Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Right underarm presents with one lump (under the skin), very soft to touch with no pain, less than 1 cm in longest axis. Have experienced itching & irritation on both armpits. I am a Liver allograft transplant patient, stable for 9 years with 1mg. Prograf (every 12 hours), 180 mg. Myfortic (every 24 hours) & 5mg. Prednisone every 24 hours. Cause of Transplant, PSC. Had a cold about 4 weeks ago with ever decreasing cough -almost resolved. No significant night sweats -only some sweat in areas in contact with bed occasionally. I have been diagnosed with C. Difficile Colitis -recurrent (chronic). ### REPLY: Hi and welcome to . Thank you for your query. I am  and I will try to help you as much as I can. I don't think this lump is related to your previous diseases. This sounds to me like a lipoma and this is soft subcutaneous lesion which can be easily surgically removed under local anesthesia so consult your doctor about it. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my face skin is rough with black spot..and it squeez very often...also have pimples ..how can i get a fresh healthy and smooth skin? ### REPLY: Hi, I'm happy to help you and will try my best to answer your query, If you are a teenager then black spots and pimples will decrease gradually, usually they result from hormonal imbalance, but you need to take care to prevent permanent spots on your face, for that you first need to stop squeezing this will cause spots. . You can apply local Erato ointment or use antibiotics tab erythromycin twice daily for 5 days. Use antibiotic soap like CNIL or lover soap. Hope my advice 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: Hi, may I answer your health queries right now ?  Please type your query here...my right arm is tingling and sometimes goes numb from my elbow down. It wakes me up a lot of times and I make sure I dont sleep on it no matter what I do for the time it hurts I cant stop the pain. Sometimes my chest hurts when my arm starts. What can it be? ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of musculoskeletal pain is more likely. So follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise.2. Apply warm water pad on affected areas of arm and chest.3. Take painkiller and muscle relaxant . 4. Avoid movements causing pain.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 33 wks pregnant with my second child (14 years apart). I walked into the hospital at 9 cm dilated and had no idea I was even in labor (I felt damp in my underpants and was curious since it was not a show) when I had him. I have been getting extreme hot flashes with a lot of tighting in the belly. Come to find out, I am 2 cm dilated, 60% effaced, baby went from a -3 to a -2 in a day....two days ago they gave me a shot to stop the contractions - which I found out it was the tighting that were contractions. since that time, I have had two spells of what seems to be heart palvations, fever and flushed. I am still have contractions, but I only know that because I am now aware of what they are. Should I be worred? 4 days before my appointment, I had the same type of feeling. I did not know I was in preterm labor until my appointment (and the doctor found all that out). ### REPLY: Hi there, To be in a preterm labor is a scary situation. Do not worry, even if you into labor at 33 weeks the chances of the survival of the baby are very good. The doctors must be trying to delay labor till 34 weeks as that is what we consider to be an important milestone. Babies born after 34 weeks have as good a prognosis as those born at full term. The medications given to you to stop the contractions can sometimes cause the palpitations and flushing and if these symptoms are troubling you, you should not take further doses of that . They must have also given you a shot of steroid called dexamethasone this is for lung development of the baby and so that the baby does not have any breathing problems once delivered. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A couple of days ago I noticed a severely bruised feeling area near my right groin area (from looking at diagrams possibly the inguinal node ages). No bruising exists but the area is very tender to the touch and an ache has begun to radiate down the leg to the knee area. Also during this time, I have been feeling slightly ill, running a low grade fever of around 100 and experiencing chills and night sweats. I live in a rural area and am wondering if this is something I should seek medical attention for or just give it a few days to pass. Thanks. ### REPLY: Thanks for asking in  forum In short: Any infection in lower limbs can cause inguinal lymph node swelling with pain. Explanation: Please look if you have any infection/problem below waist. Any infection below waist can cause inguinal lymph node swelling. So, you can take antibiotics for this.  But it is better you visit a doctor and get examined yourself for proper diagnosis and treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was on my normal 5 mile walk yesterday and all of a sudden going up a hill I got this sudden sharp pain that ran thought my knee cap. Almost like an electrical shock. Only lasted a few seconds but started walking and it happened again. Got home did the whole ice, elevate and did some stretching. Doesn t bother me to kneel or go up stairs. Today I ve has a few (3) episodes. It s totally random. I do have osteo arthritis. Any thoughts? ### REPLY: Hi I did review your concern. Your electric shock like sensation over knee could be due to nerve root irritation in the back like lumbar spinal stenosis and typically occurs when you extend you back or walk on toes. I would advise you to consult an orthopedic surgeon who can help you with diagnosis or a neurologist who can also run tests like Nerve conduction tests. A spinal MRI after detailed neurological test would be highly advantageous here. I hope this helps. Let me know if you have any more questions or concerns. Wish you healthy and happy life ahead. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 17 years old. I am having some blockage in my lungs.when i breathe it makes very noisy  . I have consulted a lot of doctor but they told that your chest is clear. But blockage is increasing day by day so as breathing problem please help for god sake please ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you should definitely consult ENT doctor and get done endoscopic examination of pharynx and lynx to rule out any obstructive lesion. Obstructive pathology of lynx and fern like (nodule or mass) can cause noisy breathing with clear lung. So consult ENT doctor and discuss all these. You may need surgical removal of obstructive lesion. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi how are you....I need to know what test is best to diagnose thal minor.as my girl friend is thal minor so i want to know if i have thal minor or not because we are thinking to have kid.but i heared it if both partners have thal minor then kid might have thal major.. thanks ### REPLY: Welcome to . My dear friend as you told that your girlfriend is Thalassemia minor then you need a screening procedure before planning for baby. In addition to complete blood count (CBC), hemoglobin electrophoresis is the first diagnostic test. For these Fractions of hemoglobin A, A2, F, H, E, and other variants are measured. Hemoglobin analysis by hemoglobin electrophoresis or high performance liquid chromatography is used for confirmation. It will help to solve your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Dr. Santosh, Aditi, my grand daughter is 1 yr old. She was taken to the swimming pool . 2 days after that she started getting running nose. She was given T-minic drops for 5 days. She was better as far as the cold was concerned, but got fever and started vomiting. her paeditrician put her on 2 days medication of calpol, zanocin and Raglan. evem after 2 days she is still getting fever. Vomitting stopped , but started loose motion. We are worried. Pl guide us. Can we give bonnisan instead of Zanocin? do u suggest something else. We need your help. thanking you Jaya padmanabhan ### REPLY: Hi...greetings from Chennai. I am a consultant in Kan chi Bamako CHILD Trust Hospital in Chennai. What your granddaughter is having is only a simple viral illness - starting with cold and cough and now culminating with diarrhea. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 question for you. My sister has a severe gambling problem that her husband & her been kick out of houses cause of non payment. She goes online to cash advances gets the money and gambles the money away. Also she is an diabetic and uses it for her benefit for us to easy up on her. Does not take her medication and b ecomes a life threatening situation for her and others! My question is can her husband have her committed or speak to a doctor even she refuses? ### REPLY: Hi After going through your sisters' scenario two important problems needs to be tackled. Habit of gambling and taking money in advance for that it indicates psychiatric disorder which needs to tackled first. Second is her Diabetes:For diabetes management patients active participation is very important, though family support is also important. Though her husband can take opinion of planetologist against her will, it may not be fruitful. Before head, it is really important to take opinion of psychiatrist regarding her gambling problem and neglect of diabetes treatment, she requires psychiatric counseling. During whole process she needs family support and active participation of her husband and yourself in 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: Good afternoon. Ive had several years of painful cramps. I had adenomyosis and endometriosis. Ive had my right ovary removed in 2008. Then 2009, I had a supracervical hysterectomy, which was great. I started getting more cramping and I had my cervix removed in 2012. I still have my left ovary and continue to have bad cramps, as if I am on my period. At times, I have spot bleeding. Ive had UTIs with blood in the urine. The doctor will refer me to an urologist, but nothing comes up on a CT scan of my liver. Everything is ok. He thinks that maybe I should get my ovary removed. What do you think? ### REPLY: Thank you for consulting with .I'm sorry to hear about the pain you suffer during your menstrual cycles. Endometriosis is a disease which could happen anywhere in your body. The tissue responds to the hormones from your ovaries and bleeds once in a month like it happens in a menstrual cycle. If you are having blood in urine on monthly intervals it could very well be an endometriosis occurring in your urinary tract. And if it is endometriosis removing the ovary is an option. If the site of endometriosis is removable surgically its removal also may cure your condition. Blood in urine can also result from other causes like stones, or any ulcerative growths. A physical examination and imaging studies are mandatory to rule out the conditions. You also have to check the cytology of the urine. Consult with your urologist, and he will do the necessary investigations. Please revert with further details. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 problems with high blood pressure for a while now.  My doctor put me on a low dose diuretic which has lowered it a few points.  My issue is that the longer I sit the higher my blood pressure goes.  Once I get up and moving around or lay down it seems to bring my blood pressure back down.  I am a computer programmer and I sit all day writing code.  Could I somehow be effecting renin excretion by sitting?  Or something else?  I also have sinus tachycardia my resting heart rate averages at about 110. ### REPLY: Hello! Welcome to ! I carefully read your question and would explain that your symptoms could be related to orthostatic hypotension. You should know that blood pressure raises during standing up from sitting position. If there is a decrease in blood pressure more than 20 mm Hg during standing up position compared to sitting position, orthostatic hypotension could be the cause. A head up tilt tests is needed to confirm/rule out this disorder. Hope to have been helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a really bad problem with biting my lips. Last week it was so bad that when I looked at the inside of my bottom lip it was white from all the little pieces of skin that were hanging off. They heal fast, but the wounds also effect how I sound and are able to play my instrument. I need help! ### REPLY: Hello Repetitive lip biting may be due to some underlying anxiety. Due to underlying anxiety individual may start biting lips or chewing nails. This may progress to compulsive lip biting and may result in injury to lips and cause significant distress to individual. I would advise you to consult a Psychiatrist for help. Sometimes even psychological interventions like counselling and relaxation therapy help in improving the condition. Medicines like Fluoxetine, Paroxetine are very useful in such situations as they help to decrease anxiety in individual. Apply some lip balm on lips to avoid cracking from . Hope this helps you, thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi : I suspected I was scratched by a kitten last Aug 22, 2014 and have 3 doses of anti rabies vaccine that lasted Sep 5, 2014. But today I suscpeted again that I was bitten by a kittnenwhen i saw a small laceration in my left middle finger. Should I still need a vaccine? ### REPLY: Hello, Welcome to , Rabies is a 100% fatal disease but 100% preventable by proper and adequate treatment. Cat is a known reservoir of rabies virus and can transmit rabies by biting. As you were bitten by the cat following which you have taken active immunization with three doses of anti rabies vaccine. As you have once again bitten by the kitten you will be identified as Re- Exposures and you should take two doses of anti rabies vaccine on days 0 and 3. In addition to this you need a course of antibiotics like Tab Augmenting for five days and NSAIDs like Tab Ibuprofen. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having pretty severe leg pain thatm a nurse friend has suggested may be related to varicose vein problems. sharp pain intermittent back of right thigh, painful swelling there, and some activity in left leg too for past few weeks. I have had RLS for many years, Is there anything I can do to relieve the pain? Am taking 6mg requip for the RLS and 10mg oxycodone, 100mh gabapentin for fibromyalgia. am also diabetic on metfvormin. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have sharp pain on the legs with swelling. Well there can be many reasons for symptoms you mention in query like acute kidney failure, deep vein thrombosis, heart failure, lymphedema, thrombophlebitis or venous insufficiency. I would suggest you to consult general practitioner for proper diagnosis. Doctor may order certain tests like nerve conduction test, CT SCA, MRI or physical examination to check tenderness. Doctor may refer you to nephrologist for kidney problem or cardiologist for heart problem. Doctor may prescribe anticoagulant, crusade, beta blockers or physical therapy. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my grandson is on zyrtec when we accidentally skip a dose he has a horrible day at school acting out, etc another child at school experiences same issues. why would this happen. he has no visible symptoms of allergies that would be causing discomfort. ### REPLY: Welcome at  I have gone through your query and being your physician I completely understand your health concerns. What is his age? For how long he is suffering from?  Is he running fever? An Is he asthmatic? Why he is using Zyrtec?  As far as ZYRTEC is concerned it use for in allergic conditions, as well as to prevent the allergic attack. The abnormal change in behavior which you're talking about, i don't see any association between these two.  You better meet PEDIATRICIAN so that he can be properly assessed.  Zyrtec normally should not be use for prolonged periods since it has got its own side effects.  Meanwhile, stay calm May he get well soon Hope your query is adequately ad .