Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 the fourth week of have a cold/flu. In this illness it includes much coughing. The strange thing is, a week ago I began dealing with horrible side cramps. I was wondering does a tremendous amount of consistent coughing create a type of fatigue that allows side cramps? ### REPLY: Hello! I have been through your question. Related your concern I think this is a complicated viral situation(cold/flu) with pneumonia or pleurisy. You should know that usually an uncomplicated viral situation in most people will recover in several days to less than two weeks, but if this situation last more (as you have) probably you have developed complications. What I suggest in your situation(last more than two weeks with much coughing and side cramps), is to do a physical examination, pulmonary auscultation by a doctor, full blood test, chest radiography to define better the diagnosis, to exclude the complications and taking antibiotics if need it. I hope my answer help you. I wish you a quick recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI DOC, MY SISTER HAS EXPERIENCED PAIN AND WEAKNESS IN HER ARM, SHE HAS HAD AN MRI AND HER NEROSURGEON HAS DIAGNOSED A C5/6 CANAL STENOSIS IE NERVE ROOT COMPRESSION AND RECOMMEDNED A LAMINECTOMY. I POINT OUT OUT THAT THERE IS NO BACK OR LEG PAIN JUST LOSS OF STRENGTH IN HER ARM I FEEL THE RECOMMENDATION IS EXTREME AND I WOULD APPRECIATE YOUR THOUGHTS. NORMAN BURD MELBOURNE AUSTRALIA ### REPLY: Hi, Thank you for posting your query. I have noted your sisters symptoms and recommendations by her neurosurgeon. Her symptoms are due to canal stenosis in the cervical region (neck). This would only cause pain and weakness in arm, and not the leg. Leg and back symptoms occur with lumbar canal (lower back) stenosis. So, the recommendation to do laminectomy in the neck region seems appropriate. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Im a 31 yr old woman who has been having spasms on the right side of my face from my temple to my jaw for over a month now. It wakes me up at night and causes my face to hurt. I have been seen in the er and seen by a reg doctor with no answers. I don t know what to do. Im tired of hurting and not sleeping. I haven t been drinking soda and haven t been stressed other than the pain so I know that s not reasons for this. ### REPLY: Hello, I can understand your concern. It is possible that your muscle in the area of cheek to jaw over the right side of the face is having problems with stimulation and relaxation. It is also called Myofascial Pain Dysfunction Syn . You can take muscle relaxant medicine such as Paracetamol 500 mg + Diclofenac Sodium 50 mg + Chlorzoxazone 250 mg (Dan-MR) twice a day for 5 days. In addition to the medicine, you can apply Dialogic Sodium gel (Voting) locally over the area. In addition, you should make an appointment with the dentist to look for any decayed tooth in the oral cavity as an infected or impacted tooth over the side of pain can cause such pain. If such infection is present, treatment of that tooth with root canal treatment or extraction depending on the extent of decay can relieve the pain. I hope this information helps you. Thank you for choosing . I wish you feel better soon. Best, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I need some advise.I was recently told my 3yr old will need 4 caps on his four front teeth.  One dentist said they would do with local Anastasia and Novocain but couldnt get a X-ray. The other dentist said he would need general Anastasia in a hospital setting and wont take my insurance. The 1st place will and already gave me a quote. What is the best option as far as him being comfortable during the procedure? ### REPLY: Thanks for your query, I have gone through your query. The capping can be done under local anesthesia, it is a simple procedure. If your child is really uncooperative and not ready for the treatment then it has to be treated with general anesthesia. Consult a pediatric dental surgeon and take a radiograph of the front teeth to decide is it necessary to give cap over four teeth because these teeth will shed at the age of 6-7years. I hope my answer will help you take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am female, 30y. There is an itch inside my left knee, inside the joint, not on the skin, and only in the left knee. It occurs mostly night, but also sometimes during the day when I sit or relax. It only goes away for a while when I overstrech my knee to the point where it hurts and it s driving me insane. Sometimes I have it for sevral days, sometimes not at all for weeks, and it seems to get worse when my leg feels warm. Might this be restles leg syndrome? ### REPLY: Hi, I had gone through your question and understand your concerns. Restless legs syn .  Another possible conditions should be considered too, as knee inflammation, arthritis, nerve damage etc. and It's hard to tell without further examination of your knee. I suggest you to discuss your concerns with your primary care Doctor. Hope this helped. If you have further questions feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have chest pains on and off for 2 months now more towards upper abdomin. They are usually shapr  and I had trouble breathing the other day so I went to urgent care. They did an EKG and said it was normal. I do  not smke, my cholesterol is 187 and no family history of heart disease. What is causing this pain? ### REPLY: Thanks for your question on . I can understand your concern. No need to worry about heart diseases because your ECG is normal. Chest pain with trouble breathing is commonly seen in lung infection and bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You may need antibiotics, inhaled bronchodilators and inhaled corticosteroid. If both are normal than possibility of musculoskeletal pain is more. So take painkiller and muscle relaxant .  Apply warm water pad on affected areas. Don't worry, you will be alright. 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... This past weekend I took some energy pills which caused my heart rate to go up extremely high and I had to go to the er... Long story short ever since then I still am having sharp chest pains, dizziness and headaches... Do you know what that may be?? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should first rule out heart diseases for your symptoms. So get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Some energy pills do contain steroids. And these steroids can cause similar kind of side effects. So if your cardiac work up is normal then stop these energy pills, you will mostly improve with all symptoms. 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: Doc does a male yeast infection cause annoying tingling and small flesh colored bumps on the penis?Reason I ask is because i had unprotected sex with a mutual friend and have had tingling and irritation a few days after. Its been about 12 days for the tingling but I have yet to see only small bumps that may or may not be herpes.So im curious to as if I have a yeast infection or herpes.I went to 2 different doctors and they said they could not see any herpes. The second doctor gave me a yeast infection cream to apply and the tingling has gone down tremendously but even after 3 days of applying there still is a hint of tingling and redness. ### REPLY: Hello, Welcome to , The history and symptoms are suggesting that you are having fungal infection rather than a viral infection like herpes, because in herpes infection there will be painful blisters, and it will subside by itself. As you are having intense itching it may be a fungal infection, but it should be confirmed by physical examination. As you are applying antifungal cream over the lesions and symptoms have come down. I would suggest you to continue this treatment for another one week, by this time it will come down.  If it is not coming down you can try systemic antifungal agents. 