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<s>[INST] 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? [/INST] in brief: don't worry your symptoms are unlikely related to corvid 19, and rather to change of season and smoking cessationtry to use a saline nasal spray and otrivin nasal spray at least 4-5 times a day don't use otrivin longer than 10 days would you like to video or text chat with me? </s>
<s>[INST] what is the treatment for covid-19? [/INST] depends on severity. covid-19 pandemic at this time, so a doctor on video may consult by video instead of requiring an in-person visit. flu-like symptoms can be from a strep throat infection, a cold or influenza, or from some other cause like covid-19. usually, a person calls the doctor if the symptoms are bothersome, serious, recurrent, or persistent. covid-19 testing depends on local availability. (3/22/20) </s>
<s>[INST] 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? [/INST] 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. </s>
<s>[INST] 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 [/INST] 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. </s>
<s>[INST] are viruses and bacterias live creatures? [/INST] yes, but... bacteria are living creatures, like the rest of us. viruses are missing some parts so are not living unless they are inside another living creature. viruses that are by themselves are dormant like seeds or spores, waiting to be reactivated. in a general sense, it is fine to think of viruses as living things, but technically speaking, they are not independently living when alone. </s>
<s>[INST] is there a chance i would just get mild symptoms of the virus? or because i am diabetic, that is unlikely? [/INST] 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. . </s>
<s>[INST] 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? [/INST] see your physician. your personal physician can give you this letter. this forum is for answering general medical/dental questions. </s>
<s>[INST] 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. [/INST] in brief: wait for now wait for now, keep talking on this platform. stay safe. would you like to video or text chat with me? </s>
<s>[INST] 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. [/INST] in brief: any soap any soap should be effective against most viruses. antibacterial soap may advertise against bacterial but has no claim to be better against viruses. would you like to video or text chat with me? </s>
<s>[INST] what must i do if i have been in contact with a covid19 positive person? [/INST] if real contact... self-quarantine helps: stay at home, except for going to get medical care. do not go to work, school, church, playgrounds, or other public areas. for medical care questions about your covid-19 symptoms or other health issues, get advice from your doctor by video or phone. see the full guide at: https://www.healthtap.com/blog/post/covid19-coronavirus-self-quarantine-guide. </s>
<s>[INST] 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 [/INST] 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 </s>
<s>[INST] headache fever fatigue been in contact with someone with coronavirus do i need to be concerned ? [/INST] in brief: test if you can if you have availability get a telephonic consult and get a test. testing capability is stretched right now self quarantine and keep in touch on this forum for now. would you like to video or text chat with me? </s>
<s>[INST] 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? [/INST] 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. </s>
<s>[INST] will getting either of the pneumonia vaccines, prevnar and pneumovax, prevent you from developing pneumonia if you catch the flu or covid? [/INST] no. the vaccines prevent bacterial pneumonia. they have no effect on viral pneumonia. </s>
<s>[INST] 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? [/INST] 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. </s>
<s>[INST] 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. [/INST] 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 </s>
<s>[INST] 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. [/INST] 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 </s>
<s>[INST] 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. [/INST] 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 </s>
<s>[INST] 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. [/INST] 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. </s>
<s>[INST] 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? [/INST] in brief: fever antibiotics are supposed to prevent fevers, not cause them. if, however, you are having an allergic reaction to the medication it can cause a fever. but so can viral diseases (common cold, flu, covid-19, etc. ) that are not treatable with antibiotics that are designed to treat bacterial infections. call your general physician and report your symptoms. would you like to video or text chat with me? </s>
<s>[INST] 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 [/INST] 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 </s>
<s>[INST] we went to bali via singapore, on my second day in bali (17 march) i started feeling a bit sick? [/INST] monitor temp. most cases of covid-19 are associated with symptoms, but not all. your symptoms may be related to coronavirus infection or another infection. i would recommend that you be tested for coronavirus and then stay inside, avoiding contact with others while awaiting your test results. use good hand washing, disinfect surfaces and drink fluids. </s>
<s>[INST] 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? [/INST] in brief: minimal outside time to avoid spread of covid-19, use precautions such as staying home as much as possible avoid contact with others until the infection rate begins to decline. monitor your temperature, rest and drink fluids. on day 7 post contact if you have no symptoms, most likely you are fine. continue to use good hand washing and keep surfaces clean. would you like to video or text chat with me? </s>
