Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my boyfriend and i had sex during the time i was most likely to get pregnant. i took an early detection pregnancy test and it said that i wasnt pregnant. and then i got my period but it came about 3 days early. the first day it was heavy and the next day it was light. it only lasted for 2 days. this is really unusual for because i always get my period on time and it always lasts for about 4-5 days. ### REPLY: Hi, A heavy period usually does not happen with an intact pregnancy. There can be slight variations in the menstrual cycle occasionally due to transient hormone imbalances which often settle down in a couple of cycles. These can be due to sudden weight disturbances, stress, certain medications and infections. If you are still in doubt about the possibility of a pregnancy, please get an assessment of the serum beta-ChatDoctor titles and a trans-vaginal sonogram. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is 12 suffering from chronic constipation chest pains facial swelling and occasionally spits blood and her doctor has no idea what the problem is oh and i cant forget the varices in her throat that was discovered  when she was scoped three weeks ago ### REPLY: Respected user, HiT hanks for using .come have evaluated your query thoroughly.* Management of both are dependent upon the cause of the same.* Diagnosis is the prime concern for that.* General measures for the same to get better recovery - Allow her plenty of liquids.- High fiber diet.- Soft, light diet.- Avoidance of oily, spicy, non veg stuffs, beverages.- Remain ambulatory with regular walking, exercises, YOGA. Hope to clarify your query Welcome for further assistance Thanks for using  .com & giving opportunity to assistWishing fine recovery to your Angel. 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 before i ask sorry for i bad know eng leng, but it really need for me. Questions: Ill be brief. For the third day of swollen cheek, tomorrow at work (at night), the tumor is not big (relative). Abscess, as far as I understand it, somewhere at the bottom (not visible on the gums), the tooth is dead, time does not see a doctor, was drinking Analgesic. What is the likelihood of complications four to five days of flux? Thank you. ### REPLY: Thanks for using . Read your query. Tooth decay associated with pain, swelling suggests periapical abscess which is untreated will spread to the adjacent structures and can cause complications for your health. If I had a patient with this particular complaint, I would suggest antibiotics like Amoxicillin and Metro lag 400 mg on prescription. If pain ibuprofen would be helpful(if not allergic to any medicine). Start with root canal treatment if it could be done following a radiograph. If not extraction would be the last option. Salt water gargling would be recommended. Application of hot bag externally will not be recommended. Visit your endodontist and have the tooth and swelling checked as soon as possible. Hope this was useful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my periods on sep 14 and I had sex with my boyfrnd around 10 days after periods.even though he didnt ejaculate inside vagina I took ipill with in 24 hrs for safety .we did sex only one time.we didnt go for a second shot.now my periods is delayed 5 days than my normal cycle .am I pregnant? ### REPLY: Hi, I understand your concern. I pill when taken within 72 hours of unprotected sex, avoids pregnancy. Earlier the pill is taken better are the results (protection)You had taken it within 24 hours of sex. So you are sure to avoid pregnancy.  I pill is a high dose hormone product. It acts by postponing ovulation. So there is hormonal imbalance in cycle & periods are delayed by 8-10 days than normal.  Please do not worry. You will get period in next week's time.  Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been having lower right abdominal pain for about 5 months,it goes away when i am laying down i have no pain at night at all,but soon as i wake up and start my day i have a dull pain that may start in my right side and i sometimes feel it in my groin area ### REPLY: Hi! Good evening. I am  answering your query. Possibly you have a developing inguinal hernia on the right side in its initial developing stage. The pain is due to pulling sensation of the peritoneum by the hernia which occurs whenever you stand erect and start your day, and it goes off when you lie down due to release of the pressure exerted by the hernial contents. However, it could be diagnosed only by a clinical examination with related investigations, and for that I would advise you to fix an appointment with a general surgeon for further management. Till that, you could go for an anti-inflammatory . 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: woke up this morning with pain behind my right ear. felt it and its a pea size lump.  its been really painful. now ive a notice another one below the 1st 1 and now another about 1.5 below the 2nd 1.  is this something i should worry about as it getting more painful especailly when i turn my head. ### REPLY: Hi, Dear,Good Morning. Thanks for the query to my  Clinic. I studied your query in depth. I am concerned about the worries you have. In my opinion, you have scalp infestation / infection with acute lymphadenits mostly / or it could be-insect-bedbug bite ?  I would advise you to consult an ER Surgeon-who would treat as follows-Tbr-NSAIDs, Antibiotics,and review after 5 days time. This would resolve in 1 was time. If not CBC, with Surgeons Review would fix your problem. This is the remedy for your lump. Hope with this you would be relieved of your worrisome query. Wellcome again to . Have a good Day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Was diagnosed with Cellitius in the mandible but not the bone. Did 10 days meds and still have pain. Dr never did repeat blood wok and its still sore and slightly swollen. I see some improvment but still aches all day.What should i do next? If i had staff would i be really sick? ### REPLY: Thanks for your query, I have gone through your query, the medicines will only reduce the severity of the infection, but cause of the infection has to be treated...if the infection is from the tooth has to be treated or if it is from the gum infection gums has to be treated.so consult your oral physician and get examined and find out the cause and treat it accordingly.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: Hello,  I have a menigioma that measures 7 cm which I was diagnosed in March of 2013 which I didnt even know I had.  Recently I was in the hospital again discharged after 10 days with pneumonia.  Still having some chest discomfort and wheezing.  I do not have asthma which was ruled out by my Pulmunlogist. Having severe headaches now. Taking pain medication and tylenol for pain.  I will be seeing my eye doctor again in April to check for Glacuoma. ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. In my opinion you should get done repeat chest x-ray and PFT (pulmonary function test). There are two possibilities in your case. 1. Worsening of underlying pneumonia. 2. Post infectious bronchitis. So repeat chest x-ray is needed to rule out worsening of pneumonia. And post pneumonia, bronchitis is common due to inflammation.  So PFT is needed to rule out this. Wheezing is the classic feature of bronchitis. So consult pulmonologist and discuss 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: I went to the dentist and had novacaine for my teeth and was given the needle by his assistant who stabbed me, accidently stabbed herself, and restabbed me with the same needle. Had blood work done and mine came back fine but just got her results and she at one time had Hep B surface antibody and the result was reactive. Should I be concerned? ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that hepatitis B has high provability with such a prick than that of HIV. I advise you to take gamma globulin against hepatitis B. Also take hepatitis b surface vaccine. Hepatitis B is notorious for causing such a prick infection. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 10 years old, she has been running a fever of 103. 