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 45 years old. i have blood pressure,allergy,gas trouble,isnophelia,and body pains. for this i use different different pills for these diseases.but now i am getting problem in breathing.i am feeling sleepiness and burnings in my stomach.once i got kidney infection also. i am feared of eating medicines because i have used so many medicines and suffering so many problems because of that like confusion, memory loss, weakness and etc....how i can recover well from all these problems.what type of checkups i should do? and what precautions i have to take..... ### REPLY: Respected user, Warm welcome to .come have evaluated your query thoroughly.* Guidelines for all remedies - Always maintain HY . - Soft, light diet.- Avoid oily, spicy, non veg, hot beverages.- Quit smoking or alcohol consumption if doing.- Regular walking in fresh air, deep breathing exercise, YOGA.- Have adequate sound sleep of 8 hrs.- Keep your BP, blood sugar, cholesterol levels under control. Hope this will help you for sure. 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 pea sized hard lump in the center of my armpit.  It seems to be attached to one spot.  I cant feel it on top of the skin.   There is no pain at all when I feel of it and there is no visible sign of it.   I have had type 2 diabetes for seven years controlled by oral meds and have smoked for 30 years.  No history of cancer in family.  Should I be concerned? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have enlarged axillary lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma.  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.  It has no relation with your diabetes.  Avoid smoking. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with recurring bladder infections (E.Coli).  Antibiotics stop the symptoms but it has come back two times at six months intervals.  Tests show my liver and kidneys are not damaged.  If I had ovarian cancer would the symptoms go away with antibiotic treatments ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your symptoms of recurring bladder infection may go away with antibiotics treatment. But Symptoms of ovarian cancer don't subside with antibiotics treatment. For ovarian cancer surgery and chemotherapy is required to treat the disease and symptoms. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just coughed up a small lima bean sized white mass, along with a miniscule amount of phlegm.  I am a smoker of 28 years. I have Crohn Disease and am 40 lbs overweight.  I suffer from shortness of breath with mild exertion.  Is this likely a simple infection of the lung or should I see a doctor? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you should definitely consult pulmonologist. Since you are a active smoker, possibility of bronchitis and lung infection is more. So consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. You will need anti, inhaled bronchodilators and inhaled corticosteroid (ICS) based on the reports. You should quit smoking as soon as possible because it is not a good habit. 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 m a diabetic first cramping in the bottom of both feet, and then sharp pain in left inner thigh down to my feet. I was in tears,It felt like a major charley horse . I couldn t stand on it . for 10 or 20 minutes of pain. This morning the area is really sore. Im a childcare person. ### REPLY: Hi, After going through your case, there is possibility of diabetic sensory (painful) neuropathy. I want to know -1) Your age & Duration of diabetes.2) Current diabetes control (BSL, HbA1c level)3) Any associated High BP, Cholesterol problem.4) Habits like smoking. I would like to advise you -1) Strict diabetes control, regular blood sugar level monitoring, HbA1c level.2) Regular BP control.3) Keep cholesterol level under control. 4) Avoid smoking.5) Check vitamin B12, D3 level and correct it if any deficiency .6) Check renal function test, liver function test.7) Consult your planetologist and get done detailed foot examination.8) Depending upon your clinical examination there may be need for arterial Doppler of lower limbs to assess blood supply.9) Short term use of renal safe painkiller medicine may be used.10) For long term medicine like pregabalin, amitriptyline, duloxetine may be useful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 took my 1 yr. old daughter to the doctor, because her ears stunk. I figured she had ear infections. The doctor gave her ciprodex ear drops and cefdinir antibiotic. Now, The smell has left ear ears and is not in her nose. Her snot is very stinky and there is a white fluffy like sponge looking thing in her left nose hole. I used a bulb suringe to try to see if it was somthing stuck in her nose , but I just made it bleed. What is this smell??? ### REPLY: Hi, When there is foul smelling discharge from one side only, and you are seeing something sponge like (sometimes this may be just an enlarged or inflamed turbinate from rhinitis), there is high chance of a foreign body being lodged there, causing secretions to pool up and secondary infection with foul smell. If no foreign body, this indicated rhinitis. Kindly get it examined by your doctor. 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: About five days ago I was drinking whiskey and for some unknown reason (?) I decided to keep the whiskey in my mouth to kill bacteria , I know I was wrong now. I don t know how long I kept the whiskey in my mouth but I probably did it at least twice for twenty minutes each time. The next day I didn t notice much difference and didn t even remember the incident but as the day went on I noticed that I was having gum pain on eating. The next day things got worst, I look at my gums with a mirror and notice they were burnt looking all on the inside of my mouth where I held the whiskey. White dead skin was coming off and I had very red sore gums around the base of my teeth on the bottom and top insides where the liqueur was. I nursed this condition for four days with warm salt water rinses three times a day and ate only soft non-chewable foods. Now after 5 full days my gums look better but still some red patches that are very sore. The redness is not as vivid as it was a few days ago but the pain is excruciating and has not subsided much. Ibuprofen isn t helping much. Bottom line most of my gums are looking better and slightly less pain except one spot that hurts constantly no matter what I do, it s red in this area covering about three teeth at the gum line, (number 30 and teeth next to it). If I didn t have the non-stop pain I wouldn t be writing, I can t sleep, eat or do much without constant pain. Any suggestions? It s been five full days. I haven t drank any alcohol since and don t plan on it after this episode. Thank you. ### REPLY: Hello your signs indicate an alcohol burn of gums, which has denuded the superficial layer of the gums causing irritation, pain and redness. You still need to avoid spicy and hot foods for few more days as it takes a couple of weeks for the repair or healing of the gums. So you need to wait till then. don't worry it's going to be fine in few days. Avoid smoking and alcohol till complete healing and even after for a month to help the tissues' growth. Till then, you can apply gels containing anesthetic and anti-inflammatory like McCoppin. If at all the symptoms don't come down then consult a periodontist for further treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a 12 year old developmentally delayed daughter. She is going through puberty, no flow yet,. She has had low muscle tone and severe constipation since birth, it seems to be getting worse. Is it possible that her developing hormones are and ding to her constipation problems? ### REPLY: Hi, Thank you for asking question on . Hypothyroidism leads to constipation, developmental delay and low muscle tone. Replacement of thyroid hormone is the treatment of choice. Better consult endocrinologist to confirm the diagnosis and to outline treatment. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care . V. Subrahmanyam MD;Disassociate professor of pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 35 years old and have been suffering from moderate to severe mid to lower back pai,n most of my adult life. Back in 2012 during an MRI they did find a pretty decent size Tarlov Cyst but they were unsure if that was the cause for my pain, and they also found a minimal bulging disc and facet degenerative change. I have my good days and bad but tonight the pain got to be pretty severe and I have this burning and tingling and numbness going down both legs all the way down to my feet. The pain seems to be better when I am standing but I have never had the feelings that I have going down my leg and I am very concerned, what should I do?? ### REPLY: Hello welcome to ChatDoctorwell you are suffering from 2 problems(1) PIED i.e. PROLAPSE INTER VERTEBRAL DISC(2) SCIATICA take the following treatment(1) CAPSULE BRUFIN-MR 3 times a day(2) CAPSULE MEGANEWTON 1500 mcg once daily(3) use a LUMBAR BELT(4) HOT FOMENTATION 2 times a day(5) visit a physiotherapist n ask him to teach u SPINAL N BACK STRENGTHENING EXERCISES n do those regularly at home(6) avoid lifting heavy weights n bending down regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom has got Trembling of hands, arms, legs, jaw and face ,stiffness of arms,she is unable to walk properly...we met a neurologist ..he said it is some disease called parkinsons diesaese..and he gave some medictions for that...i want to know she have tolive life long like that..is there any permanent cure?? ### REPLY: Hi, Parkinson's disease cant be cured, but medications can help control your symptoms, often .  In some later cases, surgery may be advised. Your doctor also may recommend lifestyle changes, especially ongoing aerobic exercise. In some cases physical therapy that focuses on balance and stretching also is importantParkinsons disease is degenerative disease of brain and symptoms progresses. There are variety of treatment including dopamine supplementing group of  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ! doc  i have been precscired by my doctor to have  clavam 625 as i have dental problem my tooth which has a filling is  has become very sensitive  and a pit of pain on the cheeks i cant drink hot or cold drinks or water  i can eat  pls do reply is it the correct medication and will it work out for me ? neeshaa ### REPLY: Hello thanks for consulting at . Below the filling there may be occurrence of secondary caries, resulting in pulp involvement, since pain is there infection must have spread to periapical region hence sensitive and severe pain in the cheek,hence your dentist has prescribed CAVAM 625 mg which is antibiotics, and you also may need analgesics also ,please get it under the guidance of your dentist. And also get an Iowa radiograph for the involved tooth, after that you may need root canal treatment for that tooth, 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: I am 17 years old, and i have found something on my left breast. It is on the bottom outer side of my breast and it feels like silly putty is in my breast, but it is more hard than play dough like. If i put my hand on it and move around my hand the "thinig" feels like a pulled tendon or something of that matter... I Just noticed it yesterday, and it feels like a pretty good size to me. It does hurt to move it or if something just hit ist. Should i be worried? ### REPLY: Welcome to . 1. The possible cause in this case could be ductal Eurasia (dilated ducts). Next possible cause is adenoids - mass lesions, lastly cyst.2. In your age I would suspect ductal pathology - due to hormonal imbalance, cyclical issue.3. In this case I would recommend you to get an ultrasound - non-invasive, no radiation scan for assessment of the lump.4. Ultrasound will help to assess the nature of the lump, source and extensions. If mass lesion an FNAC - fine needle aspiration cytology will be helpful to assess the nature of the cells involved in the process.5. I would recommend seeing your GP, get examined, investigated and needful treatment. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i doctor i had the habbit of chewing pan and then i quit it completely after nearly 9 months i just started agin and it s again 15-days, i seriously want to quit it, i associated my habit with so many things which i find near and dear if i quit this this will happen....(good or bad), i promised on myself, and people close to me and god too...but again i pacify myself in giving excuses....i already spoiled my teeth and underwent treatment and i was so happy when i quit now i re-started and feel so guilty and i really want to kick it out from my life forever.....( i don t smoke or drink,and dosn t have any other habits...) ### REPLY: If you are having this habit since many years, then suddenly quitting it is not a good idea. It will hamper your mental peace & balance, you get depressed at times or become very restless. So first slowly try reducing the no. of pan you eat every day. For e.g. if you eat 3-4 pan per day then for a month make it 2, then next month make it 1, then after few months make it 1 alternative days, then later on cut down to 1 pan in 2 or 3 days. Like this slowly quitting the habit will help you for long term rather than suddenly quitting. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hepaptitis c. I was on triple therapy with incevek began in July of 2012 ended in middle September due to severe anemia hemaglobin dropped to 3. Transfusions were given. My sgot and sgpt were almost normal in May of 2013. In October of 2013 my readings were 157 and 152 sgot and sgpt. Do you think the cause was due to the triple therapy? ### REPLY: HiT hank you asking ChatDoctorI have read the history of your father and I am sorry for experiencing such sad situation.First, anemia is a common side effect of triple therapy. Related to you high (GOT adapt) they can increase during therapy. I need to know the level of your last HCV RNA exam. Both HCV RNA AND TRANSLATES will help us to valuate your triple therapy successful or not. I need to know also the genotype of C virus because some genotypes are more difficult to treat than the others. Regards .  Klerida ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mary my boyfriend has blood as he a erecite has now the hosptail say that he has think blood vessels at tne bottem of his bladder but i dont know what to belive as they frist said that he had it on his prostaat he olny bloods when he has a erecite and than the blood is in his bladder with blood clots aswel ### REPLY: HelloThanks for query. Your boyfriend has bleeding from penis when the penis is an a state of erection. In the majority of cases this is being due to rupture of superficial vein on the surface of prostate. The blood clot in bladder needs to get evacuated endoscopically, the bleeding point can be seen while doing endoscopic evacuation of clot and will be fulgurated. This will stop bleeding. Taking antibiotic and .   