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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 neck shoulder and hand pain have become severe. I have started waking at night with one or both of my arms numb. Now my left side of my tongue and left side of lip a day jaw have started tingling. I can t find a comfortable position ever. TheMRI cervical c3-c4 2MM retrolisthesis of c3 with respect to c4. Mild disk buldge. Left uncoveretable osteophyte. Moderate left foraminal stenosis. Central canal measures 7mm. C4-c5 mild disk buldge right foramen is mildly narrowed central canal 8mm C6-c7 broad disk protrusion central canal 10 mm AP midline X-ray of cervical 1mm retrolisthesis of c2 on c3 which reverses with flexion to 2mm anterolisthesis 4mm retrolisthesis of c3 on c4 which resolves with flexion. 2mm retrolisthesis of c4 onc5 which resolves with flexion my current pain mess are not helpful at all and the face numbness and sleeping numbness has started since I had the test which was on 2/19. I am in so much pain I feel like going to ED but I know they will probably not be able to do anything. Any suggestions? ### REPLY: Hi, Thanks for your query. Due to compression of nerve root in cervical spine there is tingling numbness and pain associated with it. For these symptoms analgesic and neurotrophic like pregabalin and methylcobalamin medication can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. 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 have been to the toilet 5-6 times now. Last night sit was light brown and red like pure blood. With terrible abdominal pain on lower left side with copious amounts of gurgling. It has woken me twice, the pain. It s remains there like a cramp, and now there was gas followed by mucus and a trace of pink( blood) smells a bit fishy too ### REPLY: HI Thanks for posting your query. It seems like you are suffering from Dysentery. Dysentery could be due to bacterial or parasitic infection. It has to be found out what is causing dysentery. I advise you to get Stool routine and stool for Ova and cyst test done. This test will tell whether your dysentery is due to bacterial or parasitic infection. Also, it's better to start antibiotics till you get the reports of the test. Ask your doctor for the prescription for antibiotics. Any clarifications feel free to ask. ### 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 has a 4mm stone which is causing him great pain. He has not heard from his physician yet about continuing pain meds until it passes. We live in a small rural town that has no lithotripsy machine, Flagstaff ER would not answer me if they have one so I am looking for a hospital in or near Show Low Az that provides this service. ### REPLY: Hello, Thanks for the query to . Forum. 4 m of stone in kidney don't require any lithography. Conservative treatment can cure this stone. I don't know type of stone in kidney of your husband, but I advise you one formula, you can use it without any harm and scientific proof. Take 10 black pepper early in the morning chew them one by one till they convert into fine powder and eat. Now . ### 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 there. My boyfriend and I have been trying to concieve for over a year but no luck so far. For the past few months I have been getting pains in where Id imagine my ovaries are. Usually the left side is more painful/uncomfortable. It feels like theres an air bubble that wont pop and kind of a dull ache. Im so worried about what it might be. I think I have pcos but havent been diagnosed as yet. Im at the doctor on Tuesday to talk about it. What does the pain in my ovaries sound like it could be? ### REPLY: **1. As you have not been examined or undergone any investigations thus causes will be directed towards "pain in ovary AREA". [ovarian cyst, Endometriosis]2. Because symptom(s) are persisting from 1 year, thus chronic pain is established.3. Your General Practitioner will diagnose ovarian pain depending on the suspected cause. Your GP will take your medical history, carry out a physical examination [pelvic], investigations [ultrasound, blood test, hormonal profile] and ask relevant questions about the pain.PS: although ovary is located in this region, so are other organs, such as bowels, so IBS [irritable bowel syn . ### 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 (57) was sitting on his motorcycle this afternoon, it was hot, he got lightheaded and passed out. He fell on his right side with his motorcycle on his right leg. Passing out is not normal for him. He came home but after returning home he has sever burning sensation in his left hamstring and tingling & numbness in the calf. His right foot hurts but is more worried about the left leg. He wondered if it has to do with circulation as well as causing him to pass out? ### REPLY: Hello! Welcome on 1I read carefully your question and understand your concern. The fainting does not seem to be related to the leg pain. Maybe the leg pain is caused by a trauma in this region during the fall. Coming to this point, I would recommend consulting with his GP for a careful physical exam and some tests to investigate for the possible causes of fainting (cardiac arrhythmia, epilepsy, low blood pressure, low fasting glucose, etc.). For this reason, it is necessary performing some tests: - a resting ECG and a cardiac ultrasound- an EEG- an ECG Holder monitoring to investigate for arrhythmia-complete blood count-blood electrolytes- fasting glucose. A head Up tilt test is necessary to exclude possible orthostatic hypotension. Meanwhile, it is necessary to closely monitor his blood pressure values. A leg X-ray study is necessary too, in order to exclude any bone fracture in this region. Acetaminophen and ibuprofen will help for the pain. Hope you will find this answer helpful! Best wishes, ### 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 did unprotected sex in bankok on 21 july, 2010, then test at 4 months in bamrungrad hospital (result was negative) then in my country (bangladesh) test again at 5 months (result negative) but after 5 months i feel my two neck side lymph nodes are slightly increased with little pain and also feel pain in my armpit and groin and musels. then again test at 6 months elisa a(result negative) but at six months my wifes test was positive with elisa then go with same blood another hospital for retest but there result was negative. they collect my wifes blood again and 2nd result was negative then doctor said that first positive result was false positive. then i did test again at 7 months (result was negative) , then most of doctor said that i am hiv free. but for 10 days i feel bad pain in my leg musels and all joint and for 2 days i feel mild fever with slight cough. now i again worry. i donot understand anything. my hsv 1 & 2 (igg) positive and cytomegalo virus positive. here my doctor still say that i have no problem with hiv. please help me and i want ur opinion. is my 7 months negative test conclusive? Thank you. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have history of unprotected sex. Your HIV tests at different times are negative. Your tests are negative at 7 months interval. So there is no need to worry. You are free from HIV. For confirmation, you can go with p24 antigen or PCR test. It gives confirm results. Your symptoms are not due to HIV. If you have enlarged lymph node with cough and mild fever then you should go for fine needle aspiration cytology of lymph node. It can be due to reactive hyperplasia or tuberculosis. FNAC will give you exact diagnosis. Then you should 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: Hello, I m pretty sure I inhaled a piece of corn last night..I did it about a month ago too and was surprised it went down so easily without much couphing..I put my head down to my feet and managed to cough it out. I don t know what to do..I do have some mucus and some coughing fits but I m thinking maybe it s in my head? But I also feel like something is in my lungs that needs to be coughed up...what to do? ### REPLY: The airways have a strong defense mechanism, thus the corn may have come out and not noticed by you. Even if it hasn`t come out, it will be dealt by body defenses and may not cause any problem. However, it can get lodged in the bronchial tree(airways) depending on it's size. It may lead to collapse of a portion of lung depending on the site of impaction and may lead to infection. If you are having symptoms, a chest X-ray or CT Scan should be done to confirm the diagnosis and to identify the site of impaction. Infection will have to be treated with antibiotics. Subsequently, it can be removed by performing a bronchoscopy. ### 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 MRSA about 3 times in the past year. I have problems with fatigue and can sleep for long periods. I have had my thyroid checked and treated, testosterone checked and treated, am on meds for depression, Ritalin to help me get up in the mornings, but still feel exhausted most of the time. I ve noticed that when I take an antibiotic, that all goes away and I start to feel like myself again and have energy, but then after about a month, I end up going through another cycle that can last for 3-4 months. Is it possible that it is all MRSA related? ### REPLY: Hello, Thank you for your contact to , I understand your concern and will give a resolution over it. If I am your doctor I advise you that-No MRSA is associated with infections. It has nothing to do with fatigue and long hours of sleep. If you are taking some medication related to CNS than it cause fatigue and long hours of sleeping. I will be happy to answer any of your concern, kindly contact me for further informationChatDoctorInfectious Disease Specialist. ### 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 Docs,My daughter 36 weeks birth, ~ 2.2 Kgs now and one month now is having grade 1 acid reflux. Every couple of hours she generally clenches her fists and her eyes are stuck on one side with the legs straightened. She is on Lanzol (once a day) and Domstal (1Ml three times a day). She is having gas all the time, any thing I can do lessen her pain... Thanks in advance. ### REPLY: Preterm babies often have laxity of muscles including that of the lower end of the food pipe which may cause the stomach acids to reflux. The acid is otherwise essential for the digestion of the food. The solution is not in giving Landon although Coastal may be given. The main solution is proper burping of the baby. Hold the child erect on your lap for around 20 mins after each feed. It should take care of the problem. If you put down the baby on the bed soon after the feed, reflux is not unusual. ### 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 having dizzy spells and issues with my balance for about 6 months. Sometimes the balance gets quite bad, I have never fallen but it is uncomfortable and has caused me much anxiety. I had migraines daily for 40 days, they have since stopped this was in the middle of the spells (so 3 months in). I have lower blood pressure, and have always had this. I had a full cardiac workup a year and a half ago (I was having dizzy spells but not the balance problems). When this started I felt like a wave of dizzy came up from my neck and was centralized in my left quadrant frontal of my head. I saw a neurologist at this point referred to by my GP and he couldn t find anything wrong and thought it was just unexplained sensations. My GP thought maybe seizures. After having the bout of recurring migraines I did have an MRI whicChatDoctore back normal. I am at a loss as I am still having these issues. My GP put me on Zoloft as it created anxiety but also perhaps is caused by anxiety. I don t feel this is anxiety. I also have sensations in my left calf which are either heightened or dulled (numb) in the inner medial portion and sometimes a buzzing sensation in my groin and foot. I am worried that there is something neurologically wrong with me that the MRI missed. ### REPLY: Hi, Diagnosing balance issues and dizzy spells is difficult. One important thing to rule out is cardiac reasons. Another important aspect is central nervous system reasons. It is great that you already tested for both that and the results came back normal. From your description. I think this could be a case of polyneuropathy. The peripheral nerves sending feedback about balance are the first to be affected with chronic medical conditions such as diabetes, or it B12 deficiencies. If I were your treating physician after detailed history and physical examination I would ask for blood tests including it. B12 levels, HbA1C, fasting glucose. I would refer you to do a caloric ear test also, which provide an idea of the function of the balance center in the ear. I would also run a Doppler test for your carotids (Arteries in the neck the supply the brain). Based on results a therapeutic plan could be constructed. 