4 off and on for over 24 hours now. She is complaining of dizziness, and her eyes are burning. Het lips are a dark purplish red color. I have tried bringing it down with ibuprofen, cool rags/bath, and it s not getting better. She is miserable, and I m helpless. ### REPLY: Hi...high fever without localizing signs like this can be viral illness or any fever of unknown origin. But lips turning purplish is unusual and cannot be left like this. I suggest you take her to the nearest emergency room as soon as possible. But I will tell you certain facts regarding viral illness - Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. 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 son is 9 and has been sick with head cold and fever all day. He has also had excessive burping and I don t know what to do for him to get the burping to stop. It s out of control and he s so uncomfortable. I gave him 3 different meds throughout the day today because I thought it was one of the meds but it wasn t. I also gave him pepto at 5pm but that didn t help either. ### REPLY: Hello and welcome to . Excessive burping in infant along with cold is due to excessive swallowing of phlegm. And stomach full of Phlegm causes decreased appetite and excessive burping. If it's troubling your kid a lot you can give bronchodilator syrup like terbutaline(Brittany) and modulator sachet. To relieve symptoms of cold give paracetamol or ibuprofen adequate rest and hot oral fluids. Hope you find this answer helpful. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, My son is having cold and cough all the time and gets snoring while sleep. Doctors say adenoids are swollen and say it will clear up by age. But he is suffering from cold all the time and no medicine also working fine for him. He will get tit back with in a week. What is your suggestion. ### REPLY: Thanks for posting your query at . I am sorry that your baby is not doing well. Some child .  Your doctors have correctly pointed out that his adenoids or tonsils are enlarged. The tonsils regress after a certain age and I guess that you would have to be a bit patient and wait till the condition gradually subsides on its own. Surgery is only advised in case of severe cases where there are episodes of cough and cold several times a year. You have not mentioned the age of the child and I would have been able to comment better. If age appropriate, gurgle with lukewarm water may give him some relief. I hope that helps. Feel free to revert in case of further queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has been having several pain from the back of his knee into his calf when walking and it is sever pain and starts to shake from the pain when he lays down. He has had Doppler scans they were good he has had X-ray no brakes or fractures and he had MRI only said small joint effusion and mild condromilatia of the troclia (? Spelling) these should not cause this much pain should they? What could be problem where do we go next. ### REPLY: Hi, thank you for providing the brief history of you. A thorough clinical neuromuscular assessment is advised. Based on the symptoms you have. Taking a physical therapy like - Therapeutic ultrasound therapy and TENS therapy will help reduce pain and inflammation. Also, later stages exercises will help improve the strength. After a thorough clinical neuromuscular assessment if the or tho feels he may recommend you to undergo MRI of knee to see further things. Usually, in my clinical practice the recovery for such cases is 99%. I wish the same from you.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: My brother-in-law is currently hospitalized because of pneumonia.  He is 74 years old and when he entered thehospital his blood pressure and oxygen levels were very low.  The doctors have also discovered elevated levels of bilirubin (the whites of his eyes are yellowish) and uncertain so far of the cause.  What problems could causethis billirubin to remain elevated? ### REPLY: Hi thanks for asking question.... Here mostly in your case it seems to be pneumonia infection with hemolysis... It can occur in some pneumonia infection like cytoplasm .... So hemolytic anemia can lead to elevated bilirubin level... For its detection serum LDH, relic count and PS examination helpful.... Gradually with recovery from pneumonia bilirubin will comes to normal.Meanwhile, take less fatty diet.... Fruits taken more.... If still bilirubin elevated then USG done... 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 4 month old son had white chunks in his stool earlier today and just again when I changed his diaper. It is not the normal seedy stool. They were noticeably larger white chunks. I am taking him to the pediatrician tomorrow morning but I would like some insight on this. The other symptoms I am taking him to the Dr for is congestion, extremely stuffy nose (hard time breathing while laying on his stomach), low fever, and a lot crabbier than usual. He had his 4 month shots a week ago and also had his first 2 teetChatDoctore in a month ago. ### REPLY: You have not mentioned whether the child is exclusively breastfed or whether supplemental feeds are being given. Most formula milks are cow milk based and hence difficult to digest and may contain white undigested portions in the stool and that is probably what you are referring to. It is normal, and you need not worry about that. You can still get the stool microscopy done before you visit the doctor and that will help in confirmation. Chil .  Applying nasal saline  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 strong kidney pain in the right kidney. it comes and goes i went to my doc the other day and got xrys and ultrasound done however she did not see anything tonight the pain is very consistant i drank large amounts of water to try and flush the kidney out.should i do something else? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You have strong and consistent kidney pain.  It can be due to kidney stones. You should go for repeat ultrasound kidney, ureter and bladder. It will give you exact diagnosis.  .  It is prescription based medicine so consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: very dark green stool in 16 months old baby, very gassy, unsettle, been told he is lactose intolerant, changed his milk to soy milk for last 2 months, he still breastfeeds as well, sometimes he is got 2 stools a day, sometimes 3, sometimes 1, nothing regular.... ### REPLY: Thank you for your query. There are different causes of green stool at babies:-changing of formula;-symbiosis;-color of cleaved protein;-salmonellosis;-stool can be changed to green color due oxidation if we have not changed diapers for a long time.  I suggest--check stool analysis;-stool culture for symbiosis and sensitivity to antibiotics-you can give eco norm for 3-5 days, then baby lac for 1 month for normal intestinal flora Take care Wishing to your baby and you are good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi  i am  janti lal amersi from karachi pakistan, just come to knw by a mt test that my wife got a tuber clauses what are the precautions we should take like she stoped feeding milk to our daughter what else can you suggest to better ment of her health except medication from doctor ### REPLY: Hi, I understand your concern.  - First, 6you have to get her fully investigated from a chest physician & know about the extent of her infection. If its active tuberculosis passing the infection to others via coughing, sneezing)& she needs isolation or her disease is non infecting & under control. She can be treated at home & she can feed her baby at this stage.  Speak to her doctor & decide - Medicines, regular consumption & regular follow up is a must. Tuberculosis can be fully controlled & patient can lead a normal life if she follows treatment plan exactly.  - Apart from this personal care in form of- - cleanliness, - high protein, vitamin, iron, mineral diet.  She needs high proteins in form of milk 2 glasses in a day, boiled egg/ protein powder available in pharmacy mixed with milk./ fresh vegetables & salads at least 10 glasses of clean water . Apart from her routine meals.  - light exercises (yoga/ walking/ respiratory exercises) . To help good appetite & digestion -Iron & vitamins in form of tonics as per doctors advise.  