<s>[INST] 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? [/INST] 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 . </s>
<s>[INST] 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?? [/INST] in brief: 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? </s>
<s>[INST] if i inhale enough lysol, will it keep me from getting sick from novel coronavirus? [/INST] in brief: um, no inhaling lysol can be deleterious to your health, more than covid-19 itself. burning your pulmonary tissues may actually make you more susceptible to getting sick from the virus. be rational. would you like to video or text chat with me? </s>
<s>[INST] i have mild irritation in my chest but i am not coughing, i just feel a tingling sensation on my thought. i have no fever, no aches should i be worried about covid 19? [/INST] probably. we should all be cautious , not worried about covid-19. it is prudent for us all to be socially isolating, washing our hands, supplementing with vits. d and c and working on making the best of it. be grateful for the things that are going well in your life, reach out with verbal and video support for all the loved ones and even people you just know are isolated with support. don't bother to worry. </s>
<s>[INST] 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? [/INST] in brief: hard to say if you have access to a telephonic consult then rather do that to start. if you have access to testing you can do that. do you have to work at the moment? i would discuss it with your consultant. would you like to video or text chat with me? </s>
<s>[INST] good day i have unusual sore throat burny sensation in chest area body aches, dry cough, headaches, paranoia,have travelled to dubai end jan ? [/INST] in brief: covid 19 the incubation period of covid 19 is 2-14 days and you're past that. however if fever, chills, heavier cough, or breathing difficulties develop, call your md for instructions. for now, drink adequate fluids, gargle with warm salt water. i recommend also using zinc lozenges and take acetaminophen. don't infect others regardless of what type of infection you have. would you like to video or text chat with me? </s>
<s>[INST] 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 [/INST] 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) </s>
<s>[INST] 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. [/INST] in brief: call dr. by video throat pain can be from a strep throat infection (antibiotics needed), a cold or influenza (antibiotics usually not used), or from some other cause such as allergies or irritants. usually, a person sees the doctor (call first) if the sore throat is bothersome, recurrent, or doesn't go away quickly. covid-19 infections tend to have cough, whereas strep usually lacks cough but has more throat pain. would you like to video or text chat with me? </s>
<s>[INST] what are my chances of only getting mild symptoms if i get the virus, because i have type 1 diabetes? [/INST] in brief: probable i know there is a study that shows concern for diabetics, however, this is one study and there are others that show no particular issue. the data is clear that older, especially older than 70, multiple comorbid conditioins and smoking are critical problems. although diabetic if it is controlled well it is likely your symptoms will be like most 38 year olds- mild. would you like to video or text chat with me? </s>
<s>[INST] can covid-19 be transmitted sexually? can any coronavirus be transmitted sexually? [/INST] 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. </s>
<s>[INST] 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? [/INST] 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 </s>
<s>[INST] can the coronavirus leave lung scarring? i thought i heard something about it. [/INST] in brief: 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? </s>
<s>[INST] 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? [/INST] in brief: 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? </s>
<s>[INST] my daughter has had a high temperature (around 37 degrees), sore throat and headaches for 2 days. she is responding to medication. should i have her tested for covid19? [/INST] maybe. do video w/ </s>
<s>[INST] 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? [/INST] 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? </s>
<s>[INST] 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. ? [/INST] in brief: cough/fever? please stay at home and avoid contact with others for one more day at least. if there is a fever, remain at home for at least three days after the fever is gone. at this point, if you are otherwise healthy, cover your cough, monitor your temperature and please stay home.watch for signs of secondary infection, including fever, worsening cough and shortness of breath. would you like to video or text chat with me? </s>
<s>[INST] should i shave my beard to reduce my chances of contracting coronavirus / covid-19? [/INST] in brief: yes this virus clings to everything especially hairs. either wash your beard a few times a day and spray with alcohol or shave off. would you like to video or text chat with me? </s>
<s>[INST] fake news running around? does advil/ibuprofen kickstart the covid-19 into pneumonia? [/INST] in brief: it could there is not enough scientific info to confirm it. most of the online new was based on french report.it could be combination of speculations because virus enters lung through ace2 receptor and also ibuprofens nasid and virus can effects the kidney. https://www.npr.org/sections/health-shots/2020/03/18/818026613/advice-from-france-to-avoid-ibuprofen-for-covid-19-leaves-experts-baffledthx would you like to video or text chat with me? </s>
<s>[INST] 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? [/INST] 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. </s>