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: Hi my name is Ernie, im 27 year old male. Been dealing with alot of issues for six months consisting of heart palps , irregular rythem, dizzy/lightheadness not vertigo, change in bowels. My doc says its all anxeity related. Recently I found out I have vericocele no pain though. My blood work shows total Testosterone at 392 and B12 at 315. My doc put me on 2000mcg of B12 for a month but after 2 weeks i noticed i get pain in left arm and tingly fingers in left hand so i stopped taking the B12 pill and it went away, does this show B12 causing me a blood clot? Tommorow morning i go get my total t tested again and the free t also b12 tested again to see if there has been improvement. Sorry for the paragraph i appreciate your time. ### REPLY: Ernie, the B12 is probably a red herring. It probably didn't cause the problem you started with or the arm sensations. When you have the constellation of things that are bothering you, it is reasonable to look for a systemic problem. It sounds as though your doctor has done that and not really found a culprit. Often, the problem is not an illness but a lack of some of the things that we all need to stay healthy. Specifically ask yourself and of your doctor about, Exercise: Exercising every day for 20 minutes should be your goal. Is your body weight excessive. A little can go a long way if it is mostly in your belly where it affects sleep, joints, heart rhythm and when you're older, diabetes and heart disease. Abnormal sleep. Sleep disturbance is often present in people who are overweight, particularly those who snore. If you are very tired in the morning, sleep easily during the day and snore loudly, you may have sleep apnea. It is a common cause of abnormal heart rhythm requiring 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: i am 43 female at the moment i am suffering with lower back pain on left side between ribs & hip when the pain comes on i feel sick and get a warm sensation i am waiting for an endoscopy i have had an ultrasound the results were on my vital organs i have had my urine tested twice in the last couple of weeks at my doctors ### REPLY: Hello, Thanks for writing to us. The pain at the bottom center of the rib cage on the left side could be due to a renal infection or a stone if the pain does not seem to be muscular in nature. This can be ruled out after getting an ultrasound scan done. If the pain is aggravated with deep breathing or coughing then a rib injury or a muscular sprain is likely. Hope this helps you. You can consult me again directly through my profile 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 AM 27 YRS OLD WOMEN.From last two months after 4 or 5 hours sleeping at night,I feel a tremendous pain in my chest just bottom the rob,sometimes it goes also in back side.I feel it strong at the time of bed movement.I also feel right upper abdomen pain at the same time.I have already visited a doctor and according to him I did many tests like USG of upper abdomen,chest x-ray,TC/Dc.Himoglobin ,liver functioning test and blood sugar test,here are also some problems found like in USG it shows that a have an enlarged liver with heterogeneous parenchyma.and my hemoglobin is slightly is 11.6. In Dc blood test neutophils is 72. Now I am also taking some medicines but there is no relief from wake up main.plz suggest ### REPLY: Hi, Dear,Thanks for your query to . Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Hepatomegaly with hepatitis? With Anemia with Necrophilia. You seem to suffer from some infective pathology besides hepatomegaly detected on USG. Fatty liver with NASH is the possibility, as you seem to be non-alcoholic as per the history. The inflamed liver tissue irritates the diaphragm which causes pain in chest while sleeping and movements in the bed. Get the tests for hepatitis done and fix the cause of this. Hope this would help you to reduce worry with your problem. Take care and wish you to recover fast and Live healthy. Hope this reply would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! . N. Senior Surgical Specialist. S. Genl-CVTS ### 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 15 now i started masterbation accidently on bed when i was 12 then i start doing it regularly gradually a i felt very shamefull for myself and just stopped myself doing that after which my health was disturbed, i got trapped in night fall but somehow i managed to stop myself for a year and after a year i started that again but i found myself with a certain problems like premature ejaculation, improper ejection, errectile dysfunction, gradually i am having no intrest in masterbation, nothing actually excites me, i enjoy nothing, my health got drained i am too thin, my height and growth has been stopped, i dont feel happy i got shameful and guilty thoughts for myself and i have thought that i would not grow, it is been 1 year fighting with these things.i just cant tell my parents about it and i dont have any guts to tell it to a doctor face to face please help me.... ### REPLY: Hi, Premature ejaculation is uncontrolled ejaculation either before or shortly after sexual penetration. It happens with minimal sexual stimulation and before the person wishes. Most cases of premature ejaculation do not have a clear cause. With sexual experience and age, men often learn to delay orgasm. Premature ejaculation may occur with a new partner. It may happen only in certain sexual situations or if it has been a long time since the last ejaculation. Psychological factors such as anxiety, guilt, or depression can also cause it. In some cases, it may be related to a medical cause such as hormonal problems, injury, or a side effect of certain medicines. In many cases premature ejaculation gets better on its own over time. Treatment may not be needed. Practicing relaxation techniques or using distraction methods may help you delay ejaculation. For some men, stopping or cutting down on the use of alcohol, tobacco, or illegal . 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: Hi, I have a certain discomfort in between my shoulder blades that is bothering me a lot. When somebody is putting pressure at that spot, it soothes me, but when they stop the discomfort comes back. When someone asks me where the pain is I can t really name where it is, I don t know exactly where it is, I only know that it is near the area of my shoulder blades. It has been bothering me for more than a month now. What do you think the problem might be? ### REPLY: Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. Also, by reading your history, as per my understanding I can say it is trapeziums. The pain is in the line of the shoulder blades. This happens due to overuse or repetitive stress injury. The best way to solve this problem is physical therapy and icing. By using therapeutic ultrasound Therapy, TENS therapy and myofascial release technique your inflammation, pain and tightness of the trapezius muscle. In my clinical practice this is the commonest problem I have seen. And it has responded well to physical therapy. I wish you the good health. RegardsJay 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: Pain in lower back and hips xray of hips look good but have stiffness can t bend over to put on shoes sometimes I can t put my own pants on. Doctor says there is nothing wrong been checked for everything I think I m going crazy because there is no reason for the pain ### REPLY: Dear Sir/Madam, Thank you for posting your query at .comes some time the excruciating back pain hinders the activities of daily living. If your X-ray are normal, then there are high chances of having sever muscle spasm of back. Muscle strength of back goes down with chronic muscle spasm. I advise you to strengthen you back muscle:1. Bridging exerices2. Isometric of back muscle3. Abdominal curtail the three exercise can be done for hold time of 10 counts, 2 times a day for 15 mins. Apart from these-1. Use hot water fermentation.2. Sleep on firm bed3. While siting on chair use cushion at low back to maintain the curvature of spine4. If the pain is too much you one use inflammatory which will reduce you elevated pain 5. Avoid lifting heavy weights, forward bending, sitting in one posture still the pain does not come down please seek advice by orthopedics and get the MRI reports. Hope you have covered all the points. Please revert to me if you need any further information. I will be glad to assist you. With best wishes, Tehzib Sailed(PT) ### 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 bump on the right side of my neck for the last year. My chiropractor seems to think it is my C1 but even though i have been adjusted it does not move. It is not painful but i am short of breath due to anxiety about it. I first noticed it a year ago but it has not gotten any bigger. It feels as tho it is attached to part of my spine. What could this be? ### REPLY: You might need to investigate further, it might be an enlarged lymph node or lipoma, or it might even be carcinoma. You will need to check on other sign and symptoms of infection or of malignancy elsewhere in the body. As far as investigations are concerned you can start of with an ultrasound of neck, if inconclusive a CT-scan followed by fine needle aspiration cytology and excision biopsy for conformation. ### 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 Dr.I am married on 15yrs ago,I am 49yrs old,untilnow i have no child,because my semen report is very low .my semen analysis report givenbelow. colour-opaque grey, volume-2ml,Reation-alkaline,viscus-moderate,liq time-after15mts, Activemotile35%,Sluggishmotile25%,non-motile40%,total sperm count30millions.i take some tablet sometime 180milliones increse sometime 30milliones degrees what broblems please tell me.sperm count increse have medicine pls help me.thank you. ### REPLY: Dear Sir, your semen analysis is normal. I suggest that your wife takes a hormonal, ovarian and uterine check up. She should try follicular monitoring by ultrasound with a doctor to know exactly when she is ovulating and have intercourse on ovulation days to increase chances of pregnancy. Also she can try ovulation induction as a second step. And the final resort would be IVF if all the above failed.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 was just sitting around eating a popcicle and some cherries. I was able to eat the popcicle no problem but after finishing the cherries I noticed my bottom lip was swollen. After inspecting it in the mirror it tingled and continued to grow. It s puffy, I ve got a cloth on it (no benedryl). Is it something I should be concerned about? I used to be able to eat cherries before. ### REPLY: HI, thanks for using The swelling can be related to the popsicle or the cherry. Allergic reactions can be delayed by minutes or hours. In some cases even longer. In terms of the popsicle, it could be any of the ingredients within it that could cause a reaction. An oral anti histamine such as Ben . Other examples of anti histamines are carnitine, Allegra, Zyrtec, Arius. I 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 have been experiencing a pretty severe constant pain in my upper abdomin for the last 4 hours. When Im standing it becomes a sharper pain that causes me to walk a bit hunched over. I had tried to go to the bathroom but that doesnt feel like or seem to be the problem nor do I have any nausea sensation. I did just start taking Celexa 3 days ago and melotonin at night for sleeping 2 days ago.Thank you ### REPLY: HIT hank for asking to ChatDoctorSudden abdominal pain is indicative of many possibilities and sometimes nothing's comes out, colicky abdominal pain can be considered, just take a rest, no need to take anything by mouth (Food) wait for half an hour if subsided then it's okay if it does not then try antispasmodic (Dicyclomine) it will come around for sure, further query will be answered ask without hesitations have Nice day. ### 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 friend David who will be 70 yrs old and is heart patient with stent - had a larger than 50 piece cyst on his sterum middle of chest. Of course he let it go tell inflamed red and some infection in center. When he went to doctor - put him on sulfa type antibiotic but I saw yesterday and no change. I am concerned because of the infection and its location near heart and lungs. What should his next step be? thanks Aggie ### REPLY: Hi, Dear,Good Evening from INDIA. Thanks for the query to . I went through all the details of your query. On the details given by your query, In my opinion you suffer mostly from-on the facts there in-mostly you suffer from-Chronic infected boil on the chest. Treatment I would suggest is as follows-a-Tb NASAIDsb-Antibiotics -like Ofloxacin with ornidazole-as it has not responded to sulphac-Cold compresses d-Get his FBS and PPS -as he is old with non responding infective lump on chest.-consult ER doctor for the script of . Hope this would resolve your query. Welcome for any more query to and ME, in this regard. Wishing you fast recovery. Write review ASAP with strong recommendations for and for ME, for the benefit of other new and old patients. Have A Good Day. With ### 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, 59 yr old af/am male 210 5 8 use Quinaprol 10mg...bp 135/70....once in a while i get flushed feeling ...slightly faint and weak...slightly sweaty...lasts for about 10 minutes then over. to day it occured about 10 min after squatting briefly and blood rushed to head...butre ### REPLY: Hi Thereafter reading the medical details its seems like the antihypertensive medicine dose needs to be adjusted. I would like to suggest decreasing the dose of QUINAPRIL to half for 1 week and monitor your Blood Pressure daily during this 1-week period. If it stays below 140/90 mmHg then you can continue with the half dose. You can discuss this option by consulting your treating your doctor personally. 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: Hello. Im a 38 year old male, I was wondering, Is it possible for skin cancer to appear literally overnight. I woke up one morning and there was a small cyst-like lump where my right pectoral meets my shoulder. This is an area that I see up close everyday, and there was no sign of it there the night before. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You may have some reactive lymph node or some other lesion. Don't worry about skin cancer or any other cancer. Malignant lesion can not occur overnight. It almost always of long-standing. Just consult your doctor and take treatment accordingly. It's not any cancer. 