy."
    ],
    [
        "What is the advisability of exercise in the year following treatment with Levofloxaxin for pneumonia? I just completed 5 days of treatment with pills after 4 or more days of IV in the hospital following gall bladder surgery. I entered the hospital with pneumonia (not knowing I had it), probably having contracted it from my brother who had it and whom I had visited several days earlier in another hospital. I am 71 years old, female; I had a non-heart damaging heart attack in 2003 and have tried to maintain a good exercise program to lessen my chances of worsening heart disease. Should I resume Naproxen for joint/muscle pain; had 2 doses (2 tablets twice daily) 2 days before hospitalization. Did not need it the 3rd day and was hospitalized the next day. Did not take it post hospitalization. Do not remember if they gave it in hospital; think not. Thank you.",
        "Hello welcome to HCM. I have gone through your history. You have been adequately treated for your pneumonia and I suppose you don't have any symptoms of pneumonia like cough, fast breathing, fever, breathlessness. Since you have received intravenous plus 5 days of oral antibiotics, now you can resume about your exercise regime. As you say you had a non damaging heart attack, means that your heart pumping function is well preserved. So you must not have any issues with exercise. With every lung infection the lung capacity decreases by some percentage proportional to he severity of the infection. Hence along with your routine exercises you must also undergo breathing exercises with incentive spirometry, inhaling deeply through one nose holding your breath and exhaling fully from the other nose, meditation and yoga. This will help you to regain some of the lost lung capacity. You should also get vaccinated with influenza and pneumonia vaccines that include common strains which cause pneumonia Remember they don't protect you against all pneumonias but offer protection against common pneumonias.Regarding Naproxen too much of it may cause damage to your kidneys so I advice you decrease its usage and use it only when required rather than a daily basis.Wishing you good health. Regards."
    ],
    [
        "I have had a Percocet addiction for 35 years and have had many Dr.s in that time span. I was up to without exaggeration, eating 240 10mg p s, 98 30mg oxycodone pills, as well as an assortment of 5mg pills which were always at my disposal. I have cancer and have severe back injuries but along with the p s I also had monthly access to 240 2mg xannax pills which after awhile Ihad no problem eating all of the above each month and would look for some more. I died 4 times in a 6 year span due to double pneumonia which the Dr.s told me my medications were playing a large roll in this. When I was 16 I became an atheist due to my brother dying, he was my favorite and I became very drug dependent to kill the pain. This lead to my later addictions and no matter what I tried I could not escape their grip.The last time I was in the hospital I said Lord I do not know if you are real but if you are I am begging you to open my heart again to you and I need your help or this will probably be it for me when I leave the hospital, I have had enough, and this is only the drug portion of my life I would not wish the things and amount of death I have had to witness on anyone. I am the last of all my friends left alive and I am 53years old. Over 40 friends have passed on, 2 of which I grew up with from the age of 5, others just would not listen. I lost 2 older brothers, 1 my 1st year in highschool the other 8 years later of an overdose. Needless to say ptsd, depression and other problems haunted me until I did as many drugs as possible to bury the pain, but demons only stay buried so long which I found out the hard way. tiny2882@comcat,net.",
        "Respected user, hi I evaluated whole long query in total details thoroughly .* Now only options left for you is holistic healing with herbs & other things.* Current respiratory details & status are not mentioned with symptoms to   figure out for the pneumonia, but for mental condition I can say that only   & only thing which can help you to any extent is   very deep meditation sessions on highly regular basis   2-3 hours of dedicated YOGA daily    which will give your inner soul & subcouncious mind the level of peace   you are lacking at present .Hope this helps you .Welcome for any further assistance .Thanks  for using Healthcaremagic.com & giving me an opportunity to assistWishing you a healthy life ahead .Regards dear take care."
    ],
    [
        "I was recently released from hospital, I had pneumonia. After 1 week, I have finished the oral antibiotics. 2 days later, the sweats have returned (no temperature) and I am feeling generally unwell. I saw my doctor y day and I had another x-ray. My doctor rang to say there is no change but didn t recommend I do anything different. I have continued my physiotherapy to bring up whatever is in my lungs. The cramping I am now experiencing is excruciatingly painful. I just don t know what to do next. I live in a remote area and accessing a doctor or hospital is difficult. Please help.",
        "Respected user, hi I evaluated your query thoroughly.* What is meant by '' there is no change'' in x-ray ? mean to convey that    the pneumonia is as it is in x-ray as before treatment ?   then in that case it is non-responsive treatment.* In addition to that your symptoms also show that you are not alright to    much extent .* Chest pain & cramps are in relation with underlying pneumonia, you are   telling that treatment is over but no it is not finished.@ Recommend to consult with all details of scanned reports , treatment     taken  till now , so that we can study the case in detail & make guidelines     for further perfect recovery .Hope this helps you.Welcome for any further assistance.Thanks for using Healthcaremagic.com & reviewing my answer thoroughly.Wishing you fine recovery from the same.Regards dear take care."
    ],
    [
        "Hello, On Friday, I was diagnosed with pneumonia and the chest x-ray states Minimal linear subsegmental atelectasis in the left lower lobe. I have been taking an antibiotic since Friday. I am still feeling tired and drained. Is this to be expected with minimal linear subsegmental atelectasis in the left lower lobe?",
        "Hey,Minimal linear atelectasis doesn't mean pneumonia of lung, but still if you are diagnosed as pneumonia then it's ok.And yes tiredness is expected for 4-5 days at least."
    ],
    [
        "Hi my name is.Brent I was diagnosed with pneumonia Friday since I haven t been able to sleep due to vomiting and I m dizzy and the weirdest thang is if I touch a certain part of my neck or back I instantly feel sick if you can give me advice that would be great.",
        "Hey Brent,If you feeling low and drowsy with pneumonia then you must take appropriate antibiotics.If required might get admitted to get done i.v. treatment."
    ],
    [
        "my daughter was thought to have pneomonia back in sept.  after several courses of antibiotics and ct scans they found a spot on both lungs that was growing and the pet scan showed a spot on the brain.  lung biopsy was inconclusive.  Dr.s beginning thought before biopsy was bacterial infection.  Is it likely something like this would go to the brain.",
        "Respected user, hi it is unlikely to disseminate lung pathology to brain in your case.It may be existing condition in brain detected afterwards or occurrence with/ after the lung pathology.Hope this clears your query.Thanks for using Health care magic & giving me an opportunity to assist you.Regards dear take care."
    ],
    [
        "Good Afternoon, My mom is 68 and went to the hospital her left long is completely covered with namonia spelling sorry and is going into the right. She is full code and so off the oxygen is 23 pulse is 18 so they put her on a vintalator she has had a stroke, heart atack in the previous she has smoked for the longest i can remember what are her chance of pulling out of this? My sister is the POA and is keeping her on it, is it fare to her or what??? Please let me know. Worried Daughter.",
        "Respected user, hi I evalauted your query thoroughly.Sorry to hear about the issue.*Prognosis depends on many factors - age - associated comorbid conditions   like heart attack / cv stroke / kidney malfunctions / diabetes - immunity  - haemoglobin level - body response to treatment - competency of doctors  - efficacy of molecules used in treatment & much more list not possible to  narrate whole here.*Considering all your narrations, her prognosis is guarded, not that much  good as normal person suffering from pneumonia recovering in days. - She may take very long time for recovery & may not recover also ( I pray   to God that doesn`t happen ) after your long jugglery with all ventilator   period. - I can suggest to see the progress of the patient on ventilator for 5-7 days   discuss with the consultant in details regarding this & then decide to    continue the treatment or wean her off from ventilator for resting her   sole in peace. Hope this clears your query. Thanks for using Health care magic & keeping trust in our medical services Regards."
    ],
    [
        "I was diagnosed with pneumonia 2 days ago at med express and was given a prescription for levoquin. I cough up clear phlegm. My research tells me I m being treated for bacterial pneumonia but the clear phlegm ,Indicates viral pneumonia. I m a 67 year old male who quit smoking last November.",
        "Hello sir,Seeing at your history would like to know more about your case.Want to look at your chest x ray first.and if its definitely diagnosed pnemonia, then in case you could be right that it could be viral pneumonia.but you can't stamp it as viral from clear phlegm. Get done white blood counts which will be within normal limits in case of viral and high in case of bacterial pneumonia. Also get done Procalcitonin and CRP level of your blood. it will give you final idea.And as you were smoker phlegm might be due to Bronchiectesis or COPD. rule out that."
    ],
    [
        "Yes I had pneumonia and now have Costochondritis. I am just wondering if it will ever go away. I am active and miss my workouts. Every time I try to start working out it comes back. Will I ever be able to work out again? It has been since April when I had pneumonia and I still am dealing with this. YYYY@YYYY.",
        "Do you have diagnosed it correctly ? Go for HRCT CHEST , or Bronchoscopy for same. take i.v. antibiotics and then oral. complete course of antibiotics. For costochondritis apply analgesics ointment on it along with systemic anti inflammatory drugs. Get done diagnosis proper. You will definitely able to work again."
    ],
    [
        "Hi, I have a friend who is a female, age 16 and has complaints of light-headedness, migraines, blurry vision, can t breathe in deep without coughing, complains of body aches, chills, and a fever. She is going to the ER tomorrow because they are unable to go today due to being snowed in. It sounds like pneumonia but not sure.Thank you for your help.",
        "HiYes it might be but not completely.To be sure she should consult her doctor for further follow up.Wishes Dr.Jolanda."
    ],
    [
        "I recently got over either the flu or pnemonia. I've noticed my feces are increasingly yellow or whitish. I had quit smoking thrity days ago and have been on the nicotine gum and now the lozenges. I don't feel bad, but this is unusual. Could the nicotine products be contributing to the discoloration? Thank you.",
        "HiIf a patient have pneumonia he should have cough with or without sputum,probably chest pain and breathlessness,anorexia,fever.But the signs and symptoms varies from patient to patient.Take careDr.jolanda."
    ],
    [
        "My fiancé has been coughing uncontrollably every night for the past 4 months. He is 23 years old, 5'9\", about 140 lbs., and has been told by his dr that he has walking pneumonia. He has been prescribed antibiotics, cough syrup, allergy medicine, mucinex, nasal sprays, and inhalers and although they suppress the coughing at times he still does not seem to have gotten rid of the coughing. His coughing is accompanied with phlegm and has also caused him to throw up due to the extremity. He does smoke cigars as well. What is this!?",
        "Walking pneumonia is a non-medical term to describe a mild case of pneumonia. It is usually called atypical pneumonia because the disease is different from more serious cases of pneumonia caused by typical bacteria. it is often the result of a lung infection from a bacterial microorganism called Mycoplasma pneumoniae and generally treated with antibiotics. Mild infections are often not treated because they tend to clear on their own. With treatment, most people begin to feel better within a few days."
    ],
    [
        "How can one be sure of a diagnosis of pneumonia or pertusses in adults. How do you compare? My doc thinks I have pertusses. But the doctor in Mexico where I was originally treated said I had PB pneumonia. I was on intravenous antibiotics for three days in Mexico before coming home to my dr.here in L.A.The xrays showed lots of mucus in my lungs.  I am confused.  is there a definitive test for petusses in adults? Dr said I will be fine. Gave me ADVAIR and cough medicine and says I will be fine but will cough for a pretty long while until the lungs are clear.  He said I do not need antibiotics because I have already had zpack and 10 days of ampicillin, and then 3 days fo intravenous antibiotics. Who do I believe? I am 65 years old. never was feeling this sick or tired before or have had any kind of lung involvement in my life.  I am a strong healthy woman. No immune deficiency or anything like that.",
        "Respected Sir, hi. Diagnosis of Pertussis is clinical usually,divided into 3 stages .1st stage (catarrhal) where runny nose, sneezing, low grade fever, occasional cough. 2nd stage (paroxysmal) bursts of coughing or numerous rapid coughs, difficult to expel thick mucus from airways in lungs , long respiratory effort with high-pitch breath sound , individual may have cyanosis with or without vomiting during severe attack, inbetween attacks, patient becomes normal.3rd stage is convalescent or recovery gradually from above all. overall period may range from 1-2 weeks to 10-12 weeks.  In which cases diagnosis is not certain or require confirmation *Culture of bacterium Bordetella pertusis from nasal secretions *PCR test identifying genetic material from the bacterium in nasal secretions. Hope this clears your query dear madam, thanks regards take care, bye, wishing you fast speedy recovery from the same."
    ],
    [
        "Went to the doctor 3 weeks ago for possible exercise induced asthma due to chest pain. They have me a daily steriod inhaler and albuterol rescue inhaler. The did an xray as well and a few days later I found out I had pneumonia. I did a zpack for 5 days and now levaquin 500mg twice daily on day 7 or 10. Just last night I went to urgent they said I still have the pneumonia got a steroid injection and a medrol dose pack. Still getting worse...not sure what to do and the chest pain seems worse, and the levaquin has made my stomach very irritated which is expected. The steroids make sleeping impossible and I constantly feel overheated since the injections and dose pack I started yesterday.",
        "Hi and welcome in HCMAccording to the history this might be  a situation called *Nonresponding Pneumonia*It would be better to be hospitalized for further examinations like:CRPHemogramALT,ASTChest CT (if needed)ABGFor exploring better the situation and do the treatment in i/v route .If you have comorbidites they should be evaluated too.Sometimes when the other comorbidities are not well treated the pneumonia does not respond so well from the treatment.So please discuss with your doctor for the aboveRegardsDr.Jolanda."
    ],
    [
        "I went to the doctor today and found out that I have pneumonia. I got a steroid injection and breathing treatment in the office and was sent home with levaquin, albuterol, and cough medicine. My forearms and legs are very tingly and almost numb and heavy feeling. Is this from the steroid injection? I am 23 years old and I have juvenile rheumatoid arthritis so I am also taking humira, methotrexate, plaquenil, and folic acid for the RA. Is this a side effect or a drug reaction or nothing to be concerned about?",
        "Tingling in extremities may be a sign of peripheral neuropathy, wich is most of the cases caused by inflammatory injury to the nerves. Anti-TNF drugs, such as Humira, have been reported to be associated to this kind of injury, that can be potentialized when associated to steroids. You should visit your attending rheumathologist for physical evaluation and apropriate management."
    ],
    [
        "My father is in the hospital on ventilator currently.  The doctor says he now has what is considered whiteout in his lungs.  He has said that the outline of the heart can no longer be seen.  My father aspirated and then was diagnosed with pneumonia.  Three days later he ended up in ccu on a ventilator and has not been able to be weened off/  He is currently taking 3 antibiotics.  What is your advise.",
        "Lung whiteout and loss of heart outline are findings of chest x-ray compatible with many abnormal conditions affecting the lungs, like pneumonia, pleural effusion, acute respiratory distress syndrome among others. In the actual setting, your father is already receiving treatment to his pneumonia. All the other possibilities are probably been considerated and adressed by CCU staff. Weaning from mechanical ventilation is sometimes challenging because many factors can impair patients evolution, like how long he's been in MV, his nutrition status, his cardiovascular performance and resolution of the cause that led him to MV in the first place."
    ],
    [
        "My husband, age 63 is feeling cool on his abdomen and back while the rest of him is warm...currently sleeping. Last week was diagnosed with pneumonia...had a period last week when he was so cold, couldn t get warm so we went to the hospital. He says he is feeling fine and feels OK to work everyday (does construction work outside on a normal basis). Should I be concerned tonight that part of him feels cool even when under covera for an hour or two Thanks so much.",
        "Hello and thank you for asking in HCM I can understand your concern Don't worry so much. Your husband is under treatment for pneumonia according to the history and he has had fever several times.Now he feels better but he is not completely asymptomatic which means that the feeling he had might be due to an episode of temperature not so high .This shows that the treatment is doing well. But he has to be careful with the treatment to be correct as the doctor has prescribed ,no smoking and not to work in dust environment ,a lot of liquids too.Take careWish a fast recovery for your husband. Dr. Jolanda Pulmonologist."
    ],
    [
        "Should I be tested for COVID-19? I have a cough and phlegm on my chest as well as headaches. I always get colds and flu that affect my chest.",
        "It depends.   It depends of your country and the state of coronavirus, in some places you need to have traveled recently to another country to get the test, and in another countrys you need to be tested right away after any symptoms.   You should check your country  phase of coronavirus  Would you like to video or text chat with me?"
    ],
    [
        "Should I really be worried about my elderly parents catching COVID-19? What steps should they take to stay healthy?",
        "Yes. Avoid contact but ensure that they have food, supplies and able to slay at home. They should drink fluids and if they develop a fever, please call your PCP right away and also consider a virtual appointment with HT. Other symptoms to watch for include dry cough and shortness of breath. Use good hand washing and disinfect surfaces."
    ],
    [
        "How can I avoid catching COVID-19 if I have to travel by plane or public transportation?",
        "Same measures    Wear a mask, social distance as possible, try not to touch surfaces, keep hands clean.   Best would still be not to travel if possible.  Would you like to video or text chat with me?"
    ],
    [
        "I am a little concerned that I may be showing some symptoms for Coronavirus. I have had a bit of a dry cough about 2 weeks ago for 3 days. A week later I had a headache and got nauseaus. I never get headaches. My chest has felt unusual for 5 days.",
        "Current symptoms? You may have experienced Coronavirus infection. Please stay at home until well and without any signs of illness. Drink fluids, rest and monitor your temperature. ."
    ],
    [
        "I have type 1 diabetes and to put it simply, I am living in an anxious state right now, worrying constantly about the coronavirus. My wife is a practice nurse in a GP surgery, and I worry constantly about the risk for us both. I am so scared.",
        "Take all precautions. Take all precautions possible to try to avoid catching Coronavirus. Wash your hands often with soap & water, avoid touching your eyes, nose & mouth, stay home as much as possible, cover your mouth & nose with tissue if you sneeze or cough, clean & disinfect  frequently touched surfaces often & if you have fever, cough and difficulty breathing seek medical care."
