Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ermmm, im 20 years of age and im not so much terrified of the dark, but whats in it,, i dont really know how to explain but a couple of days ago i was alone at my flat, as usual i was very afraid, i locked myself in the bathroom to take a shower, once id finished i was too afraid unlock the door and go out, i was scared something or someone might be there, i stayed in the bathroom for about an hour and a half before my boyfriend got back and found me crying, i get scared of being alone, scared of the dark, scared of someone/ something all the time ... When i say someone something, i mean so many things from my imagination i suppose ,please reply, thankyou ### REPLY: thanks for using  first there is nothing to worry about it. Sometimes it happens. For single episode of fear of dark there is nothing to do anything. If u have continued fear of dark since then, and it is causing socio-occupational dysfunction in that case u need psychological intervention. U can do some relaxation exercise own your own, or you can consult a psychologist for further help. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter who is 11 years old has developed a red lumpy rash  around her nose and mouth area.  We have used paw paw cream which didnt help.  We have consulted a pharmacist who suggested Phisohex for 1 week which also hasnt helped.  We have since taken her to the doctor who prescribed Finacea which has calmed the redness but the lumpy rash is still persisting.  She has been using this for over a week. Do you have any suggestions.Thanks, Tracey ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Q : Hi, I had recently test my ultrasound scan found early fatty changes in liver. Then I had a LFT(liver function test) That is Total billirubin 1.20, Conjugated billuribin 0.29, A.S.T.(SGOT) 56 A.L.T.(SGPT) 89 Alkaline phosphatase 159. In my Lipid profile shown that Cholesterol 227, triglycerides 290, HDL cholesterol 39, LDL cholesterol 130 VLDL 58. Doctor prescribed the medicine named as Hepexa M, Fibator EZ, VSL-3 Rabium dsr for 3 month,. i had already avoid alcohol, fatty foods and controlled a lot of my diet having exercise, after 2.5 month i lose 8 kg weight (81kg to 73kg), now my lipid profile is normal,may this type of case occures after heavy diet control and above medication use in 2.5 month, my age 33, height 5.6 inch ### REPLY: Hi.thank you for posting query at . Definitely, exercise and strict diet along with medication aids in weight reduction and improving the abnormal liver enzymes reading. However, you need to monitor your liver enzymes and lipid profile every 6 months to 1 year. Secondly, visit your treating physician and take his advice for discontinuation of .  Prevention is better than cure. So, try to maintain ideal weight to avoid complications of being overweight. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. My mother has what appears like a bruise on her arm near the elbow. It has grown in size over the past two weeks and she is complaining of pain around the elbow. Is it something to be concerned about? She is 82 and takes 75mg of aspirin due to a previous heart condition. ### REPLY: Hi, thank you for providing the brief history of your mother. A thorough musculoskeletal assessment is advised. As your mother is 82, this bruise will be related to pressure sore. Which is common in most patients. Also, the pain is the protective mechanism to indicate that the bruise is present and pressure on that area should be avoided. Also, the muscles will be weak. I recommend undergoing a simple physical therapy like ultrasound therapy to reduce the pain. Also, if your mother is not diabetic than quick icing should help reduce the bruising. Physical therapy will help get strength and functional ability of your mother. Post which she might not develop such things as in. In my Clinical practice I see geriatrics a lot and by the help of physical therapy they respond well in strength and functional ability as well.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: Hi, I am 2 year old female, I feel apprx 7 weeks ago with continuous lower back pain radiating into my leg. I got an MRI 3 weeks ago and it states L3-L4 have a prominent bulging annulus identified which is board-based with anterior thecal sac effacement no gross nerve root distortion identified. No foraminal impingement seen Mild thecal sac impingement seen at this level. L4-L5 there is a small bulging annulus seen. Bony canal is small due to congenital basis L5-S1 level demonstrates a tiny bulging annulus. Boney canal small due to congenital basis Early degenerative facet changes are seen on all levels. Today the pain became so unbearable, I was unable to get up off the floor from picking something up due pain and unable to straighten/move my back or right leg, I am still in a great deal of pain 6 hours later. This makes me worried. Please help :) ### REPLY: Usually bulging annulus may not be a problem however if you have congenitally narrow canal then it may become important as the space for the neural structure is compromised. I need to know how is the disc signals? Are they normal or totally black on MRI? If they are black then it indicated early changes in the spine, and you need to take care of your back because if you get an episode of disc herniation then it may have pronounced effect on your nerves. At present, you need to continue physiotherapy with anti-inflammatory with muscle relaxants. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor, good morning, recently my wife went in IVF treatment and embroyo transfer done on 15/9 and based on DR. request done Beta ChatDoctor on 29/9 which output is -ve. we are surprised becoz ET done using two embroyo with Grade 1. still how this possible, we are very much worried here. and during this period she also suggested to take sustan100mg injection daily.