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: If I have sever upper stomach pain what could it be im not pregnant nor im I on my perio been going on for a while now, and I have lower back pain also very bad bck pain, what could it be? Also I seen something that looked like a red kidney bean in my stool today very bright red. ### REPLY: Hi, Upper abdominal pain can be due to gastritis, gastric ulcer, gallstones or renal stone. Kindly monitor your stool color and watch for any alteration of color or any fresh bleed in stools. I would like to know if you have any history of constipation before the bleed, because excessive straining during constipation can cause anal fissure and bleed. In case there is any mass protruding out of anus, it could be piles.Meanwhile, you can watch stool color regularly, take plenty of fluids and high fiber diet. In case you have constipation try taking some laxative. Hope it 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: Hi I am male suffering from disc slip of l4 l5 ,l5 s1 , taken rest, physiotherapy and exercise for 6 months .. condition improving but still pain in lower baack an right leg.. i am supposed to get married in 3 months from now.. will i be able to lead a sexually active life? any precautions? advice? ### REPLY: Disc prolapse is surely becoming the disease of the young this day's and the major concern associated with it is the sexual activity which is a major taboo, even for the doctors to talk about. As you said, you have taken adequate rest and exercises and probably medications too. You should stick to the exercise plan as it seems to be helping you. Strength of lower back is sometimes needed during sexual intercourse. If you follow your treatment, you will be pain free and able to live a happy married life. Good 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: my mom has stage 4 lung cancer and she was in the hospital over the weekend and they did a ct scan that said the tumor on the left side is growing and so is a bilobed nodule in the lower right lung. now my question is what is a bilobed nodule? she has a tumor in the upper right and lower right lobes.also it said something about an enlarging low-attenuation focus in the spleen and a new extrahepatic enlarged lymph node. what does all that mean? ### REPLY: Thanks for your question on . I can understand your situation and problem. Your mother is having stage 4 lung cancer. Beloved nodule means presence of metastatic nodule in two lobes of lung.  So she is having malignant nodules in both right upper lobe and right lower lobe. Spleen is common site for homogenous spread in lung cancer. So low attenuation lesion in spleen is mostly metastatic lesion. Lung cancer also involve lymphatic system in abdomen. So enlarged extra hepatic node is mostly due to malignant involvement. All these make your mother stage 4 lung cancer patient and treatment for this is chemotherapy and palliative care in the former of pain management and nutrition. Life expectancy in such case is less than 18 months. So consult oncologist and start appropriate 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: My cousin had the overian cancer in 3rd stage. After 6 Kimos she went for the surgery. surgery happend 1 month back.  That time her CA-125 level was normal (36).  After 1 month her CA-125 is 350.  What is her position.  Is it curable. please give the suggetion ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  Treatment depends on many factors.  She has stage 3 ovarian cancer.  She has taken chemotherapy followed by surgery.  But her CA 125 level is very high.  So she may have relapse of ovarian cancer.  She should go for ultrasound abdomen to check spread of cancer. If needed go for ct scan.  Then she should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am currently suffering from chronic pain , in my back neck arms and legs I am extremely exhausted even when I get out of bed in the morning very fatigue and have on a few occasions now blacked out I use crutches to walk and also have a wheelchair for when I m feeling like I m going to collapse. My memory is very very poor my doctor has referred me to neurology ### REPLY: Hi Welcome to  I have gone through your query and understand your concern. You have not mentioned your age. It seems to me age related problems. You may be having vitamin and trace elements deficiencies. You are advised to get your vitamin D3 and vitamin B12 levels. If found low these can be supplemented. You are advised to take vitamin and trace elements supplements. You can take analgesic such as ibuprofen for pain relief. Electrolyte disturbance should be looked for. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. 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: can you answer a question on braces? I have braces. for an year now. Where they placed the band, the gum swelled. Now, I squeezed it and white, yellowish stuff came put. its was like liquid. Then blood came. What should I do? Should I ask my ortho to adjust my band? ### REPLY: Hi! Welcome to . I read your query. As you mentioned you are having orthodontic treatment right now. The gum swelling after band placement is traumatic periodontitis. The band or the braces might be impinging in your gums leading to irritation and abscess. I suggest you visit your dentist and get adjustment of band and braces done in DAT area. Also, don't pinch or squeeze the swelled area as it can cause infection further. Maintain good oral hygiene. You can use orthodontic brushes. Use mouthwash or warm saline rinses. Do rinses after eating or . Massage gums with gum paint for increasing blood supply and soothing. Maintain good diet. And get oral prophylaxis done at regular intervals of 3-6 months. Hope the answer helps you. Thank you! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Sir, Goodmorning.My name is Lakshmi Narayana,25years.I am suffering from Spino cerebellar Ataxia.Symptomss are getting increased for the last 3 years before that I can balance myself even though i am walking on ups and downs surface,no shivering of hands happen for fine movements.Now I could not sign. Please suggest to which doctor I have to consult and what type of treatment I have to undergo ### REPLY: Hello, You need detailed investigations to find the cause of the disease. It can be related to structural problems in the brain and spinal cord, degenerative disorders and genetic problems. MRI of the brain and spinal cord helps to rule out many causes. Medication depends on the cause of the disease. I personally feel you should also see a neurologist for a detailed evaluation and investigations like MRI, nerve conduction study and few blood tests. Continue to do physical exercises to keep your muscles and gait healthy. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife has memory losses that sound like TGA. There is a question whether it is TGAS or non-convulsive seizures. She takes seizure medication which is tweaked each time she has one. She has had 4 since Nov. and 8 over the last 3 years. Is it normal to have this many TGA s? An EEG and CT show little and she caa not have a MRI because she has a pacemaker. ### REPLY: Hi, Thank you for posting your query. Both Transient global amnesia (TGA) and non-convulsive seizures can occur repeatedly and may be difficult to distinguish from each other. CT and EEG may be normal in both. If she has risk factors for TGA such as high BP, cholesterol or sugars! They should be controlled. In addition, she should be on aspirin or clopidogrel.Anti-epileptic . I hope it helps. Best wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my i am 23 years old. I am workin in a IT concern. I have a problem in me. I imagine many things and react for it. I create my own imagination and act accordingly. I am well at work and family. But at times i act bad. wat should i do? ### REPLY: Degree understand your concerns. I went through your details. I suggest you to keep calm. You are the person who know you very well. Once you know the reason for your trouble why don't you correct it. You have these problems just because of over imagination an action. You are an IT employee. IT employees are supposed to be busy people. Are you not busy enough? Where o you get time to think and imagine? If you know answers to the above questions, you can cure your problem. Secondly keeping yourself busy in work reduces unnecessary thinking. To work hard you need to be passionate in your work. Remember Idle mind is devils workshop. In case if you need more of my services in this regard, please post a direct query. I am happy to reply you. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 16 year-old daughter, Natalie, is a soccer player. She is very sensitive to heat; experiences rising bdy temp, sweating and headaches. She has occasional chest pain and palpitations. Was given an EKG three years ago - normal. She has exercise induced asthma and takes Cingular and Albuterol which control it well. Her family doctor does not seem particularly concerned as she has had these symptoms for years and is otherwise very healthy.  Can asthma and/or its treatment produce some or all of these symptoms? Would you recommend another EKG? or any other diagnostic exam?Many thanks,Natalies dad ### REPLY: Hi welcome to , most common symptom of asthma is dyspnea means shortness of breath, chest tightness, coughing,Still, not every person with asthma has the same symptoms in the same way. You may not have all of these symptoms, or you may have different symptoms at different times. Your asthma symptoms may also vary from one asthma attack to the next, being mild during one and severe during another. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: respected doctor i m 26yr old n my dh is 27..ttc for 9 months..not get conceived..so we consulted a doctor and did all the investigations..everythng ws normal except lh/ fsh ratio which is 2.5..an usg ws taken on 8th day of my perds.. and it showed 18 follicles in my rt ovary and 12 follicles in my lt ovary..and a cyst measuring 3.8* 2.7 cm on my rt ovary with low level internal echo..my periods r very regular..29 days cycle..and having dysmenorrhea on my 1st and 2nd day of my perds..my dh semen analysis wer normal...sir pls tel me whether dat cyst is due to endometriosis ..and whether i hav pcos..what wil i do next ### REPLY: Hi, Thanks for your query. I read your query and I understand your concerns. Following is my reply:1) You have PCs. I advise you to get regular follicular growth scan from your doctor about know exact time of ovulation and have intercourse around that time for maximum success.2) If you are not ovulating, then you may have to go for laparoscopic ovarian . 3) If there is small spot of endometriosis it won't be visible on scan. Laparoscopy would be suitable to diagnose as well as treat endometriosis.4) Laparoscopy would help in endometriosis as well as  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I m 32 years old. I had a knee pain after driving for 6 hours in my right knee. I did an MRI and every thing was good except for myxoid degeneration. It said Negative for internal derangement within in the Normal overall meniscus shape. Increased signal within the posterior horn of the medial meniscus representative of mixed degeneration . My Orthopedic said there is nothing to worry about. I would like to know the reason for this and if gaining weight has anything to do with it ? I just gained 10 kg due to the pain and inability to exercise. I would like to know also if I can go to they gym again ? and if their is any supplement to help ? Thanks a lot. ### REPLY: Hello, Thank you for contacting me at "Ask a Doctor". I will try to answer your question to the best of my ability. I sympathize with you having the knee pain.  Furthermore, I know this can be very frustrating.  From the sounds of it the MRI looks fairly unremarkable and so there is harvesting nothing of the surgical nature that needs to be done.  From your story, it sounds like you have typical patellofemoral pain.  This essentially involves some inflammation involving the under surface of your kneecap.  For the moment.  I would avoid all sorts of knee exercises, including deep knee bends, squats, lunges, and weights.  Avoid the stairs if you can.  I would recommend taking over-the-counter ibuprofen as a pain reliever. Sometimes with persistent patellofemoral pain I will refer patients to a physical therapist for some stretching and strengthening exercises which can certainly help. Neck and also guide U as to when it is a good time to return to the gym.  For the moment.  You can do some upper body exercises and some gentle cardio work, for example swimming.  I would not do any running or biking if the knee is still sore at this time. Occasionally if the above conservative management do not help, I will consider an intra-articular cortisone injection, but will only do this if we have exhausted all the treatment options above. I hope this information is useful for you. Please do not hesitate to message us back if you have any further questions. Best wishes, A .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the past couple of days I have had moderate pain on the inside left leg below my knee including my calf muscle. 2 weeks ago I did move and did some heavy lifting and about 5 days ago I awoke with a Charlie Horse . The pain from the Charlie Horse went away within a few minutes after massaging my leg. I didn t notice any lower leg pain after my moving until now and my other leg feels fine. Is this something to worry about? I am not taking any medication for the pain and only notice the pain when I touch that part of my leg. Thank you. My email address is YYYY@YYYY ### REPLY: Hi, That's the natural phenomenon, if you do sudden heavy exercise which body is not used to then definitely body will pain.  It will definitely improve with time. The area which is tender to touch is due to muscle soreness. It will improve.  Next time start with a gradual increase of exercises and not on the first time. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Lower left back pain felt in left nut and leg. Dry mouth congested dry nose. Weak piss flow and pain while peeing. Blood in stool. Slimey stool Lil got to poop slot. Trouble eating somethmes. Be going on over a year. Yes I been to docs nothing. 26 yrs old male ### REPLY: Dear patient reasons for painful urination are 1. Urinary tract infection 2. Urinary stone Reasons for blood in stool can be related to upper gastrointestinal pathology or Lower gastrointestinal tract pathology. If there is fresh blood in stool with red color likely disease is in lower gastrointestinal tract. If blood in stool is dark color likely pathology is in upper gastrointestinal tract. Detailed examination of stool and urine, abdominal ultrasound with PUB visit to urologist and gastroenterologist is required. Back pain may be related to urinary stone and renal disease but detailed history and information will be required to know the cause. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. What is the process of detoxification of the body in a cancer patient after Chemo / Radiology? ### REPLY: Meet: Ty Bollinger at http://cancertruth.net/ His advice in his book on the above website helped me overcome colon cancer grade 3. Cancer is a world which has not been fully researched yet. Cancer affects the body the mind and spirit, all three need attention when dealing with cancer. From the date of me being told I had grade 3 colon cancer (during an operation to remove my painful appendix) to the date of the latest MRI, six months later, my doctor read the MRI report to me. YOU ARE CLEAN, so sign of metastases in your body, from head to toe!  I refused Chemo having read Ty's book.  Order the book, should you so wish, email Ty, he helped me in my darkest hour.  Suffering cancer entails deep emotions and getting through ones the darkest hour is not easy.  The problem with most cases is that the first sign of being afflicted with cancer takes place too late when tumors have already formed with damage.  Early detection is a key element and keeping ones immense system strong by a healthy vegetarian diet, lots of fruit and veggies, etc. and reducing stress, goes a long way to retaining ones health.  