Datasets:

donzo

/

new13b

like 0

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I wake in the night, usually about 2-3 hours after going to sleep, with both feet and legs to mid calf feeling like they are on fire. slight red discolorization, minor swelling. This is very painful but after getting up, I can walk it off in about 30 minutes. ### REPLY: Dear patient Here are the possibilities of what you might have.1)PhlebitisPhlebitis means inflammation of the veins, and can cause redness, itching, irritation, pain, and swelling. A simple Doppler can rule this out.2Blood clot in the lifeblood clots in the leg can become very dangerous, symptoms include swelling, redness, tenderness in the leg. Coagulation profile with an angiography may be required3)Cellulitis: Initial stage. Only can be clinically ruled out Hope this helped ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Honorable Sir,I am Ripon Dev from Bangladesh.My brother Prodip is a patient of kidney.Now we want to take treatment from you.For your kind information I am sending all medical documents of my brother.So requesting you to inform me what I have to do to take treatment from you.And also inform me about probable cost.Ripon DevDhakaBangladesh ### REPLY: Hi, Thanks for writing in. Please add detailed information on the kidney condition of your brother. Early diagnosis and treatment of the underlying cause and/or the institution of secondary preventive measures are important in patients with chronic kidney disease (CKD). These steps may delay, or possibly halt, progression of the disease. Early referral to a nephrologist is of extreme importance, and I am sure you will find a doctor in your city. The medical care of patients with CKD should focus on the following:Delaying or halting the progression of Creating the pathologic manifestations of Timely planning for long-term renal replacement therapy can discuss in detail after seeing the blood and ultrasound scan reports of your brother. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive had a cold which started on Christmas eve but appeared to be getting better over the following week. However I now have what I think may be sinusitis - pain in the head, yellow mucus from the nose and stuffiness-squeaking from the sinuses. Will this go away on its own or should I see my GP? ### REPLY: Hi, Welcome to ! Yes, from what you have described, it appears that you are having Sinusitis. However, you need to be examined to diagnose it finally. So I'd recommend you to visit your GP and get yourself examined. In case the diagnosis is confirmed, you'll require a dose of Antibiotics to ward off the infection. Also, your GP will advise you certain precautions which need to be followed. Hope this information helps. Feel free to ask if you have any doubt. Wishing you a speedy recovery. With warm regards, ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had cervical laminectomy surgery for spinal stenosis in Aug 2010. Since then I have a real tight neck that wants to keep dropping , neck pain , light headedness, back pain, occasional loss of balance and trouble walking and climbing steps. I recently lost my job because of these issues. My Neurologist thinks it is all coming from the neck tightness. My Neuro Surgeon disagrees and sent me to Physical Therapy and a Pain Management Doctor. They both agree with my Neurologist. The Pain Management Specialist told me that there is nothing that can be done. He told me 1 out of 10 or 1 out of every 12 with this surgery end up like me. In the past 3 months I started experiencing tremors in my right hand, right arm, shoulder, neck & head. Aggressive at times. I have tremors pretty much daily now. My Neurologist retired but wanted me to get a second opinion because I am progressing. I have not yet had a second opinion away from the same Medical Practice. I was about to when my Neuro Surgeon called and wanted me to get a Neck MRI. She referred me to another Neurosurgeon she works with to have more surgery. I saw the new Neurosurgeon. He explained he wants to take the hardware from my previous surgery out of the back of my neck and put it in the front to hold my head up. I was told it would not relieve the pain or any other symptoms I am having. I was also sent to another Neurologist in the same practice. She has no idea what is going on. Parkisons was ruled out. Both Neurosurgeons think there is something else going on and it s not coming from my neck. I can feel everything coming from my neck. I have had since May 2 neck MRI s & 4 Botox Injections, in the last 30 days an EEG, Brain MRI & CT Scan. All are normal except CT scan. It was to check healing for removing metal in my neck. I have an appointment to talk about that in a few weeks. Do you think there could actually be 2 different problems? My neck is really tight and like I said before I feel everything but my hand and arm tremors coming from my neck. I am really confused. ### REPLY: Thanks for writing to us. You have complex story with multiple issues and not pointing to a particular one problem. Tremors can happen in severe cervical spine stenosis due to weakness in extremities. Do you have significant weakness in hands? Neck . Difficult to tell you the exact answer however if neurologist ruled out other brain related disorder then you may consider doing anterior cervical surgery. Thanks. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, At the end of lacrosse practice about a week ago i recieved a nasty cross check to my deltoid. The check hit wierd, as it went under my pad. The pain came in right away, couldnt move my arm for the rest of the night. I was surprised to see that that there was a very small bruise , but my whole shoulder hurts to the point where i cannot do simple tasks such as passing the ball. I can slowly move my arm fine, but when i speed things up it stings all over. I have bern icing it every day. I have been on advil only to help with the pain, but is there anything else i can do? Do you know what could be wrong? Any methods of treating it faster? I need to get back on the field asap before try outs are over. ### REPLY: Dear List, I believe you may have suffered a muscle strain, maybe even a partial tear. What the muscle and shoulder desperately needs now is absolute rest in some sort of "sling"! But, it seems you really want to "hit the road" again; which is rather unfortunate. May I suggest you give your body time to heal. There can be another try out. You may also wish to consider the advice of an Orthopedic Surgeon or Clinical Physiotherapist. Best regards. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, I have pain in my right shoulder and below neck. I am having sugar level between 140 to 180 and my age is 35. I am taking Amryl m1 and Nurokind plus after checking with doctors. So please suggest is there any other medicine I should take along with this or not. Also I am doing some exercise as suggested by the Doctor. Thanks and Regards/Amiya. ### REPLY: Hi Welcome to After going through your query I concluded that you are having frozen shoulder. For which you have been prescribed some medicine and exercises. I think your Doctor prescription is Okay. You can continue with same prescription protocol. I hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to answer your query. Wishing you a good health. Take care. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, I am a patient of Psoriasis from Last 10 years , It has began from head and then spots on the body...the same was cured 5 years back but now the spots had started again appearing on my body, nails and hair. Is this disease is permanently curable.... ### REPLY: Hello, I very well understand your concern for psoriasis. Psoriasis is quite long-running problem and with proper treatment remains in control. It is not at all life endangering condition and is due to simple fast proliferation of skin within 4-5 days. For the treatment and control of this condition Methotrexate is the main of the treatment. It should be taken only under dermatological supervision with proper blood tests as it has its own blood and liver related side effects. I suggest you to take dermatological advice and take proper treatment accordingly. All the best. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,I have a friend that just expressed a concern for her health. She said she is experiencing pain under her ribcage on the left side shooting through to her back, her vision is blurry and she is extremely fatigued and had noticed sensitivity in her lower left leg accompanied by slight swelling. She is concerned because cancer runs in her family. Any ideas what may be causing this and what we can do while attempting to find her a doctor in this area? ### REPLY: Thanks for your question on . In my opinion you should not worry much about her. As I don't think it is cancer. But better to get done some investigation s to rule out other causes. First get done ECG to rule out cardiac cause for left sided chest pain. If this is normal than get done chest x-ray to rule out pulmonary causes for chest pain. If this is also normal than no need to worry much. It is just musculoskeletal pain only. So avoid heavy weight lifting and strenuous exercise. Take good painkiller and muscle relaxant. You will be alright. No need to take stress and tension for cancer. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a child April 11. , 2012. 4weeks after I had a Depo shot (first time ever) and bled for 5months straight. I did not continue on with the shots after the first injection. In addition, within 6weeks after havin my child, I had two kidney stones in my left kidney. They were surgically removed. As of January 2013, I now have three stones back again. Two in my right and one in my left. I have heard many stories that the Depo shot may cause kidney stones. Is it possible that this one Depo shot has caused my kidney stone appearances? ### REPLY: Hi and thank you so much for this query. I am so sorry to hear about these recurrent stones in your kidneys. Depo shot can cause kidney stones in people who have the tendency to form kidney stones. It does not happen to everybody. Because your occurred during your shot, it has enhanced an already existing predisposing factor to make these stone formed. Also, demo effects should have been long over after you stopped using it. Still having stones means we need to explore further. Factors like not . I will like you to meet with your doctor who should look for the predisposing factor(s) and ad ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Doc my current husband is thal minor and we are planning for a baby. My blood group is O+. I have a 6 year old son, with my first husband. My query to you is what are the problems that am going to face in pregnancy and will our baby have thal?Please help? ### REPLY: Hi, Thanks for writing in. Thalassaemia is caused by inheriting the thalassemia genetic disorder from only one parent. People with thalassemia minor are carriers of the disease, but do not usually have health problems. If both partners have thalassemia minor, they then there is a 25% (1 in 4) chance with each pregnancy of having a child with thalassemia major. Please make sure that you are not a thalassemia minor, and you can confirm the thalassemia status of your unborn child by doing a simple test during the pregnancy. At the moment it is important for you to get tested for possible thalassemia trait and then discuss with your doctor. Please do not worry. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a hard tumor like on my gums for a very long time. It grows big and pus comes out, now I notice my throat area is all red, and it gets quite large I n my upper right gum, pus leaks constantly. I am very concerned as now I am seeing changes I n the back of throat that does not look normal.Also my white blood count is very low, as well as Neutrophils is very low? 10 years now, never worried until I ve seen changes I n back of throat, coughing, coughing up mucus constantly.I did not realize I had to pay, should ve known. ### REPLY: Hello, I read your problem, as you gave the detail it seems that this is because low white blood cells count, because in case of low white blood cells count immunity gets lower, and the body is more prone to infections and in the oral mucous membrane become necroses and gums and supporting structures destroy very rapidly. So I will suggest you please go to your physician as soon as possible and go for complete check up including complete blood count., and please take a proper treatment. After the treatment of this problem, visit to your dentist and take a proper dental treatment accordingly including scaling. Nothing to get worried, you will recover very soon. Take care . ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 57 tall, 214 pound, 39 yr old women, my BP is normal, recently Ive been getting dizzy when I look up, when I bend down to tie my shoes, and when I put my head on the pillow to go to sleep and when I get up in the morning. Its really bad when I am in bed because I feel thowing up, and even thow I close my eye I still feel the dizzyness ### REPLY: Dear user, Thank you for your question, there are two possibilities here that from your description I cant decide which one to talk about but I will tell you about both, either vertigo and here you feel the world spins around you and this could be due to middle ear problems. Or orthostatic hypotension meaning you feel dizzy when your blood pressure suddenly changes due to abrupt movements like getting up from bed. Nevertheless if this persists refer to your doctor. Hope this was informative enough please rate as 5 if you think so. Best regards, ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi Doctor, i have a questions to ask. i have a lump on the left side of my labia minora lower side. it hurts when i touch and wipe when i pee. it started last week with small and i thought it is pimple so i think it will go away soon. but it is bigger than last week and i am so worried. can you help what is this? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some benign cyst. It's common to have benign cyst. You may have some soft tissue tumor. You need examination for exact site, size and nature of lesion. It will help to reach the correct diagnosis. Then you should take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. Thanks for using . Wish you a very good health. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Have lower back pain and upper abdominal ache urine has turned dark yellow have been taken a laxative for the last couple of days and some hydrocodone for arteitis all meds by script except m magnesia over counter concerned that pain was really bad 2nights ago has gone down a little but still uncomfortable especially upper right side ### REPLY: Hello I have studied your case, You are having gastric upset I will advise starting antacids [proton pump inhibitors like] omeprazole 20 mg twice a day. Sucralfate will protect gastric mucosa and will give protective covering. If not relieved you may need to do USG abdomen. Pain may also from renal or policy pain. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 2 month old girl passes wind that smells... Last night she was hysterical with pain and very rigid for 40 mins... she is very placid normally.. I called the doctor and they said it could be twisted gut..what does this mean...i could not pacify her..very frightening ### REPLY: Hi, Welcome to the ChatDoctorFirst of all I would like to know does pain increase in the evening time, does she become so much cranky in the night. If yes then it could be because of wind (gas)in the stomach. You may first get ultrasound abdomen done to rule out twisted gut (which seems less likely) or any other cause of pain.Otherwise, it is take at least 6 months to get her intestine mature and without gas. You may also give her . ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter had a nervous breakdown recently,. she was under a lot of stress, has had depression in the past, and added to this was a lot of anxiety. she is on several potent drugs. I feel she is over medicated. she has gained 50 lbs, since being on the drugs. Is it necessary for her to be on prozac, seroquel, ativan, neurontin (which she is weaning herself from) and a couple of others? why would she need to be on so many of these mind altering meds? this episode took place in Aug. with 2 additional episodes after August. she s also in group tx. and one on one tx. ### REPLY: Hi, Welcome to forum. She needs to have council ling, and she should have love and affection, as others get. She should be included in your family issues as far as possible. Furthermore, she must have an occupation, like cooking, and household works with some guidance. With these guidelines, she can vein off the . No psychological patient can improve health without the surrounding peoples help. Let her practice yoga, meditation, reading books, and hearing music, to have weight reduction and diversion from her imaginary surroundings. Give her more of green leafy vegetables, pulses, sprouts, and protein rich foods to improve her general health. Wishing for a quick and complete recovery. Thank you. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear doctor, am a 37 year old single working parent of two daughters of 9 and 5 years age. hail from a very dysfunctional family of abusive mother and non existent father, brothers who have been dependent on me for years. amde one of them study and got him a job etc. when my marriage failed i stayed with them for 6 months and soon realised have no future here, moved to pune with my daughters and by gods grace was able to carve a fresh life and job etc for me n daughters...have requested my parents to stay with me as working and looking after daughters is not easy...now my problem is that i cant stand my family...they steal from me especially my mother, totally they depend on me for everything, instead of helping me out, they are becoming a liablity on me...my mother is chronically deprrssed i think coz sh eis hooked oto TV serials big time and she laughs and cries with them..eats n sleeps there infront of TV. if i let them go..i find it difficult to manage things physically, if they are there, i find it very hard to manage things physically. this march on a family holiday, my bro and father beat me up infront of my kids coz they were rude to me and my kids and i wanted to go home..and my bro is also gng through rough marriage coz of his lying cheating ways..and all that frustrations he took it out on me..and am not able to forgive and forget and i dont want to also...that beating publically by the same people i loved and supported fo ryears has taken a big emotional toll on me..and only coz of my daughters am pulling through somehow,,,but finding it very hard day by day to keep my spirits up and its eating me from inside that my own mother and brother can steal from me and do these things for me...when am already dealing wih so much in personal and professional life...want to totally cut them off but coz of kids cant do that as well...pls help to become the strong person that i was. I find myself absolutely alone as have moved cities post separation with very abusive/alcoholoic/ controlling/cheating hubby.. :( Mona. ### REPLY: Hello...... Thanks for your query. I can understand your emotional turmoil. As you described you indeed belong to a very dysfunctional family setting. You require meeting a psychological counselor for venting out your thoughts in person. Following this interpersonal or family therapy can be attempted to modify your family roles and improve interpersonal relations. In addition, you require a thorough psychiatric evaluation and may need to be started on anti-depressants and psychotherapy (e.g. cognitive behavioral therapy) as appropriate. Hope you found the information useful. Regards . ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, my boyfriend is having severe pains in the groin area. it alleviates when he walks. there is no swelling or redness. He does not have any fever. It is mainly in the right side but he says it originates in the lower groin area and irradiates upward, staying in the right quadrant. i can see a possible hernia , appendicitis or possible stones. Would you have a better idea? ### REPLY: Hi friendWelcome to Hernia can be seen or felt. Better on walking means less likelihood of Nerve or Muscle pain Absence of swelling and redness IA against local inflammation. Appendix pain starts in mid-line ad then localizes to right lower qua . Stone is most likely but urinary symptoms will be there sooner or later. A number of possibilities...! Repeated examination / may be tests / and time will tell. Take tarnishing speedy recovery God bless Good luck ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is nine months old. she is going through teething problem, and tries to keep her fingers in her mouth very frequently. today i gave her stool sample to examinate. it shows 6-8pus cells per hpf in aggregated. i m worried. what medicines do u suggest. is my baby suffers from stomach pain also if she has pus cell. what should i feed her now. ifeed her with cerelac twice and boiled rice with veg and pulses water . and nan pro2. plz suggest. ### REPLY: Hi dear welcome to the , Hand to mouth hygiene to be strictly followed. Increase the intake of semisolid like DAL, rice, curd, oatmeal or anything semisolid. It should be frequent. These 6-8 Pus cells are not much significant. If there are some symptoms of stomach upset like bloating frequency, foul smelling stool. Frothy, mucoid greenish etc. then go for the stool culture sensitivity. Stool culture will guide us about the cause of infection and also the . Thanks ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear sir,Recently my Father-in-law(FIL) saw the Heart doc for ByPass related surgery. Doctor suggested to go for "Ultra Sound Abdomen" and "Dopler study of renal arteries" first as my FIL has very high BP(200/100). "Ultra Sound Abdomen" report says "Inter Polar cyst measuring 12 MM noted in the right kidney" and "Prostatomegaly". I am worried, what does it mean? Your guidance is highly appreciated.Thanks In Advance ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am answering your concern. Cyst in the kidney and high blood pressure is suggestive of the damage caused by the high blood pressure. High blood pressure in the kidney can cause damage on the renal calyxes and can cause cyst. It requires surgical correction. Further management of the blood pressure can also prevent further damage to the kidney. Prostatomegaly means enlarged prostate. Enlarged prostate usually occurs with being prostatic hypertrophy. This needs to be confirmed with the PSA level in the blood. It will be higher on the carcinoma of the prostate. If its carcinoma it needs to be managed as per the malignancy. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have PCOD and to induce my periods the doc advised me to take Deviry for 10 days...today was the ninth day and i missed taking my Deviry tablet on the 8th day. I had unprotected sex for like 15 seconds and then we switched back to a condom. There was no ejaculation inside me. I also took the Deviry tablet today. Should I take an emergency contraceptive pill too? ### REPLY: Hello, Thanks for choosing for posting your query. I have gone through your question in detail and I can understand what you are going through. Not needed as of now. With a 5-min unprotected sex, It's very unlikely that you become pregnant even without ejaculation. You need not take emergency pills and as the periods are due you can just wait. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ . ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been on birth control pill for about 3months and last week when I was supposed to take placebo pills but instead I skipped them and started a new sheet. Now my period has been late by about 4days and Im starting to freak out if im pregnant or I just skipped a period. I have no spitting or bleeding whatsoever. Do I have a high chance of being pregnant? ### REPLY: Hi, I understand your concern. You are on contraceptive pills for last 3 months. This month also you had taken the pills without any break... only thing is instead of taking the bland pills. your straight way started with active pills of new packs.... The placebo pills are meant for getting breakthrough bleeding (which we call menses). Between two packs. But by taking new pack again you have extended the hormonal effect for one more cycle. That's why you have skipped one menstruation. Please don't worry, if you continue with the new pack regularly, your contraceptive protection would continue. And you will get bleeding next month while you take placebo pills for 7 days. - In case you have some doubts, you can stop taking the pills now, wait for 8 days without any pills. You would get bleeding in these days. Now, you have to throw the pack you were taking & start with a new pack on 5th day again. Thanks. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 42 male, my tricelerides was 380 brought down to 220 - Dr suggested Nebi 5 for BP & TGoal, my BP is mainly due to stress, my BP has come down now & after three months of mediciation have stopped the BP tablet - is it ok - or do i have to continue taking BP tablet for life long - Pls advsie ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You should not stop the tablets for blood pressure without consulting the doctor. Even though your blood pressure came back to normal you should continue antihypertensive medicine in appropriate dose life long. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have SEVER muscle pain in lower back the muscle spasms or freezes for a few seconds every step or to. I have had sciatica for the past 32 yrs I have been off work for 13 mths just went back wed 12hr nights in health care, very strenuous job and the pain is unexplainable. I took 2 Tylenol 3 just before going in then about 2 hrs later a robaxin 750mg and nothing. I held in there for 4 hrs I dont know how, got replaced and left. To sit down after the first 3 hrs was so hard to do, it made it easier to walk out to the car. I need something better than this, I have to be able to perform my duties pain free. I have taken medication my whole life due to migraines, have been on every medication, therefore most medications I take are not low dosages, then I become afraid to take them because I dont want to become addicted to anything. I only take pills when l am in severe pain, maybe thats the problem. I need to know what medication I can try what l can do before my next shift in a few days. Thank you ### REPLY: Welcome to The Sciatica is a result of the nerve compression between the vertebra which causes the symptoms. The symptoms do not resolve until the subsidence of the inflammation and release of compression on the nerve fibers. The treatment option available are neurotransmitter block agents like Gabapentin along with painkillers and vitamin B complex. Appropriate lying position like on hard surface and physiotherapy. Consult Neurologist for better opinion. ThanksRegards ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, me and my girlfriend were foolin around and I ended up ejaculating on her chest. Some semen ran down but she doesnt think she got any in her vagina. She then took a shower and got it all off. Is is possible that the water pushed the sperm into the vagina and got her pregnant? We are both virgins too ### REPLY: Hello, Thanks for sharing your health concern with us. I have gone through your query and would like to offer my opinion. In the manner of sexual encounter you have described, there is no chance of any semen entering the vagina and thus, there is no chance of any pregnancy. Semen or pre-ejaculate, if deposited on the vulval region during the fertile or ovulation phase, which is two weeks prior to the onset of the next period, can cause conception. This is when protection is needed to avoid pregnancy. Hope your query has been clarified. Take care. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My aunt who is in her 80 s is in ER now with severe pain in lower left quad--food seems to bring pain on, worse when up. Has done EGD, Colonoscopy, abd US, Cardiac stress test, liver function test, and bloodwork has all been normal (haven t got results of today s bloodwork yet). Had gallbladder removed several yrs ago, checked today to see if there were stones in Common Bile Duct--none. Help please ### REPLY: Hi. Thanks for your query and an elucidated history. It is worrisome to know that all the tests you mentioned have been normal viz- EGD, Colonoscopy, ABD US, Cardiac stress test, liver function test, and blood work has all been normal-blood work once normal has not much important if done again. The pain is persistent in a lady of 80 years in spite of the negative tests. When the increasing factors are food and standing up, the most probable causes can be ::Intestinal obstruction- this can be missed by many tests. Needs to be done by a simple X-ray in the standing position-shows gas / fluid levels. This is possible only if done in a standing position. CT scan can not be done in standing position- it is always done in lying down position so can miss. Another problem can be a sealed perforation- again very difficult to find on any tests. This need a classical clinical test of rebound tenderness to be elicited by the Surgeon. So take a second opinion of a Surgeon dealing in Gastroenterology and the cause may be found and well treated. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi. i had my last period 2 months ago. all urine home tests say negative. i have now been having stomach cramps over last few days and bad lower back pain. im 44 years old and i have had a blood test for menopause whicChatDoctore back normal. my doctor says it is not menopause. could i be pregnant? my son who is 19 years never should up on home tests ### REPLY: Hallow Dear, If you have been certified by your Gynecologist after investigations that you are not having any menopausal changes as yet, you have to rule out the possibility of pregnancy first. Get your urine tested for Pregnancy. If you are not pregnant, you my take Tab. Devilry for 5 days and within 4-7 days after that you will get the menses. If you are pregnant, it can be easily terminated by medicines up to 9 weeks of gestation. These medicines have to be purchased by Obstetricians prescription. Tab. Mifepristone and Tab. Bisoprolol are very effective medicines which can terminate the pregnancy. Hope this helps you. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, ive been eating blackboard chalks for the past eight months now and i doubt if its going to cause any serious issues regarding my kidneys n stuff. Im already seeing that by eating chalk, my teeth are slowly grinding. Whatls wrong with me n how do i get rid of eating chalk. Im 30, skinny my bust is almost vanished, tubal ligated mother of 3 kids :( kindly help. thanks ### REPLY: Hi, Eating chalk for past 8 months is an odd eating behavior that needs both physical and psychological evaluation. Many causes like iron deficiency anemia, malnutrition, obsessive compulsive disorder etc. has to be ruled out that may be the cause of this behavior. Toxicity of substances contained in chalk has to be ruled out. It is advisable to visit your doctor at the earliest. Hope this helps, . ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got my period last week and after my period I engaged in sexual intercourse. We did use a condom but it slipped off, so I took two of the plan B pills. One week later, I started to have vaginal bleeding . This lasted for about 3 days and stopped today. But today I ve been feeling chest and stomach pains. The chest pains seem to be whats called, Heart Burn and I m wondering if this is supposed to happen? Thank you ### REPLY: Welcome to , Plan B pill are emergency contraceptive pills. It is normal to have vaginal bleeding after taking the pills. Many women also experience some side effect such as stomach pain, but this is subsided in a couple of days. Avoid spicy food and take tab omeprazole 20 mg before breakfast once daily for 7 days. This will reduce the stomach pain. Your menstrual cycle will become regular in 2 to 3 months. Hope that answers your question. . ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell backward landing on both hands and butt. I had serious pain in my right elbow and back that passed after few minutes. Mr right elbow has intense pain depending on how it moves. i don y see any bruise and my hand functions. I have been icing it for 8 hours and i still get intense pain when i move some directions. At wha point do i stop ice and see a doc. I have a high pain threshold, but when it flares i can t use my arm ### REPLY: Hi, Thanks for your query. An initial X-ray of the injured part is mandatory to rule out any bony injury (fracture). If the X-ray is negative for a fracture, then the other possibility is soft tissue injury either to the ligaments, tendons etc. The initial management for your condition is as follows -- Give adequate rest to the injured part and avoid any movements that produce pain-Apply ice wrapped in a damp towel to the injured area for 15 to 20 minutes every two to three hours during the day-Compress or bandage the injured area to limit any swelling and movement that could damage it further. You can use a crêpe bandage or a simple elastic bandage - Keep the injured area raised and supported on a pillow to help reduce swelling. - Gentle massage with a painkiller cream over the injured area might be helpful If your symptoms are still persisting after the above measures, consult an orthopedic surgeon for further evaluation and management. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went to a Kidney doctor recently, had been going to one for about 5 years, but they seem to keep changing on me. This new Dr. said he wanted to lower my B.P. more, and they day I as in to see him it was a bit high 146/78 but no really that much out of line. He said he would like to see it 140/70 or less. The next day it was 131/68, and hadn t taken the prescription he recommended. However did take it a couple of days later, and my feet and ankles swelled and are still swelled, the Med was Amalodapine the dose I was on was .5 and he doubled it. I called him today, and he put me back on my regular dose, but added a new B.P. med called Spironolactone .25 mg. I have been on Lorsartin and Amalodapine for several years and it has been holding my B/P under control pretty well. Why would he want to be changing it...my thinking is if it s not broken, don t fix it, and my regular health care physician had put me on it. This is a new, young Dr. and it was my understanding that they no longer want your B/P to get to low, to you don t function well?? What is your opinion on this new med. He told me not to take my over the counter Potassium. Thanks, Betty ### REPLY: Hello, Amlodipine may cause pedal edema in some individuals. So he reduced the dose. Spironolactone is a potassium sparing diuretic. It is used to reduce edema of legs. If renal function is not good means better to avoid losartan. Because it will increase serum creatinine levels. Don't worry continue as per nephrologist advice. Take care. Hope I have answered your question. Let me know if I can assist you further. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here...hi i am 31 years oldi am 12 years completed in my marriage lifei need one answerri have problem in cytomegalo virusnow my test report showing more than 500 u/ml ### REPLY: Hello, Welcome to . I read your query and I understand your concern. Cytomegalovirus (CMV) is a common virus that can infect almost anyone. Actually, most people don't know they have CMV because it rarely causes symptoms. However, if you are planing to get pregnant or have a weakened immune system, CMV is cause for concern. Once infected with CMV, your body retains the virus for life. You do not mention any symptom, except the test report results. However, need treatment when they're having symptoms of CMV infection, such as pneumonia. The kind of treatment depends on the symptoms and their severity. If treatment is needed, its most often in the form of antiviral . Antiviral ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Got sick after 3-4 hours after eating. Abdominal cramps, no diarhea and no vomiting but almost. Since then i have abdominal cramps when I eat ( not after but a few minutes after firs bite). 20 years ago i had something like this and had to take sulfamide to get rid of. Is it a bacteria or food poisoning or both ? ### REPLY: Hi. Thanks for your query. This type of pain can occur as a reflex. Seen in case of either appendicitis, colonic problem, gastritis or gastric ulcer. You say you have a typical cramp when you eat. I would advise the following:Ultrasonography to rule out appendicitis and other inflammatory diseases. Upper GI Endoscopy for esophagus, stomach and duodenum. It is better to get a proper diagnosis than just a symptomatic treatment. Let this be a directed treatment otherwise these problems become recurrent. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Bilirubin , total=3.00mg/dl i am 47,male, my blood test results are as follows-- Bilirubin, conjugated=2.12mg/dl Bilirubin, unconjugated=0.88mg/dl SGOT =471.2IU/L SGPT =554.22IU/L Alkaline phosphatase =384.1iu/l Dr. advised to take udiliv-300 twice a day for 10 days 7 liv 52-DS. what is the cause of this? I had cosumed 2 drinks after tinidazole treatment( after 48 hrs) ### REPLY: Welcome to . Reports suggest that there is some inflammation of liver (Hepatitis). It is difficult to say what has caused Hepatitis. They are commonly causes due to viruses/ some medications/alcohol/gall stones etc. If you have fever/vomiting/abdominal pain - you may need sonography to rule out gallstones/cholecystitis. I feel your doctor after clinical examination must have felt that no further investigations are necessary at this stage and have advised to take this treatment. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Im about a 32 to 33 day cycle, I was to start my period on 2/13 now 7 days late...Ive had a dull lower back ace for about 2 weeks now and at night feel a little nauseous, around Jan 25 I went to ER for a kidney stone they have me anitbotics and waited for it to pass also told me I had another in my kidney but nothing yet. Ive takenamy pg test and all negative. Would a Kidney stone or the meds be the reason for my delayed period? Ive also felt very full in my tummy region any help or suggestions would be great ### REPLY: Hi, There is no relationship between renal calculi and hemorrhagic. Having period delayed up to 15 days is considered normal but other condition (physiological /pathological)cannot be denied. The symptom you had like LBP ain, nausea, urinary symptoms generally occurs in renal calculus. Generally calculus up to 5 mm size can come out through urine(as small ureteric did isms)but sometime did of 7 mm have been found to be expelled with a lot of pain. So is it is less than 5 mm wait for Lithuania otherwise operative (ESL /PCNL)should be done. Regarding delayed period wait for 1 more week if still awaited then meet gone clinic. Thanks n regards ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Lips chapped on the inside as well as outside. Upper lip chapped and white inside. Had/have thrush and sore dry mouth every morning. Have scaly flaking rash on back of neck behind ear that might be impetigo or a normal skin condition like psoriasis. The lip thing is new, is it just another symptom of something, and my lips have never felt dry and chapped on the inside, mostly my lower lip chaps on outside. ### REPLY: Hi, you are having colitis and xerostomia. You are having rash on nape of neck and post auricular area. Which may be either allergic or irritant dermatitis, seborrhec dermatitis, localized psoriasis or Tina infection. Difficult to say. Apply moisturizing cream on lip twice a day. Apply steroid with antifungal cream on rash twice a day. Take antihistamines if you get itching. Avoid soap bath. Do alone shampoo to cleanse the scalp. Avoid sun exposure. You consult . . Ok ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 5 months old. We have started him on solids which he eats absolutely great. My concern is that the days I give him solids he only consumes MAYBE about 16 oz. I assume that the solid foods keep him full longer so when I try to give him a bottle he will not eat-even if he is hungry I have to sort of fight with him a bit to get him to take the bottle. I have stopped the solids for now as I was told the formula was the most important. In a normal day with no solids he drinks 30oz. I m not sure what to do or what is best for him at this point. Please help!!! ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. I suggest you to wait one more month to continue with the solid food. Usually the digestion system of a child is considered developed enough when the child turns at least 6 months. In the initial months, child can accept only little amount mainly because of the satiation threshold. Nothing to worry about that. You should keep it in mind that, when child . The thrice a day or four times a day formula will work after some time. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a pea size lump way under the skin on my bikini line. It has been there a few moths now. Often times the swelling in it dies down to virtually nothing, but sometimes (often when Im on my period) it increases is size again. It isnt always painful but sometimes it is. ### REPLY: Hi! Thanks for writing to us and sharing your health concerns regarding a pea size lump way under the skin on your bikini line. When a person comes to my clinic with such skin nodule first I examine him/her and then if not confirmed about a possibility, I go for FNAC/BIOPSY TEST from the nodule! In such cases I think of few possibilities like:1. A reactive lymph node that gets enlarged with reaction to local infection2. A sebaceous cyst getting infected intermittently3. Some benign skin tumor like lipoma, neurofibroma or dermatofibromaTherefore you must see a doctor for a clinical assessment! Hope you got the answer. Please revert to us if any more queries. Wishing you good health! ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: am suffering from breathing problem from many years like wheezing not able to breath properly need help please help me am not so rich to pay a high amount n get treated if somebody knows any medicine plz do let me no thank you in advance am vinesh ### REPLY: Hi, firstly you should be investigated and diagnosis should be made. There may be simple cause and with routine medicine you may be cured. Routine blood checking,x-ray chest mostly will give you clue about your problem. Some time eosinophilic may produce this type of picture, then a course of simple medicine like DI ethyl carbemazine can your problem. Yes if there is some obstruction in respiratory tract, then it may be costly affairs. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello My son is 2 years old and have a allergy problem and doctor start Myteka sachet for one month pls tell me its right because last week he have a infection and dr start Cyclor bt after one week again he have infection and dr started injection for treatment pls reply ### REPLY: Hello. Thank you for asking at . From your history, I guess that your son has got frequent respiratory complaints, most probably due to allergy. Myteka contains montelukast, and it does not have major side effects even after using for a few months in child . Rarely, a child may have nausea, vomiting, headache, etc., but they are not seen in most of the patients. I would like to inform you that infections are different from allergies. So if your son is having recurrent allergies, please do not worry. There are good controlled medications for allergic respiratory symptoms. However, if he is having recurrent infections, I would suggest you to consult a pediatrician who may suggest some tests for immunodeficiency. It's an entirely different group of diseases, fortunately far less common than allergic disorders. Hope this will help you. Wish your son fast recovery & best health. Regards. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is 44 year old and is lightheaded when he layed down for bed. He said is heart seems to be skipping beats and his breath feels different. He will not let me call 911 nor will he go to the ER. He did agree to see a doctor on Tuesday morning before work. How concerned should I be? He said the symptoms is gone now. Heart problems run high in both sides of his family. ### REPLY: Hereafter going through the medical details provided by you, I would like to tell you that as of now there is nothing emergency or serious thing to worry about. Probably he had experienced few ectopic. Cut down his coffee intake or any other . Smoking should be completely stopped if he smokes.However, as there is a strong family history of heart disease then it's highly advisable for him to go for a basic cardiac check up which should include an ECG, ECHO and a TMT. Kind Regards ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 32year male, software by profession working on computers for almost 15hrs a day. I have been having back pain since last 5 months. I weigh 72kg and measure 170cm in height. Otherwise i have been healthy. I was wondering what might be the cause for the pain? Please suggest me methods of reducing the pain.. I sincerely thank you all.. ### REPLY: Working at a computer can cause back, neck and shoulder pains, headache, eyestrain and overuse injuries of the upper limbs. The risks can be reduced or eliminated with proper workstation design, improved posture, good working habits and REGULAR EXERCISE. Suggestions to reduce the risk of back pain:Use an adjustable desk designed for use witChatDoctorputers; position the monitor so that it is either at eye level or slightly lower. Position your keyboard at a height that allows your elbows to rest comfortably at your side. Forearms should be roughly parallel with the floor and level with your keyboard. Adjust your chair so that your feet rest flat on the floor. Use a footstool (if your feet do not rest on the floor when the chair is adjusted for good arm position). Switch to an ergonomic chair, which helps your spine to naturally hold its curve while sitting. Use an ergonomic keyboard to offer your hands and wrists a more natural holding position. Take frequent short breaks and go for a walk or perform STRETCHING EXERCISES at your desk. Stand often. Consulting a physical therapist (physiotherapist) for stretching exercises proper postural position than can surely help. Also get an X-ray of the painful region in the back to rule out any bony abnormality. Usually in computer users it should be X-ray cervical and Dorso-lumbar region with both AP & lateral views) ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had swollen feet, legs and ankles for about 4 weeks now and it doesn t seem to ever go down. I have been to my doctor and he has given me lasix but it doesn t seem to help. At night my legs and feet ache. Can you tell me what might be going on? Thanks ### REPLY: Hello, As you mentioned the lasix being prescribed to you, are you diabetic or having any cardiac pathology like high blood pressure. Usually swelling in the lower limbs - leg, ankle and feet occur due to lack of venous return. Having an understanding of the cardiac pathology and any venous return issues in the lower limbs should let us help understand the cause for it. Also, doing regular exercise in low intensity helps improve the muscle physiology and also the cardiac output where these symptoms can be avoided. Hope I have answered your query. Let me know if I can assist you further. Jay In . ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 17 and I have been feeling very weak lately, I thought it might have been because I have been having trouble sleeping and very busy. Because of these things, I thought they have been making me feel achy, dizzy, weak, and very moody. I also recently started craving blood. I had never thought about being anemic until someone asked if I was. I looked up the symptoms and was not sure how to know if anemia could be whats causing this, or if it is just a phase. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Weakness, tiredness, pallor are the symptoms of anemia. You should go for complete blood count. If your hemoglobin is low then you should further investigate about cause. If your hemoglobin is normal then no need to worry. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, my boyfriend works out of town so when he was back i wanted to skip my period. on the wednesday i was suposed to start taking the placebo pills on my birthcontrol but i took a new batch instead. i had started bleeding a tiny bit before i actually took the pill but i thought it might stop it anyway. it put it off for a few days but started spotting again on that saturday. he left that sunday and is gone for 3 weeks.i continued regularly taking my birth control but i spotted for about 2 weeks straight and then it kinda stopped. yesterday was the day to take my placebo pills again. i did but i still havent gotten my period but ive felt cramps. is there any chance i could be pregnant? ### REPLY: Hello, thanks for trusting doctors for your health related queries.I guess your concern is-are u at present pregnant or not???right???actually to pinpoint n say u r not 100% pregnant is difficult CZ u haven't taken pills properly.....but don't worry every problem has a solution...I will try to help u in short way can try out my suggestions:1.have patience,wait for another 3-4days for menses to occur. If menses happen you are not pregnant,2.if menses doesn't happen after 3-4days/or you're in very much hurry to get rid of tensionfull mind-am i pregnant....u do urinary pregnancy test.this test kit is avail bl at affordable prices in your nearby medical stores...buy it, do it by ourself. If its negative you are not pregnant,,,if positive visit a nearby gynecologist for further help3.if still u in dilemma of pregnancy then a scan(ultrasound of abdomen n pelvis)can be done, in scan its possible to see an embryo/baby is there or not...but NOT NECESSARY DEAR...RELAX....4.when a husband/wife are meeting after a long time of gap then it's better to use condoms...whiz d logic behind I will explain.let's say u people meet up once in 15 days, so max 2 times in a month u do sex/coitus.to avoid pregnancy for this two times in month meeting you are on medicines for almost 28 days...of course result of medicine-u won't b pregnant but u will b exposed more no of days for side effects of medicines....I hope u understood...so usually Jen husband/wife meet up occasionally as they live at long distances...we advise condoms. Condom has result(prevents pregnancy)but has no side effects.whereas medicines had result along with side effect.some husband/guys say we don't feel exact natural sensation, so we can't use it....n some say we used condom, but as we did zhabardhassttt sex condom ruptured!!!!!!!for this also solution is there, its i-pill.available at your medical stores at affordable prices....if you are taking I pill, then lets say u meet your husband/bf once in 15days.so in a month u take only two I pills.....so not exposed to many side effects...u agree with me madam????I hope this was informative enough, helpful,useful for your query.regards- . (having regular healthy sex lifestyle Bowen couples is very good and advisable too...but a small presence of mind, u can use condom n can make girl free of medicine side effect n boy from being in psychological tension whether his GF has become pregnant) ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir/madam,This is sunitha an Indian from jimma (a place from Ethiopia,north africa).i got conceived & it is in 6th week. here ethiopian doctors confirmed the pregnancy but they didnt prescribe any tablets like folic acid etc...even though we enquired ,they said that your hemoglobin is normal and it is no need for you.But we are bit scared upon their reply.please kindly suggest me what are the tests (like sugar,thyroid etc..) i should undergo and the tablets to be used for my safe delivery in detail .Note: This is my first conceive and doesnt have any abortions earlier.My age is 25 years with O+ve blood group.Thanks a lot in advance for your concern...With regards,Sunitha. YYYY@YYYY ### REPLY: Hi Sunita I understand your concern. first I should tell you to be calm .the list of investigations we usually do here for our pregnant patients include blood., complete blood count, HIV,V . Regarding medication, I usually irascible folic acid 5 mg once a day till 13 weeks I.e. about 3 months, after that iron and calcium once a day till 9 myths, nkw a days it d 3 is also being given once a week for 8 weeks. These are the Stan ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got kicked in my ribs over the weekend and now whenever I ve been over the front or to the right side where that s where I got kicked is on the right it hurts so bad I can hardly breathe I have to take short breaths in and then I can finally take a big breath and also it hurts severely to cough ### REPLY: Thanks for your question on . I can understand your concern. You are having blunt chest trauma due to kick on the ribs. This type of chest injury can cause rib fractures, pneumothorax, pulmonary contusions and musculoskeletal injury. All these cause chest pain on breathing, coughing, with movements etc. So get done chest x-ray to rule out these causes. If chest x-ray is normal then no need to worry about major complications. Simple musculoskeletal pain is likely in your case. So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid bad postures in sleep. Take painkiller and muscle relaxant . Apply warm water pad on affected areas. Don't worry, you will be alright. But get done chest x-ray to rule out internal damage. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a bad cough. My stomach hurts from all the coughing. Now am experiencing electric shocks, when I get long rough cough. Now am afraid to cough and my stomach hurts more please help give me an advice what can I do.Thanks..... Also flame comes with a little bit of blood. Help what can I do ### REPLY: Thanks for your question on . In my opinion you are having HERD (Gastroesophageal Reflux Disease). As Verdi untreated can produce . And you are having burning flames which suggest acid reflux. HERD is due to laxity of gastroesophageal sphincter. Due to this the acid of the stomach tends to come up and cause the symptoms. So better to follow these.1. Avoid hot and spicy food.2. Avoid stress and anxiety. 3. Avoid large meals, instead take frequent small meals.4. Take proton pump inhibitors. 5. Go for walking after meals.6. Keep 2-3 pillows under head in bed. If not improve in 1 week than get done chest x-ray to rule of pulmonary causes for cough. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am in constant pain around my rib cage on the left side. It all started with herniated disks in my neck, for which I had a cervical diskectomy in 2000 and now a chiropractor has told me that I have a bulging thoracic disk. Do you think my rib cage pain is from my thoracic spine? Is surgery done for bulging and not herniated disks (if theres a difference)? I also have a constantly cramped muscle in my left shoulder, no matter what I do. Could that be contributing to the pain? I take neurontin and baclofen. I used to also take oxycodone and morphine but they made me so sleepy and out of it that I stopped. ### REPLY: Hi, Thank you for posting your query. Disc herniation is uncommon in thoracic regions, however, it can occur, and your symptoms could well be related to that. Surgery is often reserved for severe disc herniation and is not done for disc bulges. As of now, you can continue the same medications, and physiotherapy. If symptoms persist, then, you can get the MRI of thoracic spine done. Based on that, a definitive plan of treatment can be made. I hope it helps, Please get back if you require any additional information. Best wishes, . Ly/ ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 52 years old male have very little penile sensation, poor sustained erection since more than 10 months, have normal sperm count, no history of injury to back or body but have reactive depression due to personal circumstances, BP135/85 pluse 65/mnt, earlier have good strong erection, I do regular excercise but no help please guide me AAAAAAA YYYY@YYYY ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you are facing problem of Erectile Dysfunction since last 10 months. This is called as Secondary Erectile Dysfunction and is most likely to be due to your Psychological problem. Please consult qualified Psychiatrist for counselling. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Do not worry this will get resolved within six months. . ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a hard knot on the right side of my collar bone, I had an ultra sound this morning even though the doctor said he felt sure it was a lipoma. The technician scared me when she said she was going to ask the radiologist to step in. He said that this is not a lipoma, a swollen gland, a cyst or anything like that. He said I need a CT scan which is a better test for bone. I have to now wait for my doctor to get the report and schedule the test; of course it is Friday and I cant get anyone at my doctors office. I have been worried for 3 weeks about this and now I am even more concerned. ### REPLY: Hi, Nothing to worry much. As said by your doctor you need to get test done. The chances of Lipoma are more than compared to cancer or cyst as it is not associated with other symptoms like pain or restricted or painful arm movements. I would prescribe ultrasonography examination than CT at this stage and depending on it decision on further examination would be made. Till then, relax and everything will be fine. Worry will only lead to stress and not will lead to any solution. Hope you find this useful. Let me know if I can assist you further. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 10 year-old daughter has swollen optic nerves. She had clear results for her brain and optics MRI and negative for ANA. Her C-reactive protein test and other blood tests including TSH, HT1, 2, 3 and 4 are normal. The neuro opthalmologists here could not determine the cause. I am afraid that she might lose her vision. She was given oral steroids but her vision has not improved significantly. ### REPLY: Hi...by what you quote I feel that your daughter is having optic neuritis...considering the age and gender of the kid the most important diagnoses to be ruled out is autoimmune phenomenon which the doctors you are consulting have very well done already. Sometimes it can be idiopathic too...this means for which no cause can be ascertained. But the steroids will definitely help prevent complications. If her vision has not improved significantly, I suggest going ahead with a pulse dose of methylprednisolone and then followed by oral steroids. Sometimes it can take some weeks to recover the eyesight. So we need to wait and watch. I feel that the evaluation and management of the case is going in the right direction. Regards - ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes, thank you. I have had a really bad cough for about 8 weeks now. I have been to a doctor 2 times and have had a cough syrup and an antibiotic perscribed. I have taken all the meds and still have this cough that is not going away, I am not a smoker. Any advice would be greatly appreiciated.Thanks,Becky ### REPLY: There can be various reasons for a chronic cough, which have to be evaluated. Every possibility is assessed with respect to risk factors that may be present for that condition. Although You have not mentioned details such as your age, the nature of cough, type of cough, any factors/time of day you have more cough, any other medication(for some other condition) you are taking etc. Yet few of the reasons a patient may be having long-lasting cough can be Bronchial asthma-In this the patient has . Chronic bronchitis can be another cause for chronic cough, although it is more common in smokers of middle age & elderly, still non-smokers may also develop it due to various other risk factors. In This the cough is present for more than 2 years usually and cough is associated with sputum. Some people suffering from Gastroesophageal reflux disease(HERD) can also have chronic cough, but they will report symptoms associated with dyspepsia as well. Certain medicine such an Angiotensin Converting enzyme inhibitors used in patients of Hypertension may cause ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I was just brushing my teeth 10 minutes ago and while I was brushing my tongue I gagged (which is normal for me). After that gag, so white stuff appeared far back in my gums stuck inside a whole/opening. I pushed it out by pressing beside it. White stinky stuff that felt soft came out. Is this an infection or what ### REPLY: Hi. Thanks for the query. As there was stinky white stuff from a hole in the gum in the very back region of mouth, then it is most probably due to the hole from which wisdom tooth is about to erupt. Many a time if the wisdom tooth is impacted the hole or opening is formed in the gum, but the tooth does not erupt and there is food lodgment in that area. So my suggestion is to consult a Dentist if there is any problem and get an x-ray of the area done. If the wisdom tooth is impacted and if there is any problem repeatedly like infection and bad smell you can get the tooth extracted. As of now always gargle after meals and do not let food accumulate in that area. Hope this helps. Regards. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Q. My 40 years old wife is suffering from recurrent fever for the last 3-4 months. It started with high fever with chills, so he was given anti-malarial drugs and he felt normal. Then again after 15 days he got the fever with chills then he was given antibiotics. Again after 15 days of the treatment, the same thing happened and he was given anti-malarial Flacigo. ### REPLY: If fever is persistent since 3-4 weeks it might be due to typhoid or some other infection so first I will advise you to go for blood test to rule out the cause. For treatment, you can take some antibiotic preferably moxikind-cv or IFIC after expert advice along with kilos or nimeson-p for high grade fever. You can take some multivitamin like metilda-forte or meganeuron-plus once daily preferably in afternoon. Do cold sponging to reduce the temperature of your body. You have already completed the course of anti-malarial so no need to repeat this again. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am an asthma patient for the last fifty years originated from acute cold for which a tablet was provided to stop cold with asthma to paste on chest At 2 Oclock mid night I wakened up and felt difficulty in breathing but cold had absolutely come down. Then I went to another doctor and he gave me dycristin injection and calcium also. every fortnight i had to do this and then some other medicines were prescribed thus i fell as a regular patient. Now I am eighty three years old before taking this bad tablet I could swim thousan yards to and fro but now I cANNOT WALK A FEW STEPS OR TALK A WHILE , BYTHE TIMEi WHEESE. THANK YOU DOCTOR ### REPLY: Hi, Asthma is itself an allergic disease due to cold (or dust or pollen or grass etc.) irrespective of the triggering factor. Your asthma actually triggers bronchospasm which leads to your wheezing and breathing difficulty. You can go for pulmonary function tests if not done. Treatment is mainly symptomatic which might require inhalation steroids, beta agonists, anticholinergics as MDI or rota haler as a regular treatment. There are very good medicines like steroids, alpha a . To decrease the inflammation of bronchi and bronchioles, you might be given oral antihistamines with mast cell stabilizers(montelukast) and steroids (prednisolone) with nebulization and frequently steam inhalation. The best way to cure any allergy is a complete avoidance of allergen or triggering factor. Consult your pulmonologist for further advise. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HELLO DOC! i HAVE BEEN SUFFERING FROM LOWER BACK PAIN PAST 10 YEARS. i have degeneration on L4 L5 S1.the pail goes in both the buttocks.I WAS TOLD I DONT NEED SURGERY AS I ALSO HAVE FIBROMYLGIA AND ALMOST 11 TRIGGER POINTS. BUT WHEN I GET SEVERE ATTACKS I CANT WEAR MY TROUSERS OR SOCKS THE WAIST DOWN AREA GETS JAMMED. I TAKE HEAT,PHSIO AND MASSAGE HELP MY MUSCLES TO RELAX. I WAS GIVEN MECOBAL AND VIT D.OTHERWISE I AM ACTIVE BUT SWIMMING ALSO CAUSES PAIN IN LOWER BACK. I HAVE HIATUS HERNIA HENCE NO STRONG PAIN KILLERS ARE GIVEN I AM OK WITH MOBIC 15MG. PL ADVISE. REGARDS ABHA ### REPLY: Hello, I have studied your case. Due to compression of this nerve root there is tingling numbness in your leg and pain associated with it. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. MRI shows disc compressing on nerve root then surgical decompression is permanent solution. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a cough now for 3 months, before this I was perfectly fine..no illness what so ever..Im 51 years old and overweight..but no diabetes..my cough accompanies.. lots of phlegm & congestion, Im short of breath and having difficult time breathing..what ever it is has taken over my ears..cuz now their plugged and I cannot here..Ive taking 3 antibiotic prescriptions, cipro, levaquin and avalox, and it wont go away..first they said, sinus infection, then Pnemonia, then Asthma,,I know its not just asthma Ive had asthma for 50 years and this with all the phlegm is not asthma. Please help..I need to get better..not die. At one point Xrays said Pnemonia, a second time they were clear..I have been in the hospital and to several different docs..including a Lung specialist that just says its asthma and allergies..I know this is not what it is..PLEASE HELP!!!! ### REPLY: Thanks for your question on . I can understand your concern. I also feel that you are having acute exacerbation of asthma. Normal chest x-ray rules out pneumonia or lung cancer or other lung diseases. Chronic cough, congestion, phlegm, wheezing, shortness of breath etc. in asthmatic patient is suggestive of acute worsening of asthma more. So get done PFT (pulmonary function test). PFT will tell you about severity of asthma and treatment is based on severity only. You may need long acting inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Oral combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) is also beneficial in your case. 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. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A COUPLE OF DAYS AGO, I FELT REALLY TIRED AND LAYED DOWN ON THE COUCH TO TAKE A NAP BUT ALL OF A SUDDEN MY HEART FELT LIKE IT STOPPED AND I STARTED TO PASS OUT. JUST BEFORE I BECAME UNCONSCIOUS, I TOOK IN A BREATH AND EVERYTHING WENT BACK TO NORMAL EXCEPT FOR HAVING A VERY BAD HEADACHE. A FEW MINUTES LATER, I WAS HAVING CONSTANT PALPITATIONS ( I HAVE ALWAYS HAD THESE BUT ONLY EVERY ONCE IN AWHILE). THE PALPITATIONS WOULD SUBSIDE AT TIMES BUT NEVER COMPLETELY STOPPED FOR ABOUT 24 HOURS. NOW, I FEEL VERY EXHAUSTED AND WILL HAVE A COUPLE PALPITATIONS HERE AND THERE. I JUST FOUND OUT THAT THE HEART STOPPING AND PASSING OUT IS WHAT MY OLDER SISTER GETS A LOT ALSO. DO YOU THINK THIS IS CAUSED BY STRESS OR POSSIBLY A GENETIC DISORDER? ### REPLY: Hello, I would like to tell you that palpitations followed by near fainting can be because of heart rhythm disorder which needs to be evaluated to avoid life-threatening events. Kindly get an ECG, Echocardiography, and Holder (ambulatory ECG) done and consult a cardiologist personally for further management. Heart rhythm disorder is generally not influenced genetically. Hope I have answered your query. Let me know if I can assist you further. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my grandfather is 80 years old and he was diagnosed of having a chronic renal failure stage 5.. Is it possible for him to survive if he undergo a kidney transplant? I am willing to donate my kidney for him.. another option is dialysis but i think that would be painful to him. He told me that the dextrose inserted to him NaCl was painful so I thought how much more if he will undergo dialysis 2x a week that ll be very painful. I want kidney transplant for him. pls help me.. thanks ### REPLY: Dear Sarah, thanks for query. Your sentiments are fine and understandable, but you also need to know whether he will sustain this kind of major surgery. He is quite aged and major surgery at his age carries more risk, apart from he must be having other medical conditions like hypertension and diabetes which has lead to this kidney failure. Dialysis is of course a not a cure for this, but this will help him to stay alive. Please discuss this with your doctor also. Bye and take care. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I am suffering from hair loss and thinning of hair. I am looking for a good dermatologist in Bangalore, who can help me to reduce the hair loss process and regrow my hair. I have a family history of hair loss, but I believe I can slow it down with medicines. I have been using Minoxidil 10% from past one year, I think its effectiveness has reduced with the passage of time. I would be grateful, if you can help me out. Am quite tensed, thanks ### REPLY: Hello, I can understand your concern it would be very helpful if I could know your age and gender and see some pictures of your scalp. You may have halogen effluvium of female pattern hair lessor an . Hairfall may be due to lack of nutrients like iron or proteins in body, it may also be due to deranged thyroid levels. So to rule out halogen effluvium I would advise you to get your he, serum ferritin and thyroid levels tested.it may be genetic too. Application of minoxidil and oral biotin once a day can really be helpful to you. Minoxidil is slow method, it takes time to show results, and you have to be compliant with its use, leaving it abruptly can again result in hair loss. So be patient and keep using it. Still if you don't find any results you can go for procedure like PRP (plasma rich platelet) therapy, it could help you as results seen are very good. And you can consider hair transplant too. Hope it would help. Thank you ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i just noticed what appears to be a small skin flap on my penis shaft, I am needles to say concerned i m a 58 year old Hispanic male,i am a little embaressed to ask my female doctor whom I have been seeing for type 2 diabeties,,I am 5 9 and 170 lbs,and have worked out most of my life , ### REPLY: Hello and. As a Urologist, I can fully understand your concern. A small flap over shaft penis, at 58 years age, shouldnt cause any worry. If you're able to have sex or masturbate normally, it shouldn't be bothersome. If it was in an exposed area, then there's a cosmetic problem. Flaps over shaft penis, can be easily corrected with minor surgery. This need be done in your case, only if you're worried about the cosmetic purpose. Its usually done, under local anesthesia, as a day case. You can contact me for any doubt, sending it as a direct question. . Manga. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, My baby is 42 days old now.He was a preterm 32 weeks,LBW(1800gram),at the time of birth.From birth he used to take preNan formula milk.By last week he became 2670grams and Doctor advised to start pronan 1 formula.But after introducing pro nan 1 baby is getting occasional loose stool .And he is crying vigorously while passing stool.Please tell me whether I need to continue pronan or prenan? Thank you, XXXX ### REPLY: Hello, If I had a patient like this in my clinic I would suggest continuing with pro nan1 for few more days. It takes some time to adapt to the change in food for the baby. It should not be a major concern. If he becomes more irritable kindly show him to your doctor as it can be due to other factors too. Hope I have answered your query. Let me know if I can assist you further. Take care . ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir I want to consult with a gynecology in Kolkata next month. Sir My marriage life is nearly 6 years my age is 35 and wife is 37 year. We had consulted local gynecology doctors at Agartala and went details medical investigation but no disorder was found continued we had consult last 4 year. Sir I want a baby please help me what to do ### REPLY: Hi, Thanks for writing to . I suggest you to discuss with your doctor regarding use of ovulation inducing . This helps multiple follicles to grow and rupture. Thus increasing chances of conception. This is safe treatment. With this you need to get follicular study. Since you are trying for last 6 yrs. I suggest you to go for GUI with Josephine. Here healthy sperms are placed in uterus. This increases chances of pregnancy. You can discuss with your doctor. Hope I have been helpful. Regards ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. Im a 25 year old female weigh 145 pounds solid. I have been trying to conceive since October 2012. I was on Mirena for about 3 years until October it fell out while I was bathing. I called my GYN an he said that it was ok longs I was not having any discomfort. Which I wasnt. During intercourse, I tend to bleed. That has happened 3 months ago. No bleeding since, but I now i experience pain during intercourse. I have lost all my sex drive. Feels like my hormone level is way low amongst other things. My menstrual cycle is way off. It does not come on the same time each month and at times I go a month without it. Its been like day January 22, February day 31, March day 31, no cycle in April ,and a cycle on May 18. I do have pelvic pain on an off. I am beginning to get scared. I really want another child, but do not think my body is ready for it. I have 2 other children. No problem conceiving them. Please help!!! ### REPLY: Hi, You should see a specialist for a local exam and a pap smear. The cause of the bleeding and the pain should be localized. Also, you would need a complete hormonal profile to see if any hormonal disturbances are causing the abnormal menstrual cycles. Sudden weight disturbances, stress, infections or certain medications also can cause menstrual irregularities. Please get a complete assessment and maintain a healthy weight. Hope your query is answered. Take care. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with aspergillosis from culture a year ago but recent culture shows nothing after 4 weeks. Cat scan in Denver shows ground glass looking things in lower left lung. Could this be the fungas lying dormant? I have been off steroids for asthma for a year now using only albuterol due to them contributing to the aspergillosis but wonder if recent tests accurate? I m also infusing IGG to keep my immune system up. ### REPLY: Hello, Welcome to , The diagnosis of Aspergilli depends on the clinical symptoms of the patient like fever, cough, chest pain, skin test for A fumigates, level of IGE and Egg, chest X-ray and CT-scan findings. Culture of saliva or pulmonary aspirates for Aspergillus pneumonia also help to confirm the diagnosis.In regard to the treatment, systemic antifungal therapy is prescribed depending on the severity of the symptoms. You can take Tab Intraconazole, twice daily for 14 days. Thank you. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i have a qustion about the mesurment of my sons head for his 9 month check up....when we went 2.5 months ago his head messured at 43 cm there i thought it was wrong so i messured at home and i got 44 cm so then at his nine month check up it messured 46.5 but he did have a flat spot that is shaping out does that have somethign to do with the incearse? but i had also messured at hom and got 46 so how can this be acurte? ### REPLY: Hi, Head circumference is measured with a non-stretchable tap across the most prominent points on front and back of head-part of forehead about 1 finger breadth above eyebrows and occipital protuberance (the bony prominence on back of head). After 6 months, we expect an increase of 0.5 cm per month. For a baby with normal size at birth, we expect 44.5 at 9 months. To decide whether the increase is significant, we have to compare with that at birth, and plot on standard chart. Your doctor will discuss with you. Hope I have answered your question. Let me know if I can assist you further. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ok, I have asthma and sinustitus, I went to the doctor because I was not feeling very well and my specialist gave me 7 tablets of prednisone 50 mg for 7 days , I have three more doses to go. I am getting better slowly. I was wondering why I need to take this drug, periodically when I get sick like this. Thank you. ### REPLY: Hello, Welcome to , As you are a known case of asthma for which your doctor has prescribed prednisolone 50 mg for 7 days, you are also known to have infection of sinus. Your doctor has prescribed the oral steroids for your symptoms of asthma, because it will reduce the edema caused by the allergens, and it helps to dilate the bronchioles which helps to relieve the symptoms of bronchospasm. As your doctor has prescribed this medicine you have to take it for 7 days, and you cannot discontinue abruptly. For sinus infection you may require the course of antibiotics, so I would suggest you to lateral Antibiotics like Tab Autoclave, 625 mg, twice daily for 5 days. Oral antihistamines like Least for 5 days. Thank you. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have an skin allergy .. red dots on my skin... also to my eyes and lips///.. its very itchy....please help me.... ### REPLY: Hi...dear user., welcome to ..., as per You’re complaint ..., it could be Irritant Dermatitis due to insect bites i.e.....mosquito or others U R not mentioned duration of time...if short time it could be above problem.... have good treatment 1) topically use calamine lotion in the morning times and evening before going to bed use dexamethasone with gentamicin combination cream., 2) orally take antihistamines like levoctrizine or fexofenadine daily for 15 days in the nighttimes...3) wash eyes frequently with fresh water and use antibiotic with antihistamine . .take care and follow.ok bye ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello... as I read from some answered questions here that the hair loss treatment Anatism can be taken for three-four months to see visible resulst.. After this period of time can I continue using it ? or should I stop. or should it be used like permanent solution? Thank you so much in advance. Fatima Saleh ### REPLY: Hello, Thanks for the query. Anatism is definitely helpful in hair growth. I suggest you to take vitamin supplement also. Biotin causes hair growth. It is one of the component of hair building unit. It also promotes utilization of proteins by hair. Use minoxidil along with biotin.It's a good treatment. Apart from this you can also use tab an . Regarding food, you can take any diet rich in protein.Also, you can wash hair daily. Washing won't cause hair fall. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.http://www.ChatDoctor .com/doctors/ ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I m 19 I Have Been Having Concerns About My Penis. White Bumps Suddenly Appeared Around March Or April And They Really Haven t Been Going Away I Don t Think It s An STD Because Me And My Girlfriend Are Having A Baby And She Gets Checc Ups And They Tell Her She s Fine So. . . What s Wrong With Me? ### REPLY: HelloThanks for query. Whitish blisters on glans penis are mostly due to infection of the glans penis (Atlantis) secondary to allergic reaction to acidic vaginal secretions of your girlfriend. Ask her to get examined by her Gynecologist and take necessary treatment. You need to take broad spectrum antibiotic like Čeferin along with anti-inflammatory . Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am with someone that is lethargic, slurred speech, extremely tired, eyes are distant and not fully coherent. He s a male, 49 years old and has experienced this issue many times. He seems as if he s drunk but says he hasn t had a drink. He doesn t take drugs either. He had trouble making it up the stairs, tripping and not able to stand up straight when he tried to go to the bathroom. He has been depressed and has anxiety. But these episodes happen once and a while and then he conks out for the night. It has even happened during the middle of the day and he will just sleep for hours. ### REPLY: Dear serve understand your concerns went through your details. Lethargy, tiredness etc. are symptoms of depression and anxiety. But slurred speech and distant eyes etc. are more suitable to physical issues like multiple sclerosis or anemia or other wasting diseases or neurological causes. You must consult a doctor for checking his vitals and for necessary further treatment. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir my grand father sh. mittu lal suffering from asthmatic problem since last ten years i got treatment for them from DR.sudher mathur since 7-8 years (MD PHYSCIAN) but now a days my grand pa(72 year old) not satisfy from there treatment so please guidance me what will i do for them. pankaj sen 0000 ### REPLY: Hello Pankaj, Asthma is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages to an allergen. Management consists of: 1. Inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, it can be used during an acute attack. 2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of seasonal allergies & asthma. 3. Antihistamines can also be used to provide symptomatic relief. 4. Protection from exposure to cold, dust or other allergens. If symptoms still persist, it will be better to consult a Pulmonologist for further management. Wishing him a good health. Thanks & take care. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I started having acute neck pain a week ago. It has radiated to upper back, right shoulder and right arm. The pain is sharp, throbbing and distracting. It has not responded to heat, rest, Tylenol, aspirin, ibuprofen, valium or bengay. What should I do now? The pain is unrelenting. YYYY@YYYY ### REPLY: Hello, Causes of radiating pain are:-Injury-Blunt trauma-Sprain or strain-Spondylosis-Spine-related problems-Improper posterior that, I would like to advise the following:-You can take the tablet Broken. -Apply diclofenac gel or cream. -Apply ice locally.-Do x-ray and MRI back and hip region. -Treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with orthopedics. Hope I have answered your query. Let me know if I can assist you further. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my name is Cathy. My son had Chari malformation and had to have surgery because the form he had was blocking the flow of his spinal fluid. My question is would he be able to lead a normal life? He wanted to join the Navy but is have such a hard time because of the surgery. ### REPLY: Hi, Welcome to .com I am . Mariano Into Bruno Mascaras, and I am here to help you. I have read your question with care and understand your concerns. Once the Obstruction has been relieved, those with Chiara Malformation would be able to lead a normal life and even join the Navy and serve the nation. Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir i am boy of 13-14years old and i mastubrate daily at once,sir this is becaming like habit ,sir i want to know is this safe for me to do and does it cause any sexual problem in future. And if it is not good then how i keep control on it.thanks you ### REPLY: Hello It is a myth that masturbation causes sexual problem in the future. Masturbation is just a method to release accumulated semen. It is replenished in our body readily. But Obsession of masturbation is bad, and you should try to overcome this habit. You should avoid provocative literature and videos. Try to concentrate in your studies. You may need psychological counselling if needed. Get well soon. Take Care . ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Iam expecting pregnancy this month. My last period first day was on oct 15th and Iam having some symptoms like nausea, frequent urination, sounds in my belly . Only 4 days left for my period. Today I took home pregnancy check test using clear blue digital it showed not- pregnant. Can I keep hope for pregnancy? ### REPLY: Hello dear, I understand your concern. The first sign of pregnancy is missed period. The other signs of pregnancy like nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period in case of pregnancy. So the symptoms might not start before missing the period. Usually the urine pregnancy test gives accurate results a week after missed period. So I suggest you to repeat the test in case of missing the period. For the early detection of pregnancy serum BChatDoctor testing can be done, and it is positive 10 days after conception. Hope this helps. Best regards.... ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 7 year old son has just got in from school and said his willy hurts. I asked him to show me and he can t pull the foreskin back very far and it looks red. There is no pus or anything but he said it is sore when he goes for a wee. He did go swimming today but he said it was ok then. Have you any ideas or advice please? ### REPLY: Hi, Does he complain of any pain on penile tip even when not passing urine? Is the glans swollen or red? Presence of these features indicates Atlantis / balanoposthitis (infection of glans and foreskin). If you are able to retract foreskin without force, there is no fibrosis. If no such symptoms, and pain is only during urination, this may suggest a urine infection. This is usually associated with increased frequency of urination also. Kindly take him to doctor, as both these conditions needs antibiotic treatment. Meanwhile, keep the area clean and . ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter had a heart attack that started with pain in her back. At 84 years of age when I have an ongoing soreness in my back that doesn t go away when I rest, I am concerned. This is not a pain, but a soreness in my lower back left side. How can I tell if it is a symptom or just another ache and pain that comes with age. This started yesterday. ### REPLY: Hello there I have read through your question and understand your concern. Pain that is associated with Myocardial infarction is typically a left sided chest pain that may radiate to the jaws and back. It may present with other symptoms like palpitations, sweating and flushing. The pain you are describing is more pointing towards a muscular pain. The best way to diagnose is that you get an EKG done. If it is clear then you don't need to worry. If it is a muscular pain you will get relief by taking a painkiller like diclofenac or Tylenol. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing . ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Frequent urination 10-13 Times a day. Slight burn in tip of penis after for a few minutes. Foamy/bubbles almost every time. Sometimes white or Brown particles in urine. 29yr old male has Chrons disease and had testicular cancer 10yrs ago. Currently taking Asacol 400mg 3 pills a day. Urine culture came back normal as did blood tests. ### REPLY: Hello, Thanks for the query to . Forum. I would come up with these possibilities for urine related symptoms, This includes.1 Chronic renal failure, diagnosis can be confirmed by ultrasound of both kidney with serum creatinine and blood urea examination. As you mentioned that you were treated for testicular tumor 10 years ago, so it is very necessary to rule out involvement of kidney for metastasis.2 Brown particles in urine may be due to renal stone or urinary tract system. As you mentioned that there is foamy urine. Once again get in urine complete for phosphates and protein particles.3 As you are taking ascot 400 mg i.e.melamine. This is indicated for Crohn's disease (ulcerative colitis). Sometimes side effect of melamine causes kidney damage in few cases. Diagnosis can be confirmed by renal function test. In my opinion consult a nephrologist and get his opinion witChatDoctorplete renal function test. Good luck. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I went to sleep at around 1230 AM and I have been waking up every hour and at about 4 am I woke up an dmy heart was racing and not its 457AM and my heart is still pounding very fast I dont know if I should go to the hospital or not im 17 yrs old ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, I would explain that your symptoms do not seem to be related to any heart disorder, especially considering your young age. A nightmare or anxiety could be the reason of such increased heart rate. There is no need to go to the ER for the moment. I would just recommend you to take some deep breaths and avoid caffeine intake. If the problem persists, I recommend consulting with your attending physician for a careful physical exam and some tests: - a chest X-ray study- a resting ECG-complete blood count-blood electrolytes- thyroid hormone levels. If all these tests result normal, you should consider anxiety as the main cause of your complaints. Hope to have been helpful! Wishing good health, ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a biopsy on my inner thigh 4 weeks ago ... think it may be infected ... could not get into the dermatologist who did the biopsy (confirmed hives) for him to check today. I have some Cipro 500 mg that I use for chronic UTI s ... should I start taking it just in case until I can see the Dr. on Monday? ### REPLY: Hi, It is inadvisable to start a course of antibiotics before confirming the presence of an infection. You could temporarily use an antibiotic ointment and a cold compress on it. Once you meet your dermatologist, he will see the wound site and may even take a swab if there is some pus before putting you on antibiotics so that the antibiotics can be tailored to the organism that is there. Hope I have answered your query. Let me know if I can assist you further. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: We r planning to have kids since one yr. I was using duphaston for four months. While using duphaston I got a positive urine test.But suffered a misscarriage on 38 day itself. two months passed. I stopped using duphaston.Today I went to doc and was advised to take mcbm-69 and diane35. Am I getting treated in the right way. Doc saw my previous reports and said I have small follicles and so this might be delaying in release of ovaries..whats going on?? ### REPLY: Hello, Probably your doctor reveals small cyst in the ovary in your test report. It may interfere with ovulation. So your doctor gives this medicine. You have to regularize your period by medication and have sex around ovulation time to get the highest possibility of pregnancy. Phaeton tab is given to treat progesterone deficiency. Control your body wt by regular exercise, avoid stress, take healthy diet, Vitae supplements and proper sleep. These will increase pregnancy rate. Be well. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had to have a tooth killed by a dentist a few years ago. About 6-10 months ago the seal broke off along with a part of the tooth itself /unless the dentist just peeled it away to place the seal/. Right now the tooth looks black with an enormous hole in it. It also hurts a little when I chew on it. I can provide a photo, can you give me advice on how serious this is? ### REPLY: Hello, Read your query, as you have decayed tooth there is nothing to be worried so much, decayed tooth is examined firstly in investigation IOWA X-ray for this you should consult dentist go for proper radiograph of decayed tooth then discuss with your dentist and go for treatment plan tooth can be saved by Post and core or Root canal treatment, or you should go for Removal of tooth. In meantime, you can take painkiller for pain like Diclofenac sodium or Paracetamol by consulting with local doctor, Do warm saline gargle 3 - 4 times in day, Maintain good oral hygiene by proper brushing twice daily, Use Chlorhexidine mouthwash. Hope it will help you. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have afriend with a 5 month old she was a premy 4lbs. 11ozs. She is still having clay color stool and gas blooting. She at one point had blood in stool, that has subsided. She has seen gastro M.D. Should their be a concern? She is only receiving formula, no other cereal, or food of any type. ### REPLY: Hi... Thank you for consulting in . I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link - www.ChatDoctor .com/doctors/ . I am happy to help any time. Further clarifications and consultations on are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am 41 years old and have had heavy bleeding for 3 weeks I had a endometrial biopsy results were prolifative endometrium. My doctor suggested hormones or ablation. 8 months ago I had simple hyperplasia without ataxia in which I took hormones and then a D&C because of continued bleeding. I also had endometrial tissue removed from the outside of my colon. What is causing all these gyn issues. Should I be worried about cancer? Will the ablation solve my problem? ### REPLY: Hello, I have gone through your query and understand your concern. You have to understand that Proliferative endometrium in normal endometrium. It is a part of the growth of the uterus endometrium in normal menstrual cycle under the influence of the estrogens in your body. Estrogen stimulates the endometrium to grow and thicken and lead to cell multiplication and tissue growth. You have worry about the proliferative endometrium only when the growth is very fast and beyond the limits of the normal growth. This mean to indicate a cancer. Yes. Ablation can solve your problem. In Ablation, the heat or cold destroys the endometrium and prevents it from regrowing. Hope this helps. Please write back for further queries. Wishing you good health. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father is 59 admitted in local hospital under gone MRI Brain imaging. The report provided by radiologist, Possiblity of Brain Stem Glioma (2.3cm x 2.1cm) and know they started treatment of Radiation for 10 days. I request you to provide anti foods and other details to prolong his life. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your father has brain stem glioma. Treatment depends on stage and spread. Radiotherapy is the treatment of choice. He should take healthy food. Take high amount food with antioxidant content. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir, my mother is suffering from some serious pain in her back(left) together with the left chest.she complains that due to this process she is facing problems in her breathing activity in which she can breathe with her mouth but faces problems in breathing with her nose.also she says that she yawns oftenly and is not able to complete it.her previous medical reports say that she is asthamic.please help! ### REPLY: Dear patient Her symptoms of left chest pain and mouth breathing are due to bronchial asthma. Is she having whistle like sounds from her chest? If yes then she is having attack of bronchial asthma. Back pain may be due to other reasons. She needs to be taken to chest physician on urgent basis. Start bronchodilator inhalation like albuterol plus ipratropium combination. Radiograph of chest pa view to rule out secondary infection is needed. Short course of antibiotics is also worthwhile. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having bronchaties asthama. which is the best inhaler to be used. ### REPLY: Hello Ramachandaran, Welcome to , millions of people suffer from asthma due to different reasons. Inhaler is one of the most common relief. However, is still needed to be prescribed specifically as different patients have different symptoms and conditions. It will be good for you to visit a doctor and get an inhaler prescribed. He will even show you how to use an inhaler which is even more important. Thank you ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, My semen report is as follows: Vol: 2ml Reaction : Alkaline. sperm concentration 26 million / ml total count : 52 million. motility after 30 mins 60% motility after 3 hours 45% Rapid progressive : 5% sluggish progressive : 25% Non progressive : 30% Immotile sperms : 40% abnormal : 35% a)abnormal head forms : 20% b)mid portion abnormalities : 5% c)Tail abnormalities : 10% spermatogenic cells : 4-6 Pus cells : 5-7 red blood cells : 3-4 Please support :) ### REPLY: Hello, Welcome to , I am Look, the sperm count is totally normal. But motility is lower than required (normal is >40-50% as per WHO 2010). Morphology is also within normal limit (normal is > 04% as per WHO 2010). Pus cells are increased. Normally no pus cell should be found (as per WHO2010). Red blood cells are also increased. So, overall, it indicates presence of urogenital infection. You should consult with an infertility specialist for broad spectrum antibiotic like ciprofloxacin. Regards. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 5 year old niece has a case of eczema, she was taken to PCP was prescribed flucinolone cream. The doctor instructed them to give her a bath, apply the cream, have her put on wet pajamas, then dry pajamas. Is this correct and how will she have a good night sleep. ### REPLY: Hello, Thank you for asking at . I went through your nieces history and would like to make suggestions for you as follows:1. For eczema, treatment is usually topical corticosteroids when she has eczema symptoms. The procedure of applying them is also perfect, to be applied immediately after bathing.2. I would like to add that please continue them at least until after a week of cure of eczema symptoms. 3. I would also suggest her to apply moisturizing lotion immediately after bathing once treatment is complete. This will improve . 4. If is eczema is recurrent, I would suggest her allergy testing for common food allergens like milk, peanut, egg, wheat, soy, seafood and airborne allergens like house dust mites, mold, etc. This will help you identify the allergens causing eczema to her.5. For symptom relief of itching, I would suggest her to take an antihistamine like HY ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is autistic. His eyes are often blood shot. We wonder if it is due to allergies but we note that one day they are not bloodshot and the next day they are. He does not cry, ever, but I noted today than upon his mother being away for 2 days that tonight his eyes are blood shot and heavy with moisture. It makes me wonder if his eye condition is related to sympathetic discharge of his autonomic nervous system. If I had his problems related to autism I believe i would be crying a lot. Thank you for any insights you might have regarding his condition. ### REPLY: Hi, Thank you for posting your query.First, I would like to reassure you that his redness of eyes are not related to any abnormalities in the sympathetic or other parts of nervous system. These are most likely due to allergies, as you suspected. Allergies need not occur every day, and it is fairly alright if his symptoms are intermittent. He would benefit from treatment by an ophthalmologist, so please consult an ophthalmologist. I hope it helps. Please get back if you require any further information. Best wishes, . Ly/ ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Recently a hospice group has recommended putting J E on mirtazapine to help her relax . The patient is 86 and is on Amiodipine, Synthroid,Namenda, Metotoprol, Primidone, Primidone, Seroquel, Sinamet, Aricept, Lorazapan, Q Dryl, Robafen syrup and Loritab. What do you know about mirtazipine and its use in senior patients? ### REPLY: Hithanks for using Mirtazapine is kind of antidepressant which will help to improve mood, appetite and sleep. Patients will get good sleep with it, in that case u can skip nighttime lorazepam as sleeping pill. Chances of metabolic side effects in form increase sugar level and lipid level is high, so get his serum glucose and lipid investigated once in month. There is no major all these . Thanks ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: At present I am taking the drug Afinitor...in the past few days I have developed severe pain in my lower jaw where a root canal was done about 7 years ago. I went to the dentist and they said the tooth is OK and gave me some antibiotic pills to get rid of the infection...I have only been taking them for about 1.5 days but still have the pain so I have been taking extra strength tylenol (2 every 4 hrs)...sometimes this works and sometimes it doesnt...I am also using a cold compress on the area but am still not getting much relief. I am now considering taking some Tylenol 3 (with codeine)! Do you think this poses any problems in interaction with the Afinitor. ### REPLY: Hello, Thanks for posting your query. The pain at the site of root canal treated tooth, may be due to re-infection. I would suggest you to visit a dentist and get reject or extraction of tooth done, depending on the severity of tooth infection. Take complete course of antibiotics-analgesics prescribed. Brush and floss your teeth daily. Rinse your mouth after every meal. Visit a dentist in every 6 months. Take care. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I suffer from polysis kidneys, and i am on diaylsis three time a week, but i have alot of something that looks like small brusing i am taking three aspirin aweek for blood thining. what do you think it could be? My name is AAAAA I have been diayliseing for nearly 7 years, My e-mail address is YYYY@YYYY ### REPLY: Hi I am . As you are on dialysis for the last 7 years your blood chemistry is not normal. Various harmful mobiles that are secreted by the body are regularly washed by kidneys and in your case the dialysis. Bruising can be due to multiple causes most likely due to blood thinners. I will advise you take a coagulation test like pt PTT and liver function tests. That will really tell the reason for your bruising. Hopefully that will turn out to be normal and you don't have to worry about that if it doesn't happen frequently. Thanks ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am Priya, My mother is suffering from back pain after her uterus surgery from past 4 months.When we consulted the doctor he prescribed tab Maxgolin M ER 75mg from this tab she is suffering from side effects but no improvement in back pain it is almost a week she started to take tab .Doc suggested to take for 15 days if shel not find any improvement then go to MRI, but there is heavy side effects.She will get relief from this medicine? or better to do MRI scan.Please suggest. ### REPLY: Hello. Thanks for writing to us. The back pain after hysterectomy could be related to the epidural anesthesia, muscle sprain or a disc problem. If the mild painkillers are not able to relieve the pain then she needs to have oral muscle relaxants after consulting with her orthopedic. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ . ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor, my name is kinjal, i am from ahmedabad, i am suffering from lycunplanus from past ten years, have taken many medicines and steriods but as soon as i stop them they again reoccur, have also started with homeopatChatDoctoredicine but it is not helping me, pls suggest me what would be better for me, should i continue homeo or should again continue with allopathy medicine. ### REPLY: Hi, Thanks for posting in . It is unfortunate that you are suffering from skin disease lichen plans from past 10 years. HomeopatChatDoctoredicine may not be that useful to treat this condition. Even in allopatry, you can only control the disease, but you cannot cure the illness. You can do the following things to keep your disease under check and control:1. Antihistamines that help alleviate itching.2. Topical corticosteroid cream or ointment to reduce swelling and redness.3. Systemic Corticosteroid such as prednisone helps when lichen plans lasts a long time.4. PVA therapy is a light treatment that can help clear the skin.5. Retinoid acid applied to the skin or given as a pill to clear the skin.6. Tacrolimus ointment or pimecrolimus cream is used to treat eczema. Hope you consult a Dermatologist to get yourself properly evaluated and managed well. All the best and wish you good health. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a corn on the bottom of my foot ,it is vert painful, I AM working in a seniors home, so i am on my feet all the time. I have never ever had one of these corns, could ther be some kind of home care that i can do to rid my foot of this painful corn. I do 12 hr shifts, at the end of the day it is painful. ### REPLY: Hello, Your symptoms seem to be related to painful corns. I suggest to:- Soak your foot in warm water. Make sure the corn is fully submerged for about 10 minutes or until the skin softens.- File the corn with a pumice stone. A pumice stone is a porous and abrasive volcanic rock that's used for sloughing away . - Apply lotion to the corn.- Use corn pads. Hope I have answered your question. Let me know if I can assist you further. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: More and more often I m waking up at night gasping for air like I m suffocating and coughing and wheezing a lot, it eventually goes away but takes a while but only if I remain upright, I have to sleep sitting up a bit or it s worse but I m left for a while with a tired heavy feeling in my chest, what could this be, oh and sometime my heart feels like it s beating fast ### REPLY: Thanks for your question on . I want to ask you few questions first.1. Are you obese?2. Are you having diabetes, hypertension and ischemic heart disease?3. Are you having morning headache, sleepiness, tiredness?4. Are you overnight time gasping spells, suffocation, cough seen in 1. Obstructive sleep apnea (OSA)2. Cardiac causes3. COPD (chronic obstructive pulmonary diseases). So better to consult sleep specialist and get done sleep study (polysomnography). This will help in diagnosis of above-mentioned cause. Treatment of all are totally different. So you need to diagnose first. ### END

Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son lives in key west florida,he has had a lot of trouble with his wisdom teetChatDoctoring in causeing a lot of pressure .2 weeks ago he had a sore come up in his mouth then it went away.today he called me and he said he is walking like a drunk person and has a hard time concentrating.could he have encephalitis? He is homeless but a vet He said he had a lot of pressure in his head. ### REPLY: First and foremost, dental pain is unlikely to cause encephalitis. There is only 1 condition where a dental problem can affect the Oriental usually happens when there is a dental extraction It is called Cavernous Sinus Thrombosis Looking at the query, I don't think he has not till we can have an MRI brain done, and taken a good look at that way we can confirm Italy other symptom? Even normal flu can cause similar issues. So we need to know more before we can comment on a diagnosis Best of luck . ### END