<s>[INST] 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. [/INST] 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. </s>
<s>[INST] 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? [/INST] in brief: no testing now your children are going to be fine, there have not been any children that have required drastic measures. make sure you stay 2 m away and wash hands and surfaces, disinfect surfaces constantly. ask questions on here, we are here buy you need to stay home right now. would you like to video or text chat with me? </s>
<s>[INST] 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? [/INST] 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. </s>
<s>[INST] 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? [/INST] 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. </s>
<s>[INST] what symptoms should i look out for in the novel coronavirus pandemic? [/INST] in brief: symptoms the symptom of covid-19 begins with mild flu-like symptoms such as fatigue, sore throat and sneeze, followed by fever, dry cough. in severe cases, the cough can progress to productive cough, persistent and followed by shortness of breath. some patients may also experience gi symptoms such as nausea vomiting and diarrhea. would you like to video or text chat with me? </s>
<s>[INST] symptoms include irritation in the throat, dry cough, trouble breathing properly, headache. however not really a sign of a fever. temperature is about 35 degrees. should i get tested? [/INST] in brief: many causes. most cases of covid-19 with symptoms are associated with fever, however milder cases do occur. your shortness of breath and difficulty breathing may have a number of causes and should be evaluated. please call your pcp. avoid dust, mold, smoke, animal dander, pollen. your symptoms also are consistent with an allergic reaction. would you like to video or text chat with me? </s>
<s>[INST] possible covid-19 - mild symptoms - next steps? symptoms: - initially: tight chest, stuffy nose - 10% difficulty breathing - mildly feverish (hot and dry mouth, bit weak) for a few hours yesterday - mostly fine this morning (5% breathing difficulty) [/INST] may confirm with </s>
<s>[INST] criteria for covid test? [/INST] 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. </s>
<s>[INST] what’s worse with the coronavirus, type 1 or type 2 diabetes? [/INST] diabetes. my answer would be controlled or not. type 1 or 2 if managed well and treated can still maintain good immunity. if either are out of control then infections of any type more likely. . </s>
<s>[INST] intermittent headache for the last week, comes and goes. also, scratchy throat for about 3 weeks on and off? [/INST] in brief: 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? </s>
<s>[INST] i have a dry cough and sore throat- it's been a week now and the cough seems to be getting worse- no runny nose or fever, sometimes a headache, no shortness of breath...should i get tested for covid19? [/INST] in brief: covid good guidelines can be found at cdc. gov/coronavirus/2019. you would be considered low risk. symptoms last up to two weeks. high probability many will get the disease and testing leads to no change in action at this time. no obvious therapy (however some encouraging possibilites) and for most people the virus runs its course without incidence. stay put and talk to your provider. would you like to video or text chat with me? </s>
<s>[INST] 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! [/INST] 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. </s>
<s>[INST] 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. [/INST] 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 . </s>
<s>[INST] i have thing in my eyes and are painful, and sometimes giving me headaches? [/INST] in brief: eye pain eye pain can be for various reasons. bilateral eye pain would be less likely foreign body although dusts can cause this. conjunctivitis can be bilateral from either bacteria, virus or allergies. light exposure can cause eye irritation. would you like to video or text chat with me? </s>
<s>[INST] 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. [/INST] 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. </s>
<s>[INST] 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? [/INST] 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. </s>
<s>[INST] hi i am 39 years old and returned from germany 19 days ago. yesterday i started getting a sore throat, runny nose. today i have sinus pressure and a headache with a blocked nose, throat seems to be improving. should i get tested. if so how? [/INST] stay home. stay at home, rest, drink fluids and monitor your temperature. your symptoms are more consistent with a cold or sinus infection. nasal saline and a decongestant may be helpful. if you develop covid symptoms including dry cough, fever, and/or shortness of breath, testing is indicated. report fever and shortness of breath to your pcp. </s>
<s>[INST] 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. [/INST] 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. </s>
<s>[INST] good day, i am 29 weeks pregnant and my profession is teaching, i also have a 2 year old son. my chest and throat is sore, i have a constant headache and feel dizzy at times. is it necessary to get myself tested for the coronavirus? [/INST] in brief: can give dr. a call. throat pain can be from a strep throat infection (antibiotics needed), a cold or influenza (antibiotics usually not used), or from other causes such as allergies, irritants, or covid-19. usually, a person sees the doctor (call first) if the sore throat is bothersome, recurrent, or doesn't go away quickly. covid-19 tends to have cough, whereas strep usually lacks cough but has more throat pain would you like to video or text chat with me? </s>