Ego Kramer email: koisan12@aol.com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fluid like "lumps" in my tail bone area that shrink and grow ... right now they are big and painful, (my outer skin above them looks normal)...any idea what they are caused from and how I can prevent them from becoming "inflamed". Every search of my symptoms comes up cancer LOL...one time, it was testicular lol and I am female... ### REPLY: Hi, Dear,Good Morning, and Thanks for your query to my virtual Clinic At . I studied your query in depth and understood your concerns. Causes for lump in tail bone as follows-Mostly they are -Colonial Cyst with infection as it is painful? Treatement-Tab NSAIDs-like Voltaren Amoxicillin x 5 astray of the Tail bone Orthopedic Surgeons opinionCheck with ER Surgeon and check your FBS and PPS, to resolve the worry.Don't worry of them, as they could be relieved with proper treatment. Hope above reply would help you to relieve of the issue you have. Welcome for any further query to ME and . Wishing you a Fast Recovery. Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,For the last week I have noticed a long standing sore on the inside of my cheek, which the dentist says is non cancerous and probably caused by me biting the area while I sleep, has turned into a pea sized lump, slightly purple in colour. It can be felt both on the inside, and outside of my mouth. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You may have some noncancerous lesion.  But still if it is persistent or increased in size then you should go for biopsy of that lesion. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Maecie and have inured myself in a cheer stunt. I being thrown n the air and I was not caught and fell completely on my back from about 6 feet. I have been in pain since yesterday morning and I am going to he doctor tomorrow but I am missing a game right now because I didnt want to injure myself further. It hurts to bend and move. I have a hard time sitting as well. ### REPLY: Hi, thank-you for providing the brief history of you. A thorough clinical Musculoskeletal assessment is advised. As you had a fall from a 6 feet height you must have really injured your muscles and also needs a thorough assessment. Also, when you have pain while you sit and bend, then it could be really post fall issues which will take its own time to heal and medicine can help you to ease with pain. If while clinical examination if any bony injuries are found then and x-ray might be requested and post that treatment will be planned accordingly. 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: Hi, I have been diagnosed with pancreatic cancer. Tests were inconclusive, there is a 3cm mass but brushings didnt show any malignant cells. Have a stent in. I am constantly hungry, eat 5 - 7 small meals a day, drink plenty of fluids. No treatment other than homeopathy and major change in diet - cut out most refined sugars etc. Used to drink up to five cokes a day. Is it usual to be so hungry and to constantly eat? ### REPLY: Hi, Thanks for writing in. The human body requires meals adding up to 2000 kcal each day. It is best to have a heavy breakfast, moderate lunch and light dinner. In your case, since you are having a possible cancer in pancreas, the diet requirements might be slightly on higher side. Also, you are taking small meals which number about 5 to 7 each day. This is fine as long your meals are healthy. During illness the brain signals the body asking for more energy and that is a possible reason for persistent hunger. It will help to know any increase in body weight that has happened. You can continue the treatment with homeopathy, but regular scan must be done to know the position of the mass in pancreas. Since you have cut refined sugars, you can continue to have smaller meals with lots of fluids. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had high bloodpressure before I was pregnant with my son. While I was pregnant my bloodpressure Normalised without medication now suddenly after 5 years my bloodpressure is high again. Could Hormones play a role in my bloodpressure? I currently use Use adalat 90 XL and atenolol 50 mg and althoug my bloodpressure has stabilized I still suffer from Anxiety attacks at night ### REPLY: Hi, Based on the history you have had pregnancy induced hypertension. The exact cause of this condition is not known however it may lead onto chronic hypertension later in life. Atenolol is a heart-selective beta receptor blocker commonly used in the treatment of hypertension. Its common side effects include low blood pressure, decreased heart beats, cold and clammy skin, fatigue and sleep disturbances. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recent left a work environment I felt was toxic, but was never able to determine the nature of the toxin or toxins. As I pressed for answers, I was harassed by my employers and finally terminated. I have been at home healing from too many symptoms to name. I noted an enlargement on my left5 side under my lungs which I thought at first was my imagination. Now I am worried it may be my spleen. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some occupational lung disease or enlarged spleen or some other mass.  You should go for ultrasound abdomen and x-ray chest. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I kicked a wall last week when I was mad with the bottom of my foot. My arch hurt a little bit the next day but after motrin and ice felt better. However I am a hairstylist and am on my feet most of the day. A week later my foot is still swollen and purple can this be a fracture or just a tendon that is strained? ### REPLY: Hello, As per the history, you mentioned it sounds to be a bone hurt. But a hair line fracture cannot be observed from outside, so an x-ray should be taken for confirmation. Hope that should reveal a lot about your injury. Also, if it's a fracture than based on that the treatment plan will be made and if it's not a fracture than with just a brace and little rest for a week or so you should do fine.  But do consider that x-ray is a must if your pain doesn't subside for more than 48-72 hours. Better conscious than being predictable. 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: 10 days ago my husband was kayaking and the kayak hit his head, there was a slight cut to it also. 4 days later he had a 21kilo suitcase fall on his head from an over head locker. he went to the hospital because he was not feeling quite right, they ruled everything out and gave him a clean bill of health. 3 days later he nearly collapsed at the airport, was seen by a first aider, but still got on plane.!! 6hrs later he breaks into a fever starts shaking, pains all over his body and with shortness of breath, and very disorientated. It all cleared within maybe 12hrs. Doc was called and they said bad flu.!!! ( in Italy) He is due to fly again in a couple of days. !! Any ideas. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have fever with chills and body ache which seems to be viral fever or flu.  Need not worry. I would suggest you to do warm saline gargles.  .  Your symptoms will resolve in 3-4 days. Take analgesic such as Flexion and take light diet. You should take anti-inflammatory medications such as Ibuprofen to prevent fever and body-ache. If symptoms keeps on persisting visit general physician once and get it examined and start treatment after proper examination and prescription. Go for blood tests such as W.B.C count as well as increased count will indicate infection in body. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi;     I believe I have obsessive love disorder.........I fell in love with a woman who is half my age , is married and has 3 young children. We have had an ongoing personal relationship for almost one year now and I cannot get her out of my head...I can`t sleep at night and have extreme anxiety and depression whenever she is away from me. I know what I am doing is wrong and my mind tells me so but is constantly overruled by my feelings of love for her. I too am married almost 35 years with grown children and some grandkids. It`s all crazy but still I cannot seem to let go. She is all I live for!  