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 had my implanon removed over two weeks ago and have been actively trying to conceieve. I had it in for the full 3 years, with no periods, only spotting here and there. I now have a very light pink almost a discharge , but its not thick, very thin/lght. I took a pregnancy test 3-4 days ago and it said neg, which I wasn t really expecting anything yet. The discharge is not heavy enough for a tampon . a light panty liner does the trick. what could it be? I am 22y/o causcasion weigh 140 and 5 8 . Thanks, Erica ### REPLY: Hi thanks for the query. This discharge may be mid-cycle discharge or due to some infection. If you have itching, irritation or foul smelling discharge then chances of infection are more. In that situation, you should take antibiotic pessaries after proper prescription. I don't see any advantage of pregnancy test so early. Hope this information is helpful and informative to you. If you have further queries you can directly reach out to me on the following URL:http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. My 2 year old daughter bent down to pick something up under a table that has metal and stone on it and when she tried to stand up she bumped her head. I did not see it happen and assume this is what she did. She started crying immediately and was quite upset. I sat her down and put a cold boo boo bear from the freezer on it. When I checked her head, at the top back it feels indented/slanted. I don t know if this is from bumping it or heads are normally shaped this way. I felt my other 2 children s head and they feel like they have a slant as well. I am worried about her sleeping tonight and will call the pediatrician in the morning. Should I be concerned tonight as she sleeps? Thank you so much. ### REPLY: Hi, Welcome To . I had gone through your query and understand it. This bump has occurred to your child is due to blunt injury as you said. It is not necessary to have same shape of head in all siblings. So, keep continue the process of ice application 5 to 7 times in a day for 5 to 7 minutes. You can consult your pediatrician and nothing to worry about this condition. Till the time you consult the pediatrician, I recommend you to give her liquid-Ibugesic-Plus (if no allergy), 5 ml, 3 times in a day at the interval of 7 to 8 hours. I hope this information will be helpful to resolve your query and further queries are always welcome. Wish your child good health. Take Care, Thank You. From:-  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 the result of my semenanalysis. I want to see if there is any problem.volume: 5 cc, ph; alkaline, viscosity: normal, liquefaction time: 30, sperm count: 60,000,000, motile:70%, active motile: 40, sluggish: 30, non-motile: 30%, abnormal shape: 20 %Thanks in advance. ### REPLY: Thanks for contacting  with you medical questions. You are concerned about your recent sperm analysis. The number of sperm is very good and indicates that you have a very normal sperm analysis. You should have no problem trying to conceive a child. The abnormal shape sluggish motility and non-motile numbers are all within normal limits hope this answers your question. Please contact  again with any of your health care 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: ok  iam 40 years old i have the diagnoses off carcinoid sydrome  also  had carcinoid  benign  removed years ago   now my heartvalves are damadged uncontrooled bloodpressure fluctiating from 80 over 38  and than jumps to 158 over 126 my spect scan was normal  but does a spect scan show subcentimeter lesions ? because thats what i have  multiple lesions liver kidney and endlarged lymphnotes pulmenery arch also acteleases off both lower lobes off the lungs , ostreotide scan came back  normal uptake 24 hrs only  but c t scan showed it  dont know what else to do? ### REPLY: Thanks for your question on . I can understand your concern. Atelectasis is partial collapse of part of lung. Most common cause for this is mucus collection in lungs. So treatment of atelectasis is 1. Broad spectrum antibiotic like levofloxacin or azithromycin once a day.2. Bucolic and expectorant . 3. N acetyl cysteine (NAC)4. Chest physiotherapy and deep breathing exercises. So consult pulmonologist and discuss all these. Don't worry, your atelectasis will be improved with above treatment. 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: Hey there, Ive been sick to my stomach for about 2 weeks now, not getting sick every time, but feeling really sick to my stomach, Im dizzy now, Ive had a constant headache for a week, and Im feeling cold one minute then sweating the next. Whats wrong? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of stomach upset with dizziness and headache which seems to be due to gastroenteritis or secondary to stomach infection. It seems to be due to viral infection. Need not worry. I would suggest you to avoid or reduce use of milk and milk products. Avoid intake of large meals at a time rather tale small and frequent meals. You should take tab Norfolk TZ twice daily with tab Omotic twice daily for 3 days. You should take soft, plain, non-spicy foods.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 khushi ........plz i wanna know a fairness cream to use daily and also which cures whiteheads problem....and also a cream to lighten my dark lips and underarms.... ### REPLY: Hi...dear sushi., Thanks for choosing ., White heads problem is due to ., Hormonal imbalance., use... Clidamycin and Darlene combination.,cream 2 times daily., There is no fairness cream...if there, only temporary give., good result., so don't use it., use Morning times ...SUNSCREEN LOTION... Suncote (Cu ratio).,Uncross(Reddy lab)., Lover SPF 50 (Grace well)., Uvagurd(Milford)., Night times use It E and Moisturizing cream., thanQ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had something that looked like herpes labial for about 2 weeks and early on my doctor prescribed some oralherp cream. After almost two weeks I thought it was getting worse because I had yellow crusts that kept falling and it was very dry and red and everything hurt I almost couldnt smile so I went back to a pharmacy to ask and the pharmacy said that it wasnt normal for it to last that long. They said that it was probably something that started as herpes labial but now looked like a bacterial infection and so they gave me a Cream called diprogenta.. Ive been using it for two days or so but I feel like there are almost more crusts than before and It still hurts... I dont understand and its very big and quite frankly ugly I just want it gone but is this cream good? Im tired of buying useless creams... Are the crusts going to fall on there own or after a shower I should help them fall a little? Can I go in the sun with suncream? Please help its been so long... ### REPLY: With respect to your query, herpes labials is a viral infection which resides in the ganglion nerve endings and outburst of these lesions occur when that particular subject is under stress or feeling weak. These lesions start to appear at vermilion border of lip. Before they appear one will have tingling and irritation at that particular site. Coming to the treatment part, usage of anti-viral .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 cousin is hospitalized due to a collapsed lung that has not reinflated with the drainage of the fluid. They have done a talc pleurodesis procedure that failed. She has heart damage due to previous radiation tx associated with breast cancer 10 years ago. She has had a bronchoscopy with results pending. Why is the lung not reinflating? And would you feel that lung cancer may a pending dx? Would she be discharged at some point without getting the lung reinflated on supportive measures? I wish I could provide more info but I am not the one with POT. ### REPLY: Thanks for your question on . In my opinion there few causes for non-expanding lung in breast cancer patients. 1. Malignant bronchopleural fistula (BPF)2. Thick fibrous adhesions which prevent lung expansion. 