    ],
    [
        "Dry scratchy throat, very mild cough since 23 March but not improving. Traveled to Cape Town via Lanseria and CT Airports 15-20 March. Wife has sore throat, nasal congestion, lethargy & headaches since 21 March. Should we see a doctor to be assessed?",
        "Stay home.   Stay home for at least 7 days, rest, drink fluids and monitor your temperature.   There is an overlap between flu and COVID-19 symptoms. Nasal congestion and absence of fever are not typically associated with COVID.  Would you like to video or text chat with me?"
    ],
    [
        "If Allegra use is associated with increased risk of viral infections, isn't it dangerous to take it during the coronavirus pandemic?",
        "Being cautious best.   Any medication that can increase the potential of viral infections should be avoided during a coronavirus outbreak such as we are seeing now.  Would you like to video or text chat with me?"
    ],
    [
        "Some doctors think that the combination of Hydroxychloroquine and Azithromycin may be effective against COVID19. They believe this the only option we have until a vaccine becomes available. At least it is worth trying. Do you agree?",
        "Hard to say. In the absence of treatment I guess we grasp at things. This is definitely doing the rounds but as yet unproven. Most people recover from covid. So very very hard to trial. Most important right now is not to spread it. So stay home. Wash hands."
    ],
    [
        "Where do genital warts come from? My partner has visible ones, however I don’t. I’m female. Could they be there internally ? What are the origins of this virus?",
        "HPV virus   Human papiloma virus.   You wont necessarily have them but you could have the virus. When last did you have a papsmear. THey can pick it up on that. Once we are out of lockdown get a papsmear.  Would you like to video or text chat with me?"
    ],
    [
        "Blocked nose,coughing,aore throat,sometimes fever.Sometimes body aches.",
        "Telephonic consult?   Could well be another respiratory virus, I would stay home for now.   Use this platform to consult either virtually or ask more questions. Use home medicine - decongestant and pain medication. STay away from any anti-inflammatories if possible. Keep up warm fluids.  Would you like to video or text chat with me?"
    ],
    [
        "I have had a sore throat for a few days, Tuesday Night it felt like tonsils, Yesterday it started becoming scratchy and today I have started coughing and spitting mucus. I do not have a fever, But I get light headed here and there, could it be Covid?",
        "Test for Covid-19. On this times better to be sure you don’t become contagious and spread the virus, try to get tested for Covid-19."
    ],
    [
        "I have had a sore throat for a few days, Tuesday Night it felt like tonsils, Yesterday it started becoming scratchy and today I have started coughing and spitting mucus. I do not have a fever, But i get light headed here and there, could it be Covid-?",
        "Very unlikely   It sounds more like a viral cold.   covid does not present this way. treat the symptoms,consult GP if worse or if sputum changes color.  Would you like to video or text chat with me?"
    ],
    [
        "Because I have type 1 diabetes, does that mean I can’t get the virus just mildly? Am I likely to have severe complications? Please help.",
        "Diabetes + Covid-19. Because you are a Type I diabetic it means that you are at greater risk for complications if you contract Covid-19. If you have had a sore throat for a few days that gets worse every day, and if you have a fever over 100F, call your General Physician. ."
    ],
    [
        "If one has been in contact with a COVID-19 positive person in the last 12-day, but am asymptomatic, what should one do to confirm if the virus has been or not contracted? Don’t think it is responsible to wait till symptoms manifest.",
        "Isolate. No symptoms no test. You really do not need testing if there are no symptoms, but act like  you are contagious. avoid contact with people for 14 days and only consult your GP if get symptoms."
    ],
    [
        "On and off fever, sore body?",
        "Probable flu. This definitely sounds like Influenza is starting.( Unless you have any obvious reason to suspect COVID-19,Malaria,Tick Bite Fever or Glandular Fever).Rest,Vitamin C and a suitable over the counter painkiller. I would advise avoiding Ibuprofen and other Non-Steroidal Anti-Inflammatory medication."
    ],
    [
        "Do I have covid 19?",
        "Unknown   Without any details it's impossible to say.  Would you like to video or text chat with me?"
    ],
    [
        "My hba1c is not as good as it should be. Am I more likely to die of the virus? I’m so scared. I have type 1 diabetes. Please help.",
        "Diabetes + Covid-19. Have you been diagnosed as a Diabetic, or just someone with slightly elevated A1C? Reports are that diabetics, especially males, are at greater risk. Follow all precautions that have been posted all over the internet and have been printed in newspapers. If you have a sore throat and a fever, call your General Physician and follow his/her directions completely."
    ],
    [
        "I have a sore throat, a slight cough as well as slightly dry eyes. I may have been in contact with individuals with COVID-19 but unknowingly?",
        "More detail. Do you have a temperature ?Have you traveled internationally or locally?Do you have a fever ?It is seeming to be becoming necessary to be more vigilant about COVID-19.I suggest you make an appointment to see a Doctor."
    ],
    [
        "I have very mild symptoms of covid 19. Headache, sore throat, fatigue. What do I do now? Is it advised to rather stay home, or go to get tested?",
        "Watch and wait. With very mild symptoms you do not need to be tested.Your temperature is important. if your symptoms worsen or a fever develops or you start coughing and shortness of breath you need to seek help. stay home and treat the symptoms with paracetamol."
    ],
    [
        "I was previously diagnosed with TB but have since recovered. I do want to know if my previous diagnosis puts me at a higher risk should I contract COVID 19.",
        "Covid and TB. Patients with a history of underlying lung disease do have a higher risk of morbidity and mortality with covid infection. It is important to self isolate and maintain social distancing as per the current protocols. Should you suspect covid infection get screened as early as possible."
    ],
    [
        "I have a flu that is getting worse and I have returned from the UK at the end of Feb and I have been in direct contact with British and Brazilian tourists in SA since then. Should I get tested for covid-19 or just remain home with my family?",
        "Overseas and Covid   Yes,direct contact with anyone from Europe and travel history must get tested.  There are drive in facilities in Johannesburg.Check the net for testing places in CT  Would you like to video or text chat with me?"
    ],
    [
        "Are patients with diabetes, less likely to survive this awful virus?",
        "Not at all. If you are a well controlled diabetic then you will be fine. You will have an equal risk of getting it. If you are poorly controlled then you are more at risk of it complicating. But boost your immunity and stay at home. Get online shopping. Keep bags outside and sterilize everything coming into your home - entire item. KEep using this forum for questions. :)."
    ],
    [
        "I've been sick for the last two weeks with severe sinus pain, hot flashes and a very tight chest along with coughing up some mucus. I've been treated with antibiotics however it doesn't feel like it has worked. Is it possible that this can be Covid-1?",
        "Hard to say. Is the mucous coloured or clear? Try to access health advice as you are. Stay home. It could be covid but if you are fairly asymptomatic stay home and keep asking questions on this platform. It is safer for you and others. Treat symptomatically for now. And keep asking on here."
    ],
    [
        "Hi  My throat is sore, and very scratchy, I have also have a cough to accompany this, well the cough started about a week ago, I have no fever. Just want to know if this is anyway related to covid 19  My voice is also very hoarse?",
        "Unlikely   It could be, however going out right now is dangerous to you and others.   If you don't have it yet going out risks getting it. If you have it you can spread it. Try to access a thorough consult on the phone or virtually. Keep chatting we are here for you.  Would you like to video or text chat with me?"
    ],
    [
        "Hi, I have a bad cough, sinus congestion and body aches but no fever. Should I consult with a doctor regarding the current covid19 pandemic?",
        "Most likely not c   Most likely sinusitis or seasonal allergy.   Try to access a telelphonic or virtual consult to discuss thoroughly with someone. For now stay home stay safe. Treat yourself and all in your family as if they have covid for now =it's safer.  Would you like to video or text chat with me?"
    ],
    [
        "My son is not feeling well. He has a very snotty nose, sore throat, occasional flemmy cough, uneasy stomach. He had a headache last night. No fever.  Is it a common cold or must he be checked for Covid 19. Not travelled or been in contact with anyone?",
        "No not now   GEt telephonic consult via this or other forums.   Not indicated to be tested right now. Use medication you have at home to treat symptoms right now. Use this forum if symptoms change.  Would you like to video or text chat with me?"
    ],
    [
        "Should I shave my beard to reduce my chances of contracting coronavirus / covid-19?",
        "YEs   This virus clings to everything especially hairs.   Either wash your beard a few times a day and spray with alcohol or shave off.  Would you like to video or text chat with me?"
    ],
    [
        "Good morning I have sore throat for 2 days now, this morning I woke up and my throat was a lot better just a little scratchy. My other symptoms this morning were stuffy nose and a bit on the sore side with my body?",
        "Likely not corona. Sounds more like seasonal allergy or a mild cold. GArgle with warm salt water and use meds you have at home. Ask questions on this forum - don't go out unless you really really have to."
    ],
    [
        "I am a 46 year old female. I've had Trach for the last 9 months due to stridor, bronchospasm and larageal spasms. I am currently being worked up for autoimmune disease. I am on Xoliar am I more susceptible to coronavirus?",
        "Yes. VEry very important for you to stay in quarantine and not go and shop. Also make sure anything that comes into your house is sanitized. EVery single thing. Sanitize. KEep 2 m away from everyone and wear a buff or home made mask that covers your nose and mouth. Be safe. Be positive. We will get through this."
    ],
    [
        "I was severely sick with a cough back in mid February before I knew about the current virus. Not sure if I had a fever or not. I'd cough so hard and vomit. I smoke. Could I still have coronavirus antibodies?",
        "Infectious for 3w. If you had corona virus you are infectious for 3 weeks. So you need to stay 2 m away from loved ones. Stay home. Get someone else to shop for you. Stay home. Wear a buff over your nose and mouth. Do not touch your face, mouth or nose. Wash hands for 20 seconds every 20 min."
    ],
    [
        "I got my TDAP shot? Shots? When I was little, now that I am 18, should I get them again this year or when should I? (After this epidemic of course) Thank you and stay safe.",
        "Booster vaccinations. You should have had a booster at 12 years and that lasts for 10 years. If your last Tdap was at 6yrs then you are overdue. I agree with waiting for after the COVID pandemic unless you have an injury that would require tetanus immunity. Stay safe. ."
    ],
    [
        "Hi! So I’m a 20 year old female. I started working out about a year ago. I noticed some lower abdominal pain after partaking in abdominal workouts. But also notice it around the time of my period. It’s right next to/under my hip bone on left side.",
        "This could well be very normal.   One can get pain on day 14 during ovulation and before and during the period. Use panado for this and once we are through this corona virus you can use anti-inflammatories.  Would you like to video or text chat with me?"
    ],
    [
        "Will getting either of the pneumonia vaccines, Prevnar and Pneumovax, prevent you from developing pneumonia if you catch the flu or covid?",
        "No. The vaccines prevent bacterial pneumonia.  They have no effect on viral pneumonia."
    ],
    [
        "Will coronavirus make my kids more susceptible to catching the flu? Should all kids be vaccinated against the flu in case they catch COVID-19?",
        "It may help.   Coronavirus infections may make individuals more susceptible to catching other viral or bacterial infections, esp.   if there are underlying respiratory conditions such as asthma or COPD, cardiac conditions or immunocompromised states. Flu vaccines may afford a certain level of protection to kids, but they do not protect against all strains of the influenza virus.   Would you like to video or text chat with me?"
    ],
    [
        "I have no termometer for fever cheek.does covid 19 cause persistent fever or it comes and goes.i feel my body little hot two times a day a have nasal allergy and parangities for long time.every years it's come for a while?",
        "In brief:  Your symptoms sound more like seasonal allergy.   Treat as such, your pharmacist can assist. Try to do this over the phone and collect if possible.  Would you like to video or text chat with me?"
    ],
    [
        "I take irbesartan (angiotensin receptor blocker) for uncomplicated hypertension. It increases cell expression of angiotensin receptors (AR’s). COVID enters cells via AR’s. Should I change my blood pressure meds? Thanks.",
        "Contact Dr    Rather get hold of your regular GP and discuss over the telephone regarding this issue.   DO NOT STOP OR DO THIS ON YOUR OWN.  Would you like to video or text chat with me?"
    ],
    [
        "I have type 1 diabetes that I try hard to control, but I struggle with. Are my chances high for poor outcomes with the virus? I’m in such a panic about it.",
        "Depends-all factors. Type I diabetics can be more fragile when they have any type of infection unfortunately. If you are younger & do not smoke & do not have other chronic problems, your increased risk may be minimal.  Eating balanced diet, keeping glucose controlled, getting adequate exercise (including fresh air outdoors), & adequate sleep all should help protect you from severe consequences, but be very careful ! ."
    ],
    [
        "Itchy ears, painful ears pain in roof of mouth only at night. Post nasal drip. I’ve sneezed a few times and sometimes my nose runs in the morning what could this be? Also sometimes I cough but not a lot. Any idea? Covid 19?",
        "Probably not Covid.   May be allergic, bacterial sinus infection, a different virus, a narrow upper jaw with partial airway obstruction, or other causes.   Call your General Physician and check if they want to see you. See your Dentist to evaluate if your upper jaw is too narrow and if you need to see an Orthodontist.  Would you like to video or text chat with me?"
    ],
    [
        "Should I stay away from my family if I still have to work during the pandemic? I deliver beer to grocery stores and gas stations.. and I’ve been worried about possibly getting it and then them catching it.. since they said you can be asymptotic..",
        "Difficult times.   This is a difficult question.   Many workers like you wear masks, gloves, stand 6 feet from others, take off work clothes on entering their home, wash meticulously. Read more tips from Covid19 hotlines.  Would you like to video or text chat with me?"
    ],
    [
        "My hba1c isn’t within target, but I try so hard. Does that mean that I am likely to end up in hospital, or die, from coronavirus?",
        "Not necessarily   You need to consult an endocrinologist for advice about diet, weight control, and medication for controlling A1c.    It is not feasible to provide more useful suggestions without talking to you, performing physical examination and may be some test.Wish you good health!  Would you like to video or text chat with me?"
    ],
    [
        "I'm quite sure that I have Covid-19. My mother is a health worker that has been exposed. Among my symptoms is trouble breathing and pain in the chest. Can I sleep and see how I feel tomorrow or is there a risk that I'll stop breathing in the night?",
        "Seek help. Contact to your doctor or go to ER for trouble to breath. If you go to ER they test you for covid 19. Your mother also can be  tested if symptomtic."
    ],
    [
        "Hi Dr. If all I have is a dry cough, should I get tested for covid 19? No recent travel or contact with high risk individuals. I have been given permission to visit a relative in ICU during the lockdown, but don't want to make him sick.",
        "Sounds risky. Using symptoms of fever, cough, or runny nose to screen for COVID-19 is not accurate because colds and flu have such symptoms. COVID testing is by nasal swab, but there's a shortage of test kits in this pandemic. Only local resources know local testing sites, times, restrictions. Even a negative test does not guarantee one does not have COVID-19. Safest for people to stay away from ICU patients."
    ],
    [
        "Anxiety because of the covid 19 news?",
        "Break. At 39 your risk for severe infections is very low. A strategy that I recommend is taking in information daily, but get away from it. Practice prudent precautions. In my off times away from ER (still practicing front line ER)  I focus my mind on my cooking, planning my garden, engage with my friends and loved ones and read. https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19."
    ],
    [
        "My 68 yrs old mom still waiting for corona virus test results. She’s had 101-102 fever for a week CT showed pneumonia she is at the hospital now . Does the fact that her fever is not getting better means that her pneumonia isn’t getting better?",
        "One sign   On treatment for bacterial pneumonia, fever will usually decline within 2 days.    A follow up chest image may be indicated. If you would like to upload her CT and clinical information to an inbox consultation with HT, we can provide an opinion. Sometimes there is slow resolution of a pneumonia, particularly with underlying medical conditions. The test results should be back soon.   Would you like to video or text chat with me?"
    ],
    [
        "State officials put temp ban on all group activities & shut down nonessential businesses to curb COVID-19 spread. In light of that, would you say hosting a group yoga class in school parking lot is unwise? Neighbor is doing that & I'm concerned.",
        "Delay/virtual . Virtual get togethers should be considered. Keep a distance of at least 6 feet between persons who are not in your household. ."
    ],
    [
        "If you are tested positive for Covid-19, and your fever keeps going up daily (100 to 101 to 102 to 103), what should you do if all other symptoms remain the same?",
        "Consider chest image. Pneumonia may occur and if you continue to spike fevers, please see your PCP for a chest image and reevaluation. Testing for additional bacterial and viral causes may be performed at the same time. Stay at home at least for three days after the fever has broken and avoid contact with others. ."
    ],
    [
        "Is ritonavir  100mg and lopinavir400mg are safe drugs in COVID-19 and is improvement appear in patient??",
        "No   There is not enough data to support it's use.   More clinical trials are needed  Would you like to video or text chat with me?"
    ],
    [
        "Do I need to take my 10 month old son for his measles vaccinations now that it is due or can it wait until the Coronavirus Pandemic has calmed down as I dont want to expose him unnecessarily in clinics or hospitals.",
        "Wait for now   Wait for now, keep talking on this platform. Stay safe.  Would you like to video or text chat with me?"
    ],
    [
        "My 10 month old Baby Boy is scheduled to have his measles vaccination during the Lockdown. I want to know if we can wait to do his next vaccination until after this coronavirus has calmed down. I dont want to risk exposing him unnecessarily.",
        "Wait   My advice would be wait and don't risk exposure and spread right now.   Quarantine. Safe stay. We are here for you on this platform.  Would you like to video or text chat with me?"
