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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: I am 28 years old and my dr. has done several urine and blood tests to see why my toxins are so high in my body and my potassium levels are so high. He has yet to give me an answer as to what is going on I have read on here how bad high potassium can be do you have any suggestions for me? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. High potassium level may be due to many reasons like hemolysis, high potassium diet etc. Potassium level is very sensitive and high potassium level can lead to life-threatening arrhythmia. You should control it immediately. Treatment of cause is also needed. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my wife is pregnant and is in 5th month. She is hypothyroid after our first baby. Recently, we got her checked for TSH which is on a higher side, probably 10. she is already taking 75 mg of medicine which her gynae has now raised it to 100. We would like to take advise from endochronologist if this is ok ### REPLY: Hallow Dear, TSH values up to 10 mid are quite high. You have to bring them down to the tunes around 3. Probably she is on Thermoform tablets. If even after 100 micrograms, TSH is not coming down, you have to increase the dose. The dose has to be titrated with TSH values. Please ensure that she is consuming iodized salt. Broccoli, Soda, Cauliflower, Cabbage are certain vegetables which interfere the absorption of iodine. So ask her to avoid them. It is always a good option to have Endocrinologists advice in Thyroid problem. However, please continue on Thermoform in adequate dosage. Low Thyroid functioning may affect the baby and/or pregnancy adversely. So please do not ignore. I hope this helps you. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 79 years old, female, with a pacemaker, and had a one-time horrific headache that lasted three or four days. With that I had severe nasal mucous so i thought it was the flu. I m not so sure now that it was the flu. Can you help me with that? Thank you very much. ### REPLY: Thanks for your question on . I can understand your concern. Headache and nasal congestion are commonly seen with sinusitis (infection and inflammation of paranasal sinuses). No need to worry about pacemaker related complications. Do steam inhalation and warm water gargles 5-6 times a day. . If it recurs again then consult ENT doctor for endoscopic examination of sinuses. 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: hi, a 3 yr old son have a swelling in his right side temporal bone which grows gradually after the injury which was occur 2 wks ago.it is non tender and not firm.what would be the diagnosis and how would i characterize the swelling in the physical examination ### REPLY: Thanks for your query, I have gone through your query. The swelling could be because an inflammatory origin due to the impact during trauma, or it can be secondary to a fractured bone. Nothing to be panic, consult an oral physician and get a radiograph done like PNS or PA view to rule out any fractured bone. Meanwhile, you can give cold and hot fomentation over the swelling alternatively every 10 seconds for 1-2 minutes. 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 have an odd rash on my lower stomach about where my bra sits, underneath it, and its starting to spread to my stomach, near my shoulders and on my back. I have had this rash for about 6 months now. It itches, but is not raised. Its splotchy and circular. They appear to grow larger and connect over time. The color is a faded reddish pink. I am allergic to anything with sent or dye in them, but have not switched detergent, perfume or anything that comes in contact with that area. I was wondering what this might be and if I should be worried. ### REPLY: Hi, As per your descriptions it seems to be a Tina corporal or tricolor, a topic dermatitis, psoriasis, impetigo or herpes or candidiasis. You can undergo routine blood investigations with skin swab tests from the itch area for culture microscopic examination. Treatment is mainly depended on the diagnosis, but you may require topical corticosteroid(clobetasol or beclomethasone) with antifungal cream (fluconazole or itraconazole) with other supportive treatment. You must consult skin specialist for complete clinical examination. Thanks 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: Hello and thank you all who have been helping my wife with me and my adema situation. We are lost yes I have all the symptoms of heart failure, but yesterday my cardialogist did a echo test and stress test he said I am fine with no heart problems. What else could be causing all this water weight and weight gain. I have gained over 50 pounds in less then two months. It started the day before i have back surgery and now that I had back surgery its gotton worse to wear it hurts now. I only eat once a day. I have sleep apnea and diabetes which doctor said will get better with weight loss, I have start of emphazima, high cholestrol. The pills I have taken are lasiks 120mg a day for two weeks now, percocete for pain and vicodin, I have taken provigil to stay awake, and I have two inhalers I take daily. Anyone with any suggetions or advice or clues to what this might be. thank you all so much. ### REPLY: The diabetes needs to be gotten under control immediately!!! You need to eat 4-6 SMALL meals per day--good protein, veggies and fruit. Watch your sodium intake (especially be cautious of processed foods--canned, frozen, etc.-fresh is best). . Watch your carbs--whole grains are best. Diabetes can cause serious kidney damage, which can cause edema. You're taking a high dose of diuretic--maybe a different one would work better for 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, I am a 41 yrs old female. 55 @ 230lbs. I woke up with a metallic taste in my mouth and the right side of my tongue numb about 7 days ago. I read on line that it could be gum disease which I know I have but my gums and teeth do not hurt. Now the right side of my nose & eye runs non stop. I went to the Dr. and she put me on antibiotics but it hasnt helped... this is day three of being on them. ### REPLY: Thanks for your query, I have gone through your query. The metallic taste could be because of the antibiotics like metronidazole. The other possible causes could be because of the gum infection or pus discharge. Consult an oral physician and get your teeth cleaned. IF you are taking metronidazole then your metallic taste will come down once you stop that medicines. Do saline gargling. 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 am a 33 year old female and I have had lower back pain off and on a while but now noticed I have a grape sized lump on lower left side above buttocks. Dr diagnosed as fatty cyst, sending me for X-Ray and have seen Chiropractor for releif, hasent helped much. ### REPLY: Hi, Welcome to . After going through your query I think you are suffering from chronic backache. Treatment of back pain is exercises and analgesics (diclofenac SR). Sometimes strong analgesic(such as attract three times a day after meals) is required. Consulting with treating doctor is advised. Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation(weekly with milk) can be taken. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You need to do MRI TO RULE OUT other causes. Your fatty cyst requires no treatment. I think your query answered ### 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,Im hema aged 24.Im trying to conceive for past 4months.I had endometrosis (chocolate cyst) and underwent Laproscopy.After that i took FEMILON to regularize my periods.After that my dr put me on clome(1st month) and anastom (next month) to start my ovulation induction.I took duphaston 10Mg (one tab a day) for 10 days after my follicular scan.I normally get my periods in 2 days after i stop taking duphaston.But this time this is my sixth day and stil i havent got my periods.Aso i have painful breast at times. Can u pls tell me what could be the reason for these? ### REPLY: Hi Ms. Hemp, As you are on ovulation induction, the first thing to be suspected is pregnancy. You should take a pregnancy test with a fresh early morning sample. If it is ambiguous, go for the blood pregnancy test and a trans-vaginal sonogram and report to your consultant for further management. Your symptoms may be premenstrual as well and are not specific for an early pregnancy. Wish you success. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, I was just taking a shower and noticed a sore spot on my penis . I looked at it further its a small red bump that has like a scab on the top almost like i robbed it raw on something. But i dont know how that would be possible i havnt done anything that would rub it raw. I have never had unprotected sex so i know theres no way it could be something like a sexually transmitted disease . Im just a little concerned so any input would be great thank you so much. Daniel ### 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. It still could be an STD as STD spreads in other ways as well along with the unprotected sex. Even kissing can lead to STD and hence it would be wise to get an STD check done. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. You just need to contact me on this 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 name is Humphrey iam a Nigerian,my son has breathing problem at birth, congenital ptosis of the eye due to cranial nerve damage or occulomotor and other developmental delays like speech impairment for instance he is six but still could not yet talk clearly. Doctors treating him in Nigeria are of divided opinions whether to do surgery of the eye or not this is because of the associated heart problem he has. Iam afraid because i read online that if left untreated it could result to astigimatism. Pls advice ### REPLY: Hi, The need for surgery depends on the degree of ptosis. In significant ptosis, it is better to correct, as, apart from cosmetic issue, it may cause abnormal head posture, astigmatism as you said, and amblyopia (here brain starts to ignore signal from that eye) from sensory deprivation. Regarding safety of surgery in heart disease, it will not be a problem unless the child have inadequate oxygen saturation or cardiac failure. Your doctor will consider all these things and get a pediatric / cardiology opinion before the procedure-so need not worry about that. Hope I have answered your question. Let me know if I can assist you further. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 10 yr old daughter has a severe sore throat, no swelling of the tonsils, her strep test was negative, but I noticed small red bumps behind her right tonsil, almost looks like small blisters. She has a low grade fever, not much drainage. Not sure if it could be a cold or allergies. I have given her antihistamines with a decongestant. Thanks ### REPLY: Hi, Red bumps behind tonsils are mostly due to congestion caused by infection or allergy. Presence of fever indicates that there is infection. In my patients with these symptoms, I usually prescribe antibiotic like Azithromycin, Antihistamines with decongestant and antipyretic if there is fever. Dose should be adjusted as per the body weight of child. Do consider positive feedback as a credit to my work Let me know if you have any further 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: Dear Sir, My wife is having Blood pressure since 18 years.She is 44 years old.I have shown her to many doctors but of no use.At present she is suffering from high B.P,not getting sleep and shievering with fear tendency.Will you please suggest some good doctors in India so that I can show her. Regards, BKSingh ### REPLY: Hello, Regarding your concern, I would explain that her blood pressure values could be related to primary or genetic arterial hypertension. Anyway, I would recommend performing some blood lab tests: -thyroid hormone levels for thyroid gland dysfunction- kidney and liver function tests-cortisol and aldosterone plasma levels for a . I recommend discussing with your doctor on the above tests. 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 have been having severe upper abdominal pain penetrating to my back. The pain only sets in after bedtime and is unbearable until morning when it gradually subsides. Needless to say, sleep is not a possibility. I have had an endoscopy (acute acid reflux), an HIDA test and ultrasound for gall bladder (no stones were detected, gall bladder, pancreas and liver appeared normal. The pain lasts for several nights and then I have no symptoms for 2 - 3 months. I m having an attack again now and in serious pain. Any thoughts on how to get any relief? ### REPLY: Hi! Good evening. I am answering your query. The pain could be due to the acid reflux, as other factors were excluded by the investigations as noted by you. If I were your doctor, I would advise you for the following:1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity.2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food, and avoidance of alcoholic beverages and smoking if you do.3) Regular routine exercises like morning walk depending on your medical fitness.4) Prescription for a prokinetic agent and a proton pump inhibitor for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing to clear doubts on your health problems. I wish you an early 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 everyday nausea, light chest pains, heart skips beats, everyday headaches, my body is weak, no energy! When I gym I get sick... Muscle pains, cramps and pains every where, sleeplessness, when I sleep I fall into such a deep sleep that I struggle to wake up! I went for numerous blood test, insomnia tests and every thing that goes with it...! Tests negative and I m getting so hopeless, please is there anything you could help me with so I can feel human again! I love sports but its a struggle! ### REPLY: Hi, Well, insomnia may be difficult to treat, but there are some methods which can be used. Treatment options include behavior and lifestyle changes, medicines, and complementary medicines. You need to change your dietary habits and these include changing your sleep area or schedule, watching what and when you eat and . It's also important to keep regular bedtimes and wake times-7 days a week-and to try to avoid taking naps during the day. Prescription sleep medicines Amy also help and include diazepam and similar medications. Melatonin is a supplement which may be of help as well. In severe cases, special testing is needed. 