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 had several issues with bladder; kidney and uti infections for the past two years. Consistantly. A lot due to a traumatic event; raped both vaginal and rectal. The physical damage was extreme; a lot of lacerations vaginal tearing several stiches; also was released then after a few days found I would be in publicor at any point I didn t realize blood was running down my leg. (Very light blood; but in a very liquid form/almost water perhaps.) they sent me straight back to the ER; due to the fact that I was loosing way to much blood. I suffer from Anemia; my menstrual cycle has always been painful and extreme. Without any form of birth control i can get it for months; or not get it for several. However; my main concern is: after the rape I was pregnent; I did loose the baby (as they said it was due to my phsyical well being at the time) and bleeding. Estopic I believe. That was two years ago; (several and I mean a lot of bladder infections- four kidney infections; uti s. And painful menstrual cydles that never went back to normal even with birth control. Recently; well around two months ago I found out I was pregnent. Contacted my Gyno as well as local hospitals; knowing I currently have a bladder or urinary infection; just got over acute nuemonia; antibiotics for five months straight. And still am trying to get my (vaginal woman area normal or to the point of healthy) that I was afraid once again that me having or keeping the baby would be very crucial to my health. As i have been warned for quite some time. I dicided to get an abortion . They verified it went okay; however. Now i am more concerned than ever. Perhaps more anxiety? I m not sure; but physically. I have not had a menstrual cycle yet. A lot of pain cramping (almost feeling like I did when my kidney infection came). But I urinate a lot; (trying to drink plenty of liquids. But my urine is getting worse and worse as days go by. This is the darkest; orange smelling urine I have yett to have. As i am used to infections; this seems to be since the abortion took place and as i said my yourine is not normal. As i have looked/ it has a redish tint dark but not blood like. No blod traces. But It looks as if i have taken (the medication in which helps UTI s turns your urine orange/red.) but I havn t. I know something is wrong; I have had so many problems. The traumatic event I mentally have recovered very well; however physically horrible. (I had a nuva ring in at the time of the event; which after a year and a few months a specialist called and asked if the hospital had put a plastic piece in my overy! (it was my nuva ring from the rape.) . I am very scared; and concerned. Please let me know anything; or if it s an infection as i know it is. but also; I am prone or have been told i have endrometriosis as well. I can just feel something is not right; something feels serious; meaning that something serious is going on. Please any insight; (but please don t inform me to take a pregnancy test. loosing two babies; hard enough). ### REPLY: Get an ultrasound of whole abdomen, specially kidneys ureter and bladder, uterus and ovaries and pelvis. That would settle the issue of pregnancy too. If there is no pregnancy then a CT scan of lower abdomen can also be done to see if there is an infected collection around the bladder or in pelvis. Ultrasound and CT would also show the presence of endometriosis. Get a urine culture too. All these will guide the future 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: hi dr seminal fluid analysis test vol:7ml color:creamy viscosity:+3 liquefaction more 180 min ph:8 sperm count:35 milion/1ml total count:245 motility data: Rapid15% slow20% non10% immotile55% erythrocytes1-3*0000/l leuco 3-5*0000/l morophology data: NORMAL sperm55% abnormal sperm45% head30% tail10% middle piece 5% Is there any abnormal findings in the examination and what problems? ### REPLY: Hello Your semen analysis findings may indicate semen infection with borderline decreased sperm motility. Infection is indicated due to presence of few pus cells in semen. Normally semen shouldn't contain any pus cells. Few RBC in semen may be due to infection. You may need investigations like routine hologram, random blood sugar, semen culture and sensitivity. You may need to take antibiotics based on culture and sensitivity report. Motility is slightly low. Normally it should be at least 55 %. Your findings suggest over all 45% motility, so it is low. Sperm count is normal. It should be at least 20 millions/ml. Fertility is expected to increase with control of infection. If infertility persists then you may need assisted fertilization techniques. 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 I recently had lower back pain which lasted for more than a month! On taking the Xray, it showed Sacralization of L5 and mild lumbar scoliosis convex to the left with a+1 vertebral rotation at apex of the curve.Is it a very serious problem and what is the remedy for this problem. ### REPLY: Sacralization of lower lumbar vertebrae like L5 means gradual fusion of the lower lumbar vertebrae as in case of the sacrum where the vertebrae are already fused. Otherwise, there is some degree of movement between the lumbar vertebrae. As a result of such fusion scoliosis or a lateral curvature of the spine may occur and the nerves exiting from the two sides of the lumbar vertebrae get compressed resulting in pain. Since it is age dependent degenerative lesion, not much can be done and there is definitely some cause of concern. Please be in the follow-up of an orthopedic. Traction and physical therapy with ultrasonotherapy and hot compress should give you relief. Surgery is required in extreme cases, but you need not panic as of now. ### 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 eight year old son has been sneezing every morning for the past couple of weeks and has very runny eyes too - he hasnt got a cold - i have been buying over the counter medicine for hayfever but tonight his eyes are all puffy and runny - is there something else i could do to relieve these symptoms ### REPLY: Hi... Thank you for consulting in . Cough and cold are viral 95% of the times in child . For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal ### 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: chronic, intense all over body pain From late January I was plagued by a host of debilitating symptoms including chronic fatigue, vertigo, dizziness, loss of memory, intense rotator cuff pain and pain down my left arm. I also experienced chronic nausea, emotional issues involving chronic irritability, incessant headaches and migraines, difficulty balancing, peripheral neuropathy resulting in pain weakness, tingling and numbness in my extremities including my lips. Then on the first of September I had 2 heart attacks. the second was a blockage in my left descending pulmonary artery. two stents were inserted. a month later I began experiencing intense pain all over my body. it has gotten so bad and has si immobilized me that I am ideating suicide. especially debilitating is the pain in the soles of my feet. often I find it nearly impossible to walk. even my eyelids hurt. no doctors have been able to give me any answers. I am st my wits end. please, please help. ### REPLY: Hi, I have gone through your question and understand your concerns.It's likely that you are suffering from fibromyalgia. Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues, fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals. I suggest you should get some lab tests to rule any functional cause of pain. Tests like ESR, CPK, Vit D levels, Serum Aldo lase levels, as it d deficiency can present like same and as according to your history you had 2 heart attacks than you must on statin . Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate to ask. I will be happy to answer your questions. 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: Hello doctorI am 22 year old male I want to know can excessive masturbation causes infertility am masturbating 3- 4 times daily from last 3 to 4 years now I am worried about my future will it affect my marred life or I should have to consult a doctor or not ### REPLY: Welcome to , Masturbation is a normal phenomenon in men and there is nothing wrong about it. It will not cause infertility. Masturbation will not affect your sex life in future but remember excess of anything is bad and excessive masturbation may make you tired, and you may not able to focus on other things. You are fine and have nothing to worry about. Hope that answers your question. . (if the answer has helped you, kindly indicate this) ### 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 dad (60 years) has kidney failure for one year now (both kidneys damaged) due to wrong medication received from a doctor, he was on pd for a few mths after his catheter was infected, he has now began doing hemo once again after a surgery to get his fistula running. For about 6 months or more he has a severe cough that isnt going away, what can we do? ### REPLY: Hi, Please get at least a Chest X-ray PA view done. Also, a few tests like CBP with ESR might be contributory. If there is no major problem as seen on Chest X-ray, he might improve with symptomatic treatment alone. Also, I hope his cardiac function is normal. In some patients with borderline cardiac dysfunction, the heart status gets worse after a fistula has been created, and this could contribute to cough and breathlessness. Again, this can be easily detected on chest X-ray, and if required, 2D Echo. ### 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: developed a lump n right shin area that has not disappeared. primary doctor believed it was a grandolin cyst. year later a second one appeared and leg more painful. have all symptoms of shin spurs but xray was done no sign of shin spurs. considering i have fibromyalgia most doctors want to blame it on that condition but it does not explain the lump or the new one that appeared. the pain is a achy, burning, stabbing pain ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have cystic lesion on your shin. It may be ganglion cyst or other cystic lesion. You should go for ultrasound study and if needed to go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Complete excision is the treatment of choice. 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: Hi I get white bumps on my tounge all the time that come and go. They are very itchy and I tend to end up scratching them with my teeth. Sometimes it will just be one white bump other times it will be a big patch of white bumps from the tip of my tounge all the way along the side. They are always only along the edge and never in the center. They are normally there for a week or two and then they go away for a two to three months and then come back. I have been getting them on and off like that for many years now. They are very painful and I was wondering if you have any idea what it is and what I can do about it cause I can t afford to go to a doctor. Thanks ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query as you have painful itchy white bumps on tongue this can be due to enlarged papillae due to inflammation, or can be symptoms of geographic tongue. Don't be worried so much these symptoms are seen in patients with nutritional deficiency, vitamin B deficiency. I will suggest you to take proper nutritious healthy diet, you can take vitamin B supplements by consulting with your doctor. Consult oral surgeon for visual examination of tongue. Hope this 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: About 2 weeks ago, I became ill with an upper respiratory virus. I was running fever for a few days but had very little cough but did have wheezing. Last week, I developed a dry cough and still wheezing, especially with activities like walking, going up or down stairs, etc. This week, I still have the same cough and wheezing as well as some shortness of breath. If this was a virus, should I go to the doctor? ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of post infectious bronchitis is more likely. Bronchitis is very common after viral upper respiratory tract infection (URI). Bronchitis causes bronchospasm and this in turn causes breathlessness, wheezing, cough etc. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). 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: Hello, I ve noticed that since almost a year I m experiencing the cough headaches, at first during the flu infections, but now it s more often, and more unexpected and taking more time, in the back of my head. It is associated with the sometimes with the ringing in my ears, sometimes for hours or even days, Sometimes I feel nauseous, I ve even thought few months ago, that I might be pregnant, but I wasn t. I ve never been the migraine type of person, and never had any king of cases like that in my family. But there where cases of cancer in my close family. Can you tell me, what it could be? Thank you very much for help! Maria ### REPLY: Thanks for your question on . I can understand your situation and problem. You are having ringing ears, nausea and headache since 1 year, so we need to rule out ear cause first. As all these symptoms are seen in ear diseases. So better to consult ENT doctor and get done clinical examination of ear and rule out ear problems. If this is normal, then mostly you are having anxiety and related symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working n its solution. You may need anxiolytic . So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. ### 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 freinds dad has Creatine 2.5 last month.....4rm 2008 to 2012 creatine level went from 1.8 to 2.5.....so we consulted Kidney specialist dr......he sugested Keto Alpha & Synprotik 4r kidney.......Synprotik 1----1-----1 & Keto Alpha 2----2------2... after 1 week with low protein diet & above tablet his creatine level went 4rm 2.5 to 4 in 1week...is anything wrong or is it going right. please help me...i am confused & afraid....please help me ### REPLY: Hi and welcome to . Stop the dam stuff. Keto amino acids have not been proven to be of any benefit at all, but still widely prescribed in India (no where else in the world can people be fooled like here!!). At the very least it should not cause any harm. However, if the Creatinine has jumped up so quickly, something is wrong here, and it might/ might not be the new medicines that you started. Many medicines can cause a kind of inflammation in kidneys called Interstitial Nephritis which can cause sudden deterioration in kidney function (especially in those with suboptimal kidney function). The cause of deterioration might be something totally different - hence very important to get back to your)or another) nephrologist and get yourself checked out. Bur stops the new medications straight away. Best wishes ### 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 friend and i are currentlt travelling the world. She has ITP. She had a splenectomy a few years ago but her spleen actually grew back! She had a relapse and her platelet count dropped to 9k last year. A month or so ago she got salmonella and they dropped again to 40k. She recovered and they went up over 150k. Recently she had another drop and they went down to 53k, then a week later 29k. She just had another blood test (these were all in the last 3 weeks, one a week) and it is 530k. No-one could explain how it could of risen so much with no medication? She has been eating slightly better the last week or so and been doing gentle exercise but could this affect it? everyone is baffled. We are in New Zealand and she wants to do a skydive. Is this recommended because we are worried that they could reduce quickly like they have risen?she had 2 blood tests to make sure the 530 was correct nd it went to 505 after 1 hour which is normal they say?and shows they are correct? what could the reason be and then maybe she can do something to try and keep them up??can she??she has also had mild nose bleeds while the count is high and this is normall sign of low count?? ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Bone marrow biopsy will confirm the increased platelet count.2. Yes, such recovery is rare and indicates good marrow capability.3. Nose bleeds could be due to . Bleeding is usually not seen with normal platelet count. 4. During periods of sepsis platelet counts are known to fall. However, they do not fall on their own. Previously it was autoimmune disease or sepsis. Now, not to worry, she can skydive. Hope it helps. Any further queries, happy to help 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 have been taking lotensyl10mg for the last four years. of late i have observed that my bp at around 0900 hrs in the morning is around 140/98. but after taking medication and after one hour, when i measure it , it is around 130/80. what is the time of taking medicine.and whaen should we measure bp . ### REPLY: DEAR USER, THANKS FOR CONSULTING WITH ChatDoctorI UNDERSTAND YOUR CONCERN BUT YOU REAL DON'T HAVE TO WORRY ABOUT YOUR BP THERE ARE MILD FLUCTUATIONS SEEN IN AUTOMATED BP MACHINES AND REGARDING YOUR CONCERN ABOUT TIMING OF THE DOSE THERE ARE NO GUIDELINES ABOUT IT BUT I PREFER TO GIVE THEM TO MY PATIENTS AT BED TIME.YOU MAY HOWEVER TAKE IT ONCE A DAY AFTER EVERY 24HRSHOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS ### 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: Every morning my baby will wake up with vertical nystagmus and sometimes he will have an upward gaze. It started 2 weeks ago when he was sick with a cold and ear infection. He had an EEG and the results were normal. We have an appointment to see a neurologist in two weeks. I am very concerned. What is the cause of this? ### 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. Many times seizure disorders can get missed in the single EEG. What is required is multiple EGGS and if possible EEG's with photic stimulation. Seizure disorder is a most likely diagnosis but occulogyric crisis is also one of the possible etiologies and this can occur as a side effect of some . Are you baby on any medications? That needs to be checked. Your neurologist visit is certainly warranted. 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: my 13 year old complains of a pain in chest. she said she felt sick. when she moves pain does too and she said when she breathes it feels wrose but dosent feel any worse when she coughs. she is pale and earlier she had a fever. she is not off her food and is in ok form otherwise ### REPLY: Thanks for your question on . I can understand your daughters situation and problem. By your history and description, possibility of either bronchitis or lung infection is more. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system. 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. If both these are normal then no need to worry about Pulmonary diseases. Sometimes stress and anxiety can also cause similar symptoms. So ask her to avoid stress and tension, be relaxed and calm. Don't worry, she will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. 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: Trying to find the term a doctor used for my sister that I think was some type of encephanalopathy - that may be the cause of her sudden symptoms of confusion, becoming extremely lothargic and incontinence he talked about swelling in the brain that affected these three area- ### REPLY: Hi, thanks for providing the brief history of your sister. For encephalopathy you are already under the physician and a neurologist will play an important role. Looking into the MRI scan may reveal the areas involved, and the medical treatment will be initiated based on the symptoms. Rest you need to discuss with your physician or neurologist that physical therapy is an option to try for reducing the lethargic symptoms, as by doing exercise the metabolism improves and helps boost the medical treatment to get positive outcome as well. Taking to confusion it is symptomatic and will subside. For incontinence issue the brain has to start regenerating the impulses back as to which the issues will come down. Bladder training can be done under a guided physical therapist. I have seen such cases and all responded well by coordinating the medical prescription and physical therapy. With the grace of god I wish your sister a speedy recovery. ### 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 pressure moving from top of head to left side to bottom of head for 2 months , feels muscles are pulling down ,like a brick is on top of head and swelling feeling . It feels like my head is bouncing and the pressure is hitting a nerve. Iam having a cat scan soon could this be sinus problems or something else. It s so annoying because I can t focus with this feeling in my head? ### REPLY: Sinus pain is where the sinuses are (near the nose). Many other headache possibilities and a reason for a head scan if it is a new headache. AND..... a nerve pinched at the very top of the spin in the back of the head gives pain in that area that goes up the back of the head to the top. It is associated with muscle cramps and generally gets worse with any movement of the neck (bouncing, turning, walking, etc.) This is a serious condition because if the spine is unstable it can lead to total paralysis--broken neck. AND simple x-rays of the neck can spot this. ### 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 brown patches on the back and the neck. They started spreading over my shoulders and to my stomach. They appear white after I take a shower but otherwise appear as brown patches when dry. I had this few years ago, back then I consulted a doctor and I was given medication. Now I have moved to a new country and I consulted a physician who ruled out fungal infection. Not sure what it is. ### REPLY: Hello, Welcome to From your description it looks like satyriasis tricolor. When you stretch the skin over the patch do you notice fine scales over the patch. That is a sign usually seen in satyriasis tricolor. It is caused by a yeast species. 4OOMG Fluconazole tablet single dose is a good treatment for Satyriasis tricolor. Local application of ketoconazole 2% cream twice a day will give additional benefit. You may get these prescribed by your doctor. Hope this helpedTake 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: in severe pain with multiple brain aneurysms; right opthalmic artery measures3.6x4.0x4.1mmwith a 2.9 neck and a right MCA bifurcation aneurysm ;5.5x5.6 x4.7mm with4.4mm neck and 3 others giving me so much pain i cant sleep and if i do i have to be upright...meds ...futeral 2 every 6 hrs;600 ibuprofen 6rs;oxycodone 1 every 6hrs with nausea pill; laxatives and a new med tonite 3 at bedtime gabapentin; not helping ;in excrutiating pain in head around ear ,throat; please help; preop tomorrow 1aneurysm being clipped on 6/16; 2 others coiled on 7/12 and last one coil and stent date to be announced...just soooo difficult living with pain everyday....any suggestions??? ### REPLY: Hi, I am . I am sorry for the pain you are undergoing The severe pain in Aneurysm is usually due to irritation of the nearby nerves and stretching of the aura You can ask your doctor to increase the dose of painkillers, if the present dose does not relieve pain 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. ### 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 am looking for ways to assist a 43 year old male in need of significant dental work. I paid for an initial visit and treatment plan. They offer 18 months interest free but denied him. He works full time and not eligible for Mass Health. His 2 front teeth are missing. We were told today that he needs to have 8 teeth removed. Do you have any ideas? Thank you for your attention. Danielle ### REPLY: Hello, Thank you for consulting with . Actually in old age the teeth start becoming loose and removal of these loose teeth are necessary for the good health. You can consult the dentist as these teeth will not be removed in a single appointment you have to visit the dentist thrice or four times, in a month or two. So I think parts appointment and payment according to the treatment will be comfortable for you. 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: Ive had some swollen nodes on my neck for around a year now. I consulted 2 doctors and one of them strongly was against biopsy. So we decided against it. Im 18 and since it didnt go away yet. we went for another doctor. He suggested an ultrasound. There was splenomegaly and I think there was some swollen nodes in the abdomen too. I was tested for TB and it came back negative. So, Im guessing when I go in tomorrow for consultation, hed say I have lymphoma. So this is my question. How curable is lymphoma? How much time does it take for it become terminal? Thank you in advance. Id love if you reply fast. Its 1 AM here and oh, Im scared bad. ### REPLY: Hi, thank you posting at . I can understand very well your concern, I recommend being sure if it is lymphoma malign you should make the following tests:1. Lymph node biopsy(total excision of a lymph node that is then examined under the microscope)2. FISH (fluorescent in situ hybridization).3. Specific blood test(It is realized by laser). The results of the tests will determine the diagnosis and the treatment. You need to make those to test because they are necessary. But is the possibility that you don't suffer from lymphoma, but from an easy form of this disease. Best Wishes. ### 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 65 yrs. old female. For about 20 yrs. Ive known Ive had a mitral valve prolapse, with just a flutter once in a while. Id cough and it would go away. About 3 yrs. ago I went through breast cancer, mastectomy and a tram reconstruction, nothing in my lymph nodes, so I had no further treatment needed, thankfully. About 1 1/2 yrs. ago my doctor at my regular check up said she heard more gushing in my chest and advised me to get an echo. I didnt really feel anything and put it off until I needed to have more reconstuction surgery last Dec.and my plastic surgeon said the same thing, so I had it done. My cardiologist said it was moderate to severe stenosis of the aeortic valve, and another new cardiologist gave me a card that I have a bicuspid aeortic valve. He did another echo and confirmed the first report. It was a little hard to see, but he thought I had this from birth, but it looked like I only had 2 cusps instead of 3 and now have some calcium buildup there was why it had gotten more prounounced. I had to have some more breast reconstruction done in December, but had it done under local. I still need another procedure of some fat transfer done in the next months to help fill in a small sunken area above the breast. Anyway my last cardiologist appt. in June said to wait for 6 months and have another echo, unless I have any bad symptoms before. When I think about it it seems I have more fluttering. Stress seems to upset it a little. I really feel good, no pain, maybe a little shortness of breath when I climb stairways, but besides a little pounding every now and then I wouldnt know it. BP is low. But because I know it, and it was a big shock as I feel like Im falling apart and I do worry about it. I sometimes maybe feel a little rushing in my head but thats pretty mild. Im pretty healthy or thought I always was til now. Im 58 weigh 148 # have some joint issues with my hips, knees and recently my shoulders, and Im more comfortable on a bike than walking because of this. Seems to be easier on my joints. I went to Curves for 9 years and both in our area closed in the last 6 mos., so i try to do some form of exercise at home. Thought I could wait til I could have a non invasive approach to the valve, I just find it really hard to think of having my chest split, especially now since Ive had all my reconstruction and am in fair order there. My cardiolgist doesnt recommend the non invasive approach. And I hear the valves dont last that long and dont want to think of more surgeries down the road. I take one drug arimidex for the breast cancer for another 2 years. Im ready to get rid of it, as I think it has precipitated some of my joint problems. So far my dexi scans are o.k What are my options and warnings. ### REPLY: You are having aortic stenosis. First you need to regularize your heart check up and regular echo to know the heart functions. If cardiologist recommend you the surgery then you should undergo it. Best option available is valve replacement. Metallic valve have good life and bioprosthetic ones have short life span. However after metallic valve replacement will need blood thinners