    ],
    [
        "My 5 year old son woke Up not feeling well. I measured his temperature and mouth reading is 38.3 and armpit is 38.2. He says he’s head is sore and his neck is sore. Am scared it may be covid-19?",
        "Arrange testing   Stay home, provide fluids and ibuprofen after checking his temperature.   If he does not look well to you, please arrange a virtual or in person appointment with your pediatrician. Avoid contact with others, use good hand washing and consider testing for Influenza and Coronavirus.   Would you like to video or text chat with me?"
    ],
    [
        "My 68 yr old mom is waiting for corona virus results. She’s been having fever 101-102 for a week. Was admitted to hospital and has pneumonia. How is it treated and should she stay at the hospital until her symptoms get better? She has HTN. Help!",
        "COVID-19? It sounds like your mom is in good hands. If she has COVID, they will know how to treat it. If the pneumonia is beleived to be bacterial, they will treat with antibiotics. There is no proved effective treatment for coronavirus itself. Ask her doctors if she is a candidate for remdesivir -- not proved effective but sometimes available on a \"compassionate\" basis for severely ill patients. Good luck."
    ],
    [
        "What can I use against coronavirus if I run out of hand sanitizer?",
        "Water and soap   It is best, providing available easily.   Trying not to touch shared places would also protect to some extent.  Would you like to video or text chat with me?"
    ],
    [
        "Does hand sanitizer actually work? Where do all the germs go after using it, and will it actually protect me against COVID-19?",
        "It actually works. As does washing your hands with soap and water. All the germs die after using it, so they become harmless. Sanitizer and washing your hands will help protect you, but you can still catch COVID-19 through your mouth and nose and inhaled into the lungs. Social distance and quarantine as needed."
    ],
    [
        "Should someone with a compromised immune system due to rheumatoid arthritis get the flu vaccine, especially during the COVID-19 crisis? Also, does the flu vaccine in South Africa use live or dead viruses?",
        "Flu vaccine   Any flu vaccine will cause your immune system to respond.  I advise,if your decision is to be vaccinated,to do it over a period of 6 weeks..I like a little bit on day 1 ,then more 2 weeks later and more two weeks later still.That way you get the full killed vaccine ,and your body develops an immune response with its ability still intact to fight Covid 19 if necessary.  Would you like to video or text chat with me?"
    ],
    [
        "My wife just found out that she sat next to someone on Tuesday who is being tested for the Coronavirus. Person is being tested as his wife was tested positive. Please advise next steps.",
        "Stay home. Right now stay home, keep reporting here. THEre should be home to home testing coming soon. Mild corona virus is easy to treat at home. Treat everyone right now as if they have it, including everyone in your home."
    ],
    [
        "What is the best way to quarantine my 22yr old son who travelled by plane recently, has no current symptoms, when in same household as myself and teenaged son?",
        "Read our blog post. Household members should stay in another room or be separated from the quarantined as much as possible. They should use a separate bedroom and bathroom, if available. Prohibit visitors to the home. You and the quarantined should each wear a face mask if you are in the same room. (3/26/20)  Read  https://www.healthtap.com/blog/post/caregiver-guide-for-COVID19-spouses-partners-contacts."
    ],
    [
        "My 8 year old and 6 year old woke up yesterday with a bad cough, I've been giving them cough medication, Allergex and they are wearing the face masks in the house. Please advise how can I get them tested for Covid19?",
        "No testing now   YOur children are going to be fine, there have not been any children that have required drastic measures.   MAke sure you stay 2 m away and wash hands and surfaces, disinfect surfaces constantly. Ask questions on here, we are here buy you need to stay home right now.   Would you like to video or text chat with me?"
    ],
    [
        "My Directors have asked me to take a COVID-19 test. But I am not sure if I just have a common cold or if I really need the test. I am monitoring my temperature which has been stable at around 37.3 or so.  I need some advice please?",
        "If you meet criteria   You should test if you meet the criteria for testing, which currently states that you should have symptoms (cough/fever/shortness of breath/sore throat) PLUS contact with a confirmed or suspected case of Covid-19.    If you do not have a contact, then best would be to isolate yourself (which you will be doing on lockdown anyway).  Would you like to video or text chat with me?"
    ],
    [
        "Hi have been having a mild fever since the 15 of March, with a strange sensation in the Throat, fever went away on the 17, but came back yesterday on the 25 March, mild, no short of breath just a slight headache, must I test for COVID19?",
        "Perhaps not now. SEe how you go, going out right now is really a big risk. WE are here and can communicate during the lockdown period. THe government are making more tests available and safely so. Trust our government. Stay home right now."
    ],
    [
        "My Directors have asked me to take a COVID-19 test. But I am not sure if I just have a common cold or if I really need the test. I am monitoring my temperature which has been stable at around 37.3 or so.  I need some advice please?",
        "If you meet criteria   You should test if you meet the criteria for testing, which currently states that you should have symptoms (cough/fever/shortness of breath/sore throat) PLUS contact with a confirmed or suspected case of Covid-19.    If you do not have a contact, then best would be to isolate yourself (which you will be doing on lockdown anyway).  Would you like to video or text chat with me?"
    ],
    [
        "Hi have been having a mild fever since the 15 of March, with a strange sensation in the Throat, fever went away on the 17, but came back yesterday on the 25 March, mild, no short of breath just a slight headache, must I test for COVID19?",
        "Perhaps not now. SEe how you go, going out right now is really a big risk. WE are here and can communicate during the lockdown period. THe government are making more tests available and safely so. Trust our government. Stay home right now."
    ],
    [
        "Just wanted to check I had a meeting with someone who had recently been back from Australia, is Australia a high risk country?",
        "Travel is a risk   Any travel is a risk, that is how this has spread so yes I would advise you telephonically consult with a doctor and see what they advise is best right now.   But locking down requires all of us to stay put to stop transmission. I mean international travel is a risk to get covid and from international folk, especially recently. Travel right now to expose yourself and others is also a risk.  Would you like to video or text chat with me?"
    ],
    [
        "I would like to enquire is my symptoms are related to covid 19 before going to a testing centre.?",
        "Shout . What are your symptoms? There are short supply of tests and only if you absolutely need a test at this stage. STay at home, disinfect everything especially any shopping coming from outside your home. Ask questions on this forum. STay at home right now."
    ],
    [
        "What will happen after the incubation period for covid 19?",
        "Symptoms   If you are infected, symptoms will emerge: tiredness, dry cough, fever worsening over 5-14 days.  You will also become more infective so self-isolation and good hygiene are vital.Only be concerned about COVID-19 if: - You have been in contact with someone with a conformed diagnosis of COVID-19 - You have visited a high risk area - Symptoms worsen and include persistent fever and dry cough  Would you like to video or text chat with me?"
    ],
    [
        "Hi, I'm on Plasmaquine and Methotrexate 7.5mg x 1 per week for arthritis. I'm concerned that the Methotrexate may weaken my immune system and make me more vulnerable to Covid-19. Would it not be safer to discontinue use untill the threat has passed?",
        "COVID-19 and RA. Some anecdotal data showed that chloroquine or hydroxychloroquine might have activity against COVID-19. Observation from China Wuhan noted that patients with RA and on these medications had low incidence of COVID-19 infection. There is however no definite proof yet at this time.  In terms of whether you can stop methotrexate, you better discuss with your rheumatologist for the benefit and risk. ."
    ],
    [
        "I believe the incubation period for covid 19 is 7 days. So if you get sick after 7 days does the 14 say quarantine period starts from the moment you show symptoms or is the 7 days incubation period included in 14 day quarantine period?",
        "After symptoms show. As per the NICD Guidelines for Clinical Management of Suspected or Confirmed COVID-19 Disease, \"Those with mild disease may be de-isolated 14 days after symptom onset, while those with severe disease may be de-isolated 14 days after achieving clinical stability  (e.g. once supplemental oxygen is discontinued)\". [Available at: http://www.nicd.ac.za/diseases-a-z-index/covid-19/covid-19-guidelines/]."
    ],
    [
        "I am experiencing cough (worsened by: lying flat, exposure to secondhand smoke, night time) (associated with: phlegm or mucus) (not associated with: barky, hoarse, or hacking sound, whooping sound upon breathing in, chronic), swelling around eyes, fatigue.",
        "Viral infection. Most likely a viral infection but possibly allergyI advise a doctor consultation You may need treatment with an antihistamine, and decongestantOnly be concerned about COVID-19 if: - You have been in contact with someone with a conformed diagnosis of COVID-19 - You have visited a high risk area - Symptoms worsen and include persistent fever and dry cough."
    ],
    [
        "I have been feeling very hot and having headaches everyday and always tired?",
        "Viral infection. Most likely a non-specific viral infection.Check your temperature.If persistently raised an symptoms don't clear in 7 days, consult your doctor.Most likely a non-specific viral infection.Only be concerned about COVID-19 if:You have been in contact with someone with a conformed diagnosis of COVID-19You have visited a high risk areaSymptoms worsen and include persistent fever and dry cough."
    ],
    [
        "Coronavirus how do we test?",
        "Lab if necessary   Most commercial labs such as Lancet, Ampath and Pathcare can test.   But the labs are stretched and test kits in short supply. Only tests if:You have symptoms that are not resolvingYou have been in contact with someone diagnosed with COVID-19You have traveled from a high risk area  Would you like to video or text chat with me?"
    ],
    [
        "My 2 year old has a small fever and is vomiting. I'm worried about her. Are these symptoms of the Coronavirus?",
        "Probably not. much more important is what her exposure is to anyone who has COVID19 or traveler from a highly infected area.fever >100.4F and respiratory symptoms are more common with COVID 19 than vomiting."
    ],
    [
        "Good day. This morning I coughed for the very first time in a long time. With the corona virus around I feel the need to report this. I coughed for about 5 min. I have no fever, not tired and chest feels weird. What should I do?",
        "Best to stay home   Right now stay home, consult here.   Disinfect everything and stay safe. We are here to answer your questions.  Would you like to video or text chat with me?"
    ],
    [
        "Hi. I'm suffering with a tight chest and a slight sore throat from the beginning of the week. My symptoms are getting slightly worse as now I am getting a slight fever and body aches. I also feel nauseous at times. Could you please advise?",
        "Viral respiratory    You likely have a viral respiratory tract infection.   Manage with paracetamol and gargle with salt water or Disprin. Everyone is concerned about Corona virus. This is unlikely unless you have been in contact with someone who has been diagnosed or has traveled from a high risk area. In any event, isolate yourself from others, stay at home and adopt strict hygiene measures: hand washing, alcohol use  Would you like to video or text chat with me?"
    ],
    [
        "If I live in close quarters with people who have recently traveled from Europe, should I stay away from them in order to lower the risk of catching coronavirus?",
        "Absolutely. Good morningWithout being rude, you are quite right to stay well away. Also be stringent about hand washing, sanitizing and avoiding contact with your face and other people. Monitor any symptoms."
    ],
    [
        "My boyfriend suddenly lost his sense of smell. He had a sleep apnea test done 3 days ago, on a machine, plus one if his nostrils is stuffed up, due to a slight cold. Also when the test was done, his nostrils were clear. What caused this?",
        "COVID-19? You won't like to hear this, but loss of smell (anosmia) or taste often is the first symptom of COVID-19, the epidemic coronavirus infection. Nasal congestion also could go along with this. And you probably know that COVID-19 is currently a big problem in NYC. He should contact his doctor right away."
    ],
    [
        "How do I know if I have corona virus?",
        "TO be sure, GET TESTED!"
    ],
    [
        "This morning I woke up with an extremely dry cough that hurt when I tried to inhale deeply (think yoga breath deep). Checked temperature never got over 99. Sometimes 98.5, 98.7, or 99.1. As the day progressed muscles begin to ache and headache started. Alo.",
        "Virus. These symptoms are characteristic of a viral upper respiratory tract infection and  treatment is resting, drinking adequate amounts of fluids,taking Tylenol. Worrisome symptoms would be shaking chills, higher fever, chest discomfort with deeper cough,shortness of breath or wheezing which should prompt a call to your MD for instructions. If you live where Covid19 is present,or been exposed get test."
    ],
    [
        "True or false? Anyone infected with COVID-19 start have diarrhea and increases the chances of death compared to person who just start respiratory symptoms, why?",
        "Data. From Data from China there has been association between worse infection and diarrhea.  The seems to be a worse inflammatory response associated with people who have diarrhea.  ."
    ],
    [
        "My 22 yo son travelled by plane between Baltimore (BWI) & Rhode Island. Realistically, what are the risks of covid 19? He has no symptoms and there have not been any reported cases on his flight. I am quarantining him as best I can at home.",
        "Safer to quarantine. Screening procedures to identify who has COVID-19 are not very reliable and vary depending on location (city, county, state, nation) and entity type (airline boarding, border control, clinic, school, etc.). Three months into the epidemic, the safest is to self-quarantine for 14-21 days upon arrival. Reliable test for virus is via nasal swab, but there's a shortage of test kits in most places."
    ],
    [
        "I have a sore throat and I’m tired. I haven’t slept well in the last two days. Just haven’t been able to rest tossing and turning thinking - stress. Should I assume sore throats is associated with the coronavirus . Sore throat started today.",
        "Call Dr. by video   Throat pain can be from a strep throat infection (antibiotics needed), a cold or influenza (antibiotics usually not used), or from some other cause such as allergies or irritants.   Usually, a person sees the doctor (call first) if the sore throat is bothersome, recurrent, or doesn't go away quickly. COVID-19 infections tend to have cough, whereas strep usually lacks cough but has more throat pain.  Would you like to video or text chat with me?"
    ],
    [
        "Having type 1 diabetes, doesn’t mean you have low immunity does it? So what is it about it, that makes us more at risk with the virus?",
        "Diabetes   Type 1 diabetes may be an autoimmune disorder, but if well controlled one's immunity and ability to handle infections should be ok.   Poorly controlled diabetics, especially with complications of kidney disease and vascular disorders, degrees of dehydration and poor tissue status are at risk for infections partly because the skin barrier to pathogens is impaired. In my experience most type 1's do ok  Would you like to video or text chat with me?"
    ],
    [
        "I have SLE and am currently on 5 day course of dexamethasone 8 mg daily. I still have to work during coronavirus outbreak.   How concerned of risk am I?  I work in close quarters. Desks are a couple of feet apart. I am not able to work from home.",
        "Request a mask   Avoid contact with others, request a mask and ask those around you to wear a mask.   A desk more than 6 feet away from others is another measure of safety. Use good hand washing and keep surfaces, including your phone and computer clean. Continue your steroids as prescribed.   Would you like to video or text chat with me?"
    ],
    [
        "I have a 3 yr old. Started coughing 2 nights ago not constant sounds kinda phlyemy and no other symptoms. Very low grade fever at night. Contagious?",
        "Unlikely. Follow this guideline, but I do not see evidence you need to isolate. https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19."
    ],
    [
        "How soon after being infected can someone transmit COVID-19?",
        "Infection   Looking at the data people that have the virus can spread it.   There are cases of viral spread that have been linked from sign of having virus to up to 10 to 14 days prior. Probably within days of infection your are a problem.   Would you like to video or text chat with me?"
    ],
    [
        "I was in contact with someone that tested positive for Covid. My last contact was the 16th  The 18th he started to feel bad, informed me and I isolated from the rest of my family Today is the 25th and none of us have symptoms. Should I stay isolated?",
        "Minimal outside time   To avoid spread of COVID-19, use precautions such as staying home as much as possible Avoid contact with others until the infection rate begins to decline.   Monitor your temperature, rest and drink fluids. On day 7 post contact if you have no symptoms, most likely you are fine. Continue to use good hand washing and keep surfaces clean.  Would you like to video or text chat with me?"
    ],
    [
        "If I leave Covid 19 infected product in fridge, will virus die or survive in the fridge?",
        "Covid. Data from frozen food shows that there is no transfer of virus via food sources this way. ."
    ],
    [
        "What are low and high temperatures at which Covid 19 virus cannot survive?",
        "Not as fragile   as one might hope.       -80 C does not kill it                                        +56 C does kill it  Would you like to video or text chat with me?"
    ],
    [
        "I hear covid 19 virus dies around 27C. Does it mean once temperature outside rises above 27 C all covid 19 viruses outside will be dead?",
        "Not as fragile. as one might hope.     -80 C does not kill it                                        +56 C does kill it."
    ],
    [
        "Are there additional risks associated with using too much ethyl 70% alcohol to sanitize hands other than dry skin? Now a days I use it a lot due to Corona virus concerns.",
        "Alcohol for Covid-19. Washing your hands with soap and water for at least 20 seconds is extremely effective. Using an alcohol based hand sanitizer is a good second line of defense. Sanitizer contains emollient to help prevent dehydration. Straight alcohol doesn't. Follow all of the other published rules."
    ],
    [
        "Can we use Disprin or Compral pils when we have Corona. They dont contain ibuprophen?",
        "Yes you can,depends.   Corona Virus treatment so far is symptomatic and supportive.    It really depends what you treat with Disprin/Compral.You are they do not have Ibuprofen.  Would you like to video or text chat with me?"
    ],
    [
        "I’m absolutely worried sick about getting coronavirus and what it would mean for me if I got it, because of my diabetes. Is there anything you can say that can help me in any way? My anxiety is so high. Thank you.",
        "TAKE CARE. 1. Wash your hands2. Stay home as much as you can3. Control your glucose levels4. Meditate or search for breathing exercises."
    ],
    [
        "2 days ago I started experiencing fatigue and random body pains, mostly below the ribs and body temp was high as I was sweating and feeling cold. GP give me flue medication and advice against testing for Corona. Should I insist on testing for Corona?",
        "No,you shouldnt.   Unless you have a history of international travel recently or were in contact with someone who has tested positive for Corona Virsu.  Would you like to video or text chat with me?"
    ],
    [
        "On the night of 23rd March I started experiencing soar throat and little bit nose block. I visited GP yesterday and was given flue medication. GP advised against Corona testing since my temp was normal. Should I be concern about the Corona virus?",
        "Not at all. Your."