<br> ### REPLY: HelloThanks for your query. Based on the facts that you have posted it appears that your wife has undergone IVF treatment and two embryos were transferred. The beta  test done after 10 days have unfortunately turned out to be negative indicating failure of IVF. There are 40-50 % chances of failure of IVF and no one can explain the reasons for failure. One has to accept the reality with the hope for +ve results in next IVF cycle. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an emotional shock last year which sent my mind reeling and put me in a severe anxiety state - I have not been able to recover since, despite trying many different medications and also natural therapies (including counselling). I still have extreme anxiety and this has subsequently gone into a clinical depression - to the point where I can hardly function anymore. The only thing that worked a couple of months ago was neurofeedback , but that only lasted a couple of weeks. I am at desperation stage of what to do. ### REPLY: Hi.well, if this is clinically depression, you must try for proper management.combined approach of both pharmacotherapy and psychotherapy can work.visit a psychiatrist and let him prescribe anti-depressants in full dose first.also we have augmenting agents if they don't work.we have add-on regimens further.also ECT and RMS.so don't worry.about counseling, you should visit a clinical psychologist once again and request for some another form of psychotherapy like interpersonal therapy and cognitive therapy if neurofeedback fails.so we have enough of options left.so please don't lose heart.have 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, I m currently in Bali at the moment and am not feeling too well. I have the constant feeling of butterflies in my stomach as well as nausea and a head ache/light headedness. I have been looking it up on the internet and have read about anxiety. Could this be it? If so, why would I have this as I have nothing to be anxious about? But if not what else could it be? If I was at home I would go to the doctor but because I am away I m a little skeptical about going to the clinic if I have to pay a fortune and its nothing. Thanks. ### REPLY: Hi and thanks or the query, I really do not think what you experience actually has much to do with anxiety. In my opinion, a careful review is required to know exactly why you are experiencing this. The circumstances under which you do experience this need to be well précised, the duration, intensifying and alleviating factors. It is also imperative to know if you have any past history of gastrointestinal disease or not, for certain mild forms of gastritis and gastroesophageal reflux could present as such. Kind regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my kid is 3.5 years old and complaining about stomach pain. he is having a fever of 100F and doctor has advised to give maftel spas in gap of 8 hours. But even in between he is complaining of stomach pain and i am confused to give maftel spas earlier than 8 hours. Please advise ### REPLY: Welcome to the ChatDoctorI completely understand your concerns but don't worry. Metal Spas is good for symptomatic relief of abdominal pain. It should not be given more than3 times a day. If the pain is severe and associated with fever, it suggests some underlying pathology which needs to be ad .  I would recommend you the following measures:1. A proper clinical examination by a pediatrician along with ultrasound abdomen if required.2. Acetaminophen can be given. It will be helpful in pain and fever both.3. As gastritis can also present like this, lansoprazole tablets will be useful if given before breakfast.4. Give him lots of fluids and avoid any spicy, unhygienic and unhealthy food. Hopefully this will help you. In case of any further questions, you may contact me. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My lungs feel like they hurt like they are  dry kind of hurt the more I talk they hurt....?? and have to try to take deep breaths. I am 42 and never had these problems since I had a Gadolinium mra injection back in December of .04 mmol I think that was a lot of dye for a 100 pounds that I am ### REPLY: Thanks for your question on . I can understand your concern. Gadolinium contrast can rarely cause Pulmonary fibrosis and bronchitis. And both these cause hurting feeling in lungs, breathing difficulty etc. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. HRCT thorax. 3. PUT (Pulmonary Function Test). HRCT is needed to rule out Pulmonary fibrosis. PFT is needed to rule bronchitis. If all these are normal then no need to worry about major lung diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am diagnosed with schizophrenia since 1998. I am taking 1. ARIP MT 20 mg 2. zapiz 0.5 mg 3. Lopez 2 mg per day. I also go to Alcoholics Anonymous since 2000. I was told that my symptoms were same as of alcoholism, that i was suffering from untreated alcoholism rather that schizophrenia. How do i find whether I am alcoholic or schizophrenic or both? ### REPLY: Hi dear, for detection of alcoholic or schizophrenia is difficult without detail history. Even family member of patients history is also important.first you are on alcohol since when and since when you have started complain? Whether you have complained after cessation or quitting of alcohol or during continuous of alcohol?what kind of symptoms you have?any past history of psychiatric illness ?any family history of psychiatric illness? 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 started out with one swollen lymph node in groin on right side and then got two more on left side now I have 7 in total 4 on left and 3 on right side measuring 3.8 and sore, i also get night sweats and tired.. they say their not cancerous but have more and bigger in a course of 6 months, I have had cancer before in my thyroid ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have lymph node enlargement. It may be due to reactive hyperplasia most likely. It may be due to tuberculosis. Chances of cancer are very low. You should go for fine needle aspiration cytology or biopsy. It will give you exact cause. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 very worried about my 5 year old son. Since Friday night, he has been having a very bad cough which wakes him up either vomiting or short of breath. I have to give him his inhaler to help ease the cough. He was diagnosed with asthma, but doesn t use his inhaler on a regular basis. For the past weeks I have also noticed that he started to snore again after several months of not doing so. The snoring has gotten so bad to the point that he has times when he doesn t breathe. He also at times drools . My 6 month old has a cold as well, and she has a bad cough to the point where she also wakes up crying, vomiting and I have to give her her nebulizer. She had erythromycin ointment prescribed for her eyes since she had pink eye. Now my son has the same problem going on with his eyes. I don t know if they have the same thing going on, but I am greatly concerned about his breathing, lack of. In the day, he is fine, he doesn t even suffer from a cough nor are his eyes releasing any mucousy discharge. It is only at night like I said that he has a very bad cough accompanied by vomit he sweats and complains that his stomach hurts. also, in the day he tends to be hyperactive. I was told that his tonsils and adenoids are enlarged. I am very worried what do you recommend me to do. Also, at he was a preemie at 35 weeks gestation and suffered from RSV at 2 months old. ### REPLY: Hi welcome to ChatDoctorGone through your query about your child . I can understand your concern.  For your info, Coughing is a natural body reflex It keeps the lungs, throat and airway clear of foreign material and vomiting further helps in clearing. Sometimes, inflammation in throat, lungs and airways causes irritable cough. Constant coughing is irritable and requires treatment. Dear, one thing is sure to understand, that inhaler or sublimer is a very short term remedy. Indiscriminate use of it suppresses the mucous and worsens the condition.  It should be used in emergency only. You have to find out remedies natural, non-invasive. Based on the principles of Ayurveda, the ancient Indian science of healing, are completely natural, non-invasive, and can be prepared at home.First you need to give him a glass or 2 of warm water with little salt mixed in it, and make them vomit, at least once a day, empty stomach, to detoxify the system. Give both of them little warm water 2-3 times a day. Don't give them cold beverages. Soak 7 almonds in water overnight Peel the skin in the morning Crush them to make a paste. Add a Spoon of honey and a little salt . Mix well Eat this every morning and evening.  Using paste of basil leaves, ginger and honey for your son, gives relief in cough. As your daughter is too small, give her devotion of basil leaves mixed with honey 5-6  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yesterday i take HSG ang USG abdomen and pelvis scan. HSG shows right Fallopian tube is not visualised. No peritoneal spillage of contrast media seen from right fallopian tube, Left tube is normal.USG shows left ovary is enlarged in size measures 5.4 x 4.7cm & shows a well defined cystic 4.1 x 3.7cm with clear internal echoes & distal enchancement. Imp:Left ovarian cystic -? Retention cyst. it is possible to conceive.the blood is normal. ### REPLY: Hello. Thanks for writing to us. Your right fallopian tube is blocked. Chances of conception are present with the help of normal left fallopian tube. The hypertrophy of your left ovary might be a compensatory hypertrophy. The cyst seen might be a functional cyst which can reduce after proper treatment. You need to consult your gynecologist for ovulation induction therapy which will help in conception. I hope this information has been both informative and helpful for you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 19 years old and my left testicile stays swollen n feels hard as a rock at the bottom has been swollen for three days now there was a bump n my testicile but has stayed swolled n hard how do i know if its just a cyst or if it could be cancer or if i have to go to the docotor about this or not ### REPLY: HelloThanks for query. Swelling of the testicle at the bottom could be due to either infection of Epididymis or an Epididymis Cyst and needs to be investigated. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of Scrotum In the meanwhile take broad spectrum antibiotic like Augmenting along with anti-inflammatory . Further treatment will depend upon result of these tests and final diagnosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, i have been experiencing back pain for a few weeks now! at first it was i the middle of the lover arch of my spine(think it was because of a bad epidurial during labour) but the pain has moved up to my top right hand side of my back and ive been having the most uncomfortable burning pain under my right boob now also for two days! it keeps me awake at night1 i thought it was the underwire in my bra but i took it off as soon as i started feeling like this and it still goes on! im starting to get worried about the upper back and burning under my boob as its steadily getting worse, what could it be, should i be worried and should i go to my doc?( i hate going to docs as i hate to waste time when others might need their attention more! thanks- Mary 27 ### REPLY: Hello Mary, I have studied your case. Due to compression of this nerve root there is pain in your back and chest near breast. Due to occlusion of vessels there can be burning sensation. This can be related to smoking also. I will advise you to do MRI thoracic spine, HRC [CHEST] and EMG- CV [nerve conduction study]For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Also rule out any infection in your breast. 