3. Chronic infection of pleura causes pleural thickening and this can prevent lung expansion. So better to consult thoracic surgeon and get done repeat CT thorax. Thoracoscopic technique called VATS (Video Assisted Thoracoscopic Surgery) can be useful in this case. In this technique pleural cavity is seen under vision and if BPF is present than we can seal the fistula, if thick adhesions are there we can break the adhesion. More over pleural biopsy can also be taken for diagnosis and rule out pleural metastases. So consult thoracic surgeon and discuss 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: I am a 61 year old woman. I have had dull pain in my right middle back area, also cramping in my abdomen, but now I have some pulsing in my right abdomen area. I thought I might have a UTI, and went to the doctors, but did not have one. What can cause this? ### REPLY: Hi. Thanks for your query. The probable causes of pain in the back and the cramping in the abdomen with pulsing in right abdominal can be due to Inflammation of the organs in this area, namely liver, gall bladder, pancreas, right kidney and so on. I would suggest you the following:Get a CT scan of the abdomen along with blood, urine and stool tests. A good physical examination by a Surgeon along with investigations can pinpoint the diagnosis and give a plan for 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: Can coughing really hard cause a heart palpitation?  Im getting over a cold and have a strange sensation in my esophagus and chest that makes me want to cough.  Just recently I coughed and shortly afterward felt that fluttery feeling of a palpitation.  Thanks. ### REPLY: Thanks for your question on . I can understand your concern. Yes, coughing can cause tachycardia (high pulse rate) and fluttering feeling in heart. Coughing is commonly due to upper or lower respiratory tract infection. And tachycardia is common in infection. Coughing itself causes strain and exertion to the body. So all this cause tachycardia. So better to consult doctor and get done clinical examination of respiratory system and chest x-ray to rule out lower respiratory tract infection (LETI). You need antibiotics, antihistamines and anti-inflammatory .   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Two days ago, I begin experiencing extreme pain in the hip/gluteus maximus area. It s tough to sleep and walk, or even sit. I ve used a heating pad and have taking motrin in an attempt to provide relief from the pain--to no avail. The only physical thing I ve done in the past two days is get in and out of the car. What could be the problem? Also, might it be something I should get medical attention for? ### REPLY: Hi, You may have pulled your gluteus muscles during some strenuous hip flexion activity. So I suggest you to sleep over your stomach, don't walk too much and take rest. You may opt for in home physiotherapy sessions as in physio there are various machines like (it, tens and heat therapy which will give you pain relief). If it doesn't get better with 5 sessions then do visit your orthopedic. 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 I am 76 years old,weigh 80KG have been active in Karate for last 20 years,10 years ago I tore the Sciatic nerve at the root source and spent three months on my stomach but came right after that.Just recently (last week) I was kneeling down and when I stood up I experienced an excrusciating pain in the lower back that made me collapse to my knees,since then it happens for no reason combined with acute knee pain,it seems as if when I have been standing for long periods it happens more frequently,can you help?Thanks, Mike. ### REPLY: Dear patient Your symptoms are suggestive of nerve root compression with disc prolapse as a reason of sudden her to your back. Sudden jerk while getting up from standing position may lead to disc herniation which leads to nerve compression and hence radiating pain in Lower limb. This needs to be investigated with 1. X-ray of lumbosacral spine anteroposterior and lateral 2. MRI of lumbosacral spine to confirm diagnosis. Visit radiology center nearby you and get it done. Meanwhile, take strict bed rest ant start tab Myosins forte twice a day along with tab antacid 40 mg twice a day for pain relief. Avoid forward bending and weight lifting. You need to consult expert spine surgeon with report. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,im 22 years old and I am uncircumcised, and every time I pull back the foreskin Im able to go back up until the head.the problem with that is that when I pull it back ,it doesnt go straight down ,it kinda goes backwards like inside out.Im worried and dont know what to do or if its normal for that to happen please help. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Penis foreskin normally will be attached to the urethra opening with the help of a small thin strand which is also cut during circumcision. Your condition of due to that reason. You do not have to worry about it. If you are able to have your foreskin back and forth without pain or irritation, you do not even have to go for circumcision. For psychological / sexological counseling visit http://psychocure.webs.com/Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have been getting fluttering symptoms all down my left leg..it started a few months back, where at first I was just getting a real sharp pain for a few seconds..which would be at random intervals.  Now I have constant fluttering feeling in my left leg, the sensation comes and goes throught the day and night.  I also suffer with terrible cramp in my feet/toes. ### REPLY: Hi, Thanks for the query understand your concerned causes of these types of symptoms can be due to either electrolyte imbalance or neurological due to spinal cord or nerve root problem. A clinical examination will clarify the picture in a better way. I feel that you should get examined by a local neurologist who will help you through investigations if needed. Please get back in case you need any additional information Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a deep ache in my collar bone specifically starts aching at night time. Im thinking it might be from lifting weights especially weighted dips. I am a bit of a worrier so im thinking this is the worst and i have an HIV infection. Would love to know what you think? ### REPLY: Hi, Since you have other medical complications you need to take a guidance from your physician if you can really do strenuous exercise like weight lifting. This kind of weight lifting exercises aren't advised to people without having any medical clearance. I feel you have sprained the Acromioclavicular ligament and that might because for the pain. For time being tried to avoid lifting weights and focus more on breathing exercises along with hot water fermentation at the pain site. You should do well in 5-6 days. Also, will request you to consider your primary physicians' advice before doing any heavy exercises. 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: Hi, I feel some tenderness over my left lower rib , there is no pain or anything and today i experienced while breathing a catch sort of feeling. i get palpitations and thats confirmed and since a year i am taking embeta xr 25mg. i dont have any shortness of breath, no tiredness ... ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more. But better to first get done ECG to rule out heart diseases. If ECG is normal then no need to worry about cardiac diseases. You are also taking beta blocker. And this is mostly given to you for anxiety. But only .  Better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Counselling plays very important part along with  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there I have been experiencing the following symptoms for the past few days or weeks: nose bleeds (when i blow my nose) dizziness, cramps, brown discharge, slightly queazy and skin itches. Is this a sign of pregnancy as i am trying to get pregnant at the moment.  And my period is late. ### REPLY: Hi, I think you should do a urine pregnancy test at home to confirm that you are pregnant or not.  These are not symptoms of pregnancy.  Consult a doctor for your other symptoms.  You Mahmood need some antihistamines for the itching. Nose bleed can be due to trauma if you are having cold. Dizziness can be due to low hemoglobin level.  