    ],
    [
        "My 18 month old woke up from her nap this afternoon sounding hoarse. Is this reason for alarm given the current Corona situation?",
        "No    Kids are very resilient and the best fighters of this.   Stay home and stay safe. People spread this virus. Your baby will be fine, I don't think hoarseness is corona at all :) keep asking questions as you need to  Would you like to video or text chat with me?"
    ],
    [
        "Can Covid-19 be transmitted sexually? Can any coronavirus be transmitted sexually?",
        "Sort of. If you are having sex with someone who has Covid-19 you are quite at risk of getting it.  High likelihood if kissing and having intercourse but it may not be transmitted through intercourse but the closeness in an intimate situation like that with someone who is infected gives a high likelihood of transmission."
    ],
    [
        "Buen día doctor (a) tengo una duda :si dos hombres homosexuales tienen relaciones sexuales sin protección pero estos tienen una relación mutuamente monogama y ninguno de las dos personas está infectado de VIH¿Pueden contraer VIH?",
        "TRANSMISIÓN VIH   Solamente ciertos líquidos corporales —la sangre, el semen, el líquido preseminal, las secreciones rectales etc — de una persona que tiene el VIH pueden transmitir el virus.    Si ambos tienen la certeza con una prueba confirmatoria de que no están infectados y son monogamos no tienen por qué contraerlo. Sin embargo tener relaciones sexuales sin protección pueden contraer otro ETS  Would you like to video or text chat with me?"
    ],
    [
        "I have a throat problem and headache. What should I do. I strepsils original.",
        "May call Dr on video   Throat symptoms can be from strep throat infection (antibiotics needed), a cold or influenza (antibiotics usually not used), or from some other cause such as allergies or irritants.   Usually, a person sees a doctor (call first) if the throat issue is bothersome, recurrent, or doesn't go away quickly. COVID-19 infections tend to have cough, whereas strep usually lacks cough but has more throat pain.  Would you like to video or text chat with me?"
    ],
    [
        "What is my risk of dying from coronavirus, as I have type 1 diabetes?",
        "Not well stablished. For now, it is known that having chronic disease, including diabetes (not specified type), increases the risk of death. However, the outbreak is so new that evidence is not enough robust to give a number yet. Anyway, It is recommendable to assume that you are at higher risk and strict protection should be taken."
    ],
    [
        "I have been exposed to someone with corona in the last week and a half on a daily basis. What steps do i need to take going forward? Should I get tested immediately?",
        "Yes   My opinion is yes, but the criteria for testing is quite stringent right now.   Perhaps telephonically consult your doctor if possible to discuss more fully. My opinion would be to access testing.  Would you like to video or text chat with me?"
    ],
    [
        "I am an Ashmatic and are using my medication, my chest is tight and throught is a little bit sore, I can feel my lungs are also getting sore, when do I need to go to a doctor now with COVID 19?",
        "Not yet. Only if your respiration rate (google that) per minute goes above 25 and you really feel you are battling to breath. Use this forum if your symptoms change. We are here for you."
    ],
    [
        "I have tonsillitis long time ago and every year I feel allergic problem in my thort. About 7 days I feel same allergic problem in my thort and tongue I have 1 canker sore. I take just anti histamine. But ago I treat this with prednisone. Does it covid 19?",
        "Can call Dr on video. Throat pain can be from a strep throat infection (antibiotics needed), a cold or influenza, EB virus, or from some other cause such as allergies, irritants, or acid reflux. Usually, a person sees the doctor (call first) if the sore throat is bothersome, recurrent, or doesn't go away quickly. COVID-19 infections tend to have cough, whereas strep usually lacks cough but has more throat pain."
    ],
    [
        "Hey there I have had cold \"symptoms\" for over a week and had a low grade fever last week. For the past two days I have been feeling dizzy. Should I contact my dr? See a dr?",
        "Dizziness. Yes. Please contact your doctor since they know you better. He may want to test you for the virus. There are other reasons you may be dizzy as well. ."
    ],
    [
        "Hi  I am a doctor working in a state hospital.  I have malaise, headache and a sore throat now for a week. My left eye also had conjunctivitis but the other symptoms do not resolve.   There is a covid 19 contact in our estate.   Should I test for it?",
        "HArd to say   If you have access to a telephonic consult then rather do that to start.   If you have access to testing you can do that. Do you have to work at the moment? I would discuss it with your consultant.  Would you like to video or text chat with me?"
    ],
    [
        "I am a 20/F. Went to the dentist & had a root canal. I also had a abscess  was put on Purmycin & Adco-metrondaz. They made me  nauseous. Today was the last day of the medications and I didn't take it as I havea fever of 38.3. Is it the medication?",
        "Fever   Antibiotics are supposed to prevent fevers, not cause them. If, however, you are having an allergic reaction to the medication it can cause a fever. But so can viral diseases (common cold, Flu, Covid-19, etc.  ) that are not treatable with antibiotics that are designed to treat bacterial infections. Call your General Physician and report your symptoms.  Would you like to video or text chat with me?"
    ],
    [
        "Hey there I have had cold \"symptoms\" for over a week and had a low grade fever last week. For the past two days I have been feeling dizzy. Should I contact my dr? Should I see a dr.",
        "Yes. Protection. It is not enough symptoms to say that you are a suspect case of COVID19; but, independently of this, if you have been in contact with a case, or you present persistent cough (with or without sputum), shortness of breath, wheezing, or you have a chronic disease like diabetes, hypertension, low immune system or cancer, should ask for medical attention. And use all the protection measures."
    ],
    [
        "I am experiencing neck strain, and I have had a weird/burning sensation in my chest. Sometimes it leads muscle tension. Been going on since Friday last week.",
        "Questions. Have you travelled, been in contact with a corona virus patient? Could very well be stress right now. WE are all really stressed and confused at this point in time. Be kind to yourself, breathe, do some exercise. :) We are here for you."
    ],
    [
        "Have recently been diagnosed with Fibromyalgia and a Mannose-binding lectin deficiency (low range). How likely am I to have a life threatening complications should I contract COVID19?",
        "Not stablished. All caution measures should be applied, including social distancing, sanitizer, and protection mask when crowded places are inevitable. Although MBL deficiency causes increased susceptibility to infections, mostly in people with chronic diseases, COVID-19 outbreak is so recent that a specific relationship with this disease has not been stablished. Anyway, have extreme caution and use protection."
    ],
    [
        "Headache fever fatigue  Been in contact with someone with coronavirus  Do I need to be concerned ?",
        "Test if you can   If you have availability get a telephonic consult and get a test.   Testing capability is stretched right now self quarantine and keep in touch on this forum for now.   Would you like to video or text chat with me?"
    ],
    [
        "With a bad immunity deficiency, how can I keep as safe as possible from contracting COVID19 in a family household. Work is not an issue but shopping and accepting deliveries is. Also need to take child outsides as home is small, no garden.",
        "Protection. Stay at home as much as possible, clean your hands and your children hands after any contact with people, alcohol is very helpful; avoid touching your face when you are not sure your hands are clean. In crowded places, wear protection like N95 surgical mask. Playing outside is ok, but apply these measures and stay way 6 ft from any unknown health status person."
    ],
    [
        "I'm currently have a semi emerging wisdom tooth that is sharp and growing against my inner cheek causing slight discomfort. What can I do to ease the discomfort at home since I can't have the surgery to remove the tooth now due to covid lockdown?",
        "NSAIDs. OTC NSAIDs can help with pain and inflammation. Please try calling a local oral surgeon. Most medical offices are open for emergencies only, and this probably falls into that category."
    ],
    [
        "Good day My 2 year old Toddler has been coughing and now she started to vomit when coughing, is it something I should be consent about or it's just flue?",
        "Not particularly . The muscles involved in coughing & vomiting are similar & young children often have difficulty not vomiting if they cough hard enough. I would concentrate of maintaining her fluid balance & see if she gradually improves. These are often simple viruses but need to be monitored closely."
    ],
    [
        "If I have had a sore throat for 3 days but with no fever should I be tested for COVID-19?",
        "Bacterial likely. An examination of your mouth or uploaded photo to a HT virtual consultation is important. Avoid smoke and if you are a smoker, please consider a biopsy of the area.id=287https://www.healthtap.com/member/fg?page=/search/covid"
    ],
    [
        "I need a referral for testing for COVID19. I have been in very close contact with a positive person. I am a Healthcare practitioner, it was one of my patients. I just flew to EL from CT. So no GP here. ?",
        "Wrong place to ask   This is the HT public site where volunteer docs primarily in the USA answer health questions.   We do not do referrals/provide notes or prescriptions or any other form of direct service. You need to contact a local provider in your country/location for such needs.  Would you like to video or text chat with me?"
    ],
    [
        "Pharmacy Times, in an article from 2017, states that Singulair could help prevent viral pneumonia with influenza and could prevent the infection of alveolar cells deep in the LRT. Would this hold true with Coronavirus? Thank you and God Bless!",
        "No. It is not... yet   That new is based in a paper (https://journals.  plos.org/plospathogens/article?id=10.1371/journal.ppat.1006140) which says that inhibition of leukotrienes (which Singulair-Montelukast inhibits) in mice, not humans, had a protection effect against death caused by Influenza A virus pneumonia. Further research is needed to ensure that this works for influenza, and even more for ?SARS-CoV-2.  Would you like to video or text chat with me?"
    ],
    [
        "What should I do if I feel sick, but am not sure if it's coronavirus?",
        "Symptoms. First, symptomatic treatment at home, plenty fluids and rest. Also apply all the preventive measures of social distancing. But if you are aware of any possible contact with an infected person, it is difficult to breath, fever does not low with bath or paracetamol, you are diabetic or with another chronic disease like hypertension, clinical attention should be asked for as soon as possible."
    ],
    [
        "What else besides a mask can I wear to protect myself from catching corona from others?",
        "Distance   Staying separated by 6 feet can make a difference!  The following guideline should help!https://www.  healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19  Would you like to video or text chat with me?"
    ],
    [
        "My daughter of 10 has a high fever 39-40 degrees., sore throat and body aches. I have elderly parents living with us and I am concerned about COVID 19. Please advise.",
        "Isolate sick people   Throat pain can be from a strep throat (antibiotics needed), a cold or influenza, or from some other cause such as allergies or irritants.   Usually, a person sees the doctor (call first) if the sore throat is bothersome, recurrent, or doesn't go away quickly. The flu or COVID-19 usually have cough, fever, body aches; whereas strep is mainly sore throat. Can call doctor by video or phone. (3/25/20)  Would you like to video or text chat with me?"
    ],
    [
        "Intermittent headache for the last week, comes and goes. Also, scratchy throat for about 3 weeks on and off?",
        "Doctor can examine   Throat symptoms can be from a strep throat infection (antibiotics are needed), a cold or influenza, or from some other cause such as allergies, irritants, or acid reflux.   Usually, one sees the doctor if the sore throat is bothersome, recurrent, or doesn't go quickly (mainly to check for strep throat). During this COVID-19 pandemic, doctors want patients to call by video or phone first. (3/25/20)  Would you like to video or text chat with me?"
    ],
    [
        "Hi.   What medication can I take for sinus and headaches during this time of the virus?  Thank you.",
        "Same as usual   During this COVID-19 pandemic, the other infections like colds, flus, and sinus infections can still happen.   The over-the-counter treatments have not changed. COVID-19 virus is so new that there has not been much verified research yet, so stick with what meds worked in the past. See the blog post...https://www.healthtap.com/blog/post/selfcare-guide-and-local-coronavirus-resources  (3/25/20)  Would you like to video or text chat with me?"
    ],
    [
        "Wanted to find out whether I should get tested for Covid 19. Had a slight fever last week Wednesday, slight dry cough and extra phlegmy. Symptoms are inconsistent though. I use the gautrain to get to work, was concerned that I could've been exposed.",
        "Symptoms. Symptoms lasting for a week that are getting better sounds like process is resolving. Covid testing would not be indicated. You should follow the following guidelines:  https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19."
    ],
    [
        "Is it true that if there was a lack of beds due to the virus, doctors would be less likely to save someone with diabetes, because they would be more likely to die??",
        "If you are dying   Everything is in motion and medical decisions are fluid, so you won't know until it happens.   That's because a healthy person under 50 won't die (has maybe half a percent chance of dying) from COVID-19, but a guy aged 70-80 has a 7-8% chance of dying from this... about the same as a non-elderly diabetic. That means the old guy and the diabetic both have about a 92-93% chance of NOT dying. (3/25/20)  Would you like to video or text chat with me?"
    ],
    [
        "When is it justified to isolate (not talking about the lock down) for COVID-19? Which symptoms justifies it?",
        "Any contagiousness   A person with any signs of respiratory infection or gastrointestinal infection should be isolated to prevent spread of his infection.   Allergies can cause symptoms similar to infection symptoms, which means a person with allergy symptoms at this pandemic time should also be isolated. Note that if every person is isolated for 3-4 weeks, the pandemic stops because virus transmission stops.  (3/25/20)  Would you like to video or text chat with me?"
    ],
    [
        "Will my  mask from Sherwin Williams paint store with filters protect me from corona virus along with paint fumes?",
        "Maybe   Such a mask helps protect others from any respiratory material you exhale or cough but does not filter out the virus.   Only high end medical & industrial masks (P95/N95)would filter that. Your best protection is frequent hand washing and not touching your face/mouth/nose with contaminated fingers.,  Would you like to video or text chat with me?"
    ],
    [
        "Sore throat, ear ache, headache and a light cough. Do I need to worry?",
        "Symptoms   Sore throat less associated with Covid.     Possibilities include strep, flu, covid or other virus.   The following guide should help:https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19  Would you like to video or text chat with me?"
    ],
    [
        "Is there a chance I would just get mild symptoms of the virus? Or because I am diabetic, that is unlikely?",
        "Diabetes and COVID. In all cases, the better the blood sugar is controlled, the better the immune system can function. Eating healthy, exercising as tolerated, and control blood sugars are close to normal as your doctor advises, is the best plan. ."
    ],
    [
        "Will I have to be hospitalised if I get the virus, I have type 1 diabetes.",
        "Maybe/not   They estimate as many as 80% of those testing positive in the under 40 age group have minor or no symptoms.   Having a non respiratory chronic illness does not increase your risk substantially.  Would you like to video or text chat with me?"
    ],
    [
        "I am experiencing a sore throat, fever, headache and coughing. I have a bit of a runny nose, short breath but only from time to time. I have traveled on THE MCS Cruise to Mozambique 13-16 March 2020. I think it might be necessary to do a COVID-19?",
        "Get tested. If you can not find a place to get tested self-quarantine yourself for 2 weeks. You can use over the counter drugs for symptomatic treatment in the mean time. If sore throat get worse this could be strep throat need a culture to be taken from your throat by your doctor followed by antibiotic. If shortness of breath gets worse call the hospital for the inpatient treatment could be for Covid-19."
    ],
    [
        "Hi, I have severe headache, a sore throat (feels like swollen sore, not raw sore but it doesnt hurt if I press my lymp nodes in neck except near my left ear), body hurts, coughing, body temp 32.5, head is hot. Light headed. Just normal flu?",
        "Flu. I think you a probably right. Body aches not as common with Covid.  If no significant SOB follow the following:  https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide  Talk to your provider Flu test may help, but management typically best conservative. Certainly if worseing SOB be seen. Remeber at 29 risk for severe infection is low either way. ."
    ],
    [
        "Flu symptoms, cough and no fever. Should I test for Coronavirus? I have asthma.",
        "Covid 19 testing . Hi at the moment it is only recommended that you test for COVID 19 if you have a close contact that has tested positive for the virus or have had recent international travel in the last 14 days. If your symptoms are worsening or your asthma is uncontrolled  you should call your GP rooms or attend your nearest emergency room."
    ],
    [
        "I have a dizzy head and some phlegm. Need to check against Covid symptoms please?",
        "Check online   There are many resources online about the symptoms of COVID-19.   The most important questions relate to travel history and the symptoms you are experiencing. If you suspect that you may have COVID-19, self-isolate as soon as possible and call your local doctor or testing site. You can also check out https://www.gov.za/coronavirus/faq or call 0800 029 999   Would you like to video or text chat with me?"
    ],
    [
        "I have a snotty nose and a bit of a cough, nothing bad, no temperature and do not feel sick in anyway. I am at home can I just continue to use antihistamine until it passes. I have not been in contact with anyone with corona and have not traveled.?",
        "Well done. YOu are a star level headed, keep going at home and support everyone over your well sterilised phone. ;)."
    ],
    [
        "Nasal congestion and feeling a bit fluey ?",
        "Stay home   Hi. If you are concerned about COVID-19, please call the hotline on 0800 029 999, see the FAQs on https://www.  gov.za/coronavirus/faq or https://www.who.int/news-room/q-a-detail/q-a-coronaviruses  Would you like to video or text chat with me?"
    ],
    [
        "How will I know if I need to get tested for COVID 19?",
        "Virtual consult. Best to do a virtual consult, you can through this platform. TEsting is the only way to know. Self isolation is very important right now unless you need urgent medical care. ."
    ],
    [
        "I am unaware of being in contact with anyone showing Covid-19 symptoms. I've only been to the shops yesterday. I've been stressing about the whole pandemic and will seldom go to sleep after 11 each night. Could it be lack of sleep or anxiety at play?",
        "Yes. Could well be and that is very normal. SEe how you go, you do have some worrying symptoms. Try to do a telephonic consult and if you have access get tested. In the interim self isolate and listen to Cyril's advice. Be calm, we are here."
    ],
    [
        "To help the community, should anyone returning from any country with cases of nCoV self-quarantine before returning to work?",
        "Odd comment   Since all countries have reported cases of Covid-19 the question is a bit inconsistent with current fact.   Any and all people should self quarantine if they had a known exposure in any setting. I would not consider anyone traveling from all areas either exposed or a risk to others. The hysteria of this idea is worse than the disease.  Would you like to video or text chat with me?"