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, my boyfriend has recently developed pain in his belly button. he says it feels as thought it is inside of him and the pain feels like a sharp pain or pressure. He has trouble sitting up or moving into the sitting up position. He thought it had to do with cleaning his belly button in the shower the other day, however today he developed a red lump.bump above his belly button. What could this be, or what could have cause this? Im very concerned it is a hernia. Could it be something he ate? Thanks! ### REPLY: Welcome to  .1. The symptoms seem to be like umbilical hernia, It could be caused due to lifting some weight, weakness of the anterior abdominal wall. 2.No not because of something you ate, the food will not cause such symptoms.3. The pain in this case is felt when bowel / momentum gets strangulated.4. If you are my patient after examination I would have asked for an ultrasound examination to see the presence of anterior abdominal wall defect, presence of strangulation of bowel.5. Sugget you to see your doctor as soon as possible before it get complicated. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. 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: My daughter is 6 years old and studying in UKG ,she has pretty face and too much adorable ,nowadays she dont show any interest in studies apart of that she is stubborn we are working hard so she shows interest in studies.please advise how we handle her ### REPLY: THANKS FOR YOUR QUERY. To encourage in studies you may follow the mentioned steps:Ask your kids how they feel about various issues (current events, relationships, values). Allow them to have opinions without passing judgment. Ask your child . Encourage your kids to have interests of their own. If they show curiosity about a hobby, area of study, sport, or instrument, encourage and support them in any way your finances allow. Play game books. Read audiobooks on CD or MP3. Expose your child to a wide variety of experiences including music, plays, sports, museums, travel, reading, dance, games, food, puzzles, ethnic activities, etc. Play "thinking games" with your kids. Scrabble and chess are examples. Leave interesting books and materials lying around for your child to explore. Role play. Be the student and let your child teach a lesson. Motivate them! Keep it fun....not stressful. If you demonstrate excitement about learning and are open to your child ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 kid is 1.5 years old. About 10 days back he had a bad viral fever and had cough and cold. Now he has recovered and is back to his normal active self since past 5 days. But it seems post that fever his appetite has taken a hit. More so his affection towards milk. He used to love milk but now he just does not want to have it at all anymore. Please suggest. - Siddharth ### REPLY: Hi, thank you for choosing . After any illness kids take at least two weeks to regain their previous weight and appetite. So after any illness we recommend two extra meals apart from their regular ones. Sometimes they may have aversion to some foods afterwards. If he is not taking milk substitute it with other milk products like curd, cheese, paneer etc. and see that gets his daily quota of diary products. Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. 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 am a smoker for 25 years and I am 52 years old. Three days ago I started feel pain at the right chest and back area, especially when I cough and breath deeply. However, I do not have a persistent cough, I do not feel weak, I have my appetite and I do not raise fever. What should I do? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you should get done chest x-ray first. You are smoker for 25 years. And smokers have high possibility of lung Infection due to poor lung defense. And chest pain on coughing and deep breathing is characteristic of pleurisy (inflammation of pleura). Lung infection is the most common cause for pleurisy. So we need to rule out lung infection first. Chest x-ray is needed for this. If chest x-ray is normal then no need to worry about lung infection, you are mostly having musculoskeletal pain. Better to quit smoking as soon as possible. Avoid painful movements of heavyweight lifting. You may need painkiller and muscle relaxant .  Since these are prescribed medicines, you need to consult doctor for this. 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,I am 26 years old. I have penis infection with the following symptoms since last 2 weeks.I didt have sex with girl in the last 2 years. I used coconut oil or shampoo for masturbution. -some small dot like pimples - sometimes itching - pain or burn when i urinating- heavy Neck pain sometime- below hip (legs, thigh) pain- i feel feverish in the evening time (shivering, burn eyes)I confused and i am frustrating.Please help me with suggestion and let me know the specilist for this diseases. ### REPLY: Hello, It may be due to sexually transmitted infection. For further assessment you may require complete hologram, discharge culture sensitivity and relevant blood tests after physician consultation. You may require antibiotics after consultation. Further treatment mainly depends upon the underlying condition. For pain, you can take tablet acetaminophen. Avoid sexual act till the complete 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 am doing the masturbation from the past 10 years.m doing the masturbation on daily bases. Now m trying to do with my girlfriend but my penis will not get hard to do the sex. please tell me the reason and also let me know is it a serious