Get your hemoglobin level checked. Hope I have answered your question.  If you have any other query I will be happy to 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: Hi sir...        This is Dharshan.I am doing MCA.I have got addict to masturbation.But i have not harmed anyone due to this.Atmost daily once,i use to do.I want to stop this.This is my weakness.Will it affect my future?If so,please tell me some treatment. ### REPLY: Hello dear, Masturbation is a normal phenomenon, and does not have any side effect on body or mind, unless you get addicted to it. Since you are feeling that masturbation is interfering with your normal functioning, you can try out the following measures:1. Improve your social life by spending more time with friends and relatives.2. Keep your mind active and busy at all times either through curricular or extracurricular activities.3. Have a diet rich in fruits, vegetables, fish, nuts & honey.4. Avoid fast foods & lipid containing diet.5. Avoid smoking & alcohol.6. Keep away stress, think positive.7. Exercise regularly & practice meditation. These measures will be helpful in improving your health & build up the confidence level. 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 had elevated AST, ALT for a few years. Was made aware of it while on methotrexate therapy. I have not been on any meds at all for the past couple years. My AST/ALT remain high. Test from last week came back w/AST/ALT 180... Rheumatologist is referring me to as Gastro for a liver biopsy. In the last 3 years I have been diagnosed with Relapsing Transverse Myelitis. My tests for hepatitis have come back negative but rheumy wants to know if its autoimmune liver disease... Do ultrasounds, mris or car scans rule out or rule in a specific liver disease or is a biopsy the only way? Will Imuran help the liver disease and the RTM? ### REPLY: Hello, Thanks for the query to . Forum. AST and ALT are a specific enzyme, no doubt, and value as you mentioned in query is also high. Value is high but not too high. If value is more than 300 U/L than we consider, that there is liver cell damage, otherwise, just due to damage to liver cell membrane (mind it I said MEMBRANE) there is increase in the value of AS T & A L T. So don't be panic as far concerned about raised level. So ultrasound, M R I and other liver specific enzymes value will reveal exact cause of liver damage, if any. Methotrexate if it uses in high dosage for long time may damage liver. Consult a physician and get opinion. Hope I have answered your question. If further any question I will help. Get well soon.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Two of my grandchildren went to churcChatDoctorp and got hand, foot and mouth virus on 7-15-14. We are getting ready for vacation 8-1-14. We have other grandchildren that will be there, we have a swimming pool. I read that virus can stay in body 1 to 2 months Are we safe to have them all in pool ? ### REPLY: Thanks for posting your query on . Hand, foot and mouth disease is a very contagious viral disease. Although it is not unsafe for themselves to go into a swimming pool, it is unsafe for others who would go to such a pool as the virus may spread to others if they are still shedding the virus. I would insist that you wait some more time before allowing them to go into a swimming pool. Hope this helps. Feel free to revert in case of further queries if any. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 problem is that I feel distracted, and I cannot focus on one thing, especially studying even though I used to study 5 hours a day. Sometimes, even though there is nothing in my mind, I feel there is like a wall that keeps me from focusing studying. I was diagnosed with ADD last year. I also was diagnosed with depression and anxiety . I started by taking Adderall , Klonopin , and a medication for anxiety that causes sleepiness. I felt much better, and I could concntrate easily at that time. However, I started sleeping 14 hours a day, so my psychiatrist stopped both Adderall and decreased the dosage ofthe other medication that I don t know its name. She then gave me Concerta and abilify in addition to Klonopin. I felt as good as I was, and could easily concentrate. However, the same problem with sleeping came again. At that time, she stopped the medication that I don t remember its name and Concerta. She gave me wellbutrin and strattera . She gave me a low dose of strattera, and was planning to increase it later. After a month, I moved to a new city, and I told my psychiatrist that since I started using strattera, I didn t feel any improvement, so she stopped it. Since that time, about six month ago, my new psychiatrist has changed the dosage of each medication except wellbutrin. She said that I might not have ADD, but anxiety and depression are causing it, so she haven t gave me any ADD medication. She also says that medications conflict with each other. My concentration has not improved since that time, and sometimes, it decreased. I actually think that what I have is ADD and it makes me worried becuase I cannot study. I feel like I don t have anxiety or depression. How can I know if I have ADD or not? Do I need to find a new psychiatrist ? since my current psychiatrist has not helped me for 6 months. Please, help me. I am having hard time studying, and I am worried about my future. Thanks ### REPLY: Hello asab92ADD or in simple Hyperkinetic disorder is a constellation of symptoms of Inattention, hyperactivity and impulsivity. ADD is a childhood psychiatric disorder. Usually in simple terms it is said that child with ADD is said to be on foot only, he can't sit still and usually can't wait for turn. But as you have mentioned that you were able to study even continuously for 5 hrs, and you are complaining of inattention so as per my opinion we can think of other possibility as-- as inattention may be a manifestation of depression, in depression individual fails to focus on one thing and usually have other features like decreased interest, energy and low mood.- as a part of anxiety disorder, in severe anxiety states there may be inattention. So try to consult with doctor about this possibility also. Hope I cleared your doubt. 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 and off for about 4 months I have had a swollen tongue with tooth indents, it burns and now I also have a sore which looks like a raw spot about 1 cm in diameter.  My doctor drew blood and the test for thyroid, kidneys, etc... came back fine.   I would be interested in your thoughts.  Thank you. ### REPLY: Hello, Swelling of your tongue over all may indicate an allergic reaction or an infection. If the swelling is in one area, this may indicate more of a growth, cyst or tumor and should be investigated further with a clinical exam by a dentist or a specialist, an oral surgeon. Try to think about any changes you made about four months ago when you first noticed this problem. Has the amount of swelling changed in the four months? This should include medications, dietary changes, and tooth care products such as toothpaste, rinses, etc. Have you had recent dental work? Materials used or a change in your bite could be a factor. And untreated fungal infection could have an effect on you tongue. The swollen tongue could cause you to rub the tongue against your teeth and cause indents which could then turn into sore spots. Being uncomfortable with your tongue may encourage you to develop some habits. Certain viruses can cause swelling and ulcerated irritations that can recur.  Mouth cancer on the tongue can occur, often along the back border, near the molars. An occurrence here with rapid changes would be of urgent concern. A clinical exam by a dentist would be recommended to evaluate your condition. Medication may need to be prescribed. I hope this answer is helpful and gives you some direction. I am glad to answer additional questions. Thank you for your inquiry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Around November I found out I had a stress fracture after not being able to walk without my right foot hurting terribly. After 4 weeks, I was able to take it off. I just had to go easy on it. Well almost two months later, it starting hurting again. I had to get an MRI and My stress fracture healed up. I was put back in the boot for another 4 weeks since it was still painful. Until Feb 26. Now, it s May and my foot it s starting to hurt again. The area where it hurts, it swells. I m just curious on what to do. ### REPLY: Hi, Primary symptom of a broken bone is pain. The pain often begins toward the end of an activity and resolves with rest.  