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having a lot of pressure in my head, mostly in the front of my head in my eye area..right above my tear ducts I get swelling in both sacs in the inside of both eyes. I also have pain in my joints like my fingers, my knees, my feet and ankles. I am a chef and I am on my feet 8 hours at a time. I was also hospitalized 9 months ago with severe headache. I was checked for a stroke/aneurism. Everything came back negative but I still have symptoms of these pressure headaches ### REPLY: Hi, thank-you for providing the brief history of you. As you have headache, this looks to me like an inflammation of the sinus duct. Which we called it as sinusitis. There are numerous sinus duct in that area and any inflammation to it causes such headaches which are not bearable. The joint pains are related to the Repetitive Stress Injury - we call it as RSI. This occurs due to repetition of movements and leading to trauma foe the joint. Performing a regular physical exercise Should help you get rid of the joint aches and pain. Also, you can perform some strengthening exercises like weight training to get maximum muscle torque. As for sinusitis I feel you work as a cook and the fumes coming in the kitchen during cooking is leading to inflammation of the sinuses. Using a nasal mask while cooking should help avoid some. Do regular breathing exercises which will help improve the oxygen content in the blood and may help to avoid inflammation of the sinuses leading to headaches. Also, oxygen therapy should also give a positive impact on overall health. Regards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my mum has got lower back pain at the right side. she had a urine test that showed no problems, she has no nausea or vomiting and no urinary disorders . could she have a kidney problem? by the way, she s always had pain all over her back that comes and goes but this right side pain has been for months so far and more frequently. what doctor should she consult and what analyses or imaging should she have? Thanks in advance. ### REPLY: Hello. Welcome to  forum. Locallised pain in the right lower back can be from kidney, but is not necessarily so. The causes can range from simply musculoskeletal to visceral. You need to tell us in detail, the character of pain. Priminarily she can consult any experienced nephrologist, who will rule in or rule out kidney problems. The investigations required by her will be:1. USG -PUB region2. Complete blood picture3. If required - Abdominal CT4. Lastly MRI-spine if no visceral cause is decided. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im having this weird sensation on my left side chest (feels as if I hit my funny bone, though I didnt) the sensation is on my left shoulder and arm and my fingers are feeling sort of numb. I already had a heart cath done and the doctor said everything was normal. can you help me out? ### REPLY: Hi. I can understand your concern. If the chest pain is disturbing your routine activity then get a chest x-ray done to rule out any lung infection, or it could be just a muscle pull. Do not lift heavy weightsPossibility of musculoskeletal pain is more. Ibuprofen is anti-inflammatory. You will definitely improve witChatDoctorbination of painkiller and muscle relaxant .  Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. But better to first rule out lung infection.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hie doc, am a 28 yr old male and have been having ruccuring pus filled lumps on my pubic area for as long as i can remember. they start of as hard lumps that i only notice when i hit the shower, as they are painless but they can get uncomfortable. after 2 to 3 days they open up and release a white pus. leave a small red wound that healsin 2-3 days and thats it. ### REPLY: Hi red bumps recurrent over the pubic area can be HY . It is group of furunculosis which are needed together. They are mainly due to uncleanliness or excessive moisture over the area. They can be treated by Atari 25 mg at night. Antibiotic twice daily and application of mupirocin ointment after saline compressors. Use of minocycline 100 mg OD can cure it. If no response go for surgical removal ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, I have a question for my mother who have a high papillary carcinoma..she is 64 yrs ...she consult the doctor and the doctor said if she undergo a surgery there s a lot of complication bec she also taking a medecine for high blood and cholesterol. I wanna ask what is the best thing to do, and if she don t go undergo surgery do you have some medecine or any advice for her to do.. Pls help me thank you...looking forward to your answer. ### REPLY: You haven't mentioned the site of the tumor. I am assuming it's in the thyroid gland. If that is the case, then the only treatment for papillary carcinoma of the thyroid gland is surgical removal of the entire thyroid gland. This should not be a problem even with the associated conditions that she has. At a tertiary care center like the one where I work, it's a routinely done surgery and rarely associated witChatDoctorplications. There is no other curative treatment for this condition. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I found a lump behind my right ear the other day which is causing me some concern. I had a similar lump behind my left ear about a month ago but thought it was a pimple and after picking at it for some time, it finally went away. The current one is painful to touch and is pretty solid. I have read a bunch of stuff about lymph nodes becoming inflamed due to infections and other more serious stuff. I ve made a doctors appointment for this Wed but can t stop worrying. Cancer runs in our family and I m really hoping that s not what s wrong. Pls help ### REPLY: Hi. Thanks for your query.First remember, that the cancers do not occur in the lymph nodes behind the ears unless the cervical nodes are also involved. Secondly, there are other reasons for the lumps to be present behind the ear like :Sebaceous cysts, Lipomatous visit to Doctor will confirm what you have. The pain indicates that you have an infected sebaceous cyst or an infected lymph node. Take an antibiotic and anti-inflammatory medicines as soon as possible. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 daughter is having severe chest congestion and wheezing. In the past the doctor has adviced duolin and in severe case he has said to give a combination of duolin buedocort al9ng woth ns for nebulisation. What frequency can i administer this dosage of the situation is severe? ### REPLY: Thanks for your question on . I can understand your daughter s situation and problem. In my opinion, you should first diagnose her, rather than starting treatment directly. Recurrent episodes of wheezing can be due to asthma or allergic bronchitis. So better to get done PFT (Pulmonary Function Test) and chest x-ray. PFT is needed for the diagnosis of asthma or allergic bronchitis. Chest x-ray is needed to rule out lung infection. She may need regular treatment with inhaled bronchodilators and inhaled corticosteroid, so that such acute events can be prevented. So better to consult pulmonologist and discuss all these, first diagnose her and then 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: On the roof of my mouth it is gray and purple it doesn t hurt what could it be. I went to dentist a week and half ago he didn t say anything about it or if I had it at that time. I have cml and I am on glee vac 400mg once a day Could that have anything to do with it, my primary care doctor didn t know ### REPLY: Thanks for your query, I have gone through your query. Imatinib desolate (Sleeve) is a protein inhibitor used in the management of several hematological malignancies associated with side effects like hyperpigmentation of the oral mucosa. In your case, the gray and purple spots are because of the side effects of the glee vac 400. Nothing to be panic, it will not trouble you as such, only appearance wise it might bother you. Once you stop the . I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,I have a question...I just recently got an MRI on my lower back and the MRI showed that I had a bone spur that was touching some nerves in that region of my back(lower left side).That makes sense because,my back has went out of a few occasions and it was hard for me to straighten my left leg,so with my on diagnosis,i had a notion that this injury must have had something to do with my sciatica nerve,but anyway,what would the typical procedure consist of?as far as,proceeding with surgery and order to correct this problem?thank you ### REPLY: Hello, Thank you for your query. A bone spur is an extra growth of bone over a bone that has been exposed to trauma or stress. This usually doesn't cause any problem unless it grows enough to compress surrounding tissues like nerves. In your case, this would need to be removed if it is causing significant pain on nerve compression. The procedure usually involves general anesthesia with removal of the spur and any damaged tissue surrounding it. If the spine in that area is unstable after removal of affected bone and tissue, you