    ],
    [
        "Hi I have been have a sore throat for almost a week now, tried gaghling with warm and apple cider vinegar, drank warm water with apple, warm with lemon.  Now I still have a sore throat and burning on my chest?",
        "Can give Dr. a call   Throat pain can be from a strep throat infection (antibiotics needed), a cold or influenza (antibiotics usually not used), or from some other cause such as allergies or irritants.   Usually, a person sees the doctor (call first) if the sore throat is bothersome, recurrent, or doesn't go away quickly. COVID-19 infections tend to have cough, whereas strep usually lacks cough but has more throat pain.  Would you like to video or text chat with me?"
    ],
    [
        "If everyone is running low on facemasks, what else can I use to protect myself from the coronavirus?",
        "They don't . Unless you are using high end medical or industrial masks they do not protect you from any such virus. They prevent your cough or expired air from infecting others. Any scarf/fabric homemade mask or similar device will do the same. You protect yourself more by washing your hands often & not touching your face/mouth/nose with contaminated fingers."
    ],
    [
        "Preauricular lymph node on left side very tender, scalp on left side of head tender and hurts to touch, superficial parotid lymph node area on left side swollen and tender. Pain behind both ears.No injury.Came on suddenly, has been 1 day.Temp 100.1°.",
        "Periauricular pain    May be otitis ear infection or mastoiditis infection in the bone behind the ear.  Could call health tap prime  for  video assessment  and antibiotic prescription.   Sometimes you  may need IM or IV antibiotics.  Call Healthtap Prime or MD today ( even with corona ongoing you need treatment for this today).   Would you like to video or text chat with me?"
    ],
    [
        "Is it safe to take steroid tab or nasal spray if I have covid-19?",
        "Nasal rinses   For allergic symptoms, nasal saline and an oral antihistamine are often helpful for controlling symptoms.    Continue to monitor your temperature and report fever and/or shortness of breath to your PCP.  Would you like to video or text chat with me?"
    ],
    [
        "Do you think this corona virus stuff will ever go away? I'm tired of being a prisoner in my own home cause of everything getting cancelled, im not working and I cant volunteer cause of a bad knee and cant lift heavy stuff. So when will this be over?",
        "It will.... But it will take some time to break the chain of infection, to find a cure, and to find a vaccine. It is stressful for everyone. One way to look at it is that we are all in this together, irregardless of political party, race, or religion. As a people, we can overcome a simple virus and be stronger as a whole. You are not alone, millions of others share your concerns. Hang in there...."
    ],
    [
        "I think I have Coronavirus. I am having chest pains from yesterday and during the course of today I have been dry coughing. What can I do now?",
        "Telephonic consult. get tested but you need to consult first, telephonically and get access to a test if you can, stay at home treat with panado only and a lot of fluids, rest :)."
    ],
    [
        "Good day  I have unusual sore throat burny sensation in chest area  Body aches, dry cough, Headaches, paranoia,have travelled to Dubai end Jan ?",
        "Covid 19   The incubation period of covid 19 is 2-14 days and you're past that.   However if fever, chills, heavier cough, or breathing difficulties develop, call your MD for instructions. For now, drink adequate fluids, gargle with warm salt water. I recommend also using zinc lozenges and take acetaminophen. Don't infect others regardless of what type of infection you have.  Would you like to video or text chat with me?"
    ],
    [
        "I have not traveled. I’ve had a headache and spite cough for about a week now. My throat is getting sore. My chest feels slightly tight but I have no fever?",
        "Virus. You have a viral respiratory tract infection and the absence of fever is reassuring at this time. Should fever or shortness of breath develop and if you're in an area where covid 19 is present, you should then call your MD for instructions. For now, drink adequate fluids, gargle with warm salt water. I also recommend using zinc lozenges and take acetaminophen. ."
    ],
    [
        "Hello iam have a very painfull pain in my through since this morning?",
        "Common flu   Hello.During the coronavirus outbreak the best thing you can do for yourself, your family and your comunity is to stay home.  Don't go to school or work, stay at home and isolate yourself specially from the elders.Do whatever you do when you have the common cold.Drink a lot of fluids, take Tylenol for the sore throat and please DON'T go to the doctor unless you're feeling shortness of breath  Would you like to video or text chat with me?"
    ],
    [
        "Daughter turned 1 yr on 20 March. Fever above 38 deg Celsius in the last couple months we alternated between  5ml Nurofen and 125mg Empaped (paracetamol) suppository every 4 hours till temp broke. Is Nurofen safe now regarding ibuprofen and COVID19?",
        "Basics   Fever is a normal body response when ill that increases circulation & oxygen supply to the tissues so natural healing comes faster.I would never treat minor fevers around 38 nor would I alternate  fever meds.  One or the other would be all I use when needed.  New data supports avoiding all ibuprofen products when corona virus may be present.  Would you like to video or text chat with me?"
    ],
    [
        "Can having reoccurring strep throat/tonsillitis problems make you more vulnerable to the Coronavirus?",
        "No. The coronavirus apparently only needs to be in contact with the mucosa of the lips, mouth, nose and eyes to infect someone.Please stay home and follow the recommendations of the local authorities."
    ],
    [
        "About the ibuprofen and covid 19 should I quit taking it? It’s got me paranoid. The way the media’s been talking about it. I take it everyday for my neck pain and back pain. I can’t take pain pills because they make me nauseas. Any insight please.",
        "Uncertain data. Hello.The data available about the coronavirus and ibuprofen are inconclusive.Nevertheless you should visit a pain specialist doctor for the manage of your pain. It's been established that Ibuprofen and other NSAID'S taken in large doses or long periods cause kidney damage."
    ],
    [
        "Ek het loop neus met slym hoes. Moontlik allergie, hulle besig met verbouings by werk. Ek het ook hoofpyn. So bang vir die virus?",
        "Slim kans van Virus. As jou sluim is a gevolge van allergy die sluim is gewoonlike a bleek geel saam met ander symptome soos niesery em jikkerige neus.En daar is a noodlike kans da jy die volle allergiese gene het en dan sal jy ook lui van Asthma, Hoieoos and moontlik exzeem as a kind.Om did die \"Virus\" to wees waarvan jy moet bekomerd wees so jy ook 1. Hoor koors , 2. Droer hoes  3. Seer keel and 4. Erg hoofpyn he'."
    ],
    [
        "If my wife (she is a nurse in a surgery) comes into contact with a patient with the virus, is she likely to then get it herself, if she is wearing gloves and mask etc?",
        "It is unlikely. Mefical personnel are trained to avoid these situations.Nevertheless recommend her to take off her clothes when she gets home and go directly to take a shower. Also is recommended to disinfect all the areas she touches before washing her hands, like door knobs and surfaces."
    ],
    [
        "How do we differentiate between covid and flu? My son started with a very sore throat last night and I can’t seem to get his fever under control Spread through the house very quickly to everyone else.",
        "Stay home   Do whatever you do with a regular flu.  Drink a lot of fluids, use acetaminophen/paracetamol (tylenol) for the fever and sore throat, eat/drink citrus and please stay home and away from the elders. Follow the recommendation of your local authorities.Only go to medical services if you feel shortness of breath and use masks if you feel sick and need to go out of your house  Would you like to video or text chat with me?"
    ],
    [
        "Stayed in hotel Fri night. Heard of pos COVID-19 case later pm. Left hotel & self isolated since Sat. Wasn’t in any contact. Isolated as didn’t know if any staff serving me had been infected. As long as no symptoms - how long must I self-isolate for?",
        "7 days. Stay at home for 7 days without symptoms. Monitor your temperature, rest, drink fluids   If symptoms develop, please notify your physician and test. ."
    ],
    [
        "Colleague is covid 19 positive. I had meetings with him. Instructions are to self isolate and get tested if show symptoms. I have no symptoms. Is it possible to opt to get tested?",
        "Not advised to test . The test currently used is a genetic test which test for the virus genetics. Therefor if you are tested while asymptomatic, it will not test positive, even though you might actually be infected.Rather stay under self quarantine and test if you show some signs."
    ],
    [
        "I have a wet cough. Stuffy nose and sometimes get a headache. I took my temperature and it is normal but my cough is starting to get worse. Painful. Someone sneezed right next to me on 14 March.?",
        "Symptoms. So you are worried that you might have Covid-19. You may also have common cold or influenza. Call hour General Physician. Report your symptoms. They will direct you to proper care."
    ],
    [
        "I have sinusitis but only show symptoms when the weather changes or I move to a new environment. Lately I have experienced sinus irritation, a slight cough and a dry throat. These come and go. Should I be worried and go test for Covid 19?",
        "Depend. Hello.High risk population for covid-19 are people more than 60 years old or with pre-existing condition like heart or lung disease.If you feel you have the flue stay home for your own good and the whole community. Unless you feel shortness of breath or don't go to medical services."
    ],
    [
        "I just came back from London last week travelling with my family and I have a cough and a sore throat. Should I test myself for Covid 19? None of my family members have any symptoms as yet? Thank you.",
        "Covid. Top symptoms for COVID include fever, dry cough and SOB.  Actually sore throat not so common. Follow this guideline:https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19."
    ],
    [
        "I’ve entered my symptoms into the system & the return I got was that I have either the flu, Covid 19, or a cold. Should I seek physical medical advice?",
        "Risk. High risk would be smoker, 60 or older and with medical conditions- heart, lung, kidney.  If you are not having significant SOB self isolation best to do and treat for flu symtpoms-rest, fluids, tylenol or ibuprofen if needed. https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide.  Tests are being reserved for those with significant symptoms. ."
    ],
    [
        "How do I book a virtual consultation with my doctor for Covid-19?",
        "Call your doctor   Call your doctor's office for instructions  Would you like to video or text chat with me?"
    ],
    [
        "Because I have type 1 diabetes, what is likely to happen to me if I get the coronavirus?",
        "Might be more severe. People with diabetes can have more fragile immune systems with difficulty fighting infections, so if you contract coronavirus you might be at greater risk for breathing complications.  Any serious illness can affect blood sugar control in diabetics also. I recommend taking extra precautions to minimize contact with people so as to avoid contacting the virus.  ."
    ],
    [
        "Can I catch corona from food that I eat? Should I be making sure to cook all my food thoroughly first?",
        "Food. This link will help! https://www.fsai.ie/faq/coronavirus.htmlIn general food is not a problem.  Unless you are dining on bats in Wuhan! Here is a good article on that.https://www.nytimes.com/2020/02/10/science/pangolin-coronavirus.html."
    ],
    [
        "Are there specific animals or pets more likely to catch corona than others? Which animals should I be staying away from?",
        "Limited risk   From my reading the corona virus is limited in the animals it infests to varieties of bats and snakes.   I would not put your dog or cat on such a list.  Would you like to video or text chat with me?"
    ],
    [
        "I have been experiencing flue symptoms for about 7days, symptoms include: productive cough and running nose. Could that be symptoms of corona? My workplace involves working in hospital with patients (children) with respiratory disease and adults.",
        "In pandemic times... The COVID-19 infection is worldwide, in all but some isolated areas. The goal is to keep people separate so that the clinics and hospitals are not overwhelmed. Patients with medical symptoms should see their primary care doctor on VIDEO or by PHONE, and get instructed to go to a clinic or ER only if not treatable by video or phone. Symptoms of COVID-19 are often the same as a cold or the flu."
    ],
    [
        "I work in a call center and one of my agents tested positive for Covid-19, sent her home Wednesday to get tested and yesterday they came back positive?",
        "CoVid. https://www.healthtap.com/blog/covid-19-care-guidelines/resources-for-managing-covid-19https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide."
    ],
    [
        "Hi, I would like to know where to get tested for Covid-19, I work in a call center and one agent was confirmed to have tested positive and I still had contact with her close friends and her last Wednesday before I sent her to the doctor for a check?",
        "Self-quarantine. Try self-quarantine for 14 days; call your health care provider if you start having symptoms to get instructions regarding testing, self-quarantine and possible hospitalization then follow through!"
    ],
    [
        "I have chest congestion and I feel heavy when I breathe (not sure if I have a fever, don’t really have a cough but my throat is sore). I also know that someone in my office and my boyfriends office have been infected with COVID19. What should I Do?",
        "? telephonic consult   If you are able, consult telephonically with your GP.   If not, do not go into public places, rather get symptomatic treatment - let someone who is well do this as swiftly as they can. Otherwise continue consulting on this forum. We can help you. If you have access to a test this is the ONLY way to know if you truely have it.   Would you like to video or text chat with me?"
    ],
    [
        "I have a sore throat and feel very tired. Should I be concerned about COVID-19?",
        "Hard to say   Very hard to say.   Stay home. Stay safe. Get someone to buy you symptomatic medication and feel free to post on here again.  Would you like to video or text chat with me?"
    ],
    [
        "Hi,my sinuses usually act up during seasonal change (like now). My worry is my symptoms resemble that of covid-19. Throat has been a bit irritated, lately nose has been runny. Wanted to know how I could get myself tested as I don’t live alone, thanks?",
        "No   If you know you have seasonal allergy treat that.   Get as much medicine as you might need for a month regarding this. If you do not fit criteria (google) then no testing for now. Stay home and stay safe.  Would you like to video or text chat with me?"
    ],
    [
        "I've been having the same symptoms as for Corona Virus. I've had them coming along slowly for 1 week now. I haven't had direct contact with someone who has travelled overseas but I'm worried I've had indirect contact. Should I get tested?",
        "Corona virus   If you are symptomatic and not SOB you  should not need tested.   Testing in itself does not change the course and at this time and it does not lead to a specific beneficial action. If fever and SOB the testing guides inpatient therapy. Follow the following guidelines:https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19; https://www.healthtap.com/blog/covid-19-care-guidelines  Would you like to video or text chat with me?"
    ],
    [
        "My COPD meds are finishing in the next week and I cant get in to see my pulmologist?",
        "Try our other forum. You have posted on our free, public, informational forum, where doctors do not see patient charts nor give medical care. Try a private consultation where doctors can see you on video. Also, in the US certain medications (but not all) can be prescribed or temporarily refilled, depending on individual circumstances. Start over on your screen, click on Care, then Talk-to-Doctor. (Mar. 2020)."
    ],
    [
        "I have been exposed to someone with covid Do I qualify for a test at a laboratory?",
        "Testing   If asymptomatic testing unlikely to be done.    The following guide should help: https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19-for-seniors  Would you like to video or text chat with me?"
    ],
    [
        "Hi there Me and my 7year old have flu like symptoms and have been in contact with someone that arrived from New Zealand with an undiagnosed heavy flu. Should I get tested for COVID-19?",
        "Hard to say   New Zealand is definitely lower risk than Europe.   Your best bet is to stay home, with masks on (home made) follow hygiene. If you need more help ask another question here. If you have access to testing you could do it but I think we need the tests for folk who are more ill at this stage. Hope this makes sense.  Would you like to video or text chat with me?"
    ],
    [
        "I also have a dry throat sometimes its feels like there is something stuck or putting pressure on my throat?",
        "Need more info. Have you travelled or come into contact with a corona virus patient ?"
    ],
    [
        "I have been in frequent close contact with tourists (including people from the USA and Germany), doing gin tastings. I have a cough for the past two weeks, should I get tested for Covid19 as a safety precaution?",
        "Avoid contact. Stay at home for at least 7 days from the onset or symptoms, or for at least three days following fever whichever is longer in duration. Cover your cough, monitor your temperature. Watch for signs of worsening including fever, shortness of breath or worsening cough."
    ],
    [
        "Do I need to get tested for covid-19. Living with a person who returned from Canada 20/03. Dry throat, but do not feel sick?",
        "Hard to answer   If not ill assume you have it and behave as if you do, wear a bandanna over nose and mouth and if you have access to testing then do it.   If not stay home and boost immunity.  Would you like to video or text chat with me?"
    ],
    [
        "Good day. During the lockdown will I be able to travel to my Gynae for my check up?",
        "No.   Most doctors are rescheduling non-essential surgeries, procedures and visits.   You don't want to be in a doctor's office with a bunch of people who may or may not be infected with the Coronavirus.  Would you like to video or text chat with me?"
    ],
    [
        "I'm a healthcare worker, seeing walk-in patients and working in emergency department. I have a severe case of flu-like symptoms but no confirmed contact with known covid patients. Do my symptoms warrant testing or should I risk spreading my disease?",
        "Sounds like viral. Sounds viral but not corona however healthcare workers are high risk by being exposed to ill populations. I would stay home so that you do not cross infect. If you have access to a test then get that self isolate and monitor your symptoms. Post on here if confused. ."
    ],
    [
        "Hello, I would like assistance with managing a ongoing cough that may or may not be linked to Corona virus. A colleague stated their possible exposure to someone who tested positive. The cough started more than a week ago.  ?",
        "Cough/fever?   Please stay at home and avoid contact with others for one more day at least.   If there is a fever, remain at home for at least three days after the fever is gone. At this point, if you are otherwise healthy, cover your cough, monitor your temperature and please stay home.Watch for signs of secondary infection, including fever, worsening cough and shortness of breath.   Would you like to video or text chat with me?"
    ],
    [
        "I believe I might have Covid 19 symtoms. It's possible to get testing done at home to confirm? Currently I have soar throat, started last night around 19:30.",
        "No. It is currently not possible but hopefully house to house testing coming according to Cyril Ramaphosa last night. You can get tested at some clinics, safest right now is to stay at home unless you are imminently unwell. If safe and in as much isolation as possible you can be tested at lancet and ampath, due to capacity stretching they are now only testing people who fit the criteria. ."
    ],
    [
        "I am on my last repeat for my chronic meds. Do I have to come in for a dr appointment on can this be done remotely given the Covid-19 lockdown?",
        "Yes. Yes you should come but it will not be a consultation depending the treatment you taking. If it is for HIV  you will need to go to the lab for for  bloods and if it is for hormone replacement there is no need for consultation but either way you have to call the practice reception to check f DR is available."