If the injury is not recognized or if the symptoms are ignored, the pain will begin earlier during the exercise and continue even after the activity or exercise is finished.  Also check the pain may be due to cellulitis or plantar fasciitis or mirror neuroma or bony spurs. Eat sufficient amount of calcium contain food. Use painkiller like Diclofenac, Naproxen or Ibuprofen. Elevate the leg, avoid tight shoes aggravate the pain. If symptoms not improved please consult your doctor he will examine and treat you accordingly. 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: How can I find the right foods to eat to stablize my low blood sugar . I have started sleep walking 2 to 3 hours after I eat my evening meal. I have been crashing for the last 9 Years. The doctors I see only want to put me on seizure medicine and I won t take it. I know if I eat all day I am fine. Some days I can t eat all day, because I can t drive and don t have a way to the store. I will eat 3 main meals and 3 snacks however, it depends on what I eat if I crash or not. I am waiting for my medicare to start next year and I will be looking for a Endo & Nutristionist, Doctors. The doctors I see at the clinic only want to treat me for Seizures. Talking to other people who knows of my condition says I have Reactive Hypoglycemia , from my symptoms. I excersice and only drink water all day and wine with my dinner. I hope you can help me with the foods to eat day and night. Thank you in advance, Maxine ### REPLY: Hi, Thank you for posting your query. I have noted your symptoms and agree with you that you require detailed evaluation. Hypoglycemia needs to be ruled in view of your symptoms. This can be done by checking your blood sugar (with a glucometer) whenever you have these symptoms. In addition, it may be useful to do a sleep study (polysomnography) to exclude a sleep disorder. Seizure is less likely the problem in your case, as the duration of symptoms in seizures is usually a few minutes and not three hours. 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, . 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: Hey, my name is Alexis I m 18 years old I have a serious question Me and me ex boyfriend had unprotected sex two times in one night he came in me both times I was getting really worried if I got pregnant I have a 32 day cycle my last period was on Dec,25,10 I just looked up my fertile window it said I m fertile on the 9-14 we did it on the 7th my cervix wasn t open then but do u think it could have gotten in anyway.....I woke up yesterday morning with a crazy feeling like I was bleeding but when I checked it was a white creamy substance could have I gotten pregnant?? Help I m really worried and when could I take a test ### REPLY: Dear Alexis you had unprotected sex on 7th day of period. As you mentioned that your fertile period is 9-14 days. So don't worry about pregnancy. Regarding white discharge it can be due to many reasons. If a girl comes to my clinic with similar complain I would assure her not to worry as there are very, very fewer chances of pregnancy. White discharge I would treat it if she has any symptoms otherwise not hope now you are tension free. 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: hi I just wanted some advice as to what to do as I feel very depressed and i am terrified to go out by myself and when i do go out my partner gos everywhere with me im scared of the dark and being in the house on my own and sometimes when i painc bad i start to sweat , feel very hot and shaky , am also afraid of answering the door or picking up my phone when i dont know who it is. i rely on my partner for everything i cannot go out anywhere without him ### REPLY: Hi there ~The cause of most panic attacks is not clear, so treatment may be different for each person. Medication is used for prevention and/or immediate alleviation of symptoms and is usually the main line of treatment. In addition, psychotherapy, cognitive-behavioral therapy, relaxation, and/or meditation are often used to help relax the body and relieve anxiety. If you're in the middle of a panic attack, immediate relief of anxiety symptoms can come from sedative type antianxiety medications such as Xanax, Klonopin, and Asian. These . Antidepressants often help prevent anxiety and reduce the frequency and severity of panic attacks, but are not used for immediate relief during an attack. Frequently used antidepressants are the selective serotonin reuptake inhibitors (SSRIs, such as Prozac, Pail, Elena, Learn, and Zoloft). This group of medications is often considered the first line of treatment for panic disorders. For preventive or maintenance care, psychotherapy offers support and helps minimize fear. In some cases, psychotherapy alone can clear up the disorder. Cognitive-behavioral therapy helps people learn to deal with panic symptoms, using techniques like muscle and breathing relaxation. Patients also gain reassurance that panic will not lead to the catastrophic events they fear, since many people fear they are having a heart attack or going crazy.  I hope this helps.  Take care and have a lovely day! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter has been having shoulder pain for over a year. We ve been to ortho doctor. Finally after several xrays, MRI and physical therapy and xray showed something on collar bone. Had a CT done and ortho doctor said its normal. However, I got a print out of the ct and it shows a small cystic area at the medial aspect of the right clavicle posteriorly. A small adjacent osseous projection extending posteriorly. What does this mean? and what can they do to get rid of the pain she has? She cant even play softball because of pain. But ortho doctor says its normal. ### REPLY: Hi, thank you for providing the brief history of your daughter. As she has a cyst formed in the medial posterior aspect of the bone I think it should be a calcium deposition. Since the child is in the growing stages she may have some changes of growth of the bones. As bones also has some remodeling phase during the growing ages of a Child certain things are time framed and goes off on its own. As the or tho said, this is not to worry as he might want to speak about the growing phase of your child and also the remodeling of the bone which he must have not explained. In my opinion this is not so worrying thing as its only giving pain due to the remodeling of the bone. In case the pain worsens over a period of time and this remodeling doesn't remove the excess deposition of the cyst may be an excision of the cyst will be performed. In my clinical practice many parents comes with child having pain and aches, but this is the growing phase of the child and may have some aches and pains. I advise them to take the child for swimming as it will help better for muscle movements for its relaxation, strengthening and stretching. I will recommend you the same to try out swimming, and I am sure your daughter will be fine. I wish your daughter a good health and a blessing from God. 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: Dear Sir, My name is xxxxx female, and 31 years old from Pakistan, i got married from last 3 months, I have a problem that I have higher ESR up to 70, I don t want to eat any thing or less my diet day by day due to less hungry, less amount of fever 98-99C every night from last 01 month, getting weak day by day, Coughing from last 1 and half month ago, Pain in my breast, I got my blood test for MTB, which is negative (as prescribed by local physician). Kindly tell me what sort of Problem i Have, and how can i reduce my ESR level up to normal, Waiting for your soonest reply, thanks. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. There are many causes of high ESR. Tuberculosis, infection, anemia, autoimmune disease, paraprotienemia, malignancies all can lead to high ESR. You should search the cause first.  