post operative. But in short if you surgery you should undergo it because without surgery prognosis is bad and survival is short ### 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 swelling on the upper part of my left knee. I was in ER for two days and could not move my left side much as I was given IV continuously for 48 hours. There was severe pain all around left side of the body. Now it s concentrated right above the left knee. ### REPLY: Dear patient Why you are in ER for 2 days? Have you injured your knee and swelling was after injury? I want to know because u did not mention this in your history. If swelling was after injury then X-ray of left knee anteroposterior and lateral views should be done to rule out fracture Since pain is not relieved in 2 days. If X-ray is normal further investigation needed is MRI of left knee to rule out soft tissue injury should be done. Visit to knee surgeon is recommended. ### 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 had a recent CT scan with the radiologist statement as idiopathic Fahr s or Hypoparathyroidism. I have an appointment with a neurologist on the 1st. I have been diagnosed with ADHD and Anxiety disorder. I have had a neuro psych baseline prior to the thought of Fahr s since I thought I had early onset Alzhiemer s because of my poor memory, the psychologist said NO to that. I was found to be in menopause, 49 years old and had 0 estrogen. After that was taken care of I felt much better. However, I still feel bad and have a myriad of symptoms but would like to know of other symptoms besides the common ones that I ve read about. I quite frustrated! I was also diagnosed a year ago with a rare genetic skin disease which has not come up since and my dermatologist thought the biopsy was wrong and I might have a autoimmune disease like Lupus. SO, my question is a statement as well, I would like to know if their are more detailed daily symptoms. For example, is there a sharp nail like pain being hammered into you ankles. Or, how does the walking interference feel, is it because of a deep knee pain? Much more facts about the main symptoms and how things might feel. I appreciate any assistance. ### REPLY: In my opinion First if pain in ankle is in a specific spot in the back of your ankle + pain in the back of your knee then its just mechanical pain that can be fixed by wearing a foot arch and slightly leaning forwards while walking, second if pain is in a wide area then it could be from lumber disc lesion)From the way you wrote your question your mind and thinking are clear , you should take female hormones and check your thyroid levels, magnesium hormone imbalance can cause your foggy memory 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,im a 16 year old girl, my height being 5 4 and my weight being 98. I just wanted to know why does the whole of my body always shake when i have an argument. Its not something that has generally appeared over night, i have been shaking since the age of 13/14. Its not an extreme case of shaking just a slight shake which gradually increases. I have one more query in which i would like you to answer if that is okay. In february i was on a diet for the whole month (eating tiny amounts of fat & burning more calories than i consumed) then the day i was on my period i had a high temperature and i went very pale and my lips were literally white. I was about to faint and i had the worst period pain you could imagine. Is this to do with my diet because it had never happened before Thank you ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Feeling week after a state of excitement is normal. Body spends a lot of energy during the state of excitement. When I say it is normal, you must understand that it is general and body has a lot of strength left to come back from that tiredness. I think your current situation arises out of you obsessive thoughts. You obsess with that tiredness and when such an excitement comes, body automatically completes your wish. Just ignore the problem and there goes the problem. The second incident you are talking about could just be due to tiredness after you cruel wellness/ dieting program. Please consult a dietician before venturing into a weight loss program. Under nourishment can be fatal. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. 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: hi i am 9-weeks pregnant, and today i found a white flaky thing in my urine, is it normal or do i need to see my gynecologist?? apparently it didnt hurt or have stingy sensation but i think i might be running very mild fever i am not sure about this but tomorrow morning i will get a clinical thermometer and check it out. so did the white discharge is a thing to worry?? ### REPLY: Hallow Dear, During pregnancy there is little increased discharge due to raised hormones; however it is clear discharge. White flaky discharge you are describing seems to the Candida (yeast) infestation. This is fungal infestation. It can be treated by antifungal vaginal pessaries like Candid vaginal. Please report to the Gynecologist for confirmation of diagnosis and treatment. You should follow instructions to avoid re-infection:1. Since this can be transferred sexually, both the partners should take the treatment simultaneously and follow the instructions given below.2. Observe sexual abstinence till both of you are declared completely cured.3. Shave private parts clean.4. Boil underwear daily.5. Use panty liners (for you).6. Clip the nails short. With this you should be cured of the infestation. ### 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 am a female, looking for advice on depression suicide and cutting. I recently attempted suicide, and I am going to the emergency room tomorrow. Can you tell me what to expect at the psychological evaluation? And also, I have a family history of depression, I myself have been diagnosed with it, and I have recently attempted suicide, do you think I will be enrolled in their inpatient program for people like me? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. You should attend the in patient program. The main reason behind my suggestion is that you tried suicide. Attempt to suicide is having a good concerns. The attitude should not be repeated. In the program, you will be evaluated psychologically by a team of clinical psychologists and psychiatrist and treatment prescribed. It should be helpful to you in every case. 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: I have developed a hard lump on the aerola of my right breast, just under the skin. It almost appears as if it would be a pimple, white head. It s tender, not red, appeared overnight. I think it might be a plugged Montgomery gland? Heat and Motrin appropriate? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some benign breast lesion like acute abscess or fibroadenoma or fibroadenomas. You should go for examination. If needed go for excision biopsy and histopathological examination. 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: Hi, my mother is suffering from severe stomach ache which started three months ago, she is not able to eat any solid stuff, her condition is deteriorating day by day, after several tests doctors have diagnosed her with Stage 3 Colon Cancer though her Biopsy report is pending, doctor has asked me to go for PET Scan as well to get things more clear, I request you to please suggest me if surgery is possible in her case or chemotherapy is the only option left, or if both are required.I have uploaded the CT scan, colonoscopy report, blood reports for your reference.please suggest. ### REPLY: Hi welcome to forum. Stage 3 means that tumor infiltrated colon wall and surrounding lymph nodes - it means that surgical procedure is possible, but it can only remove microscopically cancer and involved colon. It can also remove lymph nodes, but it is not possible to be sure that cancer isn't spread already. So if ct and PE done show any metastases then surgery should be definitely done. Chemo can be started after surgery. Buzt if there is evidence of cancer outside colon then the behemoth should be done first Hope I have answered your query. Wish you good 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 six year old has had a fever of 104.5 for 24 hours and doesn t have any other symptom we have been giving him Tylenol and ibuprofen and the lowest his fever got was 102.0 should I be concerned? what other things should I look for? after four hours of receiving the Tylenol or advil his fever goes back up from 102.0 to 104.0 so waiting the other four hours with his temp being at 104.0 scares me because I can only give it to him every 8 hours. ### REPLY: I share your concern. Fever in a sis year old in the absence of other symptoms could be considered as viral fever. You can give Tylenol every 4 hours at 10-15 mg/kg dose. And also give tepid sponging. I would do some tests like CBC and Urine RE to find the focus of infection after a thorough examination of the systems. You look for symptoms like running nose, cough, pain on passing urine. I would in my clinical practice try an empirical trial of antibiotics after careful evaluation. You can consult your doctor for further evaluation of your child. Hope I have allayed your fears. Take care 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 am 18 years old and I was recently I have mumps. Last Wednesday I felt a tiny bit of swelling (then thought a pulled muscle) behind my right jaw. The next day I woke up and my face had clearly swollen. I booked an appointment at my University health centre where a nurse saw me, said it is very likely that I have mumps and that I need to wait 5 days from the swelling before I can leave my university dorm as I am infectious. 5 days later, after 4 days of intense pain on my face and jaw, not being able to chew anything and having no energy, I was feeling better and went out yesterday into the world. Today is 7 days since the original swelling began, I wake up and have the same feeling I did when the right side began to swell on the left side of my jaw. Its only swollen a little but it hurts when I chew more so than the right side and is painful like the right side was.Does this mean I still have mumps and have to stay in isolation for another 5 days? Will the left side get just as swollen as the right side did because I dont think I can bare the pain.Thank you ### REPLY: Hi. Can understand your concern. As per your complaint Mumps also known as "Epidemic Parotitis" is a VIRAL infection, and it can affect either one side or both sides Parotid glands which are major salivary glands leading to the above explained symptoms. It is very much clear from your explanation that you have mumps. The symptoms subside within 7 to 10 days after the symptoms appear. There is no exact treatment for mumps and only symptomatic relief can be provided. For pain, you can take Acetaminophen or Tylenol for relief. Doing cold compresses can be relieving. Take plenty of fluids which can include water, fruit juices, soups etc. Take a soft and nutritious diet. Take sufficient rest. In case if the symptoms persist for more than 10 days without any relief you should consult a physician. Although after occurrence of mumps once the person becomes immune for lifetime and relapse can be with very mild symptoms. Hope this information helps. Thanks and 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 endometrium size is 0.8cm. The GYN said I need to be concerned. I had a transvaginal image last year. Currently, I had another transvaginal sonogram- the results are the endometrium does not appear to be thickened. I do have an IUD per the report the IUD in in place and good position. Just concerned about the endometrium. ### REPLY: What is your age? The ultrasound was taken on which day of the period? Why did you do the ultrasound last year? Since you have the IUD inserted I presume you are less than 45 years. The endometrial thickness of 0.8 cm after the first week of census for all women before the menopause is normal. The second ultrasound is reaffirming the same opinion that I have written. There is no need for you to be concerned. I hope I have answered to your satisfaction. If you have any further queries do contact me through ### 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 sex with my wife 15feb 2013 without a condom then after she has not any period .last night i check in ipill pregenency it show a deep single line , but now, i not take a baby this time , because already i have a 5 months baby . mistakely its done . pls sir , tell me that , now what can i do. my mail id is YYYY@YYYY ### REPLY: Hello dear, Thanks for the query. As the pregnancy test is negative its unlikely she is pregnant. If she is breastfeeding, she might not have her periods. So just relax. And if she has any symptoms of pregnancy, kindly consult your OBEY specialist. Hope I answered your question, Kindly reply me if you have any further queries or any comments. I will be very happy to help you. Sincerely, . ### 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 having severe pain on my right back for 2 days I was admitted to hospital in emergency yesterday, but after giving me pain killer injection and medicine prescription they discharged me. No stone found in ultrasound but doctor said it is kidney stone pain. But I am having pain on regular intervals. Some time it is severe. Please suggest what should i do. ### REPLY: HelloThanks for query. Based on the facts that you have posted I think you have stone in middle part of your Rt ureter . Normally stones in the middle 1/3 part of the ureter are not picked up in ultrasound Scanning as this portion of the ureter is overlapped by bowels (Intestines). You need to do either CT Scan of Kidney Ureter or radiological test called Intravenous Paleography(MVP) to confirm /rule out mid Ureteric stone. Please consult qualified Urologist for evaluation and get the test done under his guidance to confirm the diagnosis. Further treatment will depend on upon the result of the test and final diagnosis. . ### 