problem.m 29 years old. ### REPLY: Degree understand your concerns went through your details. You are masturbating for the last 10 years. That is not a problem at all. Masturbation in moderation is healthy and is a stress buster. Don't worry. Regarding the current sexual experience with your girlfriend, it could be due to simple performance anxiety because you may be doing sex as a starter. Don't worry. Without getting anxious and worried, carry on. Your problem should be solved. Or you may consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes I ve been having this very bad chest pain for the past several weeks. My Primary did a EKG and said all look ok however I do have an appt to see my cardiologist in a few weeks....However in the meantime my primary has put me on lorazepam 0.5MG 1 tablet three times a day. ### REPLY: Hello, The possibility of cardiac chest pain is very less because you have normal ECG. Sometimes stress and anxiety can also cause a similar kind of chest pain. Lorazepam is also given as anxiolytic. So if your chest pain is due to stress, anxiety then lorazepam will definitely work. So you should take lorazepam and avoid stress and tension, be relaxed and calm. Don't worry, you will be alright with all these. You can also apply warm water pad on affected areas of the chest. 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 had 1st seizure attack on june 21 2010 or so and then the next attack on 17 feb 2011. i am undergoing medication since then and this feb 17 i am going to complete 3 years of medication and doc asked me to visit him. so can i go if its completely curable or not? I am taking levera500 and oxetol600 tablets twice a day. are they good? ### REPLY: Hi, Yes, your medicines are effective anti-epileptics. Usually medications are continued for a period of at least three years after the last episode. Going by this, I expect that your doctor will start tapering off your medicines from your next visit onwards. In addition, he may also advise a brain imaging if any lesions were found in your brain previously, to assess their current status. However, completing the course of anti-epileptics does not mean that there is no risk of recurrence of seizures again in life. Hope this helps you. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a cyst developing in pubic area...it s painful to touch, but not terrible pain. It almost seems like pain when I get an ingrown hair. There is redness in the area as well. I have been noticing this for about 4 days now. What do you think it is and what should I do? ### REPLY: Hi, it appears you have "folliculitis"- this is an infection of the hair follicle. Usually, it will go from being red to yellowish tipped-this yellow color is due to the immune system cells fighting the infection/inflammation. I would recommend warm compress to the area (towel soaked in warm water and then water squeezed out). You could try Acetaminophen (Tylenol) 325-650 mg every 4-6 hours as needed for pain. Do not take more than 3,000 mg of Acetaminophen over a 24-hour period. You can also try Ibuprofen (400-800 mg three times a day with food)- it has an anti-inflammatory effect. Do not take Ibuprofen if you have a history of chronic kidney disease, bleeding from your gut or severe reflux. You can consider applying Erythromycin or Clindamycin lotion or gel to the area twice daily until it completely resolves. Another options Mupirocin ointment twice daily to the affected area until it disappears completely. Since these antibiotics need a prescription, I would recommend seeing a primary care doctor. Please let me know if that was helpful. Thanks! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a lap cholesystectomy on Friday, home on saturday, Early hours of Monday morning I went in to AF for 12 hours and ended up in Coronary Care until yesterday. No-one can find a reason for it but are putting it down to Surgery and anaesthetic trauma. Does this happen???? I also developed some fluid on lungs. ### REPLY: Greetings. Thank you for your question and welcome to . I understand your concern. Well, depending on the kind of operation, there are differences in atrial fibrillation percentages accompanying the perioperative period. One thing is for sure, atrial fibrillation or flutter is the most common arrhythmia found in perioperative stage, and always expected to happen. It usually self-converts to normal sinus rhythm, by controlling the heart rate with digoxin, beta blockers or calcium channel blockers, and by eliminating the electrolyte disturbances, especially potassium disturbances. If the situation persists more than 24 hours, then medical, pharmacological or electric shock measures should be undertaken to restore the normal sinus rhythm. Fluid in lungs is also a known complication of perioperative period and is dedicated to anesthesia. I hope I was helpful with my answer. Take care and I wish you a good health.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: If a healthy, late 30 year old male received an inch deep laceration from a shotgun shell in the side of his waist in an apocalyptic scenario, and was later knocked out from pain 15 minutes later, what would be the necessary steps to heal the man with the best case scenario and with the least amount of medical supplies? And how long would he be unconscious? ### REPLY: Dear friend, a shot gun injury in the side of a waist can be of two types, if it is a simple laceration then it is ok. With the least amount of medical supplies we can deal with that like stopping bleeding, antiseptic . But if it injures internal organ then the condition, i m sorry to say, is serious. The person can become unconscious due to pain or excessive bleeding. So if we cannot stop the bleeding the person, instead of waking up from unconsciousness, can go into coma due to shock. So the duration of unconscious stage can