will need a fusion or reconstruction surgery to keep your normal spinal functions. This will be followed with rigorous Physiotherapy as indicated. As with any surgery, risk of bleeding, nerve damage (for spinal surgery) and cardiovascular risks are present. This also depends on your current health status and other co-existing illnesses, if any. The first step is to assess the level of neurological affliction & how it affects your daily life. The benefits must outweigh the risks before proceeding with the surgery. Please discuss options and post-operative care (short term and long term) with you doctor before making a decision. Hope this helps. Please let me know if you have any further queries. Wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 29 year old son fell off a lorry and strained is calf muscle yesterday.. It swelled instantly and was very painful . He did go to A&E they said it was pulled muscles... Today i have notice the leg that is swollen leg is very cold from knee down its still very painful is the coldness normal ### REPLY: Hello, I have studied your case. As per your history there is possibility of soft tissue injury in knee and leg muscle spasm. Most commonly meniscus injury occurs. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. If pain persist then you may need to do MRI to see for any functional defect. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair, and same day you can go home. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.... I am recovering from the flu . I went to a physician and got some antibiotics ( Z pack) which after a few days I m feeling much better BUT I m having lots of pain in my kidneys/ lower back now. Is there something else going on? I have no change or pain with urination . This is not a usual pain I have. I have been getting sick on and off all winter. Is this a normal flu symptom? Is there some ways I can treat this post-flu symptom at home? Thank you! ### REPLY: Welcome to ! You should rule out kidney condition, if any, by doing certain investigations:Ultrasound PUB, X-ray PUB, CBC, FT, Urine routine exam. If any stone is found, or any other kidney condition, consult your Urologist. Till then, you may take antispasmodics, analgesics, pre- & probiotics with your doctors' opinion. . Wish you a speedy recovery! With warm regards. 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: We just noticed a hard lump about the size of a pea in the skin below one of my boyfriends testicles.  It doesnt float around and seems to be attatched to the skin but isnt painful.  Any ideas on what this could be?  He is 36 years old, 6 tall, and about 220lbs. ### REPLY: Hi, Your boyfriend having hard nodule over attached skin over testes. You should consult a nearby urologist for a detailed examination of a nodule and check whether it originates from skin or from the scrotum. It can be fibrous like lesion. It's advisable to investigate with FNAC to do further workup and to rule out the nature of the lesion.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my yr old son is suffering from cough doc has prescribed mox suspension 3.5 ml thrice a day for 5 days and omnacortil suspension for 4 days and nebulisation with asthalin ,but after giving him these medicine he is not eating anything .passes loose watery motions and is not active ### REPLY: Hi, Mox suspension can cause loose stools or gastrointestinal upset as a side effect. This antibiotic can be stopped and other groups of antibiotics can be started if cold and cough persists. Antibiotics can kill the beneficial bacteria in the intestine which can cause diarrhea in many patients. Probiotics can reduce such antibiotic induced diarrhea. 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: same thing happened to me. i lost my nuvaring (not sure what day) but i inserted ring the 19th and lost it sometime before 22-31? and had unprotected sex on the 29th. i also had light spotting the 18th while the ring was still in right after sex. I have never had spotting before but my breast are sore but i think could be bc the ring had fallen out. Will i still get my period most likely this week if the ring is not in? I have been pregnant before but have celiac disease so the chances could be real low anyways. just reading the comments and thought id ask :) if you have any questions let me know thanks everyone! ### REPLY: Hi, If the ring was still in place when you had the intercourse and for a day or two afterward, you are protected. You can expect your with .  Soreness of the breasts can be a symptom of an impending period. Please see a specialist for further support. You will need a pregnancy test if you do not see your period, and you can also get it done three weeks after the intercourse. Hope you find this information helpful. 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: Doctor. I m from Mumbai my age 33 height 167 cos n weight 72 kgs n my penis erection is very low .Since i work on ship for 11years n i dint had sex for near about eight years n i m getting married this march pls can u help me with doctor name n its related treatment .Thank u. ### REPLY: Degree understand your concerns went through your details. First you should be able to determine whether your erection is low or not. What do you mean by low erection? Are you able to masturbate? Erection will not be affected due to life in ship and I don't think your erection is affected. I think, you are just psychologically troubled about your marriage and after marriage life. I suggest you not to conclude anything about your sexual ability unless you consult a doctor, and he gives you the advice. Obsession with sexual failure and thoughts can lead to anxiety and other mental disorders. Consult a physician or a psychologist and talk, clarify your doubts. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Is there a clear difference between Histoplasmosis and Miliary TB.  My tests so far indicate that at sometime I was exposed to Histo.  But after lung wedge biopsy everything keeps on coming up negative ( but show I have the granulomas all over both my lungs).  Plum. Dr. thinks we should try Itraconazole, Infectious Diseases is not sure and leaning towards TB. ### REPLY: Hi Dear !! Thanks for your query to . Read and reviewed your query and health concerns. IN the given situation of Yours, You seem to suffer from-Histoplasmosis-which has micronodular lung pattern, and can mimic Military TB. But immunocompromised body state in HIV patients, both could be present simultaneously. Antigen testing in urine and serum is more sensitive (80%) in diagnosis of Histoplasmosis. Other causes-like Acidosis/blastomycosis need to be ruled out with Chest Physician Consults and CT chest and flexible bronchoscopy. This plan would reduce your dilemma from histoplasmosis and Military TB. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question Tod ME, at following  link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at  services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Dad 62 years old .. recently got fever, after taking one injection from a doctor ... fever got reduced but omitting started........ We went to hosiptal and we toll blood sampleSericum creatine is 4.5 and blood Urea is 100 ......... Doctor told he is suffering from Parenchymal kidney disease grade 1? ### REPLY: Hello and welcome to . As a Urologist, I can fully understand your concern. What you need to know is, creatinine and urea, are wastes products of the body, that normally get filtered out of the kidney, and are flushed out in urine. Normal urea is up to 40, and normal creatinine is up to 1.2. In your dads case, both are significantly above normal, causing the omitting. On the scan, the kidney changes are noted as parenchymal kidney disease. Hope your doubt is cleared. You may send the scan report in my name, for expert opinion. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 have 11 months old baby..she is a premature baby.i.e she born one month before due date..she passes the motion very tight..motion is very hard...my doctor suggest  DUPHALAC SOLUTION and DUCEOLAX RECTAL SUPPOSITARY PEDIATRIC Medicine .But still i have the same problem...Please suggest good solution.... ### REPLY: Hi... Thank you for consulting in . I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Get back to me with answers to above questions. I wish your kid a speedy recovery. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below - www.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been on the pill for a long time now (years). During the second week of my pills I missed 4 pills and 1 pill of the third week. I am not due for my period until next week, but I am bleeding . It is not as heavy as my normal period. My boyfriend and I have had unprotected sex pretty much every day that I missed my pills. Could I be pregnant? Is this just my period starting since I missed pills? ### REPLY: Hi, this bleeding in all likelihood is an early period because of your missing out on your pills as long as your last period was normal. And as it occurred out of turn, and before it was due, it was light.However, I would suggest that if you miss one pill you should take it as soon as you remember or take two the next day and continue the cycle but if you miss 2 or more pills use another form of contraception like condoms for the rest of the cycle and .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, my mother-in-law has been diagnosed with Pulmonary Fibrosis. It has taken the physicians months to figure out what is wrong, she is on oxygen almost 24/, very short of breath & major weight loss. She just started treatment of Prednesone.  Mayo has indicated from her biopsies and labs they do not know the cause.  I know this is a progressive disease and not curable. Can you tell me from you persepective what her life expectany is? She is 77 years. ### REPLY: Yes, pulmonary fibrosis is a progressive disease, and no specific treatment is available for the same.  The life expectancy depends on the degree of lung involved, and the amount of normal lung left and the quantification of pulmonary hypertension .  Also, acute deterioration due to supper added infection, may start a downhill course.  In general healthy population who have no other Co existing health issues.  The life span is 3-5 years.  However, considering her age and if any other Co existing condition it can be even less.  Continue oxygen, SOS BiPAP.  May try tab perferidone and treatment of pulmonary hypertension for symptomatic relief.  Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I am a 48 year old woman. received a Picc line on Monday for IV antibiotics for Lyme disease. Beginning yesterday I have had a sensation of pressure in my upper chest upon taking a deep breath or coughing. Pressure is worse if my chin is pointed down towards my chest. X-ray after Picc insertion looked good. Is this something I should worry about? ### REPLY: Thanks for your question on . I can understand your concern. No need to worry about this symptom (pressure in upper chest) as your chest x-ray is normal. So PICC (peripheral inserted central catheter) is not causing this symptom. In my opinion, you should not pay much attention to this symptom. Just do deep breathing and be relaxed and calm. Don't worry, you will be alright. 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 Dr.Bhml./i, my daughter 3.5yrs old broken her nose twice within 8weeks and now suffering from air congestion problem at night! How long it takes to heal broken nose for 3.5 yr old? Any suggestions??? Thanks. We have been to ent specialist twice as well. ### REPLY: Welcome to , I have gone through you query and understood your concerns, Most broken noses heal naturally in 2-3 weeks, and they can often be managed at home specially if the skin and septum (wall between the nostrils) are still intact, the swelling should go down within 1 week, and the bruising should disappear after 2 weeks, if her nose looks deformed don't attempt to straighten it yourself instead a doctor should be consulted. Please kindly rate if my advice has been helpful Wishing 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: hello my name is Alison, I recently experienced a traumatic event. I know I have anxiety but now its out of hand I m pacing the floors, food makes me sick, I m uncomfortable all the time. The biggest problem is my mind wont shut off I tell myself to stop and my thoughts creep back in. My daughter is also experiencing anxiety at school she hides in the bathroom at lunch and before school. If I cant control myself how am I going show my daughter how to control herself . My reasoning or rational thought process is not working. If I m feeling pressure I cant make a decision and if I do its is wrong. Its like being in panic mode all the time. I feel that life is slipping away and happiness is forever gone. I know I need help but where? The doctors here are only out for money no one really cares ### REPLY: Dear Alison, thank you for your query. From your description, it appears that you are suffering from Generalized anxiety disorder (GAD) with anxious ruminations along with some components of Major Depressive Disorder. However, Obsessive Compulsive Disorder (OCD), a disease characterized by repetitive, intrusive, distressing, irrational thoughts, images or impulses (regarded as products of patients own mind), needs to be ruled out before making a final diagnosis in your case. If I would a seen a patient with your complaints, I would have first confirmed the diagnosis by a detailed work up including thorough history taking and mental status and physical examination. If confirmed, I would have started with an SSRI (antidepressant) like Sertraline or Paroxetine or Escitalopram along with a benzodiazepine like Clonazepam or Mizoram to decrease the anxiety and induce sleep. Over weeks, I would have escalated the dose of SSRI and deescalated the dose of benzodiazepine. I would have also suggested a behavior therapy, like biofeedback, as means of non-pharmacologic treatment to aid the management. Please remember that GAD is a very common disorder encountered in clinical practice, and most cases are manageable with 6- 8 months of compliant therapy. Therefore, I would request you not to lose hope, and to consult a competent psychiatrist near you for detailed evaluation and management of your problem. Moreover, I would also suggest you for an evaluation of your daughter for any anxiety disorder or depression, as these are quite common in child . Hope Ive been able to satisfy your query. Please feel free to contact me for any further clarifications. 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: helloAge:30y6height:6.0"weight:65kgsProblem: Me any my wife are trying for a baby from past 10months but she is unable to get pregnant. Recently i did semen analysis and it shows MICROSCOPIC: Sperm count: 50million/mlactive: NILslugglish : 50%non motile: 50%Morphology: normal forms: 70%abnormal forms : 30%Impression: NORMOSPERMIA WITH EVIDENCE OF INFLAMMATORY CELLS ### REPLY: Hi thanks for contacting ... Your semen report is normal... Except here rapidly progressive sperm not present ... Sperm motility should at least 40% and progressively motile sperm should at least 32%... For that avoid stress... Hot shower and tight under cloth restricted... Vitamin and mineral supplementation helpful.... Smoking and alcohol avoided.... Healthy and balanced diet taken .... Spinach, citrus fruits, blueberries more . Do intercourse during around ovulation period to gain more chance of conception... If after one year of unprotected intercourse you can't conceive then investigate with.... Female hologram, chest x-ray, ESR, thyroid profile, USG and if needed diagnostic hysteroscopy.... Take care .... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: On humira for us, weekly shots due to inability to gain remission. Last week began having right shoulder pain and pain in the middle of my chest at the bottom of my rib cage. Recently off prednisone taper so other joints hurts as well but the shoulder pain is a deep harsh pain at times hard to life my arm. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have abdominal pain with acid reflux. Well there can be many reasons for symptoms you mention in query like fibromyalgia, nerve compression in condition like cervical spondylosis, muscle spasm or cardiac problem. I would suggest you to consult cardiologist for proper diagnosis first to rule out more serious condition. Doctor may order tests like ECG, TMT, complete blood profile along with check vitals. Doctor may prescribe isosorbide nitrate m aspirin, beta blockers, crusade and sedatives. Doctor may refer you to orthopedic surgeon if there is no heart problem. 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: hello i m sw engineer,i generally suffer from back pain . can u plz suggest some exercise which r helpful in such painful condition. ### REPLY: Hi, Thanks for query, As your job is such where you have to sit on computer for hours together. There is a proper way to sit on computer is sat straight and not bending forward which will help to prevent bending of spinal canal causing pain. Do back extension exercise which will give you relief of pain.in this exercise, you lying down on chest and knees touch on the ground. Raise your head and legs upward giving bow type appearance, go up to maximum, keep this position for few seconds and then go on normal position. Do again same way. Do this type of exercise for about 10 MNT in the morning and evening. Ok and 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: Hi. I have this lump like thing above my belly button that occurred after my pregnancy. It seems to be the same place my daughter would stretch her feet out when I was pregnant. Sometimes it seems more swolen than other times. Could it be a hernia? I think it seems to be more swolen when I am gassy. If so, can it be dangerous? ### REPLY: Hi. Thanks for your query and an elucidated history. The swelling in the area above the belly button if occurs after pregnancy, is reducible and expandable on coughing it is a hernia called supra-umbilical hernia. This is usually not dangerous as there is a fat ligament protects intestine going into it causing obstruction, but the potential danger is always there hence the best way is to get operated. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes, my son is 10 years old, was diagnosed with pheumonia after having a chest xray in emergency room friday night, what they had him on was nt working, amoxicillan and prednisone so they gave him a shot yesterday at dr s office and started him on a z-pak last night and continued the prednisone, he took 2 zpak pills last night and supposed to take 1 a day for 4 more days, i gave him the 1 tonight about 8pm, he is now itching bad on his hands, chest and back, a few red welps on all. Is there anything i can give him to offset this if he is having an allergic reaction to the zpak until i can call the dr back in the morning?? Thanks, dana ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion, your son is having allergic reaction due to either of the following. 1. Immediate allergic reaction to azithromycin (z pack). 2. Delayed time of allergic reaction to amoxicillin. He is having allergic reaction for sure. Allergic reactions are of two kinds. 1.  Immediate type of reaction occurs within minutes to hours. 2. Late (delayed) type of reaction occurs after 2-3 days. So better to consult dermatologist and start appropriate treatment. Treatment of allergic .  Stop the suspected  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 40YEar old i feel to much pain in stomuch continue from one month the pain is horribe include back pain feeling hot constipation i have same pain before 5 month i did ct scan and barium found normal pain gone again pain i am worried my nature is very suspecius even if if i feel smal pain i think like i have cancer tel me what to do in 5 month i cant have deases or should i do scan remember i am indian origin i eaten spice food in my previous life ### REPLY: Hi. Thanks for your history. Is the pain all over abdomen or upper abdomen only? Does it increase on eating? What are the aggravating or relieving factors? How are the stools - black? Loose, sticky? All the associated symptoms would have helped me to get a diagnosis. From available history this looks more of due to gastritis or pancreatitis. I would advise you to undergo an Endoscopy for the stomach and colon; ultrasonography to start with and confirmatory CT scan. Till you get a diagnosis I would advise you the following : Go for a proper diet and medicines-you will be fine:::*Soft bland diet without oil and spices.*Sanitizing 150 twice daily.*Risperidone thrice daily.*Antacid gel 3 tea-spoon-full every 3 hours, the first dose on getting up. If you do not get relief within 1 week - go for upper GI Endoscopy and a consultation with Gastroenterologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 married for 1 and a half years. Since april when we started to plan a baby my periods became irregular and came once in two months  that too after taking withdrawal tablet. I had a serum prolactn, thyroid panel tests. all of them were normal. She then advised me to go for yaminitablets for 2 months. Will my menstrual cycle normlaize and will i get pregnant. ### REPLY: Hi, Welcome to . I am . I will be answering your concerns. It would have been nice if you had provided me some more information like age, BMI, HSG and semen analysis report. Irregular cycles are often due to ovulation not occurring. There are several reasons for this like sudden change in weight, stress (both physical & mental), polycystic ovaries etc. If there is mild hormonal imbalance, Ya mini tablets will regularize your cycles. If your BMI is more than 25 kg/M2, you need to reduce weight. If your cycles do not regularize after the course of ya mini tablets, you need to be investigated to find the cause. Relax. You can get pregnant with irregular cycles. There are medicines available to induce ovulation. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three times in a week. If you have any further concerns do contact me through . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 75 year old male and I have a probable diagnosis of Hemangioma at T-7 and T-9.  I am currently undergoing evalation at MD Anderson, but do not have several results back yet.  Do you recommend surgery for someone my age, or what type of treatment would you consider.  I have had prostrate cancer and originally it was thought that the cancer had metasticed. ### REPLY: What type of treatment you should undergo depends on two factors. First, what trouble is the hematomas giving you. I mean, if they are producing severe debilitating pain or pressing on a nerve leading to weakness of some body part, then yes you need to consider surgery since surgery is the only curative option. If, on the other hand, they are not too much trouble and just produce occasional pain which is relieved by painkillers then I would NT be too worried. Hematomas are generally harmless benign tumors of blood vessels and remain lying harmlessly in the body for the entire lifetime. The second factor is your general health and any associated conditions like diabetes, hypertension, heart disease, asthma (all increase the risk in surgery). So, if its too much trouble and your general health is good, only then think about surgery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, me and my girlfriend friend had unprotected sex, but before we did she well...mastarbated me and a little precum came out. Not to mention that i mastarbated earlier, but i used the bathroom and took a shower before she came over, so back to the story, while she was mastarbating me pre cum came out and she wiped it off with her fingers. So when we had sex i didnt ejaculate inside of her can she be pregnant? Can you please respond soon because im very paranoid ### REPLY: Hallow Dear, Body play and mutual masturbation never results in pregnancy. However, after masturbation, you had penetrative sex. There is always a possibility of discharge of secretions which will contain some left out sperms which are capable of impregnating her. As you have mentioned in the summary of your query, if you did not have any penetrative sex, you do not have to worry about the pregnancy. However, if you had penetrative sex even after a couple of times masturbation, it is better to look for the evidence of pregnancy by: 1. Beta  test 10 days after this incidence. 