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 75, male, in general good physical health although currently treated for bladder cancer and having chronic osteoarthritis. Recent blood tests show elevated liver enzymes and I do feel abdomen tenderness and swelling. Obviously, I have attempted diagnosis with my primary PA and urologist. Alcohol use and medications do not appear to be obvious factors and the condition is new. It dawned on me that within the last 18 mo or so I have started using a moderate dose of testosterone cream, fully under medical supervsion. Should I discontinue use? I can t recall any other major recent changes in medications. I am trying to deal with bladder chemo first befor getting into the emerging liver issues..what do you think?. ### REPLY: Hello, Our liver tests are only slightly elevated. In case of serious liver disease, these values are around 1000. The reason for your results can be a fatty liver which is present for sure if you are overweight. Please note that untreated fatty liver (which is a reversible condition) can lead to liver cirrhosis and liver insufficiency. To reverse fatty liver process, you need to change your diet and lifestyle. Fatty foods, spicy foods, fired foods, painkillers should be avoided. Otherwise, this process will slow-going forward. Hope I have answered your query. Let me know if I can assist you further. Take care . Rammstein, General Surgeon ### 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 went to the doctor because Im trying to conceive and Ive got sad news that my eggs are not releasing. I would like to know if I should give up the hope of becoming a mom or is there hope that there is something that I can do that will guarantee me that I will get pregnant. And also is my condition a very bad one? ### REPLY: Hi, Thanks for the query. I have read & understood your query. POD is a menstrual problem where ovulation is disturbed & so the menstrual cycle remains nonambulatory & irregular, thus posing a problem in conception. This problem is seen more frequently these days being mainly a problem due to lifestyle changes. * Still you need not worry, its methodical management can reduce its bad effects like infertility/ diabetes etc. To start with detailed physical examination / investigations (CBC, Thyroid function tests, USG with ovulation study, hormonal estimation, insulin resistance test)The treatment plan is then decided - - Weight reduction (regular exercises/ low calorie diet, are advised. A small amount of weight loss can correct the hormonal imbalance. Leaving smoking helps. - Hormonal imbalance can be controlled with Cyclical oral contraceptives. - Medicines like Metformin, Camphene are tried to stimulate ovulation - If nothing helps, surgical . * For this you should approach a gynecologist & after pathological tests. Follow her instructions. You will get positive results. 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 rash under my right eye that started a few months ago... my whole face itches at times now. Sharp itch that then becomes painful upon scratching. My back hurts and when I twist it around my tongue goes numb and Im dizzy / light headed often. Seem to be in a fuzz a lot of the time. Whole body itches at times. ### REPLY: HI, thanks for using Persistent itching can be associated with allergies, liver disease, reaction to medication, kidney disease, infection such as scabies. To determine the cause you would need to visit your doctor for an assessment which would include history and examination. Based on the history and examination you may need investigations such as allergy testing, liver function tests, kidney tests. I 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: Dr. Sir, I have burning sansation in sole of foot and palm sometimes and also burning sansations over legs below the knee. It mostly happens in afternoon and evening in some high. Sir give me the treatement guidelines. ### REPLY: Hello and welcome to !! Dear Layman if this burning sensation has started recently it would be better to get a blood sugar levels tested, since diabetes is one of the main causes of peripheral neuropathy. You can also take one Nervier capsule every day for two weeks and see if it helps. Since it is affecting only the hands and legs it is indicative of glove and stocking type of peripheral neuropathy. 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: Im 18 145lbs and have been getting chest pains (heartburn?) that last about 6 hours about twice a week and i havent had my period in 3 months? reasons? I have always had irregular periods but my Dr said it was from sports, i dont play sports any more. ### REPLY: Hey, First of there is no relation between periods and heartburn. Heartburn due to gastritis in most of the cases. Junk and spicy food may lead to same. Avoid this kind of food. Avoid overeating. Have any proton pump inhibitor like omeprazole once or twice a day for few days. That will combat your heart burn. Regarding periods its quite common to have irregular periods. You can have advice by Obstetrician and gynecologist for same. Most of the cases its sports related and next is might be Polycystic ovarian disease. ### 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 son who is 5 days old, I delivered recently. It was a normal delivery. Iam giveing him breast milk. Today morning my mother noticed that the eyes of my baby is yellow, i was totally shocked. How come the baby gets jaundice at sucha young age. Is this anything to worry. I really upset about it. Is there any danget to my baby, will it be cured. How many days it will take to clear this ? ### REPLY: Newborn babies having jaundice is common, even my baby had it from 3rd day onwards, the doctors told me not to worry, it is something called physiological jaundice, baby will come out of it will phototherapy, but my baby did not have a lot of yellowness, so I was asked to keep baby in morning sun daily, with that itself, the jaundice went away slowly in two weeks time and has never come back. Now my son is three years old. Don't worry consult your pediatrician in case of concerns. ### 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 a red patch over my nose on the left side and right, worse more so on the left. I have been told by the dr that it is ezcema and have tried non prescribed and prescribed creams and nothing seems to clear it up. I have also tried to change eating and drinking habits but no change. It also flares up more so every now and again with no reason as to why. Is there anything i can do? please help ### REPLY: Hello and welcome to I would keep a possibility of seborrhea dermatitis, it can present clinically as red scaly patches on the sebaceous gland rich areas like the scalp, face, chest etc., I would suggest you to use a moderately potent topical steroid cream e.g. fluticasone propionate cream twice daily for the initial 2 weeks. As seborrhea dermatitis often recurs and since it is not advisable to use topical steroids on face for long therefore after the initial 2 weeks steroids should be replaced with a topical immunomodulator e.g. either pimecrolimus or tacrolimus, for maintenance of improvement. 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 was diagnosed with a UTI but also had pregnancy symptoms. I went to the hospital and they said I had a faintly positive urine result and a negative pregnancy result with blood test. Why wouldn t my blood have the same ChatDoctor hormone that s in my urine? Is it too soon for the urine and blood tests to show pregnancy? The doctor told me to wait a week and then test again. ### REPLY: Hello, For pregnancy test is possible, but it is weird. Did you do blood test quantitative or qualitative? Normally blood test qualitative is more accurate. levels can first be detected by a blood test about 11 days after conception and about 12-14 days after conception by a urine test. You should recheck in several days, first-morning urine most accurate. 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: I am a 19 year old boy approaching 20. 1.83m talk. I have a great medical history. I have never been admitted to hospital or any other facility. The problem i have is over masturbation. I started to do it on the year 2002 now i find it hard to stop please help ### REPLY: HelloThanks for query. It is natural for a man to masturbate at the age of adolescence. It is one of the safest mode to fulfill desire of sexual satisfaction without getting in to physical intimacy with female. It has no side effect on body or any organ.However, addiction to frequent masturbation does lead to sexual problems related to erection and ejaculation in later life.hence one has to restrict the frequency of masturbation. Please note that there is no medicine that can help to reduce frequency of masturbation, It requires self-determination Try to reduce the frequency of masturbation by keeping yourself busy in activities like sports, reading, social work etc. so that you will not get free time to masturbate. . ### 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 once had a hemoglobin number of 5.6 after surgery and they gave me 10 units of blood and the number went up to about 8.5. Then they released me from the hospital. I was carted away in an ambulance, could not walk, and spent the next three weeks in some kind of nursing home facility where i continued to recover. Did they release me from the hospital too soon? ### REPLY: Your Hemoglobin levels seem to be low but that can have a number of causes. From the history that you have given, it is not quite clear if your hemoglobin levels were decreased prior to surgery or after surgery. Also, only low hemoglobin levels by themselves are not always the criteria for inpatient therapy and a hemoglobin of 8.5 is quite compatible with discharge. But then again, we are not quite conversant with what condition you have been suffering from and what surgery was done. So it will be naive to comment whether you were discharged too soon. ### 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 just got back from a 6day driving trip. When i left i was fine. My first night i noticed a pain/soreness between bottom of my rib cage left side and just right of my hip bone in about 2inches. Each day that passed i notice abit more pain.. naging pain.. especially when ever i would bend over.. On the way back home i notice the pain increasing more and more. Not debilitating, but becoming more of a concern. Yesterday i saw a doctor.. he doesn t seem to be to concerned. I have appt. for ultra sound in 6days. I told i was concerned if it was my appendixs. Says no. wrong side. So having tests for kindney & blatter. mm after doing some reading here i figure i don t have any stones of any kind.. Just wondering if i could possibly have a simple infection of some sort. Sometimes in the last 24hrs the pain doubles me over.. but doesn t last long maybe 40sec or so. I m female 54. ### REPLY: Hi, most possible cause of your problem is out of long . Fatigue back muscles and hip muscles giving rise to soreness and pain. Possibly you have sprained your spine and that causing pain on walking and increasing. Please get a check-up with or tho surgeon and find out. Not likely that you are having infection, appendicitis or kidney problem. Till you get a check-up get rest and avoid strenuous work .hope you be all right soon ### 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: helo docter . i want 2 ask i had sex with my Gf at 17 mar and with 2 hr i gave her i-pill.and she got bleeding at 24mar ,4 to 5 days continue and after that till 2 day she nt get her periods his periods date is 24 ....soo is their any chances of preganancy.. can u tel plz.... ### REPLY: Hi dear, I have gone through your question and understand the concerns. If I pill is taken within 24 hours of unprotected intercourse prevents the pregnancy, then the chances of pregnancy is almost nil. The periods are delayed most likely due to the side effect of the I pill. I will suggest her to get a urine pregnancy test done and if negative, then wait for the periods for next 2 weeks. Hope you found the answer 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: Hi Doctor My Father is going through the dialysis 2 Times a Week. After the dialysis he feels very Anxiety during the night time and could not rest. In Day time condition improves and he can sleep. Kindly let me know the reason for Anxiety and uneasiness during the night time. ### REPLY: Dialysis itself is a lot of stress and further twice a week dialysis is an additional negative factor being an inadequate dialysis dose. Now it is being well proven that patients on dialysis have sleep disorders and need to be a . He may need a sleep study and further management depending on the report. Discuss with a nephrologists bout dialysis frequency as inadequate dialysis may add to the problems. ### 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 baby is one year and seven months. I just would like to ask if fat globule in his fecal exam result says few, is it normal? The color is yellow, the consistency is soft. WBC, RBC, ova and parasite result is non seen. Yeast cells result is few. What does this indicates? Than you. ### REPLY: Thank you for posting your question. Fat globules in stool examination is a normal finding in stool. It is related to the fat content of the ingested food. This finding may rarely be considered significant in a child with a liver or pancreatic disease. But in the face of a healthy child, this finding can be ignored.Similarly, few yeast cells in stool examination could also be an incidental finding with not much significance. Also, any laboratory report needs to be correlated clinically to decide whether it is significant. Thus, if your child is healthy and not showing any bothersome symptoms, these changes in the report may be ignored. ### 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 question is: What OTC branded products work best for persistent nail fungus diagosed as Candida Albicans. How about the combination of Thymol (4%) with fluconazole in a cytol alcohol sol.?, or Terbinafine. ### REPLY: Hello, THX to contact us. I understand your concern. If I am your treating doctor I advise you that fungal nail infection always requires three to four month therapy. The combination you have mentioned is a good combination you can take it from OTC center. Keep one thing in mind that it is necessary to complete the cure, otherwise there is chance of recurrence of infection. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at . . Infectious Disease. ### 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 has had a pressure on the center top part of his brain for about 3 years now, accompanied with nausea , dizziness , loss of appetite , sleepiness. What possible conclusions can this lead to? He s had MRI, CT Scan both neg, went to ENT for allergies (didn t get better) he had 2 Spinal punctures and they found slight meningitis, but the neurologist said it wasn t anything to worry about. These tests were done a year ago and he s worse now then he was then, and I m getting worried! We no longer have insurance, but I want him to get better, any suggestions on what his diagnosis could be? ### REPLY: Hi, You should be repeating the CT Scan or MRI head to rule out any Brain Tumor or if to see is the Meningitis is completely cured. If it is meningitis and is completely not cured, there are chances of his symptoms recurring back. The cause for this has to Found out like TB Meningitis or something else as treating the cause will definitely help. If TB Meningitis is confirmed, he will have to take Medicines for 6 Months at least for complete cure. Take him to a Neurologist for a second opinion at the earliest. I wish him Good Health, 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: I have diogonized last week with an after meal blood suger 220md/dl and been adviced by my doctor to start glucopeg 500mg. Since I feel that I am in good helth I ignore the sugeion to take medicine and went to another hospitel yesterday to check my FBS and PPBS and which was shocking !.. FBS is 126mg/dl & PPBS is 96mg/dl !! Is it possibel that PPBS is lower than FBS and also I would like to know that my reading are sound good or do I need to start taking medicine for diabtec. Thanks in Advance. Regards ### REPLY: Your after meal sugar 220 mg/DL is definitely high. Next time reading is 126 is also high. Cut off value is 126. Between 100 and 126 FBS is called borderline and 126 is diabetic. It sometimes happen that pubs may be lower than fasting. However no need of starting antidiabetic medicine. First thing to do is you control your diet. And after that check it repeatedly at 15 days interval. If it remains persistent high then go for medicine. Consult your physician and take treatment accordingly. ### 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, Varucca plana was detected on my sons face and arms who is 6 years old. Spots are now increasing on both arms. pls suggest treatment Hi, Varucca plana was detected on my sons face and arms who is 6 years old. Spots are now increasing on both arms. pls suggest treatment ### REPLY: Hi, I had gone through your question and understand your concerns. I see similar cases amongst young people who visit my clinic. In the first meeting, I advise my patients to consult dermatologist for cryotherapy. After removing of Garcia plan you give him Acyclovir 30 mg/kg/day divides for 2 times during 5 days for prophylaxis recurrent infection, because it caused by papillomavirus. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your baby a 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 am a white 52 year old female with some intense pain on my left side under my rib cage. I am experienceing shortness of breath and sharp pain in this area. I am in general good health. Overweight, Non-Smoker. No major health issues other than this pain that started about 2-3 days ago. ### REPLY: Hello! Thank you for asking on ! Regarding your concern, I would like to explain that your symptoms don't seem to be cardiac related. Is this pain modulated by respiration or the body movements? A comprehensive differential diagnosis between different disorders (like Costco . I would recommend consulting with your GP for a careful physical examination, a resting ECG and a cardiac ultrasound, a chest x-ray study and some lab blood tests (complete blood count, PCR, sedimentation rate, kidney and liver function tests, blood electrolytes, etc.). If all the above tests result normal, the main cause of this symptomatology would be a musculoskeletal pain. In such case, painkillers (like ibuprofen, acetaminophen, etc.) for a short period of time would be helpful. Hope to have been of help! Feel free to ask any other questions, whenever you need! Best wishes, ### 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 nephew who has a hemogioma on his tongue. He is right at a month old. They live in Little Rock Arkansas. The specialist who have seen him placed him on steroids, with no effect. They had scheduled surgery to remove the growth, but minutes before the surgery, and after conferring with other doctors, they decided to place him on a high and low dose steroid to see which direction to go due to his age and the location of the hemogioma. He was on the heard medication that is new and it caused him to be very sick and that is why the drs opted to take him off and schedule surgery. My sister and her husband are so flusterd because they feel as if they are getting the run around on their babies care. Is there any other options or any other specialists that could take a look at his case. We love our baby and want to help as much as possible. Any guidance would be appreciated. Thank you. ### REPLY: Hi dear, I had gone through your question and understand your concern. You should be worried, but not too much. It is obviously seen from localization of hematoma, that child should go on surgery, because he has risk of heavy bleeding in the future. You can perform MRI to appreciate how deep is it. Hope I answered your question, If you have any further questions, then don't hesitate to contact us. I am always happy to help ### 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 m female 44 yrs old, 139 pounds, 5 4 , hypothyroidism(under control 1.7), fibroids (heavy menstrual cycle) but in general healthy. My last period was sept.3 until sept 6(usually is more days).It was heavy on 4th and 5th. I had blood work yesterday the results came back : WBC 5.5(normal range 4-10),RBC 4.15(normal range 3.80-4.80), differential (all normal), hemoglobin 113, hematocrit 0.36(normal range 0.35-0.43),MCV 87(normal range 82-98), MCHC 315(norm rang 305-365),RDW 13.3(norm. range 11.5-14.5), hemoglobin 113 (normal range 120-150),MCH 27.2 (normal range 27.5-33.5) ferritin 25(normal 15-180) and platelets 439 (normal range in my lab 150-400). It is the first time that my platelets are higher. All the annually previous blood work were really good.......Also I have few days that I feel mild discomfort-pressure on my forehead and next to my nose too. i feel my eyes tired and I have sometime the unsteady feeling.what is your opinion? the higher platelets worries me a little a bit.. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. No need to worry at all. Your platelet count is slightly high. It is seen in many healthy individuals as normal variation. It may be due reactive thrombocytes. Reactive thrombocytes is common after heavy blood loss. So no need to worry about your platelets count. 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 a tooth that has created an absess on my gums due to a probable infection or tooth decay. What is the best solution for this problem. Would it be better to remove the tooth? I havent been to the dentist in years due to an episode when I was three years old. Im scared to go see a dentist. ### REPLY: Thanks for your query, I have gone through your query. The abscess can be because of a tooth or gum infection. If it is a tooth infection, the best way of treating it would be by root canal treatment if and only if the tooth has sufficient structure in it and has sufficient bone support. If it is secondary to gum infection, then take a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). And get your teeth cleaned once with . I hope my answer will help you, 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 just had an echo gram and nuclear stress test since I was getting some chest pain which I believe is stress. I had a widow maker heart attack in 2007 and just on medications. One of the cardiologists at the hospital yesterday suggested an angioplasty test. Is that necessary? ### REPLY: Thanks for your question on . I can understand your concern. Yes, in your case Angiography is needed. And if block is there than angioplasty is needed. You had heart attack in 2007. So you are having high risk for cardiac diseases. You are also having chest pain at present. So possibility of Coronary artery disease is more in your case at present. And for the diagnosis of this, Angiography is must. Angiography is not only diagnostic, but it will also cure the obstruction by putting Stent (angioplasty). So better to get done Angiography and if needed angioplasty. Hope I have solved your query. 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: Im constantly having a pulsation, palpation, jumping feeling in different parts of my body. It feels like a heartbeat. Im not sure if its in my veins, arteries, or muscles. Im 29, sedentary, normal blood pressure, and cholesterol. My dr. said everything seems to be fine. ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. I assure you everything is fine. You know blood travels through veins and arteries. You will be able to feel pulses wherever thick arteries are available. Head, neck, shoulders, arm, wrist, thigh, stomach sides, knee, calf, feet etc. are areas where which arteries are present. You could feel the pulsation at all these places. If you obsess with these pulsations, you will become anxious and your heart beat increases due to the anxiety. Please donor misinterpret it. Your doctor told nothing is wrong with you. Accept it and be happy. Take care. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. 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: Hi Doctor,My Baby is 12 days old and is suffering with motions from 4 days. Poo is yellow in color and very smelly and a bit watery. We have consulted two peds where they prescribed walamycin(colistin sulphate) 6 drops - 4 times a day and other doctor prescribed stodil (Loperamide) - 1/8 per day. It doesnt look subsiding and still he is doing it more than 6 times a day. Kindly help ### REPLY: Hi...this is completely normal. Please do not worry at all. An active well growing and weight gaining baby is perfectly healthy. What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Hope my answer was helpful for you. 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: feelingvery low, crying for no reason, aching upper legs and arms, cold toes and fingers but rest of body very hot, currently on low dosage evorel hrt patches, lost interest in many things, l get two good weeks and a real bad week just now and feel so low in self esteem etc ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. All the described symptoms correspond to menopause. Most of the women go through a depressive state due to the hormonal change in their body during menopause. That is quite natural. But worrying about it worsens problem. You should be aware of it. Read the literature available all over internet. If you want to come out of the situation, the only way out is activities which keep you engaged throughout the day. Studies confirm that working Women come across menopausal depression far lesser than non-working women. Please engage yourself in hobbies or other activities. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. 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: My grandaughter had a water infection when she was 5months old she has been on antibiotics since she is 8months now. The doctors ave said she cud be on them until the age of 4, she has also had 2 scans on her kidneys but have both been ok. Why is she on antibiotics for so long ### REPLY: Hello, It is challenging to come to diagnosis with a limited history provided in the query. However, the use of long term antibiotic therapy is called for patients who suffer with immunodeficiency. The antibiotics prevent the risk of acquiring recurrent severe infections in such patients. As you have mentioned your grand child is five months old; it is likely that she is suffering from some form of rare congenital immunodeficiency. In this condition the normal infection-fighting system of the body does not function fully, making the person prone to severe infections. Apart from antibiotics other forms of treatment available for such patients includes antibody infusion, and stem cell transplantation. In addition, kidneys are usually normal as the immune cells are usually a component of blood. 