Please help me if you can. ### REPLY: It sounds like you are conflicted about your relationship with this married woman, given that you too, are married. Typically, if you are not getting your needs met in your current marital dead, then you will tend to stray and get your needs met elsewhere. It would appear that your emotional, sexual, or other needs are currently not being met with your wife. If you are this "obsessive" with this woman, it would appear that you have been obsessive in other areas of your life or with other women, perhaps even with your wife at one point. At any rate, your situation sounds very complex, and it is difficult to assist you without knowing which aspect of it you want assistance with. It is unclear if you want to terminate the relationship with the other woman, and strengthen your relationship with your wife, or keep things as they are. It would appear that it would be difficult to maintain both relationships and have both be satisfying, given that you are so obsessed with the other woman. I would need more guidance in terms of what your goal is in order to best help you. Good luck to you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sometimes after I have sex or masturbate and dont wash my penis I will end up with a red bump on the head of my penis. It doesnt hurt or sting or burn its about 4mm round, and forms a head or flakes off a layer of skin. Ive been to the STD clinic they say its nothing. Any thoughts? ### REPLY: Thank you for query. It may be due to fungal infection. Please take following precautions. Use loose cotton clothes. Keep area . Apply antifungals like clotrimazole. Clean the area twice daily with warm water. Oral antifungals like fluconazole 150 mg weekly once can be taken. Treat your partner also to prevent recurrence. Good control of diabetes is most important to prevent recurrence. Consult doctor if it does not subside. You can get back to me for any clarifications with the photos. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had an esinophil count of 800 and he was diagonized with mild persistent asthma following which he was put on medication for 6 months which brought down the symptoms of asthma. Now I want to know how to bring the esinophil count to normal and increase resistance through diet and life style improvement and not by medicine ### REPLY: Hi, The raised eosinophil count appears to be related to an allergic response in your child. You may reduce exposure to dust as dust mites are on of the causes of allergies which aggravates this type of asthma. You may use a dust absorbing device on your room and frequently sun .  If your child is allergic to pollen, or cat fur reducing exposure to them is helpful. Regarding diet a balanced diet with freshly prepared food containing fresh fruits and vegetables is beneficial. Certain ayurvedic supplementary Tonic like preparations such as Chyawanaprash are helpful to boost immunity. This preparation contains herbal components like gooseberry which are beneficial on a long term basis. Outdoor activities which encourage physical well-being are also helpful. Overall it's an all round approach that is managing the environment around to reduce allergies and boosting our own immunity. Probiotics are also helpful in building a good immune system. If your child is not allergic to yogurt the natural way to get probiotics is a cup of fresh yogurt every day. You may also get further information regarding natural food recipes and ideas from websites such as WebMD, Merck Alternative medicine etc. Maintaining a food diary helps us in finding out what combination works best. Minimizing the consumption of foods containing additives and artificial colors, flavor enhancers is helpful. Should you require further information please post your queries here? Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a pain (twinge) in the leg, seeming to originate in my hip/buttocks region (left), somewhat nagging like a toothache, affecting a point below my left knee, front rather than back, though calf also affected (referred?), and also ankle region, and includes the foot. Might it be sciatica? Not too intense, but uncomfortable, and comes and goes in a throbbing way. First aware of it in bed when I awoke. ### REPLY: Hithank you for providing the brief history of you. A thorough neuromuscular assessment is advised. Based on your symptoms it looks like the pinched nerve in the lumbar spine and needs a clinical assessment. Also, an MRI will be good to understand the level of nerve impingement. Treatment choice is simple is with physical therapy. With the help of exercises and proper care the majority of cases recover in my clinical practice. 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 had blood work done and my liver enzyme were 80, so I retook the blood test and it were 60. I still have mild pain in my stomach. I just a colposcopy done in early august. could you please give information on what to do. I have an apt with an gastrologer on Tuesday. what question or test I can as him to take ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your liver enzymes are slightly high. It can be due to some viral infection, alcohol or .  But its level is decreasing.  So it's not a cause of worry.  You have mild gastric pain.  It can be due to gastritis or some other problems.  You should take proton pump inhibitors like omeprazole or esmoprazol.  If it doesn't respond then endoscopy should be done.  Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: About a month ago I had a Breast augmentation and lift and I am starting to notice redness and puffyness around the incisions. One Breast even has a puss filled looking bump. Is this something normal to expect with foreign objects in my body? Or should I go see my doctor immediately? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. No foreign, objects won't cause any allergy to the body because the material used is of inert quality. I suspect infection in you. I advise you to take definite tablet 200 mg three times a day for minimum of three days. Please take above medication under your doctors' guidance. You can take pantoprazole under your doctors' guidance for acidity. Please maintain good hygiene around the incision mark. Do regular .  This will equally help as taking antibiotics. Please wear cotton bra for the breast. Synthetic material can cause further reaction. I will be happy to answer your further concern on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Why would an 18 year old student urinate in empty water bottles and save them in his room?  We have addressed this issue three times, and he is aware the awkwardness.  Could there be a medical problem?  Is he doing something that he shouldnt be doing? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. There definitely is something he worries of. Some negative thought or false information must have crept into his mind and that could be the reason for this behavior. If you talk to his friends, you shall know. If you pry, there are supposed to be other problems related to this one. I sincerely think he has Obsessive Compulsive Disorder (OCD). Do consult a psychologist for expert help. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am XXXX. I am HbsAg positive patient from 2008. my SGPT( alt ) is fluctuate and now my SGPT is 61 and HbsAg quantification is 0000 IU/ml , HBV DNA (PCR) were still now negetive. my liver stiffness value is 6.9 Kpa. I taken adefovir from last 3 years. please tell me why i taken adefovir. can i stop this drugs . ### REPLY: Hi, it is good to see that your liver stiffness is normal and DNA is negative. Hbs AG quantification 0000? Means zero??.it is difficult to advise stopping adenoid., so please contact a gastroenterologist with all the reports since 2008 as stopping these medications will be a tough call basing on these one time test reports. Please ask your family members to go for hepatitis B vaccination if they are Bag negative. Have a good day, bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I feel hard onto my knee while running around a pool. Cement. It hurt but not crying hurt. Anyway it s been a week and the pain is almost gone and I have been to the gym to lift, ran three miles today, but there is a definite indentation in the knee cap where I fell. I am worried I fractured it or tore a ligament. Don t want to jump the gun and go the scoot cause I have been to see him five times