<s>[INST] 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? [/INST] in brief: diabetes type 1 diabetes may be an autoimmune disorder, but if well controlled one's immunity and ability to handle infections should be ok. poorly controlled diabetics, especially with complications of kidney disease and vascular disorders, degrees of dehydration and poor tissue status are at risk for infections partly because the skin barrier to pathogens is impaired. in my experience most type 1's do ok would you like to video or text chat with me? </s>
<s>[INST] 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? [/INST] 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. </s>
<s>[INST] hello iam have a very painfull pain in my through since this morning? [/INST] in brief: 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? </s>
<s>[INST] i have shortness of breath and are worried, i don’t have a cough or sore throat, so they will not test me, should i do a private test? [/INST] shortness of breath. covid testing is hard to come by. at 37 you are in a lower risk group. and i doubt you could get a test. keep isolated for two weeks. i know we have been ordering tests through healthtap, but that does not lead to getting the test done, due to shortages. (3/21/20) </s>
<s>[INST] 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-? [/INST] in brief: very unlikely it sounds more like a viral cold. covid does not present this way. treat the symptoms,consult gp if worse or if sputum changes color. would you like to video or text chat with me? </s>
<s>[INST] i have a sore throat and mild cough, do i need to be tested for corona? [/INST] 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 </s>
<s>[INST] 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 [/INST] hello dearwarm welcome to healthcaremagic.comi have evaluated your query in depth , i can understand your feelings for your mother .* she is in advanced stage of the disease , as it must be now drug resistant tb by now with multiple relapses .* you have to accept the condition and give her symptomatic supportive treatment as per the narrations , she is not going to be cured totally from this stage of the systemic illness .wishing her fine health ahead .regards . </s>
<s>[INST] 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? [/INST] in brief: appears as though this was asked before? she should disrobe immediately upon entering the home, place clothes in laundry and then shower. you need to keep a1c as low as possible, do everything you can to support gut health and immunity and increase supplements that increase resistance to viruses. sleep apart... your call! would you like to video or text chat with me? </s>
<s>[INST] 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! [/INST] 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 </s>
<s>[INST] 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 [/INST] 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 </s>
<s>[INST] 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. [/INST] 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. </s>
<s>[INST] 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? [/INST] 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. </s>
<s>[INST] i have a tight and painful chest with a dry cough, no fever and no headaches. could it possibly be coronavirus? [/INST] 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. </s>
<s>[INST] 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. [/INST] 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. </s>
<s>[INST] 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. [/INST] 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. </s>
<s>[INST] i have a sore throat, slight cough, tiredness. should i get tested fro covid 19? [/INST] in brief: maybe. do video w/dr 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? </s>
<s>[INST] how soon after being infected can someone transmit covid-19? [/INST] in brief: 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? </s>
<s>[INST] 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. [/INST] 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. </s>
<s>[INST] are children with a respiratory pathology at greater risk for covid-19 (since there are so little cases of children getting the virus, but still their natural history could be an issue)? [/INST] be very cautious . there is not a lot of information on children with covid-19 but definitely would try to protect this child especially and consult the doctor asap if child develops fever and shortness of breath. </s>
<s>[INST] i have pain/discomfort in my lungs. i don't experience simultaneous on both lungs and it not always at the hame position. i don't have a head nor do i have high temperature. i sneeze and cough maybe once a day. do i have corona, should i get tested? [/INST] exam needed. you are assuming that the discomfort is coming from both lungs, but pain of pleurisy or pneumonia wouldn't come and go in different sites. i doubt your symptoms are lung related, but fever, chills, sweats, worse cough, shortness of breath, wheezing, warrant testing.. if you've been exposed to someone with covid, or if you or someone you were exposed to travelled to an affected region, get tested. </s>
<s>[INST] 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 [/INST] in brief: 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? </s>
<s>[INST] 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? [/INST] 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. </s>
<s>[INST] 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. [/INST] 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. </s>
<s>[INST] i have a sore throat and feel very tired. should i be concerned about covid-19? [/INST] in brief: hard to say very hard to say. stay home. stay safe. get someone to buy you symptomatic medication and feel free to post on here again. would you like to video or text chat with me? </s>