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 boyfriend has a tooth infection, he is taking antibiotics, but his next dentist appointment is not until Monday. The swellings that he had earlier from the tooth only got worse, not his entire cheek is extremely swollen. Is there anything that we can do to calm the swelling down? ### REPLY: Thanks for your query, I have gone through your query. The swelling over the cheek is because of the abscess or collection of pus secondary to teeth or gum infection. Consult an oral physician and get it evaluated. If I am your treating doctor, I would have suggested you to take radiographs like RVG or IOP AR to rule out gum and teeth infection. If it is a gum or teeth infection I would have prescribed a course of antibiotics like amoxicillin and metronidazole for 5 days (if you are not allergic). Then I would have suggested going for scaling and root planing for gum infection. Root canal treatment or extraction if it is a tooth infection. It takes two days for the swelling to come down following administration of the antibiotics. I hope my answer will help you, 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 , my wife who is 42 years old has been administered with epitril .5 as SOS . For about one tablet daily used to work. But the Doctor has recently prescribed to take two tablets daily . But now even these also stopped working for which she has to take 3/4 tablets daily to reduce her enxity and depression. Please tell me whether increase in dose can cause drug dependent and any other side affects from the same. ### REPLY: Hello and welcome to . Thanks for your query. Epitril is a brand of Clonazepam - which is a benzodiazepine medication. It has sedative and antianxiety effects. Now, benzodiazepine medication, such as April have a high potential for dependency / addiction. Since your wife has been gradually increasing the dose of April, it is very likely that she has developed what is called" . This is one of the signs of dependence. So, I would advise you to take her for a review with her doctor so that this issue can be 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: Hello Dr. Samuel, I AM HAVING POLLEN ALLERGY REACTION, i BELIEVE, AS EARLY AS THIS MONTH. iT ALSO SEEMS A SOAR THROAT-possibly a flue thing. I am now on alegra, but for the soar throat I am taking a syrup. I regularly exercise on daily bases. Do you have any suggestion? I sometimes feel hard to breath. Do you think I can do my regular exercise? about 30-45 minutes. I would, first of all, like to thank for your cooperation. Fantu YYYY@YYYY ### REPLY: Hi there, Thanks for writing in. Allegra will help reduce your symptoms of allergy. Do try the following measures: 1. . You can have a glass of warm water every hour or so. 2. Sign up for yoga classes. Yoga if practiced regularly is very beneficial for the body and mind, and will help reduce the chances of allergy in the long run. 3. Avoid exposure to dust by using a mask. 4. Warm saline gargles 3 times a day will help reduce the sore throat. Also have a teaspoon of honey mixed with a pinch of pepper powder. 5. Try Steam inhalation 3 times a day. If you don't find symptomatic relief at all with the above-mentioned measures, please visit your physician. Hope this helps. Get well soon. ### 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 son had a fever on Monday. He was fine yesterday until last night he started getting cranky. Hes teeth are coming. Today he woke up with red spots on his face, behind ears & a little spots on his body? what can it be? he only drink half of his bottle. ### REPLY: Hi, thank you for posting your query here. From what you are describing, it seems like he is having Measles infection, with rash starting on his face and then spreading out. It is normal for kids to.be cranky, and eat or. . Less than.usual. He may also. Have a runny nose and cough with redness of the eyes. Give him paracetamol for the fever, and vitamin A supplements RO speed up recovery. If he develops fast breathing or has trouble breathing, then you should visit a doctor. Keep him in his room to avoid spreading the infection to others, and ensure that kids he has been in contact with get a measles or MMR shot. 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 have carried a test for liver profile and the report is in my hands. I need to know the test results. Here are the results as followsEverything else is normal except these1. Total Protein. 9.2 gm% (6.4-8.2 gm% normal range)2. Globulin 4.6 Gm% (2.3-3.5 Gm% normal range)3. A/G Ratio 1.0:1 (1.2-2.5:1 normal range) My Age is 21 Years old malesuffering from active acne and taking Isotretinoin capsules 20mg as per dermatologist prescriptions. Reply me pleaseLuqman Amla ### REPLY: Hello, Thanks for using . Kindly note that your age and previous medical problems are not mentioned in the query. According the report posted, there is raised globulin above normal range the elevated globulin may be Alpha, or gamma commonly will be gamma, amd is of two types monoclonal proliferation or polyclonal. You need to undergo serum protein electrophoresis that will show next step in evaluation. If you have any joint pains kindly inform doctor. No specific medication is required right now but blood test STEP is required. And it is unlike due to isotrenitoin. 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: hii. i have a bubble kind of thing on my gums below teeth and it gets filled with puss and wen i press it fluid comes out but the very next day it again gets filled with puss. it does not have pain but i want to know is thre any problem in my gums.??? ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query, as you have pus in your gums this indicates periodontal problem means abscess in gums these are symptoms of periodontal abscess don't worry I will suggest you to maintain proper oral hygiene brush your teeth twice daily, do warm saline rinses, do chlorhexidine mouthwash once daily, and consult oral surgeon and go for oral prophylaxis and curettage of tooth with abscess. Hope this 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: Hello Sir, My cousin was diagnosed with brain TB some 2 months back.She was admitted in Alleppey Medical hospital and her condition worsened over the period of time. TB tests were conducted with no positive result. Thereafter, she was moved to Chitra Medical Hospital, Trivandrum and her samples were sent to NIMHANS for further study. Meanwhile, this period my cousin was losing her vision. A brain surgery was carried out and it was found that the vein supporting the eye sight was blocked and it was infected. The doctors are saying that she will lose her eyesight in a few months or so because of the infection. We really dont know if it s TB.Is there anything which we could do to retain her eyesight? ### REPLY: Hi, Thanks for writing in. The eyes are vital organs, and it is important to treat any condition threatening eyesight immediately. TB is a condition that can present with unique symptoms and involvement of the vein supplying the eyes is rare. Since a brain surgery was carried out, it is possible that the doctors took measures to safeguard her eyesight, but little could be done as there was a lot of infection. When there is significant infection, certain decisions have to be taken by the operating surgeon to protect the life of the patient and avoid further complications. To confirm TB or not you can send slides to research hospitals elsewhere in the country but the hospitals she has shown are well known for brain disease treatments. Particularly for her eyesight, it will help if you can request the eye surgeon to have a panel discussion with her neurologist. ### 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 boyfriend is experiencing breathlessness, some chest pains and hes been having headaches and his eyes are aching. He is twenty years old, with a history of athsma during his childhood. And hes been suffering with this for about a week, he is currently under stress - he is in his last year of university. I want him to go to the doctors, but he doesnt want to, is there something seriously wrong, can i help him? ### REPLY: Hello rearward welcome to .come have evaluated your query thoroughly.* This seems more in relation with some sort of respiratory infection with systemic manifestations which are increased with stress, anxiety.* Suggestions at present - Convey him to take plenty of liquids.- Balanced nutritious diet to combat any infection.- Inhalation of vapors of boiled water with blanket over head 5 minutes each 3 times a day.- Walking in fresh air, deep breathing exercises, YOGA - Avoid stress, anxiety.- Have regular sound sleep of 8 hours.- Avoid smoking or alcohol if using.- Tab. Tylenol (500) mg 3 times a day after meals.* Have to consult doctor if problem persist later. Wishing him fine recovery & exams of final year. 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 have a red skin rash in the folds/rolls of my fat belly, on and behind my ears and under my breasts. Fiery red and dry and itchy and sometimes raw and hurts. Was told it was a yeast infection like atletes foot and have been using Clotrimazole USP 1% cream and Nystatin powder alternately to no avail, had it a long time - HELP! ### REPLY: Hello, Thanks for the query. Itching and rash in all the folds cannot be due to fungal infection. Probably you are suffering from airborne contact dermatitis. You might require treatment with oral and systemic steroids depending on the severity of condition. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__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: Dear Sir I am Xavier I have stomach problem from couple of years, I could no call it as a pain in stomach but i feel a kind of pressure, when i sleep on either sides it feels like something is there, i showed to some doctors but coud not get any solution so could you please guide me ### REPLY: Hi Xavier. Thanks for your query. Since you are suffering from pain in abdomen for a couple of years, I would advise you the following:First of a consultation with a Surgical Specialist as a proper detailed history and physical examination will give us a clue to the probable investigations to be done and the treatment to be planned. Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have Additional CT scan of the abdomen will help us to get a proper diagnosis. ### 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 recently relapsed after 9 years of sobriety. He is currently in a rehabilitation center. He has opened up to me and the staff of incestual sexual abuse as a child from ages 4-10. He says he has been wanting to commit suicide for years, he is very depressed and rarely happy. He will be released soon and I am very concerned about what I can do to support him. ### REPLY: Hello and thanks for writing in. I understand your concern for your husbands mental health issues. From the description of his symptoms, it appears that he is suffering from chronic depression, also known as Dysthymia. You have also mentioned that he is very troubled by his past issues of child sexual abuse. Considering all these issues, it would be advisable to take him to a psychiatrist for a detailed evaluation and further professional help. There are effective treatment options in the form of antidepressant medication or psychological therapy. Specifically, there are therapies like Psychodynamic psychotherapy which can help him overcome his childhood trauma. ### 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 81 yrs old & was bleeding heavily from penis. went to er & ct scan showed mass on r kidney. stopped bleeding next day & it has been 2 wks. went for ct scan w/ contrast last week. waiting for results. cystoscopy being done this week also. what could this be? ### REPLY: HelloThanks for query. Your father who is 83 years old had episode of gross hematuria and have been detected to have mass in his Rt kidney. This is most likely to be a Renal Cell Carcinoma and needs further evaluation to find out extent of disease, spread of the disease to regional and para aortic lymph nodes, perinephric tissue and distant locations like lungs, liver etc. Further treatment will depend upon result of these tests and final diagnosis as regards the extent of disease. . ### 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 a male 53. using high bp medicines since 12 years. im using telsartan-h 80, minipress xl 5mg, revelol xl 100, amlosafe 5, tonact tg. im also taking razo-20 and lesuride. for last 2/3 months im facing swelling on my lips and tongue. i have used alegra 180 but it never responds . it becomes normal after 12 hours automatically without any medicine . is it due to medicine reactions ? if yes, then which medicine i have 2 stop or change ? plz suggest .... ### REPLY: Welcome to ...sir it is classical reaction to telmisartan .it will be seen with all telmisartan losartan losartan candesartan and . .but if swelling is coming daily and persistent for 12 hours please request your doctor to replace tartan or decrease dose in addition you may go for level of C1 esterase but if dose cannot be decreased then you should have prefilled epinephrine syringe with you as this has to be injected by self if swelling increases, and you face breathing difficulty with 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 sir , from last night i am suffering from alergy due to sweat as exccesive increase in tempature at my place .there are red patches all over my back and neck. I have been preiscribed oxflokem-200, fluconazole -150 mg , omeprazole domperid, decdan , cetrizine hydrochloride . Is these medicine adequate ? kindly give suggestions ### REPLY: Hello, as you are having allergic symptoms, having red patches with sweating and itching, the treatment you are taking is good, but I want to suggest you to take a deforming treatment also(Albendazole 400) at night once in a fortnight along with treatment you are taking i.e. fluconazole, omeprazole with risperidone, Dexamethasone in reducing doses and cetirizine or levocetrizine for 7-10 days regularly, if there is no secondary infection present than avoid antibiotics as far as possible and keep . I hope you will be benefited by my suggestions. Good luck 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: My father has undergone AVR in 2011 and it was successful. But now he is suffering from breathlessness. I had a talk with the doctor who has done the AVR process. He told me as my father was a chain smoker he got some problem in his lungs. However my father gave up his smoking habits around 10 years back.please give me some suggestion. ### REPLY: Thanks for your question on . In my opinion we need to rule out cardiac and respiratory causes for your fat fathers breathlessness. Since he was chain smoker we need to rule out COPD (Chronic Obstructive Pulmonary Disease). So get done chest x-ray and PFT (PULMONARY FUNCTION TEST) to rule out COPD. If both are normal, then get done 2D Echo to rule out cardiac cause. As he is having aortic valve surgery, possibility of complication related to valve can be there. So consult your doctor and discuss all these. ### END