only be decided by the level of injury. Thank you.my best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I took a fall on a rock glade being pulled by a tree limb over the back of the saddle landing on my upper back first. Left shoulder blade took the most blunt of it first. I was in a lot of pain and couldnt seem to catch enough air and it hurt to breathe. Next day I can hardly get out if bed due to upper back and chest and lower hip and tailbone pain. I knew id be sore but should I have it checked out or give it a few more days? ### REPLY: Hallo dear friend I have studied your case you might be having blunt injury shoulder such fall can lead to rotator cuff[shoulder muscle] injury you will need X RAY shoulder. Clinical evaluation for shoulder there is injury to your rib cage too it will pain on deep inspiration, cough also you need to take rest take painkiller and apply local gel and consult doctor for further query contact . Com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had sore throat since last Monday, I have trouble breathing since Tuesday morning. Saw doctor that evening and he said i have throat and lung infection and gave me antibiotics. Today is Sunday and I am still coughing, no more runny nose, at times I cough out pleghm with blood and I notice a tiny black dot on my throat and 2 white spots (look like ulcer) inner throat near tonsil. What could this mean? ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. You are having hemoptysis (blood in sputum).  And it is seen in following conditions. 1. Tuberculosis2. Pneumonia3. Bronchitis4. Lung cancer etc. So better to get done1. Chest x-ray. 2. PUT (pulmonary function test). 3. CT thorax if required. Chest x-ray and CT thorax are needed to rule out tuberculosis, pneumonia and lung cancer. PFT is needed to rule out bronchitis. So better to first diagnose yourself 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: Yes you can...my 15 yr old son just stopped taking symbicort for 3 days because he was diagnosed with vcd which mimic asthma. And he had a very hard time breathing today during his sporting event.....from what I read you can have withdrawls from symbicort.... Is this true? ### REPLY: Hi, Symbicort is used as maintenance therapy for treatment of asthma. If your son does not have asthma and has VCD instead then it is highly unlikely that stopping Symbicort will cause any problem. So I feel your need to investigate further to diagnose the exact cause of his breathing problem. One possibility is exercise-induced asthma. You can get a pulmonary function test done for that. Once a proper diagnosis is made then appropriate treatment and its duration can be planned. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 3 years old has been having a virus that looks very much like Mono (we have seen a pediatrician twice and will doing a blood test soon). She started having white saliva with the offset of her symptoms and now is sleeping with lots of white frothy saliva coming out of her mouth. should I be concd ### REPLY: HI...this is quite common a symptom when there is Infectious mononucleosis. This is because there will be swollen tonsils and there will be some amount of upper airway obstruction in these cases and hence they tend to bring the saliva out as swallowing will be painful. In such cases for the same reason the oral intake also will be difficult and reduced. There is nothing in this that you should be concerned, and it will go off in due course. 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 normally have my period on time. And about two weeks ago, me and my bf had sex, and he pulled out, without a condom. I was supposed to start my period two days ago, and im 15. I m freaking out. I thought i was going to start today, cuz i had all the signs, but i haven t. could i be pregnant? ### REPLY: Hello dear, i understand your concern. In my opinion the chances of pregnancy are less with pull out method. But rarely the pre-cum might have sperms which might result in pregnancy. So it can be confirmed by doing a urine pregnancy test if the period is delayed more than a week. Because the test usually gives accurate results a week after missed period.Don't worry. The chances of pregnancy are rare. Avoid stress regarding the thought of pregnancy because even it might delay the period confusing the situation. So relax and consider doing the urine pregnancy test. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my nine year old son had recently started complaining of difficulty swallowing, approximately 1.5 to 2 wks. He has always been relatively healthy. Only other history is that of interrmittent constipation some birth. Should I be concerned? What possibilities could be causing this? ### REPLY: Hi. Difficulty in swallowing can be because of enlarged tonsils or other adenoid gland in that area. Is it associated with pain or is painless. Having enlarged gland at this age is common. Dental infection, ear infection can cause enlarged glands, tonalities will have pain, fever and swallowing issues. Also, simple oral ulcers can make it pain full to swallow. Other causes like retropharyngeal abscess or membrane formation will be associated with a much sicker childishly neurological causes should have other associated issues. Please get a checkup with ENT doctor for proper examination. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For many years I have had a sharp pain where my appendix were removed. My doctor said it is from the operation. I guess after 50 years I can t understand this? Can you help me understand this logic? I am trying to keep myself very healthy with good food and exercise. My husband died from pancreatic cancer and I don t want to assume anything. Thank you, Mrs. Lanes ### REPLY: Scar tissue left over from the operation can sometimes cause recurrent pain. Is this pain any different from what you've always felt? In it is, something else might be going on. You are at an age where new symptoms need to be taken seriously. If this pain seems different to you, or other symptoms are occurring with it, you should be seen by your doctor.  