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: Achalasia Cardia is what I suffer from. It takes about two or three months and I have so much food stuck that I am losing too much weight. Can you recommend a specialist for me? I am female, 37, 54 and range from 110 to 88 pounds. My GI doctor has tried balloning but the muscle going to the stomach will not open. ### REPLY: Thanks for your question on . I can understand your concern. You're all symptoms are due to worsening of Andalusia cardiac. It is due to tighten of gastroesophageal sphincter and dilatation of lower end of esophagus. Balloon dilatation of sphincter is the first step to be done in the treatment of Andalusia cardiac. Since this has been failed in your case, better to get done surgical repair of lower gastroesophageal sphincter. This is the only treatment option you are having. So consult Castro surgeon and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 2 year old female child, since birth has "baby acne" on back of arms and cheeks. Use Cetaphil wash and lotion/creams to help at direction of pediatrician. Bumps on face are almost nonexistent these days, but the arms seem to be getting worse every day. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your child have symptoms of baby acne on back of arms and cheeks which seems to be because of increased sensitivity of getting pigmented, clogged pores of salivary glands, and hormonal changes. Need not worry. I would suggest you to apply cream rich in Atelier acid or Comic acid. Use clindamycin gel as well. Apply aloe vera gel it will resolve. You can visit dermatologist once and can go for chemical peeling or micro abrasion if your symptoms not resolving. Take supplements rich in vitamin C. Avoid touching or pricking acne. Apply cotton dipped in tea tree oil to lighten the pigments. Use medicated sunscreen such as Tan care rich in SPF 30. Hope your concern has been resolved. Get Well Soon. 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: every month i have a pain in my left ovaries during my periods my doctor prescribe zerodol it works after a few hours the pain is gone but it dose not work for 24 hour and the dosage is once per day.Can i take another one for the pain and can this pain cause from the I.U.D that i have in? ### REPLY: Hi! Thanks for asking . Pain during menstruation is very mucChatDoctormon in women of child bearing age. If pain and cramps are unbearable then you can opt out for medication like analgesic on temporary basis. Please provide me with the details of IUD IN PLACE.SUGGESTIONS: 1. Try to increase your fluid level during your period. 2. IF IUD is placed more than recommended period of time then please get it removed under medical supervision. 3. Sometimes IUD causes infection to take place. Check with your gynecologist for any signs of infection. 4. Start Genocide syrup 2 TSP for 3 months for pain. Thanks. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I have a dent at the top left of my forehead where my hair line is!it was caused by someone throwing a bottle which left me with 7 stitches! This happened a few years ago but at the time the hospital never even gave me an x-Ray and just stitched me up.... This happened a few years ago, should I be worried? ### REPLY: Hi there, Sorry to hear about the bottle and the dent! The dent at this point could be due to either a defect in the skull (would have been there for years, since the injury). Or more likely due to loss of muscle and tendon tissue in that region (could be a slow progressive process)The best way to figure t out is to get some x-rays. If it is a soft tissue (tendon and muscle), then you need to go to a cosmetic surgeon who can see if anything can be done. I hope this helps! Vinay ### 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: just had a dentist appointment about a week ago. I have braces and they broke my wire! So the back brackets dont have a wire on the bottom. Now the place I go to is Western Dental and its also a Orthodontist place. They said they couldnt fix it until my next appointment which is on December 11. What should I do? Is this bad? ### REPLY: Hello, thank you for consulting with us for your problem. When you are taking an orthodontic treatment it is better to keep in touch with the dentist as these type of problems arise commonly. If the wire is broken at the time of treatment it will delay the treatment as the wire will not be able to put pressure on the teeth and there will be no effect of the treatment. It is better to consult you dentist and get it fixed because visiting other dentist will be difficult for your 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 Doctor,I am suffering from Urticaria since last Dec. Food allergic test conducted in your clinic on 24th Feb and in Marry Queens hospital on 30th March shows no allergic to any food except a doubtful reaction on white egg and mutton. How ever I was under full control of these items. Still the itching and hives appears always and even lead to angio edema some times with swelling of lips and difficulty in brething. I changed my BP/Cholestrol tabs which were using for the last few years. Can you please advise whether I need to undergo one more food allergy test or any other remedies.Your advice is most appreciated.ThanksSalim Shah, Trivandrum46Y, 170cm, 80Kg ### REPLY: Hi, Thank you for your query. I can understand your concerns. You are having Urticaria and angioedema. Causative allergens can be food as well as non-food protein. You can undergo serum IGE level & absolute eosinophil count. You can take H₁ antihistamines non-sedating agents such as loratadine, loratadine, and fexofenadine, or low-sedating agents such as cetirizine or levocetirizine. The addition of an H₂ antagonist such as sanitizing in conventional dosages may add benefit. A CysLT1 receptor antagonist such as montelukast, 10 mg/day also can be added. You have to continue for a longer period, as it may be seasonal. A short course of oral steroid (e.g. Deflazacort 6 mg daily orally for 7-10 days) helps in urticaria with eosinophil prominence, idiopathic angioedema with or without urticaria, or chronic urticaria that responds poorly to conventional 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 have a small lump on the back of my right calf. Today was first day I noticed it. It is painful and swollen. And when I stand, it protrudes. I am diabetic on an insulin pump. I had mrsa, but am clear as of this past February. Should I be worried . No amount of ibuprofen or Motrin or Advil takes pain away. ### REPLY: Dear Friend. Hi, I am , I have read your query in detail, I understand your concern. It might be an abscess since you are a diabetic. I would advise you to get a checkup by your doctor, if it is abscess, it might require incision and . This is my personal opinion based on details available here. If you want to discuss your issues further, you may please ask stay Healthy. , MD ### 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 4 year old daughter developed 2 cancor sores in her mouth. I gave her OTC meds to try to lesson the pain. Knowing it takes a few days to heal, she still complains it hurts and will not let us brush her teeth on the side the sores are AT ALL! Though we understand these sores are very painful, we are concerned that her teeth are not clean in that area and that it could cause other more severe issues. This has gone on for about a week now. Called her pediatric dentist and they suggested a cancor rinse but we can t get her to use it. They said that s about all we can do. We are ready to call her pediatrician to have her mouth looked at. She just had 4 cavities filled so she is proned to them. ### REPLY: Hello, Thanks for your query. I read your problem,first I would like to inform you that authors ulcer take a time period of 10-12 days to heal completely, so nothing to get worried and continue a proper treatment with patience. The treatment options for authors ulcer are-1. Vitamin B complex.2. Topical application of gels like-mucopain, dologel, quq . ....3. Maintain oral hygiene.etc........ As you said that she if having 4 filled teeth at this age, it is not a good sign, you must be more careful. Please follow following-1. Maintain oral hygiene.2.brush twice daily.3. Regular dental visits after every 6 months.4. Topical fluoride application5. Pit & fissure sealants, if needed.6. Use of fluoride containing toothpaste.etc........ nothing to get worried. Take Care. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 16 year old girl. Doctors have examined me done LFT with two readings of alkaline phosphate as 98 & 130. done EUS, US & MRI. findings are multiple calculi in my gallbladder. largest one measuring 1.4*1.4 cm. what precautions can i take and what procedure can be carried out further. as such doctors have recommened another LFT and then if the alkaline phosphate level is increased then ERCP is the next step. i would like to know what according to you can be done further? ### REPLY: Hello there! Thank you for asking. If gallbladder has stones the things we need to worry about is if it involves nearby bile duct and dilates the common bile duct and adds to the yellowish discoloration of the skin(jaundice). Also, the pancreatic profiles Serum amylase lipases amylase to lipase ratios. Alkaline phosphatase and bilirubin levels hike means that the common Bile Duct CBD is involved. And yes in that case ERCP (Endoscopic retrograde cholangiopancreatography) is the next step as it would be both diagnostic and therapeutic. Then you will be prepared for simple laparoscopic cholecystectomy/ removal of gall bladder through minimal invasive procedures Providing the anesthesiologists and general surgeons give a green signal after ruling out all the contraindications for it. As you are 16 years old only. This young age with rest of it without gall bladder might advise a conservative approach. But what your doctors decide for you will be best for you and I am sure you are in safer hands. Hope I was of some help. 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: my daughter had her 4 wisdom teeth removed 22 days ago. Her follow up appointment went well. Yesterday, she noticed that she has a bump on her lower jaw in the region that one of her wisdom teeth was removed. It is painful to the tough, but hard and she has some slight swelling, but not really that noticeable. Is this a possible infection? ### REPLY: Hi thanks for your query. During tooth extraction the bone that supports the tooth is compressed to allow proper healing and to adapt bony margins. The bump what you have been explaining might be hard and sharp bone. This is because extraction to wisdom tooth is done surgically by cutting bone if necessary.is the site is infected your daughter must take a complete course of antibiotic and painkillers along with intermittent worm saline gargles. Visit your dentist check the site clinically and also get a radiograph done if necessary. Hope this is helpful. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had Mitral Valve prolapse since 20 yrs ago....I ve noticed that I need to think about taking long breathe....my husband told me lately that he feels I have a breathing problem because he says that he noticed I keep holding my breathe and finally letting it go with a big sigh. I get out of breathe easily.....I also have acid reflux and had it for a long time....I get mucous in my throat and I always feel that I need to cough it up....if I raise my voice, the mucous in my esophagus starts to build up and I then starts coughing to bring it up. Would the valve prolapse be associated with my breathing problem? Is it cause for alarm and should I go see my family doctor? ### REPLY: Hi Dear !! Thanks for your query to . Read and reviewed your query and health concerns. You seem to suffer from -HERD. The rise in the voice-increases intrathorasic pressure, which causes increased acid reflux due to similar innervation as that of pharyngo-laryngeal region by Va gal nerves. This leads to breath holding to avoid aspiration in air track. So breath holding is from HERD and not due to MVP in your case. Treat with-PPI -Prilosec(OTC) with domeperidone and treatment of causes of HERD would resolve this difficulty in the breathing. Consult with Physician and if need be ENT surgeon to treat this laryngopharyngeal breath holding caused from HERD with which to prevent mucus collection spillage in to air track, breath holding is reflex done by you. Hope this would help you to plan further care of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! . 