    ],
    [
        "Is it safe to take ibuprufen during thisbseasonnof corona outbreak or should we take paracetamol?",
        "Medications. I am unaware of any contraindications to either ibuprofen or paracetamol. You can take either. When I get sick I like to take both. One can be taken every 4 hours and the other every 6 hours. ."
    ],
    [
        "How dangerous is coronavirus if someon has heart arrhythmia and is type 2 diabetes?",
        "Concern   Diabetes if controlled well typically should not be an issue.   I realize there are some conflicting information, but I think the evidence shows that if diabetes controled your immune system still reacts appropriately and not an issue. Arrythmia in itself not and issue. Your age is 60 and that starts to be category of concern with 3% mortality rate.  If you do not smoke that is the key.   Would you like to video or text chat with me?"
    ],
    [
        "I came into close contact with someone who just flown back from Australia, I have been in self isolation since he landed, am I'm not showing any symptoms (dry cough, fever, sore throat) what is the next protocol? Do I go into work?",
        "No. Don't go to work you could unknowinly spread the virus. We are all effectively on lock down and the sooner the better if you THINK you have it stay home, if you ave access to testing then get tested BUT we are running out of tests (to my knowledge) if you deteriorate send a message here and I will advise. DO not go to work."
    ],
    [
        "Can an ingrown toenail make your whole foot numb? And if so what can be done at home to stop this from happening? I know a ingrown toenail isn’t a reason to visit a hospital atm with the coronavirus going around.",
        "Ingrown toenail   An ingrown toenail can make your foot numb.    I do ER and it is a procedure I will do.  However, many primary providers will do the procedure and podiatrists are a good choice. I do not recommend digging into it at home. However, to prevent future toenail problems do not wear pointed shoes, and let toenails grow to tip of toe and keep at that length.   Would you like to video or text chat with me?"
    ],
    [
        "I was confirmed to have covid-19, I self-isolated for 14 days. My concern is with my 1 year 6 months son Nabi who has been caughing. ?",
        "Keep isolated   The baby very likely has the infection.    However, the data are very reassuring on children less than 10 year old.  I am certain there has been no deaths recorded. Treat as you would if the baby had a cold.  Follow the following isolation guidelines:  https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide  I think you will find this improving in a few days.   Would you like to video or text chat with me?"
    ],
    [
        "Good Day Doctor. since past week, i am loosing weight.Mid last week it was 62 odd and today when I checked, it is 61.35. Few months back weight was above 64. I am having no other symptoms. I realized this only when my trousers were loose. Thanks.",
        "Dont think c   This is a different problem. Dont think it is covid.   Which is good news. What are your other symptoms?  Would you like to video or text chat with me?"
    ],
    [
        "I got an sms stating the following: Taking Ibuprofin/ Advil? Mypaid/ myprodol to control fewer should stop. They also say that ibuprofen is increasing the rate of multiplication of the virus. And that we should not take these meds. How true is this?",
        "Hard to say. It does look like it is true. We are in an unprecedented time right now. What we know we are trying to convey. Switch to panado or napacod for now if possible."
    ],
    [
        "I have HASHIMOTOS. Nodules checked by US yearly.  I see a thyroid specialist yearly. I am a PRESCHOOL Teacher Assistant. I still work. I am a 47 yr old female.  What is my RISK LEVEL of getting the virus?",
        "Nearly normal   Assuming you are not on any immunosuppresive therapy your risk is normal.   but make sure you do social distancing  Would you like to video or text chat with me?"
    ],
    [
        "I have a slight cough over the last few days but haven't been exposed to people or traveled to covid 19 areas. I have recently quit smoking so could that be it. What should I do?",
        "Keep non smoking. If you have no exposure history to COVID 19, your cough is probably not infection. keep up the good work and do not smoke or vape."
    ],
    [
        "I have a dry burning sensation in my throat and no fever (temp is 35.6),  I’m 24 weeks pregnant and worried that it may be Covid19, Do I need to have a fever with Covid19? Will my baby be okay?",
        "Probably not COVID19   early COVID 19 may not have a fever, but usually does by on average 5 days after exposure.  what is your exposure to COVID? that is more important to determine the possibility of developing COVID 19  Would you like to video or text chat with me?"
    ],
    [
        "Can the coronavirus leave lung scarring? I thought I heard something about it.",
        "Yes    like most lung infections there will be changes in the lung structure, probably microscopically and may not be seen on X-rays,  Would you like to video or text chat with me?"
    ],
    [
        "Can you contact coronavirus or any virus from the air? Also, from talking to someone from a distance of beyond 6 feet. Any info on airborne facts?",
        "COVID 19 is airborne. COVID 19 is primarily an airborne acquired infection. the number of potentially infected viruses dissipate by 6 feet."
    ],
    [
        "I have pure pressures head aches and coughing persistent ?",
        "If it's just from...   If cough and headache are just from a mild cold, then the over-the-counter cold medicines are what people usually try.   However, some illnesses such as strep throat, the flu, or pandemic coronavirus also have these same symptoms, but need evaluation. It is best to contact one's primary care doctor by video or phone first during this pandemic. For emergencies, call the local emergency #).  (3/24/20)  Would you like to video or text chat with me?"
    ],
    [
        "Can sinusitis cause white spots on tonsils?",
        "Usually does not   Throat symptoms can be from strep throat infection (antibiotics are needed), a cold or other virus (antibiotics usually not used), allergies, irritants, sinusitis, stomach reflux when asleep, etc.  .. One usually sees the doctor if the throat issue is bothersome, recurrent, or doesn't go away quickly. A strep throat swab test can easily diagnose strep throat.  Would you like to video or text chat with me?"
    ],
    [
        "3yrold having rash. Specially under armpits and his thighs too. He can’t sleep at night due to that. I’ve tried lotion to hydrate. He had minor eczema when born but not too serious what can I do? Don’t want to take him to hospital due to virus!",
        "Rash. How long has it been going on?  May be food allergies, most common are dairy products so you could try a week with  no dairy and see if there is a change, others allergens include eggs , wheat.   Could try Zyrtec children's 2 ml once a day and see if it helps itching. Rarely I have seen strep manifest with rash for which  you need a culture.  Speak to a pediatrician on HealthTap prime  or call MD."
    ],
    [
        "Should patients with COVID-19 avoid ibuprofen or RAAS antagonists?",
        "COVID-19 and RAAS    No, according to recent statement from American Heart Association, the patients with cardiovascular disease should continue ACEI or ABR as prescribed.   WHO also doesn't recommend avoiding ibuprofen for patients with COVID-19 Symptoms, although the use of acetaminophen could be an alternative option.   Would you like to video or text chat with me?"
    ],
    [
        "Should I invest in a reusable mask to protect myself from COVID-19? I know a lot of people wear those in Asian countries and they look kinda nice.",
        "Barrier protection   Most of these masks won't completely protect you from a virus, which can penetrate these materials however that does not mean they are not useful.   A mask of any sort is good if you are coughing or sneezing to limit some of the aerosols and also is better than nothing if you are out and about in a high risk situation. The chance of you catching the virus is highly dependent on lengthexposure & dos  Would you like to video or text chat with me?"
    ],
    [
        "If I'm not sure if I have allergies or coronavirus (or something else), should I still stay home?",
        "There are   many online resources to help you distinguish between the two.   But, yes it is a good idea to stay home until told otherwise.  Would you like to video or text chat with me?"
    ],
    [
        "Daughter is experiencing dry Coughing nasal drip. She was on amoxicillin panamol and Rhineton for ear infection. That was diagnosed last week monday. I need to know if she should go for Corona Virus test as we travelled back from cape town last week.",
        "Self isolate. avoid contact, wash hands, plenty of rest and fluids, if high fever or trouble t=breathing call doctor they can advise you about testing."
    ],
    [
        "Itchy/burning throat. No cough. Could this be corona infection?",
        "It could be. self isolate, wash your hands, plenty of fluids and rest, if you get  a high fever or have trouble breathing call your doctor."
    ],
    [
        "My Daughter and I travelled from Cape Town to Pretoria last week Wednesday. My daughter before she came to Pretoria had a ear infection. She was given Amoxillin Napamol and Rhineton for the ear infection. She now has dry Coughing and?",
        "Unlikely covid. Unlikely to be corona listening to your symptoms. Stay home and wear masks (anything that covers nose and mouth) proven to decrease transmission by 50%. If you are unwell in terms of respiratory rate (google) >25 or become medically unstable you need to find a corona hospital emergency room. Outside of these conditions stay home and stay safe. The more we all travel in the next 3 days is bad."
    ],
    [
        "I have a 2 years old with cough n fever sweating which is worse at night, can she b tested for covid19?",
        "Yes   call your doctor for advise.  Would you like to video or text chat with me?"
    ],
    [
        "I'm finding difficult to maintain precisely 6 ft in grocery stores. Today, as I was leaving, someone entering the store that was (possibly) 3 ft away was coughing lightly and I took a shower when I got home. I'm a hypochondriac. Possible covid-19?",
        "It is possible.    You can self quarantin yourself for 2 weeks.   If develop and symptoms especially fever and cough get tested. Since you consider yourself a hypocondriac i suggest to wear an N-95 or surgical mask to prevent similar situations.  Would you like to video or text chat with me?"
    ],
    [
        "I have been coughing and sneezing for the past 2 weeks. Throat really sore past week. Always thirsty. Diarrhea started on Friday night and vomiting since this afternoon. Have a constant fever from Wednesday. ?",
        "Covid-19   This may be influenza or Covid 19 and warrants a call to your physician to get instructions of whether to be examined,cultured and/or tested for Covid 19 virus, ordered to have a chest xray and/or started, on antibiotics.   A lot depends on whether you're in an endemic area or have been exposed to someone who has the infection or had travelled from an affected region. Gargle,avoid dehydration.  Would you like to video or text chat with me?"
    ],
    [
        "I have heart valve disease (leaky heart due to rheumatic fever as a child). Never had any symptoms or complications, However, am I at high risk for death due to coronavirus and what can I take before or during early symptoms of the virus?",
        "RHD. If your rheumatic heart disease hasn't caused weakness of the heart muscle or cardiac arrhythmia it shouldn't predispose you to more complications than anyone else in good health. Keep your resistance and immune system high by avoiding fatigue, dehydration, excessive stress, poor nutrition and exposure to ill people. Practice social distancing. At sign of sore throat gargle with warm salt water ."
    ],
    [
        "Can your only symptoms on coronavirus start as tightness of chest and shortness of breath? I’ve had this for a week now. My body aches a bit, hard to tell if this from trying so hard to breath. Nose occasionally runs, throat a little sore.",
        "Possibly. if you had your symptoms for a week and they haven't gotten worse or developed into a fever, you probably do not have COVID-19.IF you are still worried see your PCP."
    ],
    [
        "Can I get a covid 19 test?",
        "Per RSA NICD: Seek care right away if difficulty breathing, other severe symptoms.Seek testing if sick, PLUS known Covid-19 contact, or travel to high risk country, or been in facility treating people with Covid-19, or severe pneumonia of unknown cause.Call 0800 029 999 for test.If sick or possibly exposed (not both), stay home.Seek consultation if sick.If known exposure & not sick, self-isolate 14 days."
    ],
    [
        "Displaying mild symptoms: Slightly sore chest Dry throat Intermittent dry cough Slight headache that comes and goes Quickly out of breath Temperature is between 37.1-37.5 at bed time the past couple of days  Don't feel really sick just slightly off?",
        "Test   Your shortness of breath is concerning.   You may have an underlying condition and should also be screened for Coronavirus. Stay home, rest and drink fluids until you are seen by your physician. A chest image may be performed at the visit.  Would you like to video or text chat with me?"
    ],
    [
        "To kill virus on hand which soap better? AntiBacterial or Normal handsoap? Is AntiBacterial better since it specialized to get rid germs better? Im confused since i read on internet, any kind of soap doesnt matter.",
        "Any soap   any soap should be effective against most viruses.   antibacterial soap may advertise against bacterial but has no claim to be better against viruses.  Would you like to video or text chat with me?"
    ],
    [
        "Experiencing pain and swelling accompanied by warmth to the touch with a red patch around my elbow. Also experiencing body aches. What could be the problem?",
        "Might need treatment. Could be infection or other condition requiring urgent treatment.  Seek evaluation, but preferably on phone or online, to avoid coronavirus exposure.  Video consultations are available on HealthTap; click on \"Talk-to-Doctor.\" ."
    ],
    [
        "I have diarrhea and am concerned about covid 19. I read some cases with higher mortality rate started with diarrhea. What should I do? Coronavirus and diarrhea.",
        "It depends... Due to limited availability of covid testing, you probably wouldn’t meet criteria for testing, unless you develop fever or cough, and you have chronic health problems or have been possibly exposed to covid.Seek care right away if difficulty breathing or severe symptoms.Seek online or phone consultation otherwise, to avoid exposure.Ultimately, patients who need treatment will have lung symptoms."
    ],
    [
        "Is COVID-19 airborne? If someone sick was coughing few hours ago and other person come the same location and inhale, what will happen? . If many people wear masks so for what? . although they aren’t sick who wear masks. Also, what about wearing gloves?",
        "Yes. COVID-19 is an airborne transmitted virus. It can hang around in the air and masks provide minimal but some protection. Social distancing from an area or person with the disease is better to limit exposure.  Gloves may help prevent pick up virus from surfaces."
    ],
    [
        "Is the flu injection available?",
        "Not sure, but...   I'm writing from the U.  S., and I'm not sure of the availability of vaccination for influenza in your area.  However, with the coronavirus pandemic, getting your flu shot is a good idea, if possible.  It's always a good idea, but, also, though it won't protect you from coronavirus, you could get both. And, if you get the flu, not knowing if it's flu or coronavirus presents complications.  Would you like to video or text chat with me?"
    ],
    [
        "I use Athraway chronic for rheumatoid arthritis, will this complicate things relating to the corona virus?",
        "No. I do not think it will have any effect on corona virus."
    ],
    [
        "Does my keycare plan cover a flu vaccine shot? And is it necessary to get a shot to help boost my immune system to fight COVID-19?",
        "Keycare flu vaccine. HiPlease contact your medical aid to see if meet the qualifying criteria to be covered by a flu vaccine on your plan. Usually Keycare only covers in patients that are high risk, like asthmatics, diabetes, emphysema, cardiac patients etc.The current flu vaccine does not protect you against COVID19 and will not influence you ability to respond to this infection."
    ],
    [
        "Should myself and my wife be sleeping apart at the moment due to the virus, as she is a nurse in a surgery, and i have type 1 diabetes?",
        "Appears as though   this was asked before? She should disrobe immediately upon entering the home, place clothes in laundry and then shower. You need to keep A1c as low as possible, do everything you can to support gut health and immunity and increase supplements that increase resistance to viruses.   Sleep apart... your call!  Would you like to video or text chat with me?"
    ],
    [
        "Is my wife is at huge risk of getting the virus, as she is a nurse in a GP surgery? I’m so scared for her. I’m scared she will get it, and we will both end up with it.",
        "Hopefully not. Your wife should know the protocol of handle COVID-19 as well as other viruses. Her institution should be providing PPE (personal protective equipment) for her to use properly."
    ],
    [
        "What are my chances of only getting mild symptoms if I get the virus, because I have type 1 diabetes?",
        "Probable   I know there is a study that shows concern for diabetics, however, this is one study and there are others that show no particular issue.   The data is clear that older, especially older than 70, multiple comorbid conditioins and smoking are critical problems. Although diabetic if it is controlled well it is likely your symptoms will be like most 38 year olds- mild.   Would you like to video or text chat with me?"
    ],
    [
        "Hi, I would like to know is the coronavirus one virus or mixed with other viruses as I been told by someone?",
        "No. coronavirus is the name of a family of viruses, but each one can cause disease.coronavirus COVID-19 is one specific virus linked to the present pandemic, not a mixture of viruses."
    ],
    [
        "Does a person get all the Covid 19  symptoms all at once  eg temperature, cold , tiredness , or we can get any of them eg cold but no temperature?",
        "Many possibilities   Seek care right away if difficulty breathing, other severe symptoms.  Seek testing if sick, PLUS known COVID-19 contact, or travel to high risk country, or been in facility treating people with Covid-19, or severe pneumonia of unknown cause.Call 0800 029 999 for test.If sick or possibly exposed (not both), stay home.Seek consultation if sick.If known exposure & not sick, self-isolate 14 days.  Would you like to video or text chat with me?"
    ],
    [
        "I'm not sure, my temperature is 36.5, I have some chills but not significant but I yawn a lot and my breath is short, feels like I have to breath more, I'm laying down breathing through the nose is easier.",
        "Seek evaluation. Difficult to advise without more information, so seek evaluation by a doctor.  Because of covid, try to do that by phone/telemedicine.  However, seek in person care right away if breathing distress, or severe symptoms.Seek covid testing if known covid-19 contact, or travel to high risk country, or you’ve been in facility treating people with Covid-19, or if pneumonia.Call 0800 029 999 for test."
    ],
    [
        "I live in france.and now 7days for home quarantine.i have no fever.but I have parangities in my thoart.last few years it's comes and goes.now I am worried because of covid-19. Does only parangities is only symptoms of this???",
        "Think you ok    if a longterm thing sounds chronic not corona , only way to know is the test  Would you like to video or text chat with me?"
    ],
    [
        "I‘ve had a dry cough for a couple weeks now, post nasal drip, runny nose, sore throat every now and then, I think I’m starting to develop a fever and I’m getting lightheaded/feeling faint when I stand and walk & slight body aches. Do I have Covid19?",
        "Hard to guess. You have some of the  symptoms of cold , flu and covid19 . Also you appear to be dehydrated. But you are young and no mention of any underlying medical condition. So, i  think you are not vulnerable.  Drink at least 6 cups of water a day. Probably need self isolation for 2 weeks and to be tested in mean time for covid19 if you develop breathing problem. Contact to your doctor for a guidance."