Ask him or her to do some investigation to figure out what it is. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a Colcoscopy done about a week and a half ago which also included two biopsys on my cervix.  I really didnt have any issues but in the last couple of days I have noticed a stronger smell down there.  I dont really have much discharge and it isnt what I would call a foul smell but it is fairily strong.  Could it still be the Monsels coming out or is it possibly and infection? ### REPLY: Thanks for the question your problem might be due to infections.First need to be collected further history regarding pain abdomen, previous history of sexually transmitted diseases, burning micturition, date of last pap smear taken. Per spectrum should be done to view cervix and discharge should be taken on to a glass slide and should be checked for the type of infection. Next per vaginal exam should be done for cervical tenderness to r/o pelvic inflammatory disease. Depending upon the infection your problem is treated with particular antibiotic. In some infections your partner also should be treated along with you. Hope my answer helpful for you. Let me know if you have any more concerns. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I think i may have dented the bone in my toe bone next to the big toe on my right foot? I hit it against a metal door the other day and felt a sorta dip in the bone compared to the toe on my left foot. Even looking at them side by side, it seems to extend out a little bit more then my left toe now. Unless i never noticed that one toe was a bit longer and had a indent which i do not think so since that is the toe i hit the other day i don t understand why it would be like this. Just wondering if even if there is no pain now of any sort is it something that should still be checked encase i damaged the bone and could cause future problem? (i do not know if this helps at all with assisting me but i am a 22 year old female) ### REPLY: Hi, as mentioned by you on a safer side taking up and x-ray will never be a bad idea. As the doubts will be cleared. Also, when you do not have pain and worried with only a length of the bone than having an x-ray is a good idea. Once the x-ray is out then the next course of action will be planned. If there is any fracture then depending upon the type of fracture immobilizer will be planned. Post that after few weeks you will be fine. With the grace of God I wish you a speedy recovery ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with costochronditis-pain in breast bone, that has gone into ribs, left arm, back shoulder blades over about three weeks. Have felt like im having a heart attack with it. Feel very anxious about it, blood pressure and pulse all have been checked, again today by chemist and are within normal range. Left arm is sore from Shoulder down to hand, more so when I raise it. Feel quite anxious about it and feel my heart racing although I don t think it is according to chemist and doctor last week. Do you think I should get it rechecked or is this normal symptoms for this condition? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you should get done ECG and 2d echo to rule out heart diseases because these symptoms are not normal after Costco .  So better to get done ECG and 2d echo. If both are normal than no need to worry about cardiac diseases. Sometimes musculoskeletal pain can also cause similar symptoms. So avoid movements causing pain. Avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Start painkiller and muscle relaxant  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 brothr have problem for breathing while cough. feels stop breathig  since last two days . yesrday we went to doctor ENT specialist and she told due fungal infection the the problem and gave medicine, tonight he feels the difficulty for breathig is more while coughing. please advice what do in trcur distict to consult wich doctor/ hospital ### REPLY: Hello, Cough and breathing difficulties are commonly seen with bronchitis. So better to consult a pulmonologist, and get done a clinical examination of the respiratory system and PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis, but it will also tell you about the severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Don't worry, your brother will improve with all these. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am currently using Nuvaring. I accidently left it in one week too long, taking it out on day 28 instead of day 21. On the 28th day my husband and I had sex. I usually start my period a few days after I remove the nuvaring but I havent had any spotting. I am concerned that I may be pregnant, a hope pregnancy test said I was not pregnant. With having the nuvaring in one extra week, am I still protected with birth control? ### REPLY: Hi, Thanks for the query. I understand your concern.  Putting nearing in for one more week can not raise chances of pregnancy...your protection was already there as you had already worn the ring for 21 days. the menstrual cycle was already without ovulation.  But the delay in removal of ring has caused delay in getting with . . Which is considered .  To be menstruation. Now because of late removal of the ring... you would have bleeding late by 8- 10 days.pl. don't worry.  