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: Hello, I am 17 years old and have started feeling pains in both of my knees right now. I do play hockey on a daily basis. I have had knee problems before but nothing this bad. It seemed to go away but sometimes the pain comes back. Before I described it as my muscles feeling like they are pulling apart, but my dad said that it probably isn t a muscle problem. Now throughout the pain, the pain isn t here but sometimes when I move it, it feels like something is pulsating in my knees. ### REPLY: Hi, In my opinion the pulsating feeling means that your knees are inflammation or swollen hat makes you feel the pulsation of your veins. For now cold comments and after exercises with topical massaging will be helpful if pain persist. I suggest you ask your physician for some investigations and proper evaluation. Please consider positive feedback if the information was helpful. Hope the above information helps you, Any further 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: If i was sent to the emergency room because of high blood pressure and given medicine on a drip, which fixed me up. Then after about an hour or so i was giving another dose of some other medicine as i was being prepped to go to a private room. I started complaining about feeling nausea and light headed. Then my arms went tingling, next my hands clamped shut and continued constricting. The rapid response team came in. My face went numb, i became incoherent and sweating perfusely. Ok my question is, was that second injection the cause of my relapse? ### REPLY: Hello ! I read your question and understand your concern. I would like to know the name of the . In my opinion the symptoms you describe may be related to a possible Transient ischemic attack, which is caused by a low blood flow to the brain or a seizure, a type of Epilepsy. I don't think the injection has been the cause. Because a Transient ischemic attack can be preceded by hypertension. I would recommend a brain MRI, a cardiologist consult to find out the causes in case of a possible transient ischemic attack. An EEG would be very helpful in case of a seizure suspicion. Hope to have been helpful! Thank you for using ! 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: Possible strept throat my fiances throat is swollen and she is unable to eat since wednesday. This morning she called and said she is still unable to eat and her throat is still swollen. What can we do for her at home? I dont know if she is running a fever or not, but I am wondering if she needs antibiotics at thid point. ### REPLY: **1. Since possible infection is suspected thus examination with ENT doctor is necessary for evaluation of swollen tonsils and lymph nodes in the neck.PS. It is rare for streptococcus bacteria to invade the larynx, thus can be safely excluded2. It will be good to have examination since the bacteria can travel from throat to middle ear through Eustachian tube, as such ENT doctor can prescribe you specific medicine [antibiotic] or even go for swab culture.PS. other complications which though possible but rare are: arthritis, meningitis, glomerulonephritis. [but have to be excluded with suitable examination and investigation]3. . Maintain good oral hygiene, rinse mouth after every meal, avoid smoking, tobacco chewing, spicy/fried foods, have warm salt water gargles. Take salt, turmeric and Amelia ribs in 6-6 gm quantity and mix in 1/2 kg water and after filtering, have gargles with it [when still lukewarm]. Sucking to 1gm curium Peoria helps in sore throat, also sucking to licorice has same effect. ### 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 m asking this question for my mother. She is 67 yr s old she weighs about 169 lbs. Her BP this morning was 146/110 but when she takes her BP medication the upper # of her BP comes down slightly but her lower # goes down to between 50 - 30 s. What s going on? ### REPLY: Hello, This occurs due to age related changes like hardening of blood vessels. There is no focus and worry about lower BP, it's not that important. The blood pressure should be less than 140/90 MMH. Even the lower BP goes below 50 it's not a matter of worry, but upper one should be controlled. She should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having several issues and am concerned. I have electrical zaps like a short in my brain, a headache behind my left eye that travels over my head to the base of my neck, I am sweating profusely, lightheaded, have difficulty sleeping, fatigued and have difficulty breathing. I am on high blood pressure medications: Metropopol;Lisinopril; Cymbalta; In January the pharmacy switched my Cymbalta to a generic form. These symptoms started about 2 weeks after I switched to the generic. I have heard that other people have had similar problems when withdrawing from Cymbalta. If that is the case how long will it take until I feel normal again? What can I do to stop the electrical surges in my brain? I seitched back to Cymbalta 2 weeks ago thinking it might help. ### REPLY: Hi, Thank you for posting your query. I have noted your complaints and can understand your discomfort on account of these electric-shock like sensations. If these symptoms are due to sudden with . If these do not decrease or go away soon, then, we should also investigate for alternate causes. This would require doing an MRI scan of brain and EEG. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. 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: itchy rash , first thought it was bug bites since we had gone camping in NY. Appeared on legs and arms first, starts as red raised spot (liek bite) but when you scratch it, more reddish bumps appear, sometimes intensely itchy, more at night, keeps me from sleeping. Also the rasChatDoctores and goes, I tried anti itch cream and it gets better but then will appear soemwhere else. Anytime a clothing seam pressea into skin, little itchy bumps appear along it, then it spreads when you scratch it. Started on upper arms, lower legs, then on thigs, and then started appearing in groin area and between thigs. It also caused bruising on my thigs, and i haven t scratched THAT much. What can cause this? ### REPLY: Hi, It seems that you may be having purity simplex. There may be some cause. There is multiple, intensely itchy Paulo vesicular lesions on extremities and trunk. Stress, sun rays, cosmetics,insects, dust,soap, clothes,deodorants...etc. can cause the disease. Avoid tension and worries. Avoid soap bath, you may take detail liquid. Anti histamines may relieve itching. Steroid in tampering dose may improve the condition. If there is infection, take antibiotics. However, consult dermatologist. I hope you got my answer. 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: Sir/mam I have am doubt abt femilon contraceptive pill ..I got married on Oct 28th and I had sex after one month..and now I want to prevent pregnancy,so I used femilon for one week .and now I didn t get my regular periods..is pregnancy confirmed ?? Wat to do now and how to prevent it ..please send ne ur valuable answer for me..am waiting for ur reply please sir ### REPLY: Hi, Having menstruation in 35 days after last menstrual period is considered normal. Oral contraceptive pills should be taken for 28 days(including 7 iron tab). As you had unprotected sex (incomplete OC pill) and amenorrhea so do Urine pregnancy test.It'll show your pregnancy status. If positive then visit a gone clinic. If negative then take OC pill regularly .if u miss any day then take double dose next day. If misses2cosequetive day then take other contraception like condom. Thanks n regards ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i am 28yrs old and have a 3 and a half yr old son! April of 2010 i suffered an actopic pregnancy resulting in my right tube being removed! we have since been TTC with no luck! we went an seen a specialist 2months ago where i was perscribed Clomid 50gm! im now in my second Month on clomid i finally got tested positive 5 days straight for ovualtion using the dip stick method! A week after ovulation i spotted very lightly for a day an ahalf only showing when i wiped myself! I am now 2 and a half weeks(day 45 of my cycle) late for my period , have done 3 pregnancy test all negative but am now testing positive to ovualtion again??? At the time of Ovualtion last month i did become quite sick with flu symptons so thinkin maybe this stopped me ovualting or something?? since the ectopic my periods have not been regular latest being 35days though! Before the ectopic i has 28days on time every month! The specialists and doctors say my other tube looks fine and are very confident that we will afll again on our own but suggested Clomid to speed the process up!! My main concern is what the hell is goin on with my body this month, im so confused and want to start a fresh month with clomid but when my period doesnt want to show it makes life hard! I have also been having pretty bad headaches over the last week and feelin bloated and tired! Thanks ### REPLY: Hello. Are u sure you are not testing pregnancy on diluted urine samples? You have to check pregnancy on early morning urine sample. As you said u had cough ang cold and might had your ovulation delayed. Sometimes when there is a pregnancy also due to hormonal change you get positive test for ovulation. Best thing is you get your blood tested for beta and intrauterine pregnancy as soon as possible due to the past history of ectopic pregnancy. ### 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 years old and i weigh 220 pounds, about two years previous i would randomly feel really dizzy and my vision would blur around the edges. Id get really weak and all shaky to the point where i couldn t hold myself up and i would have to sit down. It happened a couple of times but stopped and it hasnt happened to me since then until now. I m kind of scared because this time was worse than all the rest. I don t know what to do. ### REPLY: Hi, There can be many causes of dizziness and weakness. We need to have a detailed history and examination of it. One of the most common causes is diseases associated with ear like labyrinthine (infection of the ear), vestibular neuritis (inflammation of the nerves), or BPPV (benign positional vertigo). It can also be related to diseases of the brain (infection or swelling) or heart disorders (arrhythmia-rhythm disturbances) or cervical spondylosis (neck posture-related issues). Besides this, there are simpler causes like anemia (low hemoglobin), hypoglycemia (low sugar) stress, anxiety, or lack of proper sleep. Sometimes hormonal disorders(especially thyroid-related problems) or vitamin deficiencies can also be responsible. Hence, I feel, first, focus on lifestyle modifications. Have a well-balanced diet with lots of fruits and vegetables and less tea and coffee. Maintain proper posture while working and sleeping, take good sleep for 7-8 hours. Try to find time to go for a walk or exercise and try to reduce weight. If still the symptoms persist then do go for some investigations like-complete blood count, sugar levels, electrolytes, TSH, ECG, X-ray cervical spine and MRI brain. If possible do get your vitamin and vitamin b12 levels checked. This will help us to make a proper diagnosis. 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: I am a chronic hepatitis B patient and on anti-retroviral medication, I am also suffering from allergy related cough and cold and asthma with heavy chest conjestion. Can I take Montek LC on a regular basis as that helps to fight against allergies. Does it have any side effect on my liver. ### REPLY: Hi, It can be taken with careful monitoring of liver function tests. Monteagle is a combination anti-histamine . Montelukast is known to cause liver injury in patients with underlying liver disease such as hepatitis or those who consume alcohol. However, no dosage adjustment is required in patients with mild-to-moderate liver disease. Monek-LC can be taken with careful monitoring of liver function tests and any early signs of liver injury like fever, abdominal pain, vomiting or jaundice should be reported to your treating doctor after stopping the treatment. 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: Hi.... my name is ikml.ed from pakjnk,. i am a patient of tetralogy of fallot ...by birth ...i spent my whole life without using any medicine for my heart disease.... cause of my life style and high moral level....but doctor now i am encountered by polycythemia from last 9th month cause of high smokingi visited my heart spacialist but they do nothing.....now doctor the level of hemoglobin in blood is 22.6......i am fadeup of donating blood but the hemoglobin level is not normalizing..... Dr cure, is there any treatment or cure ......dr. i have lost my hope and also fadeup of my life.... ### REPLY: Hi, hey dear. No need to fade up. You are a tough guy, and you are living with TOF without taking any treatment suggest you have very high moral. Treatment option of polycythemia are somewhat difficult, chemotherapy can help you. But till you search other options you should go for phlebotomy. Phlebotomy is the most easy and economic treatment for polycythemia. Consult hematologist and take treatment accordingly. Thanks for using . ### 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 wife was hospitalized for 3 days for dengue (Rash all over and joint aches but no fever) She tested positive in IGM and negative in IGG & Antigen. She was discharged 1 week back. Day by day her joint aches have returned and she particularly finds the ache in the bone leading from neck to mid chest (ribs?) unbearable. The doctor has prescribed Ultracet for aches today (twice a day) but she has no relief. Can you suggest an alternative? ### REPLY: Hi, Welcome to . If she tested positive for IGM, it is acute infection of Dengue. Dengue is a viral infection caused by mosquito bite and is characterized by headache, fever, rash and joint pains. The joint pains will take some time to reduce at least 3-4 weeks. Attract is good enough for the pain. She can take the medications three times daily instead of twice a day. Adequate rest and local application of analgesic gel would help to some extent. Wishing her a speedy recovery. 