this year already. What is the indentation? Will it heal or do I needed medical attention before my knee just gives out? ### REPLY: Welcome to  I have gone through your query and understand your concern. This indentation can be due to fracture. You are advised to go to doctor and get your knee x-ray so that fracture can be excluded. You should seek medical help. Furthermore, you can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I ansI was in a car accident on Friday 4-9-10. I accelerated from a complete stop and when I accelerated, a bug flew into my window and I turned my head and ended up slamming into the truck in front of me at a very close range. The seat belt slammed into my collarbone where it meets the shoulder. I am in a lot of pain. I am able to move my arm, rotate, lift it above shoulder, basically I have total motion. I do notice though that when i extend my air fully up, hand in the air, there is some popping. It hurts some when I am moving it. I do not see brusing, cuts, or swelling, but it hurts like crazy. I am ok if I don t use it, luckily it is my left shoulder, but after working as a receptionist and doing everyday things, it throbs. Unfortunately, I have to use my arm! If i keep my arm in a position like it would be in a sling, or i support it with my right arm, it doesn t hurt so much. I don t want anyone to touch it. When i was helping my son who is 5 get dressed, he put pressure on my shoulder to keep his balance and that hurt a lot! It gets very warm, not to the touch, I just feel a lot of heat radiating from it. The pain spreads through my shoulder and sometimes reaches my elbow. I have not put ice on it, but i have used the heating pad which helps a little bit. I am not expecting a severe injury because it doesn t look injured, but it really really hurts! What should i do? My neck is not sore at all, so i don t think i have whiplash. ### REPLY: Cellophane You for contacting . There could be hair line fracture or sprain. I would recommend you to visit hospital for X-ray to rule out any such cause. In the meanwhile I would suggest you following things:> Take naproxen twice a day for 5 days> Apply ibuprofen cream over the shoulder and massage.> Take boiling water in a rubber bottle and put over your shoulder. It will give soothing effect. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I think I have acid reflux, I stopped smoking 4 weeks ago and have been ill ever since but 2 weeks ago I started getting what i think is heartburn so went to the drs and was given omeprazole, been on them for a week now and still getting the odd shooting pain in the middle of my chest always in the same place. How long will it take to sort this out as I am eating healthily now and drinking only water? ### REPLY: Hi welcome to ... Yes according to history it seems to be acid reflux ...... By acid reflux referred chest pain can occur... Continue using omeprazole on empty stomach ...before meal.... Head elevation while sleeping....Don't get sleep immediately after taking meal.... Fruits more .... Excess spicy avoided... Coffe, pastries, chocolate less.... Avoid precipitating postures like bending, stooping forward etc. Heavy fatty meal restricted... If still no benefit investigate for hiatus hernia by x-ray and manometry or endoscopy. If needed surgical correction needed... If resp symptoms appear like fever, dyspnea, cough then chest x-ray needed for rule out resp causes. Consult physician with keeping this in mind. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I,am R.k.punsiba from Assam.My brother is suffering in chest &lung problem.Her CT scan report is (1)category IV cyst IN LOWER POLE (2)PULMONARY NODULES: METASTATIC (3) TINY RENAL CALCULI WITH NORMAL VISIBLE CONTRAST EXCRETION . So now we want to bettertreatment.would you please tell me what can we do now? Which hospital, which doctor&treatment will best for her. ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion you should consult oncologist (cancer specialist) and get done1. PET scan2. Blood work up for tumor markers. To search for the primary site of malignancy. He is having metastatic nodules in lung. This suggest that he is having primary somewhere else in the body. Following are the malignancies, commonly metastasize to lung.1. Liver2. Intestine3. Stomach4. Thyroid etc. So, he needs PET scan to identify the primary site. Because PET scan will give hot spot at the site of malignancy due to high uptake of contrast. So it will help in diagnosis of primary. Treatment is based on primary organ only. Mostly he will need chemotherapy and radiotherapy and other supportive . So better to consult oncologist 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: Hi Dr. My mom got lump or clot like thing along with little blood of bright red color some 7 years back while she was gargling. Then again some 2 months back she felt a lump in her mouth. Again it was same as before. Please. Let me know the reason. She is 73 years old. And has a habit of keeping tobacco-sunthi between her lips and teeth since her childhood. ### REPLY: Hello, I have gone through his query and understand your concern. At this age of 73, any lump or non-healing ulcer in oral cavity is too suspected and investigated for cancer in oral cavity. She is tobacco chewer from childhood, this further adds the risk factor and increases the suspicion of cancer. You should show your mother to your primary care physician. He may examine the lump. If he feels the lump is to be a cancer, he may refer her to a surgeon. Surgeon may take a biopsy from the lump (sample of tissue from lump to examine under microscopy) and send for examination. If the report came as cancerous lump, then he may consult an Oncologist or refer to him for further management. Oncologist may advise surgery or chemo therapy or radiotherapy or any combination based on his condition and stages of cancer. Hope this helps. Please write back for further queries. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pains in my stomach right around my belly button and on the sides. It ferls light sharp shooing pains. I keep belching and it hurts when I move. I have had a bowel movement but my stomach hurts when I go also when I urinate. It hurts when I eat as well. This is the second time this has happened to me. Last time it lasted a week and I went to the ER and after a scan they found nothing wrong. ### REPLY: Hi, thanks for asking in . Many conditions can result in pain around umbilicus (belly button). The possible causes are 1. Irritable bowel syn .  2. Appendicitis. 3. Gaseous distension. 4. Inflammatory bowel disease. 5. Gastric ulcer. You are probably suffering from pain due to gaseous distension without any organic (intestinal) obstruction. It results in sharp colicky pain aggravated by any movement. It can occur due to eating food like meat, cluster beans, dairy products etc., Stretching of the intestine due to gas will increase the pain due to increased intestinal movements, Most people try to relieve pain by belching. Minimal gas may not be prominent in scan as the intestines normally have gas shadows. Only gas accumulation due to obstruction will be prominent in scan pictures. Dimethicone, an inert anti-foaming agent can relieve the symptoms. But, if the symptoms persist or if it impairs the ability to perform normal activities then you should consult your treating Doctor. I hope this is useful to you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: There is a small sort of green spot on my chest (its been there for years) and every so often it will pretrude slightly and I will squeeze it to make it flat or less notable but the gook that shoots out smells aweful.  What is that and can it be removed? ### REPLY: HI, thanks for using  It may be a cyst that is recollecting. Effective treatment would involve removal of the cyst. If it remains then it would continue to recollect intermittently. Depending on its size and location, your GP may be able to remove it. If he or she cannot then you would be referred to a general surgeon. It should be a simple in office procedure if it is a small lesion. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 17 years old & Ive got respiratory tideness & shortness of breath.And I was suffering from the cold,hayfever associated wheezing or asthma from about 10 years old period Till july 21st this year.And it was not an chronic condition,it got cured by one or two doses of medicine.But now Im suffering from chronic chest tideness from about 3 months.I took broncholidators but it doesnt work.The doctors are telling that Ive got no problem by taking X-rays & ECO scans & my spirometeral rate is at about 600.But I struggle in day today activities like walking,talking,exercising.I dont have any allergens.But I smoked about 6 months before 2 months I got this symptoms ### REPLY: The symptoms that you are typical of Respiratory Disease. We advise you to see a Pulmonologist for the correct diagnosis of your condition. It could be an Obstructive or Restrictive variety which can be decided by Spirometry and later to diagnose the correct condition, a diagnostic steroid therapy is put or a Bronchoscopic biopsy can be done. The treatment could be long term but will show results and put the attacks under control. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: to have random episodes where I can be sitting still not doing anything and my heart will start racing to 150+ bpm.. I am a 22 yr old female.. I had an episode a couple months ago where I was just walking through my friends office and all of a sudden I felt weird, and my vision started going black, and then I felt one big beat and then my heart started racing so fast I couldnt count it, it felt like there was a vibrator under my chest bone, my friend could even feel it. they did blood work to check my thyroid and everything looked normal. when I got to the ER after the vibrating episode my heart rate had gone back to 126 and they put me in a wheel chair and immediately took me back... the DR said theres no way it could be anything serious and sent me home that has happened once more since then... but normally the rapid heart rate is every so often.... for the past 3 weeks its been every day and when it happens its never slower than 130bpm... I have noticed my hair is now falling out by the handful I am dizzy alot, and its noticable when I feel this way, my mom even says I look like hell. but it will happen when I am just sitting there not doing anything, no stress or anxiety I was in the car yesterday and it was 136, I walked into walmart and it was 148 by the time I got in the door, I sat down for about 20 mins then walked over and took my blood pressure and it was 127/78 and 110 bpm, which is a higher than normal systolic for me...I eat a balanced diet and I am on no medications, ### REPLY: Hilooking at your history it can be palpitations are feelings or sensations that your heart is pounding or racing in which you may have an unpleasant awareness of your own heartbeat. Feel like your heart skipped or stopped beats. As now the frequency of these episodes are almost daily and are associated with dizziness and black out a thorough investigation is very important would suggest you to go for ECG24 hour HOLDER monitoring (record the episode of palpitation, and we can analyze whether it is arrhythmia or sinus tachycardia)get them done as soon as possible as we have to find out the cause of palpitations A 2d ECHO should also be done to see the cardiac functions as ejection fraction of your heart is to be seen...a decreased ejection fraction can also cause dizziness and tachycardia take my advice seriously and get these tests done thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Bizarrely, I seem to be suffering from sneezing (no real congestion, just a lot of sneezing) and gastrointestinal upset concurrently. I would have thought the two systems affected by these things were completely discrete, but as I m not a physician, what do I know? I m not seriously ill, just feeling a bit off, and rather confused. Have you an opinion on this? ### REPLY: Hello, Thanks for your post. Sneezing and gastrointestinal upset can be due to Allergies or Viral infections. Sneezing indicates something irritating upper airway passage and body wants to get rid of it by sneezing force.Sometimes Gastroesophageal Reflux Disease can also irritate upper airway passage causing sore throat or sneezing. You should take plenty of water. You may take over the counter ant allergic . Sort out what type of GIT upset you are having?if symptoms persists or worsen then visit your doctor. Hope it 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: Ive been getting serious chest congestion that last up to 7 days too two weeks every now and then. About a year ago I got bad chest congestion that lasted up to two weeks. It got better and I went on with my daily tasks, about 4 months later I got terrible chest congestion again, I got better within two weeks again. So a year later I got chest congestion again, it lasted one week. About a month later (A few days ago) I got bad chest congestion again, it gets to the point where I cant walk Im so out of breath and Im worried that it might be more then just chest congestion, I do have severe allergies. And it gets bad sometimes when the mold is high. Im wondering do you think I might have COPD or any other serious condition?. Im young and I dont smoke. My family doesnt have a history of diseases so Im at a loss. ### REPLY: Thanks for your question on . I can understand your concern. Since you are having severe allergies, possibility of asthma or allergic bronchitis is more likely for your symptoms. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). N acetyl cysteine (NAC) is also beneficial to relieve congestion. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a cervical discectomy and fusion  about 7 weeks ago and have been suffering from dizziness ever since. this is my second surgery. this one was at c-3 c-4 i am now fused from c-3 to c-7. my recovery from this one has been more difficult than the first go round. help what might be causing the dizziness and how long will it last? ### REPLY: Thank you for the question. I would suggest you to wear cervical collar and also practice isometric cervical exercises under a physiotherapist, avoid active movements of neck or active exercises Take erosion forte tab once a day for 3 weeks. Also get your blood pressure measured up twice daily for 3 days. Take shellcal 500 mg BD and vitamin D sachet once a week for 8 weeks, if dizziness continues, then consult your surgeon again ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have tachycardia have had atral fibulation im constantly run down with virus or just not 100 percent ive now developed bruising ten or more in a cluster on each top thigh although have not bumped or banged myself what could be the cause my spleen level was low on results of a blood test ### REPLY: It seems there are three questions, atrial fibrillation, a general sense of fatigue and bruising. One and two may go together, and I generally start my investigation along those lines. Sleep apnea is a common problem. It is often present in people who are overweight, particularly those who snore. If you are very tired in the morning, sleep easily during the day and snore loudly, you may have sleep apnea. Sleep apnea may cause or worsen high blood pressure. Outside underlying heart disease, Sleep Apnea is one of the most common causes of atrial fibrillation. Discuss this with your doctor and consider having a sleep study. The bruising requires more information than we can get here. We can't count your spleen, but we can measure blood counts and clotting proteins. That is the place to start. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m in remission 14 months for HL stage 1B. I had a hard lump removed from the right ancillary, 6 cycles of ABVD, 17 targeted beam rads 30 gy to the right shoulder area. I ve had a a rather large soft lump very visible near the left clavicle at the triangle. Looks like a muscle popping out of a body builder and it is soft. I am 60 years old and not a body builder. No weight loss or night sweats. I ve gained approx 20 pounds since last summer... ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or some malignant mass. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END