2. Alternatively, wait for her menses. If she gets her menses, she is not pregnant. If she misses her periods, perform pregnancy test on her overnight morning first urine sample after a week; earlier the test may report false negative results. Beta  urine test kits can detect the pregnancy even few days before missing a period. I hope this clarifies your doubts.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 baby is 6 months now. Want to stop breast feeding gradually. Introduced lactogen 2. Baby nvr liked th taste. Tried nan pro 2. Not much dislike conparitively. But, he threw up within few minutes after drinking it. First I tried with 2oz. Reduced to 1oz. It s the same. He threw up the same amount of nan pro he consumed. ### REPLY: Hi...there is no specific reason why some kids throw up some specific formula feeds. But if your kid is growing well on breastfeeds, as it is 6 months now, I suggest, you continue breastfeeds for milk requirement and start solid feeds like rice based feeds. Other home-made food options will be - 1. Deal and rice well cooked and made into a oatmeal along with ghee2. Boiled apple or banana and mashed into a paste.3. Any made cereal oatmeal preparation with additional ghee added. Remember certain principles like -1. Add one food material / cereal or fruit per week. This will be useful because if he develops vomiting or diarrhea, we will know what to avoid.2. Add vegetables and fruits made into a paste surely to avoid constipation.3. Do not add too much sugar as it may cause diarrhea. 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: im having severe heart burn feel and my doctor recommended me to take Ganaton total before food daily 2 times. but, im worried about my other medicines like desmopressin acetate and hydrocortisone. is it ok for me to take Ganaton along with these medicines and also suggest me when to take Ganaton i.e., with or without food???? ### REPLY: Hello, Brief answer: No serious interaction with your . Explanation: My opinion is that your heart pain needs to be assessed well. Corticosteroids as a side effect may cause some gastritis or in severe cases peptic ulcer. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about age and risk factors as sometimes heartburn may resemble angina pain .also ask about timing of this complaint whether happen after meals or continuous or after exertion. Conclusion: I suggest you check your specialist to review your complaint and may do some investigations. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I would like to know a couple questions I had pneumonia and it caused fluid to get around my heart I had a 20% heart. When I went back to the dr I had a 55%heart.i feel I have fluid around my heart again in my upper side the left side I take water pills to keep the fluids down ,every time I go to the hospital its over fluids . My upper left side hurts me so bad I can t do anything even standing or a sudden movement it like kills me a.Do you have any suggestions? ### REPLY: Hello, I have gone through your question. Actually I need your detailed echo report and other investigations to guide you properly. But I presume that you had pericardial effusion with reduced ejection fraction (20%). This could be due to viral per and myocarditis secondary to pneumonia. This may be self limiting condition as u mentioned that now EF is 55%.in that case you will recover in due course of time. Any possibility other than this needs further work up. My best wishes DT. Teli, MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am curious is I have a sinus infection.  I have been having pain and pressure around my eyes and forehead.  I sometimes feel light headed.  I currently take a nasal spray and zyrtec for my allergies, but I still have this pain&pressure.  I feel I need to see a ENT ### REPLY: Hello, Welcome to , As your doctor has diagnosed that you are suffering from sinus infection, because of which you are suffering from all these symptoms. There are many organisms that are causing sinus infection. For your symptoms I would suggest you to follow1. Take saline steam inhalation2. Spy Pricier A, three times a day.3. Oral Tab Autoclave, 625 mg, two times a day.4. Tab Least, once in a night for at least 7 days. These measures will help to reduce the symptoms and improve the condition. 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: SIr I am suffering from tinnitus suddenly in my left ear since 10 days my doctor gave me antiviral treatment for 5 days now he wants to start the treatment with 60 mg prednisolon with tapering dose of 10 mg per day for one week then please what should i do i heard that steroids are harmful for renal function ### REPLY: Asteroids definitely causes many side effects on chronic use. But gradual increase in dose and gradual tapering of the . The side effects are less and benefits could be more when used for short durations such as a week. Continue treatment as per physician order.In case of chronic use, Renal function test can be carried out. Further management can be decided based on test results. Hope I have answered your query. Let me know if I can assist you further. 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 patient who just got diagnosed with tuberculosis and also happens to have had type 2 diabetes for the past 10+ years...Can you kindly assist with a diet plan....and also any recommendations on what we can do to help with her healing process ### REPLY: Hello, Diabetes and tuberculosis together needs more aggressive diet management for faster healing.First, strict control of diabetes is needed. So in diet, take no sugar, potato, rice, sweets et cetera. Regularly, get sugar levels check done and try to keep it near normal. High protein diet like pulses, vegetables and eggs are recommended. Protein powder, multivitamin tablets are also beneficial. Special mention for vitamin D3 supplements. It should be done for faster recovery. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi. i just had surgery on the right side of my right foot the week before christmas and after the sergury they put a splint on it i think for aweek and on the 27th i went in to get my foot cast and i get it off on this coming up wendsday,.,.,.,.,.,.what could of happend if i have walked on my toes a few times or my foot fell on the floor a couple of times? ### REPLY: Hello, You should not walk on toes after major orthopedic surgery. It will affect the healing process and improper weight-bearing as in case of toe walking can lead to unwanted complications like million and decreased joint mobility. You can consult a physiotherapist, and he will direct you to various rehabilitation options. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dera doctor , i am 32 n last year was pregnant after 2nd iui but after 10 weeks baby lost heart beats n DNc done. I have thyroid and on medication. in Feb2009 dignosed TB in utrus n taken medication till 9 month. now again trying to conceive last month tried iui but failed. Again doctor suggested iui this is 4th iui and i m on thyronorm 75mcg, progestrone 150, loprin 75 and hmg 150iu from day three. this is my forth day. please suggest what should i do to conceive and prcautions after conceiving. thank u ### REPLY: Dear,first wishing you all the best for your pregnancy. Just keep follow up with your doctor regularly, do not miss the doses, keep thyroid under control with help of an endocrinologist. Avoid heavy work and weight lifting. Avoid relations with your husband for initial days. Any minor aliment you have please bring it to the notice of your doctor. Do not take any medicines without consulting your doctor. Bye and take care. ### END