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,my husband had stage 2 stomach cancer three years ago. He just found out at a regular check up that the cancer cells have returned. He s 27 years old and can eat normal just small portions. He has a 1/4 of a stomach. Should I be really worried? is it normal for it to come back. What is the life expectancy. He s currently taking pills that the doctor prescribed to help to see if the size of the cells are getting smaller. please any words of wisdom. ### REPLY: Hi and welcome to . I understand your concerns. I am sorry about his diagnosis which is serious and very rare in his age, so it all makes the situation worse. Honestly, Recurrence is not a good sign and the only hope for him is that tumor responds on chemotherapy and irradiation an even then the complete cure should not be expected. Surgery is in this case usually useless. It is not easy to predict lifetime but if he is in a good general shape and can stand many chemotherapy course then you can hope for the best, and you should continue to fight for every year of his life... I hope I have answered you queryKindly regards. Wish you 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 have been having dizzy spells or spells where I feel like I am falling accompanied by fatigue. I also have been experiencing a strong sense of smells which both the smells & dizzy spells make me nauseous. The dizzy spells seems to be worse when I am laying down or closing my eyes. ### REPLY: Hi, Welcome to .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. You are having following problems1. Dizzy Spells2. Fatigue3. Strong sense of smell You need to first consult your cardiologist and make sure that your heart and circulation are normal Then you need to consult your Neurosurgeon This has to be attended at first Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in at http://bit.ly/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: I have a quarter sized lump on my anal opening that bleeds fresh blood mostly all the time it is kind of tender and does not itch or anything like i have had it for a couple years too embarrassed to tell my doctor there are times i wake up with dried blood in my boxers quanity quite a bit for what this is what is it? ### REPLY: Hi ! Good evening. I am answering your query. The lump on your anal opening could be a prolapsed hemorrhoid which would be bleeding on friction with clothes. The tenderness could be due to super added infection on it. When you visit your doctor, you should have complete faith in him and tell him all the details of your problem without any hesitation. This way you would be better examined by your doctor, and would derive maximum benefit from his services apart from getting yourself treated well. You have to get it examined by your doctor /surgeon for a definitive diagnosis and treatment. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing to clear doubts on your health problems. Wishing you an early 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: Hi I have had a toothache for several days. Today being the worse. This makes the 2nd time this tooth has hurt. Last time I made 3 trips to the emergency room. The doctor said it wasnt abscessed so they gave me a pain shot and sent me home. A couple days after the er visit I got antibiotics. My tooth that wasnt swollen then swelled after taking the antibiotics. ### REPLY: Hi, Thanks for the query, Pain in teeth can be due to deep caries, for which root canal treatment or extraction is the option. Periodontitis is another reason for pain, for which scaling and root planing is the treatment. Ask your dentist for x-ray of that tooth to rule out if there is proximal caries/ pocket causing food lodgment and ultimately causing pain. Follow your prescription and maintain oral hygiene. 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 had my son via vaginal delivery almost 3 weeks ago, and 2 days ago I noticed a small lump that appeared in my right armpit. It was tender that day, but yesterday it only hurt when I wore a shirt that rubbed against it. Today there s another knot that formed near the first, but it s not painful either. They re located higher up on my armpit, no where close to my breast. What could it be? Should I go see a doctor? ### REPLY: Hi. Thanks for your query. Noted the history of normal vaginal delivery 3 weeks ago and lump in the armpit 2 days only, one of which has gotten large and painful, high up in the same arm pit. Unless proved otherwise this looks to be a boil and nothing else. I would advise you the following:Yes, see a Doctor to get this examined and to confirm whether this is a boil or a lymph node. Breasts too will be examined to see for any lump and to rule out the possibility of any Cancer. Clean the area with Liquid Provide Iodine, keep it . Do not pop. Take a course of an antibiotic safe in the period of breastfeeding. And you will be fine. ### 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: HARRY YERRA HAS BEEN WAITING FOR A NOTE FOR SOME TIME HE LIVES ON THE 8TH FLOOR AND AFRAID OF HEIGHT CAN NOT LOOK OK ON SITE ON DECK PRETTY SAID. I AM AND SISTER AND PROXY AND VERY SICK ALSO ISTHERE ANYTHINGYOU COULD DO FOR FOR HIM. ALL HE NEEDS A NOTE BUT WILL NOT HAVE TIME FOR THIS PRETTY SAD. MY E MAIL. IS YYYY@YYYY nANCY gREENSTEIN HIS SISTER AND PROXY 617-610-7066 THANK YOU HOPE TO HERE FROM YOU OR SOMEONE. DR JORDON HAS DONE NOTHING ON THIS MATTER ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Fear of heights is generally termed as Acrophobia which an anxiety disorders. Extreme or irrational fear of heights, especially when one is not particularly high up. It belongs to a category of specific phobias, called space and motion discomfort that share both similar etiology and options for treatment. The best way of treatment is not with medicines but with cognitive behavioral therapy. Specifically desensitization therapy. These therapies cannot be prescribed on paper. They are practicals. Consult a clinical psychologist for the treatment. 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: Hi my age is 24 and wanted to chck tht whenever I try to get close to my gf some liquid starts to come frm my penis nd when I try to get laid I get ejacuated in seconds could you please tell me the reason behind it and how to resolve it and is this a problem kindly rply asap ### REPLY: Good Day, and thank you for being with ! The best technique is relaxation techniques. Don't try to think of it much and focus your attention on non-sexual matters like cartoons etc. This is a fairly common condition and requires practice and patience. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ . 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 have sharp pain on my left ovary . It is not that I have pain all day... just at a few ocassions I have this pains. For example if I sneeze I have this sharp pain. I am also experiencing very itchy anus . My doctor gave me a cream, which stops the itchinnes, but the next day is the same thing. I don t know if this could be related. Thanks ### REPLY: Hello! Thank you for the query. The pain caused by ovary and itching in the anus are rather unrelated. However, close to the ovary there is a large intestine, and maybe this is what causes the pain. Anus itching can appear with hemorrhoids, rectal fissure or pin worms. Lower left abdominal pain can be caused by urinary tract infection (usually frequent urinating and pain while urinating appears), diverticulitis. As hemorrhoids and diverticulitis ca both appear because of constipation, it should be considered (if you have had constipation). Fresh blood in stool (on the surface of it) is characteristic for hemorrhoids. Pinworms usually give itching in the morning. I suggest you to visit your doctor and rule out mentioned conditions. Abdominal ultrasound, blood work, rectal examination should be performed. If pin worms seems probable, adhesive tape should collect larva and should be checked with microscope. Hope this will help. 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 I would like to know is it ok to take bioten and metformin together? I do hav pcos is that going to cause problems or contradict each other, am I going to get more facial hair? is it going to help lose a bit of weight? what are my pros and cons if I take both? ### REPLY: Hi, There is no documented harmful interactions between biotin and metformin when taken together. Biotin is a form of vitamin B commonly prescribed to treat thinning or grain of the hairs. It does not cause increased hair growth on the face. Metformin is actually an anti-diabetic medication which is commonly prescribed in the treatment of polycystic ovarian syn . 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 HAVE BEEN HAVEING A FEELING LIKE THE BREATH BEING SUCKED OUT OF MY CHEAST. IT IS JUST A FEW SECONDS AND GOES AWAY. THEN YESTERDAY ON OUR BIKE RIDE I GOT WINDED AND MY HEART BEAT DID NOT SEAM TO BEAT RIGHT. A FEW MONTHS BACK I HAD STREP THAT WENT TO MY HEART AND CAUSED PALPUTATIONS COULD SOMETHING STILL BE WRONG WITH MY HEART? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should definitely rule out arrhythmia (rhythm disturbances in heart) in your case because streptococcal infection can affect your conduction system of heart. So consult cardiologist and get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Sometimes stress and anxiety can also cause similar symptoms like palpitations and winded feeling. So avoid stress and tension, be relaxed and calm. 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: Good evening Dr. Prasad I have had fever since the 17th and URI sinusitis and bronchitis went to quick care started keflex, albuterol, lortab, lidocaine viscous, solu-medrol shot, Flonase alternating APAP and ibuprofen for fever which runs low grade while on meds around 100.1 woke up this morning with large lump and several small ones on back of my neck up into my hairline have an apt again with my GP on wed also severe headaches however I suffer from migraine HA any idea about the lumps and yes they hurt if pressed no exudate in the lumps keep in mind Ive been taking antibiotics ### REPLY: Hi thanks for your question. The big lump in along with several small lumps in the neck could be lymph nodes. Lymph nodes are normally present in body and get enlarged when there is infection in their vicinity. You are having sinusitis, upper respiratory tract infection and bronchitis. These lumps could be cervical lymph nodes. You are taking antibiotics along with plenty of symptomatic medicine. Continue with these medicines. But you are a good physical examination along with investigations like, chest X-Ray, blood count and fine needle aspiration cytology of this lymph node is necessary to establish the diagnosis. After accurate diagnosis treatment can be prescribed to you. For migraine continue the medicine prescribed to you by your G p. Re consult your G P with these baseline facts in your mind, so that he may re-evaluate you for your problems. Hope this answers your question ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: have had persistant upper abdomen pain on my right side for 4 months. had 3 ultrasounds, and they say they saw mild hydrothyroidsm?? on kidney. Went to do dye test to see where the blockage was and turned out normal. Now they tell me to go to my family doctor. Im in pain and already sent to see a specialist for a problem one radiologist seen. Now they tell me Im fine. The pain is still persistant. Worse at night, and I have so much pain I cant lay on the right side. Should I just go to an emergency room to avoid all these random appointments? ### REPLY: HI. As ultrasonography has already been done, so there is no Problem of Cholecystitis, Liver abscess, Pancreatitis or of kidneys as Intravenous paleography is also normal. As you are not able to lay on right side, this is most probably due to Costo-chon . I would suggest you to press hard on the lower side; if there is a pain take the following treatment, and you will be fine. I would advise you to get an MRI of the painful area, telling the Radiologist to be specifically see for the painful-tender area. This will confirm the diagnosis. I would suggest the following treatment.-Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur.-Anti-inflammatory medicines in full dose as per the weight.-Steroids if required for its strong anti-inflammatory role.