    ],
    [
        "On an antibiotic amoxicillin 1000mg morning and night?",
        "Need more info! Difficult to advise without more information, so seek evaluation by a doctor.  Because of covid, try to do that by phone/telemedicine.  However, seek care right away if difficulty breathing, or severe symptoms.Seek covid testing if known COVID-19 contact, or travel to high risk country, or you’ve been in facility treating people with Covid-19, or if pneumonia.Call 0800 029 999 for test."
    ],
    [
        "Last weekend (13-15 March) I was at a festival. And today the festival organizers confirmed that someone arrived on the 15th who was tested positive for Covid-19. I was in the same area and for a few hours where this person was, should I get tested?",
        "Incubation period. Stay home, rest and drink fluids for at least three more days . You may have been exposed to the virus. If you develop symptoms of the flu, fever, dry cough and/or shortness of breath, please arrange testing and a call with your PCP."
    ],
    [
        "If one get corona and you are self isolating and it is not severe, is there any meds that one can take?",
        "Not really     keep immunity up, keep mental health strong, no specific meds at this point in time  Would you like to video or text chat with me?"
    ],
    [
        "Hi, I have come into contact with someone that tested positive for the virus, what do I need to do? I have been isolating for a week now and developed a sore throat yesterday.",
        "Continue to    self isolate.   Get rest, drink lots of liquids, tylenol as needed, IF get severely sick seek care.  Would you like to video or text chat with me?"
    ],
    [
        "Do I have coronavirus ? I have joint pains. I did sleep most of the day yesterday so I might have been in an uncomfortable position. I have neck, shoulder, elbow joint and wrist pain. Must I get tested ?",
        "No   not yet, joint pain alone not an indication, but stay home   Would you like to video or text chat with me?"
    ],
    [
        "I have a prolia injection appointment at the beginning of April. Will it be safer to postpone the appointment because of the COVID-19 situation? Prolia appointment.",
        "Yes postpone . Yes. Definitely you can postpone the treatment by 2-4 weeks at least. ."
    ],
    [
        "Re: COVID-19 -- Is it safe to go out in public without a face mask on right now as long as the recommended 6ft distance is maintained? Am wondering if picking up groceries curbside (have to get out of car and open trunk for store employee) is safe?",
        "Yes and no.   Yes for the first question.   For the second question i should say no because the possibility of the store employee coming close less than 6 feet is great. But what you can do is you get out of the car open the truck and then call the store employee for a curb side pick up leaving always a 6 feet distance between two of you.  Would you like to video or text chat with me?"
    ],
    [
        "My wife is a nurse in a GP practice, and although she has a mask and gloves etc, is that enough to protect her, if an infected patient with the virus was to come in to her?",
        "Nearly. need an N95 mask, gloves and gown as well as eye protection if in contact with aerosol, if working with truely negative she is safe, but we need more testing and to keep mildly ill with corona away from every body else."
    ],
    [
        "The symptoms of COVID sound like my asthma symptoms when it flares up. So how would I know the difference?",
        "Fever/flu like sx   COVID-19 is typically associated with flu like symptoms, fever, dry cough and/or shortness of breath.   If your shortness of breath does not improve with Albuterol inhaler, please call your PCP right away. Stay home, rest, drink fluids, monitor your temperature and avoid environmental triggers such as smoke and dust.   Would you like to video or text chat with me?"
    ],
    [
        "What are my chances of becoming severely unwell with the coronavirus, as I have type 1 diabetes?",
        "High    diabetes -especially uncontrolled is a probem, if you are well controlled similar to rest of population, no one really spared so to speak, stay home, if you need to consult do so telephonically  Would you like to video or text chat with me?"
    ],
    [
        "I have a sour throat. I travelled to Joburg on 8 March and sat next to a passenger with a face mask and had a running stomach. I now suspect corona infection?",
        "? test. Do you have access to testing? If so perhaps do a telephonic consult ? and get tested and self isolate ? Usually anosmia - loss of smell is an early warning sign but close contact to someone who is positive it's highly contagious."
    ],
    [
        "I have been running a low grade fever for over two weeks. I have three days left of a Cefidner prescription.  I am still running a low-grade - ranges from 99 to high of 100.7.  I have no other symptoms except usual allergies.  Will blood work show what is.",
        "Bloods do help    but only a corona virus test confirms - stay home or be tested safely, your problem sounds more chronic but hard to say  Would you like to video or text chat with me?"
    ],
    [
        "Hi there, I came into contact with somebody on Tuesday last week that was later that week tested positive for COVID-19. I found this out on Friday and straight away went into self quarantine. I am not showing symptoms as yet.?",
        "Welldone. stay there if you feel it will help you can get a test but do so safely, else continue doing the right thing."
    ],
    [
        "I have a soar trought. Can I have Covid19?",
        "Possible   Top symptoms of COVID include fever, dry cough, SOB.   Sore throat is a symptom, but not as common. You are 36 and likelyhood of severe infection uncommon. Probably best to socially isolate. Other possibilities include strep, influenza or adenovirus. Follow these guidelines:  https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide  Would you like to video or text chat with me?"
    ],
    [
        "I have had sore throat and shortness of breath, tight chest since last Monday. 8 days later and symptoms are not going away. No runny nose. I have been exposed to travelers. Should I go for covid test?",
        "Yes. yes."
    ],
    [
        "Good afternoon, I recently visited a client whose husband works in the same practice as a confirmed Covid case.Two days after the visit I fell ill, gradually getting a sore throat, fever and feeling tired. Should I get tested?",
        "Tesing   Follow the following guidelines: https://www.  healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide Call your local provider or Health department. At 36 you would be considered low risk for serious infection.  The test in itself does not lead to a specific action and the tests are numbered. So at this time the tests are limited and being used for sicker patients.   Would you like to video or text chat with me?"
    ],
    [
        "Last year during flu season had a severe cough, difficulty breathing and xray show there was fluid in my chest/lungs. Any advice on what to do with this covid 19.",
        "Covid. Follow recommendations. Flu last year and Covid this year are two separate issues. At 33 your risk of sever infection is low. Follow the guidelines for COViD. The guidelines are as follows:https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide."
    ],
    [
        "I’m currently not feeling well and need to know if I need to tested for COVID-19 Symptoms: Cough Headache Sore throat (day 4) Intermittent dizziness Brain fog Body feeling very weak Mucous in my throat - no runny nose?",
        "Hard to get tested. Throat pain can be from a strep throat (antibiotics needed), a cold or influenza, or from some other cause such as allergies or irritants. Usually, a person sees the doctor (call first) if the sore throat is bothersome, recurrent, or doesn't go away quickly. COVID-19 infections tend to have cough, whereas strep usually lacks cough but has more throat pain. Can call."
    ],
    [
        "Can I see a Dr online for all my medication refills so I don't have to go into a Dr office? I need medicine refills.",
        "Maybe not all meds. COVID-19 pandemic at this time, so one's doctor may want to consult by video instead of requiring an in-person visit. Some medications are refillable by video, others are not. In this pandemic, one's primary care doctor, who knows the patient well, can usually get meds to the patient without an in-person visit... unless an exam is needed in order to adjust the meds. Just ask the doctor. (3/23/20)."
    ],
    [
        "I have a sore throat and mild cough, do I need to be tested for corona?",
        "Hard to get tested. Throat pain can be from a strep throat (antibiotics needed), a cold or influenza, or from some other cause such as allergies or irritants. Usually, a person sees the doctor (call first) if the sore throat is bothersome, recurrent, or doesn't go away quickly. COVID-19 infections tend to have cough, whereas strep usually lacks cough but has more throat pain. Can call."
    ],
    [
        "Where can I test on for free on a essential smart plan for COVID-19?",
        "Local issue   When or where testing is available is a local issue.   Your post does not reveal your location or even the country you are in. We have no access to or information about health plans or services around the world where this site can be seen. You will need to contact a local health department for such information.   Would you like to video or text chat with me?"
    ],
    [
        "I have a dry cough and sore throat. Should I be scared of contacting of Covid 19?",
        "No. Fear does not help us right now. This thing is coming. Angela Merkel said 70% of us will get it. Rather stay isolated and access your doctor via a telephonic consult and keep drinking fluids and also boost your immunity."
    ],
    [
        "If I have fever and coughing (even blood) and I havent been outside of the country, do I have corona virus?",
        "Hard to guess. If you are living in an area affected with covid-19 pandemic certainly it arouse suspicion if you are infected. Your age is aginst criteria. It may well be what you have is bronchitis or flu. Isolate yourself and get in touch with your doctor preferably via telemedicine to find out about where you can be tested and your treatment path forward. ."
    ],
    [
        "I have a tight and painful chest with a dry cough, no fever and no headaches. Could it possibly be coronavirus?",
        "Possible. Top symptoms include fever, dry cough and SOB. An obvious possibility.  If so, your best step is to self-quarntine. Remember at your age low risk of complication and typically will pass without issue. If worsening SOB be seen. Call your provider or check with local health department. These are Healthtap guidelines:https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide."
    ],
    [
        "I have a problem with with my chest. Pain and a bit short of breath. I cough every now and then, no fever and no headaches. But i am concerned it might be this new coronavirus. ?",
        "Possible    Top symptoms are cough, SOB and fever. Best to self-quarantine.   Call your provider and or health departmentHealhtap quarantine instructions are as follows:https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide  Would you like to video or text chat with me?"
    ],
    [
        "I have had contact with a co-worker who has now been confirmed as having the corona virus. I don't have any symptoms but my landlords would like me to be tested. Is this possible & how do I do this?",
        "Contact your doctor. In the mean time self quarantine yourself. If you do not have a doctor call your local health resources  to find out where you can be tested. It may be difficult to come by a testing location in some countries."
    ],
    [
        "Hi ,  Can I use Oralcon birth control pills even though we have the coronavirus epademic ?",
        "Yes   I am unaware of any contraindication to using BCP and the virus.   Would you like to video or text chat with me?"
    ],
    [
        "When I get back from grocery store do I need to wash my groceries and grocery sacks with garden hose outside to prevent Coronavirus ?",
        "Groceries.    https://www.consumerreports.  org/food-shopping/how-to-protect-yourself-from-coronavirus-when-grocery-shopping/This article will help!  Would you like to video or text chat with me?"
    ],
    [
        "I am very fearful of the Corona virus, if I have a dry cough and headache should I stay indoors and away from others?",
        "Self quarantine.   Isolate yourself and contact to your doctor by phone or via internet.   You may have flu more than corona virus. Because headache is not a common symptom of the corona virus and your age is not the age that is vulnarable to corona virus.  Would you like to video or text chat with me?"
    ],
    [
        "My 60 year old mother developed cough and sneezing .which medicine to be given?",
        "OTC medications.   You can use over the counter cough and cold medications.   Since covid-19 is endemic in your state you need to contact your mother's doctor and ask how to proceed. Her doctor may want her to be self quarantined and even be tested depending circumstances.  Would you like to video or text chat with me?"
    ],
    [
        "On Saturday evening I arrived from a vacation in Canada and I traveled via the European Union(Amsterdam). According to the NICD, I am required to be in self quarantine for 14 days. Can one request a medical certificate for this from a doctor?",
        "Covid19   HiYou cannot go in and see your doctor,  so I would suggest to phone hime and hear what he says.  RegardsDr Wil  Would you like to video or text chat with me?"
    ],
    [
        "I'm told that dirrhea is a symptom of Covid 19. I have had it for 36 hours, no appetite. Do I need to be tested and where? I'm in Alberton.",
        "Diaree. No, treat the diaree with fluids and electrolytes, load with probioticsLook out for fever,( take Paracetamol) or other symptoms."
    ],
    [
        "What risk am I from coronavirus as I have VTE?",
        "VTE   I am unaware that VTE (Venous thromboembolism) is associated with increased risk for severe infection.   Keep in mind at 42 your risk is low for severe infection. Otherwise do not smoke or start. Consider vitamin D3 and vitamin C and make sure you stay active. Also social distancing is not social isolation. Remember this too will pass!  Would you like to video or text chat with me?"
    ],
    [
        "How do I know if I have a normal cold or maybe the Corona virus. My sinuses are congested and I have a post nasal drip which causes sporadic episodes of dry cough outbreaks. I don’t have a fever, but my body is stiff since I hiked 100km in 4 days.?",
        "Common cold With sin. The corona virus Causes a fever,Sore throat ,acute lower Resp Symptoms Such as painfull cough and rep distress ( Wheezing)Your symptoms are very unlikely to be covid-19."
    ],
    [
        "Hi my husband has been puking since this morning, has serious vertigo + is off balance. Im suspecting food poisoning but want to be sure. I gave him a pill for nausea, which is working. Do I still take him to a doctor to check that its nothing else?",
        "No    if food poisoning he will either recover or need a drip to replace fluids don't go into public spaces now, if food poisoning do what you can, if he needs a drip go to a non corona hospital try everything to stay home, rehydrat onto ice chips, maxalon over the counter  Would you like to video or text chat with me?"
    ],
    [
        "I am experiencing sore throat and lightheaded (unaffected by: prolonged standing, exercise, anxiety, dehydration (fluid loss)). I am not experiencing vomiting, nausea, slow or irregular breathing, abdominal discomfort, rapid heart rate, confusion, convuls.",
        "Usually an infection   New throat symptoms can be from strep throat infection, a cold or the flu, or from another cause such as allergies, irritants, or coronavirus.   Usually, a person sees the doctor if symptoms is bothersome, recurrent, or don't go improve in a few days. COVID-19 infections tend to have chest cough, whereas strep usually lacks cough but has more throat pain. Can call Dr. on video or phone. (Mar. 2020)  Would you like to video or text chat with me?"
    ],
    [
        "Chest is sore and that theres something that needs to be coughed up but nothing there and no overt cough or temperature. No difficulty breathing No other symptoms. Only local travel via air 1 week ago. Do I need to be worried about COVID-19?",
        "Possible   The most common symptoms from COVID include the following:  Fever, Dry Cough and SOB.    Given no fever, I think general precautions are all that is needed.  Follow the following:  https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19, and if fever do the following:  https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide  Would you like to video or text chat with me?"
    ],
    [
        "I got back from Israel last Monday  I am in quarantine  My symptoms are tight chest and shortness of breath Do I need to have a test? Should I be taking any medication?",
        "Covid test    two weeks of self isolation, if you get worse, call your GP firstTake anti histamines and panda only ,  get an asthavent pump, use twice a dayLots of fluids, vit C and Zinc, add echinaforce drops  Would you like to video or text chat with me?"
    ],
    [
        "Our office has been shutdown due one of my colleagues’s close relative being confirmed to have vivid-19. I am currently quarantined at home and would like to know if I can test for corona. ?",
        "Not enough tests   Aside from really sick people and hospitalized patients, there aren't enough PCR viral tests in the US.   For now, we tell people that if they are healthy, just keep 6 feet from other people, and remember that high-touch objects have viruses. If people have any symptoms, even just sniffles, they isolate themselves, and call their doctors if having moderate or worsening symptoms. (3/23/20)  Would you like to video or text chat with me?"
    ],
    [
        "As someone that suffered from Wolff Parkinson White Syndrome should I be extra careful with the Corona Virus affecting my heart? I have had four rf ablations to tread the svts and afib and am currently symptoms free.",
        "Corona. I am unaware of any data that suggests the virus causes heart problems. The primary cause of death has been respiratory infections which lead to pneumonia and ARDS.  Older smokers the most susceptible. Now, in that group other comorbid problems include renal failure and cardiac events. At 34 stick with standard precautions to prevent disease. ."
    ],
    [
        "I have these symptoms and wondering if I should do a covid test Diarrhea nausea Weakness /fatigue Shortness of breath Joint n muscle pains Pressure in The chest Dizziness Sweating / and chills I don't have fever but breathing is concerning me most?",
        "Test if you can. if you have access test, or consult telephonically don't go to a public space."
    ],
    [
        "Was in Cape Town 2020/03/12 - 2020/03/15 Close proximity to sevral overseas tourists 2020/03/20 throat sore and voice gone Back (upper middle area) and shoulders hurt Shivering, dry cough, headache and lethargic Should I go for Covid19 testing?",
        "Yes   yes  Would you like to video or text chat with me?"
    ],
    [
        "Hi I asked a specific question to a Dr 2 days ago and haven’t heard anything back. I basically need a referral letter to get a Covid test done. It’s that simple. I travelled to Cape Town but attended an event with over 400 people from all over?",
        "See your physician. Your personal physician can give you this letter. This forum is for answering general medical/dental questions."
    ],
    [
        "Good day. I have a body temperature of 38—39 degrees Celsius accompanied by headaches and a cough. I've been tested for covid, but it's negative. I have trouble urinating and have a pain in my penis as well as my anus. Thank you?",
        "Fever. HiIt sounds like a viral infection with temp , headache and cough.The urine and pain down there does not sounds related, but if it is,  it can be a bacterial infection, for which you need antibiotics.Are you taking enough fluids?What meds have you taken so far?."
    ],
    [
        "Hi I have Hypothyroidism. I’ve been in chronic meds for over 5 years now. Am I at risk for Coronavirus. Also should I boost my immune system? Thanks.",
        "No   you are not more than the next person :) relax self isolate  Would you like to video or text chat with me?"
    ],
    [
        "I have been to the emergency room at busamed hospital on Thursday and was treated for a tummy bug, since then I have developed a fever and body aches and tiredness, I would like to know where can o go to be tested for covid 19?",
        "Tummy Bug   GI symptoms are rare with Coronavirus.    SOB and Dry cough and fever common. Testing should lead to a purposeful action and at this time there is none. That is there is no medication to get and treatment for the virus is rest and social isolation which you do not need a test to do. If you do get cough and SOB then notify your provider and get checked. The virus typically runs for 10 to 14 days.  Would you like to video or text chat with me?"