You should go for complete blood count, x-ray chest and ANA test.  It will give you idea regarding cause. 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: I am a 64 diabetic male without any symptoms of heart disease, I had a vascular screening, showing no evidence of plaque blockages, I am awaiting the results of a nuclear stress tests, should I worry? Is there a correlation between carotid blockages and coronary blockages? ### REPLY: Hello Diabetes is a major risk factor for coronary heart disease as it promotes atherosclerotic changes throughout the body vasculature but again if your control on diabetes is good that risk comes down to minimum. So I would suggest you to maintain a healthy life style and DO NOT INDULGE IN SMOKING (if you do). Now answering your question: No there is no obvious relationship among the two but as it is due to atherosclerosis blockage can coexist in both up to some extent. Good Luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went to the drs. on Tuesday and they told me my red rash on my ankle to my calf was from the elastic from my socks. So it was going away somewhat and I put other socks on and working on my feet all day the rasChatDoctore back more red. Is there anything I can use to take the redness away. It doesn t itch and it isn t painful ### REPLY: Hi.thanks for your Quertle rash if it is due to the socks you are wearing, should be present on both legs and on all the areas where the socks can come in contact with you skin. If so, then you should do a patch testing to know exactly that are you sensitive to.In the future, you can avoid any such ingredient present in anything you wear etc.Also, instead, you can wear cotton socks and have them loose and not occlusive at all. If it is simple redness on contact with the socks, it should so away just by avoiding the use again.However, certain cases require topical steroids and emollients (Detail Cream) to reduce the lesions. Hope this helps. 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 daughter has been seeing the dr for about 2 months now, they took blood work and sd that her sugar level was normal at 80 but her insulin level was 53 and wanted to see her back this week. staurday i had to rush her to the er cause she was shaky,dizzy,and disorented for a bit, they cjhecked her surger level and it was 151..she also has tachcardia(sp) her hr was 138 normaly its 110-112..is she diabetic,hypoclacemis(sp) ### REPLY: His understand your concern. Dizziness and disorientation is the symptoms of neurological deficit. It can be due to electrolyte imbalance like Na, K,Ca etc. Or due to change in sugar and glucose level in the body. Require proper work up and Manage her symptomatically. Consult neurologist for more evaluation. Treatment of underlying cause will improve her neurological functions. So consult and get help., Thank you. Still have a query then feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter broke her left wrist four months ago playing soccer. She had a distal radius fracture with volar displacement. Four months later she has pain at the base of wrist and arm swelling purple discoloration and rwcently her thumb pops in and out of socket and a strange painful bump has appeared on her wrist on her pinky side she can move the wrist but much pain still exists ### REPLY: Hi, If I was your treating doctor for this condition, I would have come up with the following possibilities.  1. The first possibility is improper union of the bone as there was a fracture with displacement. This can be evaluated by an X-ray of wrist joint. If it is so then a surgical intervention would be necessary.  2. The second possibility is Tendinitis which again can be evaluated physically with Finkelstein test. If this is the condition then I would suggest making it immobilized with a crêpe bandage and splints to give it sufficient amount of rest. It can be treated effectively with medication.  3. The third possibility is the complication of fractures namely osteomyelitis which is a serious problem. Usually this is accompanied by fever.  This can be assessed by X-ray which will relieve the damage to the bone. An MRI is more precise as it gives of bones and soft tissues. I suggest you to consult an Orthopedic at the earliest and get an MRI done to rule out serious conditions like Osteomyelitis and million of bones.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 22 and was stung by a bee yesterday around this time. I was stung on the center of the sole of my foot. It was fine until around 10 pm last night when i noticed it was swelling and started to become painful. Over the course of the night it hasnt gotten any better. I am taking benadryl. Is the swelling normal this long after a sting? ### REPLY: Hi. Welcome to  . As you are stung by a bee on the sole of foot that has got swollen and painful, it is normal occurrence after bee sting and is due to allergic reaction or anaphylactic reaction with the toxic chemical released by the bee sting. It causes inflammation leading to swelling and pain. It can take at least 4 to 5 days to resolve and cannot resolve immediately after taking anti-allergics like Ben . . You can continue taking Ben ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 want to know possible causes of sudden abdominal pain , profuse generalized sweating, dizziness and nausea. I felt sudden stomach pain and thought I was either going to vomit or have diarrhea, but when I to the toilet I only had gas followed by increasing stomach pain, profuse sweating, nausea and dizziness. It only lasted about 15 minutes and the next day felt fine. What would have caused these symptoms? ### REPLY: The possibilities are stomach infections. Inflamation of stomachduodenitisgall bladder inflammation or infectionappedicitispancreatitis all these organ infections and inflammations cause pain and other symptoms you have described are associated with these attacks use antibiotic course of metronidazole antacid gel TDS and antispasmodic tab sorbet consult for diagnosing disease by ultrasound, endoscopy or other advanced price .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have recently been diagnosed with MCTD and have been seeing a Rheum 2x so far. I have had blood labs and X-rays taken. I have nit been given my Blood labs/reports which is a concern for me. Verbally I have been told I have a lot of inflammation in my blood. My Internist ordered Ultrasounds on every and all veins/arteries, organs and all show no signs of plaque. My blood pressure is normal HDL is high LDL is bait high (202). I had a gastric bypass 2003 and have increased my weight in past 4 years when symptoms (I guess of the MCTD) began to occur (again) I am 52 yrs. Menopausal, had thyroidectomy in 2010.....Who would be my best bet for a primary care Phys. and I do not have Arthritis...but am in chronic pain - I feel it to be nerve pain although at this point - I just need some kind of answers and I am not really getting anything from the MD. s I am currently seeing. I understand that MCTD is complex and the other issues I have make it much more complex but I really need some kind of help and relief. I do feel better this year (pain wise) than last year but I have really changed my life style and socialization because I can not anticipate my condition. ### REPLY: Hit present, it's best to trust and leave it to your rheumatologist to decide guidelines for this disorder as he has lab reports and other test reports and be allowed to complete the work up. You may write again after his conclusions and once you get your results of testators is indeed a disorder to be carefully planned and treated... Some doctors' advice cortisone group of . .but all other systems of body have to be screened first for definitive treatment to begunThanking you Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i broke my collar bone in which it hit my artery causing a annerysesm ,which i ended up getting graft put inthats been 4 years ago , i know i have collateral circulation from my chest,i have plate holding my collar bonein place ,should i lift weights at all ### REPLY: Hi, The fracture should have healed by now, and it should have returned to its original strength. You could have done it within six months only. The collateral circulation would have improved well, so it should not be a problem. However, start with lower weights and increase slowly. I don't expect you to get any pain. If any pain arises which is bone related and not muscular, you might need to get an x-ray done. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 34 yrs old. I have low (13.5 million) sperm count with nil motility. My scan report says light Varicocele on the left testis. I was prescribed with Paternia & Wysolone tablet. In what way Paternia and Wysolone helps in my case? ### REPLY: Welcome to  Your sperm count is low and absent motility is not encouraging at all. Paternal is a nutritional supplement and is also given as an adjuvant for many other treatments. It contains co enzyme Q, carnitine and lycopene which have antioxidant properties which may improve sperm parameters. Cyclone (Prednisolone) is not a . The number of days and the dosage will be best decided by your doctor as he will know the exact reason why it is being administered. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a dull pain that has been in my lower right back that I can also feel from the front, when it is hurting. Sometimes the pain can also radiate upward and effect my right side. Not very painful, just nagging. Stretching can help, but it never really goes away. I m thinking sciatic pain but how can I be sure? Kelly ### REPLY: Hi, thank-you for providing the brief history of you. A thorough clinical neuromuscular assessment is advised along with MRI of the lumbar spine. This pain symptoms mentioned by you may be dude to pinch nerve and so as the symptoms are arising may be due to this. After a thorough neuromuscular assessment taking an MRI will help understand the soft tissue status. Also, as you feel better with Stretching the pain can be due to Sacroiliac joint issues which post clinical assessment and MRI will be understood. I will recommend you to undergo physical therapy as it will help reduce pain and inflammation by Therapeutic ultrasound therapy and TENS therapy. Performing exercises at a later stage will help provide better muscular strength and joint stability. In my Clinical practice we recommend patients to physical therapy, and they respond well with outstanding results. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a stinging sensation almost 24/7 on my left wrist on the skin...I felt like i strained my writs a few weeks ago and couldnt lift anything but that has subsided except for the above and a periodic sharp pointing paid. This has been ongoing for about 3 weeks? ### REPLY: Hello, I have studied your case. As per your history there is possibility of wrist TFCC/ligament injury. It may subside with time. Pain indicates inflammatory process or nerve compression. I will advise you to do MRI and Ultrasound of wrist. Till time, you can start analgesic and crêpe bandage support. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Practically every time I stand up from either semi laying down, laying down or sometimes from even just sitting... I completely black out, close to passing out, I have to completely stop and wait until it passes as I cannot see a thing and my legs get weak.. Some of the time for about 10 seconds as it s easing and stopping I have troubles remembering where I am or what I was doing ... I do also have troubles breathing sometimes that I have been advised is due to anxiety... Which causes me to feel as though I have a tight chest So I am constantly trying to take deep heavy breaths..which also may affect the dizziness, because of too much oxygen going to my head? A lot of Mosquitos live around my house and obviously they all find their way into my house, do any of these symptoms indicate the Ross River Virus?? Help! ### REPLY: Hello dear,First, please do not get concerned with Ross River Virus disease, it presents with a lot of different symptomatology. The symptoms as mentioned in your post can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). So, kindly consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations like complete blood count, estimation of serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY . And also take precautions like getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dr. good mrng, My child age 5 yrs and three months have 75-80 pus cells in his urin today we have medical report, but he absolutly fine, we had ultra sount he has 19 mm stone in his right kidney , we started homeopathy treatment for this near about 15 days back, in between we had checked it was 25 to 30 which were less than 35-40 when we examined in start i.e. 15 days back. Now he is absolutly fine and healthy. what it means, iam worried about it, is it clearing the kidney passes and will become normal or what we should do next, please tell me. Regards Harpreet Singh ### REPLY: Hi Harpreet, your son is having a large kidney stone, which is causing pus cells in urine. Pus cells can be due to infection or just rubbing of stone against kidney wall. However, such large stones need to be treated. Only uric acid stones can be dissolved with medicines (that change urine pH). Smaller stones <6 mm can be pushed out by medical treatment, rest all stones need some form of surgery or lithography. I suggest u see a urologist who will advise some X-rays or CT scan and further treatment will be decided based on the reports. Once the stone has been treated, do get a complete stone metabolic workup of your son to decrease chances of recurrent stone. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a sinus infection been taking antibiotis for 2 months developed  bad cough and now my pee is burning...???...dr just took chest xray...ok...had a pulmanary test for lungs said lungs ok but airway is the problem...???...any ideas my cough is getting worse ### REPLY: Thanks for asking your question completely understand your problem you need to visit a pulmonologist who can get some investigations like spirometry and sputum culture for myogenic bacteria if your chest X-ray is normal. Causes of cough persistent cough can be upper or lower resp tract infections, bronchial asthma, tuberculosis, bronchitis, COPD, and some cardiac problems. Your pulmonologist may prescribe you with some broad spectrum antibiotics like lifetime for a week or two, and some inhaled .  For sinus infection u need to take some leukotriene inhibitors like montelukast or an antihistamines like fexofenadine after pulmonologists opinion thanks /regards feel free to ask more questions may god bless you with good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello all hope you are well, have a question I had a frozen embrio transfer on Tuesday the 24th of October today is day 6 Couldnt wait and did pregnancy test shows negative , measured my basal temperature shows 37.2Im taking Progynova 6mg per day , and cyclogest passeries ### REPLY: Hi, Thanks for writing to . After embryo transfer you should wait for 2 to 3 weeks for your pregnancy test to come positive. If you get it done before 14 days it will come negative. Don't worry about that. Continue your prescribed .  If you want you can get serum b-ChatDoctor test after 14 days. This will be more precise than urine pregnancy test. Hope I have been helpful. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, the last few days i felt something in mt naval, today it was like a pinching feeling then it must have burst puss & blood came out & also it was very stinky. i ve had this growing up & then it stopped for years.should i go see a doctor, i have no insurance coverage. ### REPLY: Hi, I studied all details of your query. In My Opinion you seem to have periumbilical hernia which lately is pinching. I would suggest you to have Second opinion as many other causes need to be ruled by direct examination from Er Surgeon urgently. Teatment- Er surgeon would plan Surgical or mesh repair for per umbilical hernia accordingly after needful investigations. Hope this satisfies your query.Don't forget to hit thanks and write excellent review comments to help needy visitors at . Welcome for any further query in this regard. . N.M.S. Genl- CUTS. Senior Surgical Specialist. ### END