<s>[INST] 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 [/INST] in brief: no you are not more than the next person :) relax self isolate would you like to video or text chat with me? </s>
<s>[INST] 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 [/INST] hiyes it might be but not completely.to be sure she should consult her doctor for further follow up.wishes dr.jolanda </s>
<s>[INST] low grade fevers 99.8, constant trigger points that are tender to touch in trapezius muscles and muscles feel warm to touch, pointer finger, and middle finger on right hand are very sore, sore to open and close hand in those fingers, whats wrong? [/INST] in brief: systemic infection fever and muscle pains could indicate systemic infection, likely viral, deoendiing on your travel history. right hand joint pains, if previously injured or arthritic, could be flared up by systemic infection.call your local nurse or doctor to get screened telephonically for influenza & corona viruses & malaria.colchicine and panado may help if gouty joint pains. would you like to video or text chat with me? </s>
<s>[INST] can a person with type 1 diabetes ever just get mild symptoms of coronavirus, or will it always be fatal? [/INST] in brief: death at 38 your risk of death from the virus is low. if you diabetes is controlled you should not have particularly higher risk. poorly controlled diabetes would make a difference. would you like to video or text chat with me? </s>
<s>[INST] 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. [/INST] 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 </s>
<s>[INST] is the coronavirus 229e the same as covid-19? [/INST] cov229e is one of several coronaviruses that cause common colds. biologically related to sars-cov-2 (the cause of covid-19), but different viruses. </s>
<s>[INST] hi. my children and husband were at the doctor yesterday and he has now informed us he has tested positive for covid19 . he has come home to my 2 babies and mom. how long before we can go for a test? [/INST] in brief: incubation period 2-14 days(time from exposure to time of getting illness). i am unclear if the doctor is positive or your husband is?you should isolate yourselves at home for 14 days.if your husband is positive,he should be in his own room and own bathroom,if possible.testing only recommended if there are symptoms(fever or cough or shortness of breath)and then you should be tested.good hand washing/no touching face would you like to video or text chat with me? </s>
<s>[INST] if i get coronavirus, are there ways to avoid getting other illnesses as well, like pneumonia? [/INST] in brief: coronavirus, covid-19 has high affinity to the lung, causing viral pneumonia. fortunately, most people get only mild respiratory symptoms. those who have high risks (age over 65, chronic diseases) tend to get pneumonia and complications. the most important way to prevent the complications is not to get infection, practice common sense of prevention. if you catch the infection, start early treatment. would you like to video or text chat with me? </s>
<s>[INST] i have a sore throat and a bit of a cough. this morning i coughed up mucus with what look like blood. is this a sign of covid 19? [/INST] in brief: source of bleeding there are many causes of the small amount of blood in your sputum. you may have a nasal or upper airway source. strep infection, influenza are possible causes. covid-19 typically is associated with fever, dry cough and/or shortness of breath.. please contact your pcp for an evaluation, possible chest image and evaluation of the source of the bleeding. would you like to video or text chat with me? </s>
<s>[INST] 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 [/INST] 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. </s>
<s>[INST] 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. [/INST] diaree. no, treat the diaree with fluids and electrolytes, load with probioticslook out for fever,( take paracetamol) or other symptoms. </s>
<s>[INST] if you've been infected by sars-cov-2, develop covid-19 symptoms and recover, can you: 1) develop immunity to covid-19 2) infect others after 14 days post-symptom onset & recovery 3) get re-infected later by sars-cov-2 despite developing immunity? [/INST] yes, maybe, maybe. we presume one is immune to a respiratory virus for a while after getting the infection (that's the way it is with other viruses). a few people have trouble with their antibodies and don't have much immunity. shedding of viruses sometimes is longer than 14 days. in life, there will always be some people who get reinfected, for whatever reason. usually one is immune after the infection. (3/21/20) </s>
<s>[INST] 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. [/INST] 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. </s>
<s>[INST] is it necessary to get tested for the corona virus if you arrive back in south africa after visiting zimbabwe and victoria falls as part of a group? [/INST] in brief: it depends. if the visited place has a high rate of coronavirus infections to take some precautions is important such as if you develop fever or cough or any other coronavirus infection symptoms. to be tested is desired but will you be able to get tested? in some places testing kits are reserved to very sick and hospitalized patient. self quarantine in cooperation with your doctor is the way to go. would you like to video or text chat with me? </s>
<s>[INST] this may sound silly but i’m wondering, if touch something in store that has coronavirus 19 on it and it gets on clothes should we go home wash them soon as possible then shower and new clothes on so it dont get on our stuff at home ? [/INST] in brief: washing clothes. although so far it has not been shown to live on surfaces like clothes for as long as it lives on surfaces like plastic and metal, it is definitely good hygienic practice to wash your clothes in the hottest water the garment allows. would you like to video or text chat with me? </s>