    ],
    [
        "Hi  I had a runny nose took some immune booster and med lemon and now it is a cough with sporadic phlegm. Should get test for this COVID 19?   I don’t have a fever. I also have a bit of short breath.",
        "Test if can    don't go to a public space, consult via the telephone or get a coronavirus test   Would you like to video or text chat with me?"
    ],
    [
        "Hi  I have a runny nose Difficulty breathing even with an asthma pump My head is pounding Body aches and chills ?",
        "Symptoms   If you  are not having troubles breathing best to self-isolate.   Follow the following guidelines:  https://www.healthtap.com/blog/covid-19-care-guidelines/preventing-covid-19Probably worthwhile to first isolate yourself: Guidelines as follow:  https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guideIf you are not having significant SOB COVID should be mild for you.   Would you like to video or text chat with me?"
    ],
    [
        "I have thing in my eyes and are painful, and sometimes giving me headaches?",
        "Eye pain   Eye pain can be for various reasons.    Bilateral eye pain would be less likely foreign body although dusts can cause this. Conjunctivitis can be bilateral from either bacteria, virus or allergies. Light exposure can cause eye irritation.   Would you like to video or text chat with me?"
    ],
    [
        "Good morning I have all the symptoms for the coronavirus except a high fewer. I have been in contact with someone (who now also are displaying these symptoms) who are staying with a person who visited India in the last few weeks.  Should I be worried?",
        "Symptoms   Glad you are not ignoring your symptoms.   Follow the following guidelines: https://www.healthtap.com/blog/covid-19-care-guidelines/self-quarantine-guide. Keep in mind that the virus will very likely be of lesser course in someone your age. Best to isolate and do the things you would normally do to treat the flu- rest, fluids and antipyretics if needed.  If you would get particularly SOB be seen.   Would you like to video or text chat with me?"
    ],
    [
        "My throat is extremely scratchy and red inside, I can see it being inflamed almost to my teeth (dark pink in colour) I’m very short of breathe, even as an asthmatic, I have to use my inhalers more than usual and has nebulized 3 times in the last 24 h?",
        "Symptoms. Please call your General Physician and report your symptoms. They may want to see you, send you to be tested, or may give you other advice. Please call now before symptoms worsen."
    ],
    [
        "Hi, Last night I just started getting fluey; my nose got really runny and it’s continued to today. I’ve also started getting a slight headache as well. With this panic about the Covid-19 should does how I feel warrant me getting tested for it?",
        "No testing yet. It is likely a common cold that you have.If your symptoms get worse eg. fever Sore throat and painfull cough you can consult your doctor for an evaluation. Try rather to stay home and rest ."
    ],
    [
        "I have a dry cough, sore throat and headaches, can you please assist with giving me possible explanations for this, I am scared as well due to the Corona virus?",
        "+- Covid19 (see bel)   There are multiple causes of those symptoms, including COVID 19, but only go for a test if,1.   You have traveled to high risk countries in the last 2-4 weeks2. You have had +ve Contact with a known +ve COVID 19 case3. If you have a high fever with your sore throat + severe headache + dry cough.Hope that helps.RgdsDr Wayne Korras  Would you like to video or text chat with me?"
    ],
    [
        "I am experiencing nasal congestion, sneezing (unaffected by: recent exposure to allergens, exposure to secondhand smoke), sore throat, itchy eyes, ear pressure, nasal drainage, post nasal drip, eye irritation, runny nose, and watery eyes. I am not experie.",
        "Itching /congestion   With the itching could be seasonal allergies would consider Benadryl 1/2 to 1 tab at bedtime and Zyrtec during the day .   Itching  is pretty specific for allergies.  If worsens  or develops fever would seek medical attention for sinusitis versus viral  infection including coronavirus these days   but as stated itching  is pretty diagnostic of allergies.   Would you like to video or text chat with me?"
    ],
    [
        "If I present with a scratchy throat, do I automatically self isolate, or do I wait for more symptoms for coronavirus?",
        "Don't isolate yet. . A scratchy throat could be caused by heartburn, oral thrush, bacterial pharyngitis (@ the beginning) or any of the 200 odd viruses that cause the \"common cold\".If you have had a +ve Contact with a Covid 19 patient then isolate FOR 14 DAYS or ifyou develop a High Fever, severe headache, dry cough and sore throat, the isolate but only after getting tested for COVID 19."
    ],
    [
        "Hello.   I’d like some help please, I’ve started getting these symptoms and am wondering if I should see a doctor or stay at home and try to get better.  - Headache - weird yellowish growth on the side of my throat  - tight chest - mild cough ?",
        "Self isolate   The current DOH guidelines are to self isolate.   If you develop fever, cough or shortness of breath, phone your local GP/ service provider and arrange for testing. If you have traveled overseas or have been in possible contact with someone with confirmed COVID 19, arrange testing. (wear a mask when going out if needed). For more info try whatapp the word \"Hi\" to the coivd hotline 0600123456  Would you like to video or text chat with me?"
    ],
    [
        "Hi. I am a 25 yr healthy, final year medical student. On Fri (20th) I developed symptoms: continuous dry cough, headache, a very very sore throat, sore neck and back muscles, and tired. I am now improving. Should I be tested for COVID19?",
        "Self isolate. Current NICD/DOH guidelines are to self isolate. If getting worse (fever, cough and shortness of breath), or if you have traveled or been in contact with anyone with confirmed COVID 19, arrange for testing. For more info try whatsapp \"Hi\" to 0600123456 (the DOH covid hotline)."
    ],
    [
        "I had severe fever on Saturday evening, with chills, muscle aches (no sore throat or breathing difficulty). Woke up in deep sweat feeling better. Had very mild fever on Sunday evening, also waking up in cold sweat. I am feeling fine today. COVID 19???",
        "Self isolate. The current guidelines are if you have symptoms and traveled or been in contact with anyone with confirmed COVID-19, arrange for testing (wear a mask when you go out). Otherwise self isolate for 14 days. If getting worse, also arrange for testing. For more info try whatapps \"Hi\" to DOH help line: 0600 123456."
    ],
    [
        "Does getting covid19 make you immune to a reinfection or just less likely to be reinfected?",
        "Less likely nt immun. Your body will develop antibodies against the virus but depending on how strong you keep your immune system, it is possible to get it again if you're re-exposed with a weak immune system ."
    ],
    [
        "Hi there. My 3 years old daughter had diarrhea for a couple of days and she has a fever without a cough now. Can it be COVID-19?",
        "It could. Only way to know is to test, self isolate :)."
    ],
    [
        "Hi, I recently stopped smoking and have inflamed sinuses and since there is a corvid19 pendemic I am worried that these sinuses and runny nose could be linked to Coronavirus. The sinuses hurts mainly when I am sleeping.",
        "Do you have access     If you have access to testing you can be tested, more importantly have you had contact with someone who is postive htat you know, have you travelled?Do you have a fever?  Would you like to video or text chat with me?"
    ],
    [
        "Hi, I recently stopped smoking and have inflamed sinuses and since there is a corvid19 pendemic I am worried that these sinuses and runny nose could be linked to Coronavirua?",
        "Don't worry    your symptoms are unlikely related to corvid 19, and rather to change of season and smoking cessationtry to use a saline nasal spray and Otrivin nasal spray at least 4-5 times a day don't use Otrivin longer than 10 days  Would you like to video or text chat with me?"
    ],
    [
        "Hi. I have a very tight chest but no cough. Feels like I am about to cough sometimes but no cough. Then when I stand upright it's worse. No fever. Possible exposure to covid from gibs university but not sure. Really burning sensation on my chest.",
        "Consider asthma    Have you ever had asthma or wheezing? That can cause tightness & shortness of breath, as can certain heart problems.   Without fever & cough, COVID 19 is less likely, but probably best to call your Dr’s office for recommendation.  If the breathing worsens you should be seen ASSP by video visit or perhaps in person to listen to lungs & assess need for possible chest X-ray, EKG, & medication  Would you like to video or text chat with me?"
    ],
    [
        "Can vaccines for coronavirus in domestic pets be modified for humans as a way to have a vaccine for covid-19?",
        "No    I really don't think so but its a very different virus as is the old corona we know - 5 varieties of the common cold are from coronaviruses  Would you like to video or text chat with me?"
    ],
    [
        "I know hospitals filter air with HEPA filters. Will the filters in my car or office building work just as well to prevent corona?",
        "No worries   COVID-19 does not survive outdoors.   Medical officials actually encourages getting outdoors, but keeping your distance from others.   Would you like to video or text chat with me?"
    ],
    [
        "Will taking ibuprofen (Advil) increase the strength of the COVID-19 virus?",
        "CONFLICTING INFO. I HAVE SEEN ARTICLES ON BOTH SIDES OF USING  ADVIL OR MOTRIN. PERSONALLY I WOULD RECOMMEND NOT USING IT BECAUSE SIDE EFFECTS, INTERACTIONS AND COMPLICATIONS FROM NSAIDS IN GENERAL. ACETAMINOPHEN IS SAFER."
    ],
    [
        "I have diarrhea and I read that it could be a precursor to having COVID-19. I was in China end of September 2020. So more than 6 weeks back. ?",
        "IF    that is all you have by now you don't have the chinese virus.  Would you like to video or text chat with me?"
    ],
    [
        "Where can I get tested for Corona if I am in the rondebosch area?",
        "Consult with your GP   You cannot just request a COVID19 test, without fulfilling certain official SA testing criteria, even if you are a private patient and are willing to pay cash.  If you meet the strict testing criteria,then your GP will need to complete a request form  and tell you where to go.  Would you like to video or text chat with me?"
    ],
    [
        "I’m a mother, so if one of my kids get coronavirus, I get it too and spread it to my entire family since they depend on me for everything. What can I really do? It’s inevitable.",
        "COVID prevention   It's not inevitable.   Follow the guidelines all over the media and make sure your kids do too:  social distancing, wash hands frquently, stay home except for absolutely necessary trips, wash hands frequently, use antiseptic wipes when you have to touch surfaces outside the home (e.g. shopping cart handles), and avoid touching your face. At your and your kids' age, most infections aren't serious.  Would you like to video or text chat with me?"
    ],
    [
        "Hi  My symptoms are aching and sore joints I feel feverish but I don’t have a cough or runny nose . I do feel a little throat congestion ( phlegm ) but no sore throat. Not very sick. I have been taking viral choice and vitamin c for a month . ?",
        "URI   Your symptoms are consistent with a flu like upper respiratory tract infection.   Treatment would be resting, drinking adequate fluids and taking acetaminophen. Chest discomfort or shortness of breath would be concerning and if you've been exposed to anyone with covid19, who has been in an affected region or if you live in a region where covid19 is present, notify your MD and get tested.  Would you like to video or text chat with me?"
    ],
    [
        "Hpv virus has affected my sex life. I bleed a lot during sex and on my period. I did a cervical cauterisation but my period is still the same and I’m scared to have sex due to bleeding as I was once hospitalised for it. Any tips on what I can do?",
        "Cervix trauma   One technique is to have your partner only penetrate your vagina half way to avoid trauma to the cervix.   You and your partner can still have enough stimulation and pleasure this way.  Would you like to video or text chat with me?"
    ],
    [
        "Is it safe to eat food prepared by someone with coronavirus? Even if they wear a mask and gloves?",
        "Better to skip. The protective gear is not protectve enough to prepare food."
    ],
    [
        "Can the meat I eat give me coronavirus? Will cooking kill the coronavirus?",
        "Cooking will kill. Cooking adequately will kill the virus-30 sec of ,microwave."
    ],
    [
        "I know hand washing (20+ seconds) is best to kill coronavirus, and that if not available use sanitizer of 60%+ alcohol. I thought my sanitizer was but realized it's only 57.6%. Been using lots for weeks. I've stopped using it. Should I be worried?",
        "Life is not exact   In pandemic times, supplies are short.   Life is not that exact. That means 57.6% is fine, and if a person catches the coronavirus, it won't be because she was missing 2% on her hand sanitizer. Remember that the virus goes from person to person. If there are no people close by, and if the high-touch surfaces like table tops, keyboards, or doorknobs are clean, then one is a lot safer. (Mar. 2020)  Would you like to video or text chat with me?"
    ],
    [
        "Fake news running around?  Does Advil/Ibuprofen kickstart the COVID-19 into pneumonia?",
        "It could    There is not enough scientific info to confirm it.    Most of the online new was based on French report.It could be combination of speculations because virus enters lung through ACE2 receptor and also ibuprofens NASiD  and virus can effects the kidney. https://www.npr.org/sections/health-shots/2020/03/18/818026613/advice-from-france-to-avoid-ibuprofen-for-covid-19-leaves-experts-baffledThx  Would you like to video or text chat with me?"
    ],
    [
        "And i travelled to the UK (back in RSA on the 1st or March but the symptoms only appeared thursday 19 march with mild ear ache to severe in the evening. Followed by soar throat, cougth and body ache on friday, fever and weekness on saturday?",
        "Infection   Influenza versus Coronavirus.    Typically more sudden onset of fever and myalgias with influenza, but sometimes hard to tell. If no significant SOB probably need to quarantine. Call your local physician or health department. I know Healthtap has been helping to order or recommend test, but typically test not available. If Coronavirus most cases have been mild and expect about 10 days of symptoms.  Would you like to video or text chat with me?"
    ],
    [
        "does a virus cause lesions dry and oily nose.",
        "Usually not   more likely to cause runny nose increase moist discharge  Would you like to video or text chat with me?"
    ],
    [
        "Hello, I need to go to my Dr. to get my prescription refilled. Due to the corona virus I really don't want to get out and sit in a busy office just for a prescription refill.   Perscription refill?",
        "May do video consult   COVID-19 pandemic at this time, so one's doctor may want to consult by video instead of requiring an in-person visit.   Some medications are refillable by video, others are not. In this pandemic, one's primary care doctor, who knows the patient well, can usually get meds to the patient without an in-person visit... unless an exam is needed in order to adjust the meds. Just ask the doctor.  Would you like to video or text chat with me?"
    ],
    [
        "Traveled 2wks ago from Fl. To PA. 68 wf. Has had fever of 100 , chills at night and some coughing for 5ds. Tested negative for flu and x rays of lungs were clear . Coronavirus? Scarce.",
        "Cough and cold   Hello and welcome to HealthTap,It is a good idea to get tested.   You can visit your nearest Urgent care. Make sure to call them before coming, after getting tested self quarantine for total 2 weeks from the onset of symptoms. Please wear mask and perform frequent hand washing. Avoid Ibuprofen/other NSAIDs, use acetaminophen/ Tylenol only. Look for signs of worsening cough & breathing difficulties.  Would you like to video or text chat with me?"
    ],
    [
        "I have tested positive for Covid 19 what medication must I take?",
        "Only if hospitalized. COVID-19 infection is worldwide, in all but some isolated areas. The goal is to keep people separated so that the clinics and hospitals are not overwhelmed. Patients can be presumed positive regardless of whether they got tested or not, as there's no way to test everyone. No good outpatient treatment found yet. Trials of various meds are done for hospitalized patients. (Mar. 2020)."
    ],
    [
        "Can covid19 cause shortness of breath without a cough?",
        "Yes. There are many causes of shortness of breath. COVID-19 may be one cause and is not necessarily associated with cough. Fever is one prominent symptom, but the absence of fever does not rule out the infection. ."
    ],
    [
        "Can a person with type 1 diabetes ever just get mild symptoms of coronavirus, or will it always be fatal?",
        "Death   At 38 your risk of death from the virus is low.    If you diabetes is controlled you should not have particularly higher risk. Poorly controlled diabetes would make a difference.   Would you like to video or text chat with me?"
    ],
    [
        "Girlfriend has coronavirus. With bad symptoms. It’s 7 days since she started symptoms, and last time I saw her. I still don’t feel symptoms. How much longer am I in the zone of possibly starting symptoms from close exposure?",
        "Quarantine   You should be in self quarantine as it might take another week for you to develop symptoms.   As soon as spiking fever, having a sore throat or cough- test. Do not travel, nor visit medical facilities.  Would you like to video or text chat with me?"
    ],
    [
        "Scratching sore thoat and  slight chest irritation. With body aches and tired with slight fever?",
        "Fever with body ache   Hello & welcome to HealthTap,It could be anything from common cold to COVID-19.   Please go to Prompt care. Call them before going.  When tested for COVID-19, self quarantine for total 2 weeks from the onset of symptoms. Please wear mask and perform frequent hand washing. Avoid Ibuprofen/other NSAIDs, use acetaminophen/ Tylenol only. If signs of worsening cough & breathing present then go to ED.  Would you like to video or text chat with me?"
    ],
    [
        "Associated with phlegm and mucus?",
        "Cough,phlegm. At this time your symptoms are characteristic of a viral upper respiratory tract infection, and if your sputum is very discolored, bronchitis may be present. Absence of fever,chills, chest discomfort,shortness of breath or wheezing is reassuring but your MD may recommend starting antibiotic treatment. Leave it to him/her whether covid19 treating is advisable depending upon exposure history."
    ],
    [
        "Should one also cover eyes in addition to covering mouth and nose with mask to avoid exposure to Corona virus? Lots of people only use masks but that may not provide full protection, right?",
        "Correct. Every bit helps."
    ],
    [
        "Should I be tested for COVID 19 have been in contact with family member who arrived from France on 13 March.not showing any symptoms to date been 7days since visit ?",
        "Self quarantine    Suggest self quarantine for 14 days.  If symptomatic then contact your Primary care physician telephonically, or alternatively use this platform to get tested and further management. Godspeed.  Would you like to video or text chat with me?"
    ]
]