-Las ix to reduce the edema. This sort of treatment helps all my patients. And should help you too ### 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. this is Daniel.My problem is that when ever i have to do something in front of my class(in college),be it getting in late or speaking even a single thing,i feel very nervous.My heart pumps like hammer strokes,breathing problem,but the thing that worries me the most is my mouth area,like it is not in my control & its trembling & bending of my lower lips that is the worst part & like a trigger point of all other symptoms.I first experienced it in 12th std & is a problem since than. ### 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. It is a social phobia, and it is seriously disabling condition. This is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. Especially serotonin, nor a . Medicines are the best options to take care of these symptoms. Paroxetine is the most popular medicine and my ### 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 dont know if I have HPV anymore. I got it when I was 16. I am now 19. I had visible warts on my anus one year after having sex for the first time (I have only had sex with one person my entire life). I got these visible warts right when i caught a cold (was 17 years old). Now I am 19 and I just got over my cold, but I did not develop any warts. Would it be safe to say that my immune system has fought it off? ### REPLY: HiT hanks for posting on ChatDoctorHPV is a sexually transmissible infection that may not have any . All you need is to have a healthy lifestyle, eat well and balanced and avoid other infections or things that can weaken the immune system. When the immune system is strong enough, it may hardly manifest, and you may get spontaneous healing. The absence of Warts however, does not mean the infection has gone away. I will suggest you take the test again and do a colonoscopy to eliminate any precancerous cervical lesion. Hope my answer will help you Best regards ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 25 year old female I have smoked cigarettes since I was in high school on and off. I have also had asthma since I was a small child. I recently just got over a bad head cold, fever, cough , sore throat , aches and pains, fatigue etc. The only symptom that I just could not shake was a horrible hacking cough, however that did go away eventually. But not long after that I started experiencing chest pains on my left side right under my breast. It mildly hurts all the time in that concentrated place but when I take deep breaths, cough, sneeze , lay down, bend or strain my upper body it s almost unbearable. It also worsens after I smoke a cigarette. Any thoughts for me? Could this be from my smoking? I did cut back on my smoking but have not been to the doctor yet because I just can t afford it right now. Please help ### REPLY: Hi Starlet, Thanks for writing your query. The symptoms you have mentioned are due to respiratory tract infection. Pain in chest can be due to muscle spasm due to excessive coughing. You should get yourself examined by a physician and get yourself investigated for :-1. Complete Blood Count2. Chest X-Ray (PA view)3. Sputum examination You can take antihistamines like Fenofexadine 120 mg once a day along with cough expectorant syrup to get relief from cough. Bronchodilators can be needed if there is bronchoconstriction, which can be judged after auscultating your chest. Antibiotic, if needed can be added according to the culture/sensitivity reports of the sputum. Avoid smoking as it can worsen your symptoms. If the problem persists, get yourself examined by a physician. I hope this is helpful to you. Thanks. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am currently taking NSAIDs for chronic back and neck pain with the occasional vicoden when it gets very intense. What antidepressant would be best for my depression? Ive read SNRIs are better as SSRIs effects are diminished with NSAID and pain meds. ### REPLY: Hi Sir/MadamWelcome to I can certainly understand your concern about the combined effect of NSAIDs and SSRIs, as you said it may reduce the effectiveness because of some cytokine receptor occupation by both the . . But it is advisable not to stop this medicationBefore 6-9 months, even if you feel better as you may get relapse of the symptoms... If you stop the course incompletely, hope this information would help please post your further questions if any, I will be always available to answer themThank you Post your further questions if any, I will be available to take up your follow-up questionsThank you ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had back surgery in September to repair a budged T-11 disk. Mostly my left leg suffered paralysis, as well as my bladder. Now, I had some intense pain in my right leg. The skin around my large & second toe are blacken on the right foot. Could this isuue be associated with additional disk issues? ### REPLY: Hi, Welcome to .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Blackening of the skin around large & second toe is a sign of disturbance in blood flow. This need intervention by a Vascular Surgeon. Problems with nerves may not cause blackening. Please consult a vascular Surgeon at the earliest. Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in at http://bit.ly/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: Hi I am a 19 year old female. I live with my fiance and we are sexually active. The sex is unprotected. I recently (about a week ago) had my period and seemed normal, but even before I had my period, I was constipated, and lately i m tired very tired, my lower back is sore, and I am having pains in my stomach, on both right and left sides, and some in the middle, I feel bloated, almost like I am going to start my period again, I do have some headaches but not nothing serious. I have not taken a pregnancy test. So I am just wondering if you think it is worth taking one or not. Thank you! LeAndra ### REPLY: Hello dear, I understand your concern. In my opinion as you got the periods there is no chance of pregnancy. The first sign of pregnancy is missed period. Once you get the periods the pregnancy is ruled out. Usually urine pregnancy test is done a week after missed period for accurate results. So as you got the period the test is not required. Incase if you had unprotected intercourse done after the periods then there is risk of pregnancy. Then you need to wait and check for the next period. In case if it is delayed the urine pregnancy test can be done. The pain abdomen, bloating,low backache might be due to constipation. So take adequate fluids and laxatives to prevent constipation. Nothing to worry. Avoid stress. Hope this helps. Best regards... ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: with hope i can have better solution by throught this chat Actually from last 10 years i am having sex my self and now time for marriage but i am afraid to take this step, as i feel i have lose my strength, and i want to know the better solution....? ### REPLY: Hello,Masturbation has no side effects on any organ or system of the body or sexual potency of a man. It is the myth of common man which causes many doubts and creates anxiety about masturbation. Trust me for one thing, masturbation doesn't cause any harm to your body. It only harms your mind, that too by reading in relevant myths about masturbation. Masturbation has no effects on your health at all, so stop worrying. Every one does this activity in his life. Important here is that it should not affect your normal routine activities. You can enjoy the act but in limitations. Thank you. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am a 27 year old male. I have two hard pebble like structures attached to the top of my right testicle. They are not directly attached, but appear to be attached to a vein and I am able to move them around. There is no pain unless I squeezed hard. Thank You. ### REPLY: HelloThanks for query. The freely mobile pebble like structures on the top of the Rt testicle are most likely to be Spermatocyte.However, it needs to be confirmed by clinical examination by a qualified General surgeon or Urologist and by Ultrasound Scanning of Scrotum. These are benign cyst that occur due to partial obstruction to the flow of sperms from Epididymis into Va's difference. Spermatocele does need any active intervention unless it increases in size or becomes painful. . ### 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 HIP PAIN FOR A YEAR THAT STARTED RANDOMLY AND IT IS GETTING WORST BY THE DAY I T HURST TO SIT SLEEP AND WALK TODAY I HAVE WOKE UP AND THE PAIN IS ALL DOWN MY LEG AND IN MY KNEE AND HIP WITH A WIRED FEELING. I FEEL SO TIRED ALL THE THE TIME WHAT IS WRONG WITH ME ### REPLY: Hello, The symptoms guide towards the lumbar Radiculopathy. This happens due to nerve entrapment anywhere in its course. MRI is advised. Treatment part. Doing McKenzie maneuver will help centralize the pain in the lower back. Check online about McKenzie maneuver. Post which hot water fermentation should be used to dilute the pain by vasodilation effect. Hot water fermentation will also help reduce the muscle spasm. Post this core stability exercise, spinal muscle strengthening exercises, hip strengthening exercises, static Qua . Hope I have answered your queries. Let me know if I can assist you further. Take care Jay In ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my father has lfet side paralysis , in MRI report it is said, Small Ischemic foci in deep periventicular white matter , he unable to walk, he usually walks with the help of other person, he is 64 year old with dibetic problem, taking 1mg glimpride teblet in the morning and evening, with blood thinner tablets. please suggest some effective medicine... ### REPLY: Hi, Treatment of stroke and chances of recovery depends on the size of stroke and the duration of complaints. Presuming you meant the small ischemic loci is on the right cerebral hemisphere, the affected brain is not huge and prognosis is good. If his complaints are recent one and my presumption is right, then he should be able to recover easily. The medications given to him are appropriate, and he needs to continue with it religiously. In addition, the most important aspect is to start and continue effective physiotherapy with the help of an experienced physiotherapist. This is the most crucial element to make your father recover from the paralysis and get back to his normal activity. So if you haven't started the physio yet, discuss with your neurologist and start it at the earliest. He should improve very soon with it. Hope this helps. Regards ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: need help! my son is 7 months..and has no teeth yet.. last week he pooped 5 times + in 24 hours.. our pedia adviced us to have him check. we did urinalysis and fecalysis..all results are normal.. is this a sign of teething or should we change his milk formula? by the way he is using gain plus advance...thanks! we ll wait for feedback.. ### REPLY: Brief answer :Its normal. Detailed answer :A 7-month child may sometimes pass 5 to 6 stools in a day or may pass stools once in 3 to 4 days. This is a normal thing. Since, there is no fever, urine and stool reports are normal, there is no need to give antibiotics. Also, there is no need to change gain plus formula. In my opinion, you should give a prebiotic like enterogermina ampule once a day for 3 days to increase gut immunity. I hope this will help you. 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 think my brother has ADHD hes 18 years old and keeps failing in school ever since he was a child the teachers used to write in his report card that he gets distracted easly and tends to day dream in class now that hes older my parents are always struggling with him ### REPLY: Hai, kindly check for other possible causes for distraction1.check IQ level2.check any recent history of substance abuse3.check for any possible medical cause like Anemia, Hypothyroidism which make him physically weak4.if all the above is found to be normal a psychiatric evaluation to rule out other disordeers5. If diagnosed to have ADHD, Attention improving exercises along with Psychostimulants will improve him thank you ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 43 yrs. old two caridac ablabtions due to AVNRT. Blood clot after the second procedure. Convolusive syncope with each episode. I still remain very SOB with minimal exertion. I ham unable to go up steps without severe SOB. Do you think this could be Pulmonary Hepertension. I also have MS ### REPLY: Thanks for your question on . I can understand your concern. Yes, possibility of pulmonary hypertension (PH) is more in your case. MS (mitral stenosis) is one of the common cause for PH. Another possible cause is Pulmonary embolism (PE). So better to consult pulmonologist and get CT Pulmonary angiography and 2d echo. CT Pulmonary angiography is needed to rule out PE. 2d echo is needed to rule out PH. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### 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 MRS. SATYA I AM 36 YRS OLD AND MY HUSBAND SAGAR IS ALSO 36 WE HAVE A CHILD WHO IS 5 YRS NOW HE WAS BORM AFTER 4 YEARS OF MY MARRIAGE AFTER HIM I HAVE NO SECOND ISSUE WE PLAND TO HAVE ONE SO VISITED A DOCTOR MY REPTS WERE CLR BUT MY HUSBANDS SEMEN COUNT WAS NILL HE HAD A DOPPLER TEST DONE THERE IS NO SIGN OF VARICOCELES HOWEVER HE HAD BASIC INGUINAL HERNIA PROBLEM SO HE GOT IT RECENTLY OPERATED (RIGHT SIDE 2 MONTHS) CAN U SUGGEST IF I WOULD BE ABLE TO CONCEIVE AGAIN AND CAN MY HUSBANDS SEMEN COUNT INCREASE ### REPLY: Hi, Welcome to . The cause for nil sperms in the semen could be due to obstruction to the outlet tubes from the testis in that case its well treatable, and you can conceive once treated. Also, there is another cause where the sperm production is nil due to damage to testicular tissue itself. Here the treatment is near impossible as the cells which develop in to sperms are limited and cannot regenerate by any means. Do inquire about the cause, and you will get a conclusion yourself. Wish you the best. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: age:30years, height:5.3feet, weight:56kgmedical history: mild jondouce, hypertension, current bio chemical values: hb 10.8, mcv 74, mch 20, mchc 28, ESR 35, LFT: T.billi 1.99, T.pro 8.4, Globulin 3.7, Hcv -ve, Hbsag -ve,LIPID PROFILE: NORMALclinical signs: pale eyes, skin rash, acne from 2 to 3 years. ### REPLY: Hi welcome to ... Here you have microcytic hypochronic picture according to indices... Jaundice is also present.... So here strong possibilities is presence of hemolytic anemia.... There are various causes for it like thalassemia, sickle cell, phagocytosis, g6 PD deficiency, PNH etc..... For that peripheral blood smear examination done... Retic count also done... According to PS finding specific test needed like electrophoresis for hemoglobinopathy.... Consult gastroenterologist for examination and subsequent investigation... 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: on Saturday night I was rough housing on my bed with my cat. I started to slowly fall of my bed and I tried to stop but it didn t work. I ended up on my head on the floor and all my weight (I weigh at least 131 pounds) on my neck and my body went over my head and then my head popped up. So it was kind of like an extremely painful back flip or somersault, off my bed. The pain right now is probably a 15 on a scale of 1-10. I went and saw Ms. Will (the school nurse at my high school) about my neck and she said that in between my vertebrae was probably swollen and to go see a doctor if it gets worse. So anyway the pain was not that bad unless I tried to look up. At the end of the school day the pain got worse and I got a bad headache. ( I don t know if that has anything to do with my neck but in case it does there you go) My symptoms are: pain (really bad severe pain), swelling (in between vertebrae most likely) and reduced flexibility. What can I do for the pain? Ibuprofen doesn t seem to help because I tried and it helped my headache but not my neck. I take strattera for my adhd and I had a concussion in 2008. I am 14 years old and I am 5 feet 1 inch. I weigh about 131 lbs. ### REPLY: Hi, You have mentioned Severe pain in your neck region along with swelling and stiffness. All this actually points out to the pattern of Neck injury which you sustained which might have lead to all the three symptoms in your case. If you have localized Neck pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesia etc., then in my opinion you can start with following recommendations for initial period of 2 weeks: - To maintain proper posture of your Neck while working and sleeping - If pain is more as it is in your case, then you can take a short course of an anti-inflammatory medication like tab Diclofenac etc. along with a muscle relaxant for 5-7 days, you can add antacid if you have issues of acidity after NSAID intake - Physical therapy like use of some modalities etc. can be initiated, but no exercises till the pain subsides completely - Ice packs can apply 3-4 times in a day - Analgesic spray for local application can be used and is easily available - Avoid lifting heavyweight/ acute forward bending in mornings etc. We will observe you for next 2 weeks how you respond to this conservative management protocol, you can also use a soft cervical collar if movements in the neck region increase your pain, but from my side if you have no neurological symptoms, then we can follow this protocol for next 10-14 days. If you do not feel better in terms of pain, swelling and stiffness etc., then we will have to get some investigations like, dynamic x-rays of Neck and few blood tests for evaluation. Just also keep me informed on what medications you are taking because unless you take proper pain management medications, your pain won't become better. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. 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: i am diagnozed of suffering from dengu fever since May 11-2013. i am taking treatment in consultation with doctorDoctors are continiously monitoring CBC RESULTSThe WBC level is increasing byt platelets counting droping from 1.65 lakhs to 70,000Doctors says that increasing WBC is positive sign of recovery but platelets count should not drop below 40,000.pls comment ### REPLY: Hello! Firstly have you been correctly diagnosed for Dengue fever? It is caused by the bite of ANDES mosquitoes which are also aggressive day biters recognized by their black & white stripes - transmitting the Dengue VIRUS DENV-1 to 4).PCR test for viral antigen like NS1 has 90% sensitivity (true positive for sick patient) in first week; four folds increase in IG G antibody titles in two weeks is significant - so this is a post-treatment confirmatory test; IG M antibody indicates previous infection. The virus does enter ABCs but infect the stromal cells in bone marrow to cause THROMBOCYTOPENIA (platelet count below 50,000 /cu mm) to cause DHF (Dengue Hemorrhagic fever) - Grade I - easy bruising/ positive tourniquet test, Grade II - spontaneous bleeding like bleeding from gums, petechial hemorrhage in shin/ legs. DHF may progress to more severe DSS (Dengue Shock Syn . Treatment is mainly supportive by maintaining HY ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a depressed housemate, the major issue for me to deal with this is that he is very hard on himself and has always hated to cause an inconvienience to anyone so when I begin to express concern he stops talking because he doesn t want to be a pain to me. He is completely withdrawn the only contact with people he has outside of work is with me and my other housemate. He is unmotivated to do anything at all including buying food, going to the gym, going to faculty meetings or even cleaning his room. This is a massive worry as he is usually a healthy eater, a regular (daily) gym attender, goes to all the meetings and keeps his room spotless. This has happened over the course of a few months and I want him to be happy and don t know how to help. Can you please tell me what i need to do ### REPLY: Hi dear,first need detail regarding his symptoms like whether his sleep adequate, appetite adequate?is he easy irritable, abusive to anybody, any fear, suspicious over anyone ? What ever you described about him suggest that he might have depression or negative schizophrenia. But to differentiate between two detail history and mental status examination is must.sucChatDoctorplain started immediately or gradually ? There are many medication like antidepressants and anti-psychotic. Consult psychiatrist first. Thank you. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi........................ this is regarding my mother she is 58 yrs old having diabety since last 6 yrs she is on insukin from last 3 yrs.inthe starting sugar levels were high now its ups and downs up in the morning and down in the evening.its related with depression she is having total control on diet.she is cronic patient of depression ### REPLY: Hi dear. I had gone through your query. I understand your concern. Diabetes has co morbid depression AMD need proper assessment. Anti-depressant will helpful. SSRI like Escitalopram/ sertraline / paroxetine will be useful, but choice is depended upon clinical symptoms. Take advise from psychiatrist and get help. Exercise and meditation can help. Ensure proper sleep and diet. Thank you. Still if you have a query then feel free to ask. Happy to help 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: Dear Doctor, I have a pain in my ear for the past 3 weeks and consulted doctor too. It seems that there is some water inside the ear and can feel heaviness too. I revisted doctor today and he told me to take antiboitic and it will be cured else some need of operation. Doctor he also asked do u eat tobacco in my mouth as he found some spots of it... i dont eat tobacco but yes i do eat pan masala... does that mean i do ahve symptoms of cancer .. ### REPLY: Hi, Thanks for query, Eating pan masala is one of the factor to develop cancer. This time you have middle ear infection may be due to infection. This is not cancer. You consult ENT .he will examine your ear & if he found any perforation he advised you accordingly for need of Tympanplasty or Mastectomy. This is not cancer but your habit of eating masala contains solar causes irritation may lead to you towards it. 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: It started about a month ago my hip felt like it was going to break when I bent over.Now my knee and whole thigh is in pain. Cant straighten my leg have to have a pillow under the knee. the wrong movement gives me seized up tention from my hip to my foot. what can I do to relieve this at home.? ### REPLY: Here you need to check the symptoms whether it is only at knee and thigh level or starts from back and goes to thigh and knee. As per your explanation if its from back then it is something called as nerve or hamstring muscle pull. I suggest to use hot and cold pack alternatively on your painful area. As well here need to do some physical tests. So visit orthopedic or Physiotherapist to get it evaluated properly. And they will also help to plan proper treatment with medication and physical therapy. At home as off now without checking with physical test I can only suggest hot and cold pack use with some muscle relaxant and painkiller medications, but if it is not relieved then need to visit or tho or physio. 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 son head butted me and cut the inside of my lip pretty good from my teeth. Can that also cause bruising on the outside of my lip? Also I dont think that has anything to do with this but I have indents on the inside of bottom lip from the top teeth. I have an absessed tooth so not sure if that would be the cause. ### REPLY: Hello, Welcome Thanks for consulting I have gone through your query, as you have indent on lower lips, and abscessed tooth don't worry, for abscess tooth you should consult dentist and go for Root canal treatment if it is periapical abscess, and if it is periodontal abscess then go for Oral prophylaxis, As you have indent on lip, if it is hunting you, then you can apply ointment McCoppin or Colonel twice daily Do warm saline gargle two - three times a consult dentist as early as possible and go for proper treatment. 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: Sir how can I stop my problem of night fall ... m too much stressed. .. I masturbated since 8 years ... now I don t bt pursuing with the problem of night fall... and my penis is small... plz. Help me doctor .. tell me any natural or ayurvedic medicine ... my age just 18 years old :( ### REPLY: Greetings. Inability to control emotions allow a male to get too excited during sleep which causes nightfall & making the organ small which is a normal phenomenon until & otherwise its within the normal physiological limit of an individual. Most of the people have many wrong ideas about nightfall - that it causes ill effects on health like nervous weakness, reduced energy, etc. or sexual problems like impotence in the future all of which is NOT true and these are just myths and misconceptions provided they are within certain limit. For too much stress, i advice you to do activities(Play outdoor games you like / Read books/ get along with friends / meet your relatives/ etc., ) that relaxes mind keeping you fresh. ### 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 lump that hurts about the size of a dime on my right side of my neck. If I push on it, the pain seems to subside but then returns. It does have radiating pain up to my gums. It is not at the base of the tongue but more where a lymph node might be. Been to a dentist but no tooth problem. Thoughts please ma ### REPLY: Hi! Thanks for sharing your problem of the painful lump on neck! As per your description,1. The pain seems to subside when pushed, but then returns...this means it is of cystic character and loose2. It does have radiating pain up to my gums....this means it is related to trigeminal nerve! Therefore, I would suggest following possibilities:1. Infected benign cyst like lymphatic cyst, retention cyst, hematoma, Desmond or sebaceous cyst2. Benign tumors of the salivary grandson need a clinical assessment and a needle biopsy, and therefore please see a general surgeon for this and treatment depends upon the diagnosis only; but generally it is surgical removal of it! ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i fell while i was rollerblading and landed on my left side on my hip. There is no swelling or anything and i can move it a bit, but i can t put any pressure on it. Like when i try to walk i get this sharp shooting pain in my hip. Any idea of what is wrong? ### REPLY: Hi, As seen in the history mentioned above you had a fall, so there might be changes in the spinal column. The sharp shooting pain in the Hip what you have mentioned is having connection with the lumbar spine nerve root Entrapment. Using hot water bag in the lower back and doing some simple Core and hip strengthening exercise should help you. In my clinical practice of 12 years have seen people complaining with a lot of sharp shooting pain in the Hip after fall. Most of them respond better to physical therapy and exercise. Hope I have answered your query. Let me know if I can assist you further. Jay In . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Im 43 years old and my height is 5 feet and 5 inches tall. I am inquiring about an allergy/sinus issue that Ive always had since I was little but seems as though now that Im getting older the issues are getting more problematic. well within the past few months or so Ive been experiencing swelling in my sinus area on the left side of my nose with pressure after experiencing a headache, runny nose, burning sensation and water running eyes. I really need to know what can I do other then taking antibiotics and promethazine to resolve this miserable feeling that I have lately.. Any suggestions would help me greatly., Thanks so much!!! ### REPLY: Thanks for posting your query to .you should rule out cause of sinusitis. You should undergo radiological(X-Ray) and endoscopic examination of your sinus area to detect abnormality. Second you should avoid expo user to dust, cold air and water to your sinuses as this thing irritate the sinuses and aggravate complaint .if any abnormality detected go to ENT surgeon for any surgical treatment. Hope I have answered your question. If you would like some more information I will be happy to provide. You can also write a review for me. 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: My daughter (11 years old) suddenly started screaming in pain saying her head hurts. She said it doesn t hurt like a head ache or migraine, which she gets occasionally. She says it is at the front of her head, about 2 inches in diameter in the middle of her forehead. She is screaming at the top of her lungs. ### REPLY: Hi... Thank you for consulting in . Headache in kids need to be considered serious only when the below symptoms are there - 1. Vomiting continuously2. Seizures/ Fits3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. Without the above red flag symptoms, just feeling low energy levels points out towards Migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing. I have a few questions for you -1. How long has the headache been there?2. Does it always occur on forehead or keeps changing?3. Is it associated with blurring of eyes or double vision or giddiness?4. Is there any family history of migraine or single side headache?5. Is he very angry when he gets headache and does the ache get better after a good sleep?6. Does he vomit when there is headache? Kindly get back to me with the answers to above questions and also mention his weight so that I can suggest you the formulations which are good. But as of now - you can give oral Paracetamol in the dose of 15 mg/kg/dose(max ceiling dose 500 mg) every 4-6th hourly. 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: My kid is already in his third year on his pres-school years. But sudden changes happen recently since he always cry and vomit before entering the classroom. But once he is inside the classroom, he can be stabilized in 15 min and be back to its normal attitude. He still shows interest in going to school sicne he is very deligent in doing his homework and also ask for a study on his lesson. Based on the discussion with his teacher, it had started when he finished copying the writings in the board late and the teacher asked them to finish the writing on the board or else, they can t go home. It has been a month since that incident and until now, my kid always vomit and cry when entering the classroom. It come to a point that the teacher made an arrangement that she will be one to fetch the kid in the guardhouse as we are not also allowed to get into the school premise. Pls help how can I help on my kids recent behaviour. Do i need now to go to Pediatric Mental heath professional. ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. The problem can be categorized as behavioral psycho somatic symptom. Naturally your child is not even aware of what is happening to him. Psycho somatic symptoms are such. But, there is nothing to worry. Almost all behavior psycho somatic disorders tend to vanish within some day. In your sons case, there is something which delays the cure. You noted one of the negative approach made by the teacher. I suspect more because that one negative approach is not enough to trigger the present behavior. I suggest you to talk to the teacher again for possible aggressive behavior. Take the name of any psychologist and try to get it. Usually, behavior therapy is the treatment method. Usually we are talking about behavior modification using rewards or punishment. Conditioning is also another option. I suggest you to consult a child psychologist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I had helicobactor pylori 11 yrs ago and was treated for it, however, I continued to have reflux and ended up with a hernia repair. I was ok for around 5 yrs then reflux started up again........tests showed hernia was still closed. I am waiting for another HP breath test and have come off my meds ( omeprazole 20mgs ) and since then I keep getting a severe sharp pain in my stomach.......could this be result of stopping omeprazole? I dont have breath test till next week but dont think I will last without my meds! Anything else I can take, without interfering with the breath test? ### REPLY: His appreciate your concernLooking at your history this could be due to stoppage of omeprazole which can produce rebound increase in acid production leads to aggravation of Gordon can take another alternative of omeprazole like omeprazole or pantoperazoleavoid spicy fatty and junk food have plenty of fluids Abstain smoking and alcohol Hope this helps you thank for your question 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: Hi im a 17 year old female, for the past week my throat feels as if i have a ball stuck in there and just recovered from 4 nosebleeds. I read the symptoms of throat cancer and really relate to my symptoms so i was wondering if i have throat cancer and if i do then whats the first step of action? ### REPLY: Hi Welcome to ChatDoctorI have gone through your query, I found you have trouble in your throat and had recovered from 4 nose bleeds. If you are taking aspirin or other blood-thinning medication, these can also contribute to frequent nosebleeds. If I were your physician, before your nosebleeds get worse or more frequent, I would have referred you to an ear, nose and throat specialist to look inside your nose for any growths or masses to find out the cause. It is my suggestion, don't worry about anything. Get your self thorough check up from a specialist. This is the first step, you have to take. He is the right person to guide you to, what to do. God willing all can be ok , But if there is anything you are suspecting, can be cured, these days. You just take care of your lifestyle. Diet should be simple, nourishing and regular containing all nutrients - fibers, minerals, vitamins salts and water. Avoid fried , fast foods bakery products Take lemon juice twice, before meals. Take coconut water . Its great coolant & antioxidantInclude buttermilk in lunchConstipation should not be allowed Exercise, Yoga, Panama ,Anglo Film will strengthen your mind and body and make your immune system stronger to fight the disease, if you have any Rest also is very important for your well-being. Wish you all the best. Hope this helps you solve your query Don't hesitate to get BAC if you have any further query. ### 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 a junior in high school and am writing an essay for AP English looking into how and if a teen (ranging between 14-18) can make rational long term choices if the brain doesn t fully develop until a person s early twenties. Adults look down upon marriage, tattoos, piercing, and so on but expect us to be able to choose colleges and careers at the same time. I would appreciate some help on understanding how the mind of an adolescent can make rational long-term decisions and if they truly are rational or simply impulsive? Thank you! ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. You are only aware of the minds impulsive capacity. There are other aspects into decision-making. Even a child can take decision, sometimes even long term decision if proper training is given. In an adolescents case, he is not taking long term decisions based on his experiences or rational thinking, but taking decisions with an aim to fulfill it. Those decisions are coming out from so many scenarios, like self experience, input from elders, friends, teachers, well-wishers, readings etc. He gets inspired from these things and takes the decision, and then pledge to stick to it. Once goal and a determination to stick to it formed, he can move forward even though obstacles troubles. 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: Hello Dr, one of my top front tooth has a pus like discharge( white in color) when I push my tongue from behind the tooth. It does not smell and it 3 months since my valve replacement surgery reason I am not in rush to visit a dentist. I brush frequently, floss and using mouthwash and salted water to rinse.. Thank you very much. ### REPLY: Hello there, you seem to have infection in your upper tooth and the abscess . A x-ray examination will show the exact picture and will make your dentist to decide the treatment plan. If your tooth is infected you have to get a root canal treatment done or if there is gum abscess you need ultrasonic deep cleaning of gums followed by a course of medication.no worries if you have undergone valve replacement, scaling is completely a non aggressive dental treatment, take care ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am nidhin vn from india.In my childhood days i suffered with asthma and after age 12 it was not there.Now i shifted to city and last 4 years i am at hyderabad.I am facing problem with continuous cold.Once it come,the running nose,Throught pain,suffocation it is continuing for 2..3 weeks.And after reading some google pages i fearing that it is bronchitis.Please suggest me a solution ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of allergic bronchitis is high in your case. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Anti-allergic and antihistamine . Since all these ### 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: Okay got my lower wisdom tooth taken out recently. And the day after I did when I went to pee there was a little blood coming out everytime and a little pain after I pee. Now its just the little pain afterwards. What does this mean? And what should I do or take to resolve this? ### REPLY: Hiwelcome to ChatDoctorAs per your query regarding blood from the extraction area. Actually we advise not to pee for a day after extraction and after that for healing blood start clotting and sometime while brushing or pee due to forceful action of brush or water, clot get disturb, and it bleeds. So, it is advisable to you not to disturb that area, take full coverage of dose prescribe to you and do mild warm saline gargles. Thank you ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have what appears to be broken vessels on inner areas of both ankles. The ankles were very swollen 2 days ago- after walking at Disney World for 5 days in a row. This appears under the skin. I do have some pain in foot and calf. My blood pressure and cholesterol have fluctuated a lot here lately, but I am not on meds. I am overweight. ### REPLY: Hi, as mentioned by you the brief history, what I can understand is that you have swollen ankles and might be painful. After walking for two days in a row there is possibility that you may have got DOES - Delayed onset muscle soreness. Which is common in most people post any excessive physical activity. Also, you mentioned you are obeser than you need to perform physical exercise to lose the excessive accumulation and get the muscle toned. Due to excessive walking there is a soreness in the muscle fibers and are not able to make the Venus return to the optimum. Also, as you have done all of a sudden a good physical exertion there will be fluctuation in the blood pressure and cholesterol. In fact most systems will have fluctuation as it is normal. Chances for any breaking of the blood vessels is uncommon due to walks, but if you want to confirm a Doppler of the lower limbs is recommended to figure out if there are any. For swelling of the ankles you need to first keep the legs elevated and perform ankle toe movements. Also, understanding that physical exercise is recommended highly in you as you are obese. But prior to any exercise regimen a cardiac clearance will be of an advantage.regards Jay In . ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have notice a circular bruise on my daughter left side just below her rib cage. The bruise is about the size of a golf ball and the centre is lighter color almost no pigment. In the center of the center there is a small lump that is smooth and round. She complained of tenderness. Any idea of what it might be? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She may have sebaceous cyst or some soft tissue tumor like lipoma or neurofibroma or dermatofibroma. She should go for fine needle aspiration cytology or biopsy of that lump. It 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: Hi,I had a gout that lasted for two months. took alluprinol and NSAID as needed. Got acid reflux. Given PPI. Now acid reflux has gone,but have diturbed sleep and swollen gut. 5 weeks have gone by. Taking all the precautions with diet. No improvement. please advise. Thanks ### REPLY: Gout is the disorder of purine metabolism. It will lead to high uric acid level in the blood. Later on its crystals are deposited in the joint and produce pain. So allopurinol is the perfect . it's will increase the excretion of uric acid. Take NSAIDs as and when required only if plan and inflammation is there. And take low protein containing diet. It will help you to decrease uric acid level. And regularly check uric acid level. And change the dose of allopurinol accordingly. But it's the perfect medicine that you are taking. ### 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: Everytime I am around a candle or big red gum or somehing that has a cinimon scent my face and ears get real hot my throat gets sore ans I breath harder than usual along with a head ache. I came in contact with a cinimon scented warmer last night and I had all those reactions and still today I am having the same ones and my throat is killing me. And I feel very week today. I have been drinking lots of fluids but still very weak. Is ther something I could do to help myself feel better? ### REPLY: Hello. Thank you for asking at . I went through your history and would make suggestions for you as follows:1. I usually prescribe such my patients' levocetirizine, montelukast and levosalbutmol for 2-3 days depending upon response.2. You are doing very right by taking adequate fluids, it will also help you to recover better. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health. Thank you & 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: Yesterday i had groin pain , this morning i woke up with a headache , pretty sure i had a fever and was nauseous but didn t vomit . Also have a bloody stool that was bright red... I am a dissabled vet with trauma to my spine, i have Spinal Stenosis which the VA has treated with 2 epideral steroid injections recently., so far its not working .. my question is should i go see a Dr. right now or do you think it would be ok to wait until the VA Doc can see me.. right now i feel ok. ### REPLY: Yes you should go for a check-up without waiting because immediate treatment is warranted for the above symptoms.However, these symptoms are not related to spinal stenosis. Due to past trauma to spine it seems you had spinal cord injury with residual neurological deficit. This residual neurological deficit does not get cured by any medical treatment however stem cell research has shown encouraging results in such cases ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes I have been treated for bronchitis twice within a 4 month period and my symptoms get better but just keep coming back. I get a lot of phlegm buildup in my throat, and an annoying cough, sometimes no matter what I eat or drink the slightest burp a little bit of food or fluid comes back up, It doesn t burn at all. And at times i have problems swallowing the air I breath, I was wondering if this could be a concern? Awhile back a couple Drs. Has asked if I have trouble swallowing and I didn t bother to ask the reason for that question, and I tried thinking about it and I ended up saying no ### REPLY: Hello, A recurrent bout of cough and expectoration are also seen with pneumonia. This is the reason why the doctor was asking about the trouble with swallowing. In my opinion, you should get done upper GI (gastrointestinal) scope and CT thorax. Upper GI scope is needed to rule out aspiration. CT thorax is needed to rule out pneumonia as a cause for a recurrent cough with expectoration. Hope I have answered your query. Let me know if I can assist you further. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son developed a goose egg around his temple area three weeks ago. It never showed a bruise and he did not recall hitting his head. We took him to the doctors and they did a physical examination and said it was a hematoma. It has not gone down in sizzle and sometimes it looks bigger. He is now complaining of dizziness every so often. Should I take him back to the doctors. ### REPLY: Hi, Thanks for writing in. Head injuries need to be observed for the first 24 hours. The following are alarming symptoms (within first 24 hours) of a head injury that needs a doctors' attention.1. Vomiting2. Seizures3. Persisting neurological deficits (numbness is a neurological deficit)4. Difficulty in maintaining gait5. Vision problems6. Increasing severity of headache any of the above symptoms (including dizziness) have occurred and are present even after 24 hours then you need to see a doctor and get a CT scan brain done for your son. If he is experiencing dizziness and nausea which is not subsiding even after 3 days, they may visit the ER. ### 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: On Saturday, I went to Catalina Island on a ferry...and on the way back home, i noticed a rough cluster of rash like bumps on my inner upper arm. They are quite painful (not excruciatingly) and have now formed black dots in the middle of the bumps. The pain is still there. What might this be? I dont remember being bitten by any insect or anything...and i cannot think of anything that may have caused it ### REPLY: Hi, Clusters of bumps on your skin can be alarming, as bumps may be a sign of an infectious or allergic process going on your body. Skin infection can also occur due to any reason. The bumps are due to either allergic reaction to something or infection in skin. The reason for allergy could be any substance whicChatDoctores in contact frequently, may some cream or chemicals etc., Itching leads to damage the layer of the skin and leaves a scar. Apply Dharma Thailand daily. ### 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 taught dyslexic and hyperactive children for 30 years. Late in my career I suffered multiple head tramas, seiszures, and falls. After menopause began, my memory and attention to details went to severe level. What might be a solution. This is causing marriage problems, loss of friends, total isolation. I have tried psy. and counseling. I just keep getting worse. Help ### REPLY: Thank you for asking . My name is . I would like to repeat CT scan again.if it is unremarkable then continue with sodium valproate 500 mg thrice a day for 2 months and then twice a day for another 4 months.Also, calcium along with Vito and regular exercise will help a lot. I hope u will be fits free and your daily activities which are disturbed will be Hope this may help you. Let me know if anything is not clear. 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: My friends 12 yo son is always sick. He is severely under weight, always pasty & pale, has no appetite, does not like food, he is constantly sick to his stomach & throwing up. His Drs say they do not know what it could be. Please let me know if you have any ideas. ### REPLY: Hello If these are his only symptoms I am sure that he would have been evaluated for hypothyroidism already, and it should have been ruled out as the doctors have been taking care of him. But at the same time I would suggest testing him for Epstein-Barr and there is a possibility of chronic fatigue syn . I suggest you consult his position with this tip and get him evaluated. 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 I am a female 43 years old. Have had a PE about 6 years ago. I have 4 gene mutations wich are MTHFR and PAI-1. I have an Ivac filter in my vena cava. I have had chest pains for a long time now ,been to emergency rooms countless times. they never find anything. I recently moved to a very remote area and dont have any Specialty Drs. here. I last saw my hematologist in Dec 2012. He said he thought it was showers of micro clotting and to double up on my asprin and folic acid every other day. That worked for a few months but know the chest pain is back and it moves around and is very unsettling, it also seems to get worse with my menstral cycle. I dont know what to do anymore. Any suggestions? I have to pay to get an answer? Figures ### REPLY: Hello..... As your details it seems that you are suffering from Congenital hypercoagulable disease. In this case, the blood getting thick day by day and causes clots at any site. Most common is lower large vein due to more stagnant condition. This clot frequently embolizes to chest and causes chest pain that is called Pulmonary embolism. With your description, you are suffering from Chronic pulmonary embolism that also causes right heart chamber enlargement and bilateral leg swelling. But you did not mention regarding breathlessness and leg swelling except chest pain on and off. Definitely this chest pain is due to microclot in pulmonary vessel. But the treatment you are taking is very ineffective. Aspirin is not enough alone to prevent the clot formation and keep the blood thin. So my advice is to start Tab Action with lower dose 2 mg once a day along with aspirin with folic acid. And do your Prothrombin time (PT INR) at regular interval of 15-30 days to keep your INR 2 to 2.5Thank 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: my son got hit on the head now he has seizures and what i call brain farts he takes meds for seizures that stops them but the brain farts still happen is there some meds to stop them it s like another personality comes out it was fine at first because he just tells everyone he loves them the when it s over doesent remember a thing but now if things don t go his way he is getting a little violent and if it happens to the wrong person he could go to jail and thsat scares me that he might go to jail for something he dosent know he did is there a med to stop the farts ### REPLY: Hello ! I read carefully your question and understand your concern. I would like to know what he is taking for his seizures. The brain farts and episodes of violence are common after a head concussion and may be a part of the so-called Post traumatic stress disorder. His brain is suffering a dysfunction which involves also the memory and emotional regions of the brain. Some antiepilepsy . Valproate and Carbamazepine are the best treatments for these episodes. I would recommend switching on one of these therapies which are also helping for seizures and post concussion headache. Some other antiepilepsy ### 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 husband had been diagnosed with an elevated count of bilirubin i.e. 2.07. His SGPT level also increased to 100. Doctor advised him bed rest and home made diet. I have controlled his diet and he is taking rest. A month after, we have again conducted blood tests and now the report shows his bilirubin count to be normal. But there has been an increase in his SGPT level. It has shot up to 131. I cant understand what to do. Please advise. ### REPLY: HelloIncreased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. It may be related to hepatitis in your husbands' case as bilirubin level is also raised. You should allow some time for SGPT to become normal. He may need few more investigations like viral markers, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. 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: i have what feels like the stitch in my heart for the whole day (12 hours)...last week i woke up every night with fright feeling like i was going to pass out and with palpatations or fluttery feeling in my heart. how do i know if this is anxiety or a heart issue ### REPLY: Hi, I understand your concern and would explain that your symptoms seem to be related to anxiety. You should know that a heart issue is usually triggered by physical activity and the chest pain is proportional to the physical activity. Anyway, I would recommend performing a prolonged ECG Holder monitoring in order to investigate for possible cardiac arrhythmia and an exercise cardiac stress test in order to exclude coronary artery disease and the possibility of a heart attack. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. ### END |
Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 33 year old sister was having horrible diarreha about 1 month ago. She went to the Dr. at which time they ran test and found that she had Giardia and was also anemic. They gave her medication for the parasite. During that time, they also found liver lesions via ultrasound. She started feeling bad again and the diarreha returned this week. She went back to the Dr. and was diagnosed with c difficile and a protozoa. They are doing a contrast MRI to check the liver lesions tomorrow. What could be causing this? ### REPLY: Thanks for contacting with your medical questions. I am sorry to hear about your sister who has had guardian and now clostridium difficile and a protozoan infection. From your description she has been treated with medication for the guardian, which by the way is a protozoan infection, and has diarrhea again. After taking any antibiotics the usual gut bacteria are also killed off and an opportunistic infection called clostridium difficile can grow. Since this is her first episode of C. difficile she will more than likely be on one or two additional antibiotics for 2 weeks. This may also kill of the other "protozoan infection, so she would not need additional antibiotics. The liver lesions are more worrisome. They could be just simple cysts, or they could be actual cysts cause from infection. I would recommend keeping her appointment for the MRI to find a definitive answer to her problems. Hope I answered your question. Please contact us again with your medical 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: There is a small hard ball shaped bone like bump besides my right knee cap. It moves and causes snapping when I bend an put pressure on my knee. Fortunately I feel no pain. What could this be. I discovered it after a light bash to the knee. What could this be? ### REPLY: Hello! Thank you for the query. It can be a small part of your knee cap. Especially if it has appeared after some injury. Cyst which is connected with the joint is also possible. Both condition can give symptoms when putting pressure on the knee. The best way to find out what are you dealing with is to have an ultrasound of the knee and X-ray. PI suggest you to consult orthopedist with this issue. Hope this will help. Regards. ### END |