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 ve had sick family members. Sprayed a large amount of Lysol all around my home/cabinets, door knobs, large area rug, toilets, other surfaces. It s bedtime in my home. Is there enough fresh air to avoid any hazards of breathing in the chemicals? Our home is a little over 2000 square feet, with 9 foot high ceilings. ### REPLY: Thanks for your query at ! First and foremost the best technique to avoid infections is "HAND-WASHING" with soap(Either medicated or non-medicated). You can learn seven steps of hand-washing from internet or other sources. Try to keep the sick member isolated in separate room. Do not let too much crowding in the room. Limit the movement. Whoever enter the room before and after must strictly wash hand or use sanitizers. Masks on nose can also be used by everyone including patient. Do not spread large volumes of Lysol all around. You can use 2% chlorhexidine for mopping the surfaces which is more user-friendly. Laundary the patients clothes after properly submerging in antiseptic solution. Remember these basic practices and stay healthy. All the best!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a buldging disk in the C-5 through C-7 area in my spine about 2 years ago from a car accident. I ve noticed my back has been non stop hurting. Pain Meds don t seem to work. I m 5 6 and weigh 235 pounds. I do a lot of weight training. My doctor has said I ve healed and MRIs have came clean in other parts of my spine but it will always hurt. I also have lots of migraines, numbness in my hands and feet a lot, and like a needle pain up my spine. What should I do? ### REPLY: Hello, I have studied your case. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give you relief. I will advise checking your it B12 and it D3 level. If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. Nerve stimulator implant may help you to relieve pain. 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: 4 days ago I woke up &felt like I had something stuck behind my nasal cavity /high in my throat. As the day went on the roof of my mouth began to swell quite a bit. By nighttime it was becoming hard to swallow & the swelling was a great deal worse than uncomfortable. I went to the er 2.days ago where they gave me a shot of rocephin & a script for amoxicillin (875mg) for 7 days. They told me to follow with a dentist n that I had an abscess, but I don t have a toothache nor have I had one. The only relief I can get is 1000mg ibuprofen & 1000 mgr of tylenol & throat sprays. Help please. ### REPLY: Hi, Thank you for the query. Abscess in the mouth, need not be necessary that decayed tooth will be the cause for it, any infection in the gums or bone can also lead to it or tonsillitis sometimes or viral infections may lead to this condition. Clinical examination of the area will help in diagnosing the exact cause for the swelling as it could be because of the allergic reaction with Tylenol which presents with and emergency like difficulty in swallowing, swelling of the face, throat, lip and tongue, difficulty in breathing. Get back to your dentist and explain the condition and tell about the . According to the clinical examination the treatment plan will be explained to you. Hope this information helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, Im on the depo injection and Ive been experiencing sickness, even the smell of food makes me vomit. Ive had really bad diarrhea that is just stopping. Ive recently read a post on this site about it could be having withdrawal symptoms from not taking the depo but Im not due for another untill May. Ive took a pregnancy test as Ive known people to fall pregnant while on the depo but it came back negative, Im not wondering if I took the test to early and am I pregnant? I still bleed while on the depo, and I had a few spots of blood that lasted round about 3 days last week. Please help. ### REPLY: Hi, thanks for the queryFeeling sick, nausea and vomiting can occur due to progesterone hormone in demo injections. Also, irregular bleeding is one of the major side effects of these injections. In my opinion, you should use symptomatic treatment in form of antiemetic and hemostatics to control vomiting and bleeding respectively. Hope this information is helpful and informative to you. If you have any further query you can directly reach out to me on the following URL:http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have hard lumps on the side of my neck, chest, and all over my stomach. Some are small, and others are the size a big marble. They are not painful, except for the one on my jaw. I am not sick. I have not ran a fever. But there is a lot of these Lumps, and I think they are lymph nodes. I have had blood tests ran and thEy came back fine. But my dr did not even really pay attention to these lumps. I have been really worn out, and not filling normal. I have stomach pain for about 6 months and the are going to do a colonoscopy. I know I don t have all the symptoms of lymphoma. But for what I have read you don t always get them. What should I do now.? I need help! ### REPLY: Hi, there are other differential diagnosis of multiple swellings which also include lymphoma. As your doctor has not paid attention they may be multiple lipomas which are benign. U may have some other Gastroenterological problems like, black color stool or any family history of GI malignancy for which they've planned a colonoscopy. For stomach pain u should get an abdominal ultrasound or upper GI Endoscopy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Trying to decide if I need to go to the emergency room. I am a 59 year old female. About 1 hour ago, all of a sudden, I started having severe pain in my lower back toward the front on my right side. Also started having chills and feeling nauseated but not vomitting. I had a kidney stone 8/12 and this is so similar to that time.  I still had some pain pills from before so I took one and I am sitting on a heating pad. I am not passing blood and currently I do not have the frequency to urinate that I had before. ### REPLY: Hello Fairbanks for your query at . Severe pain in right side, nausea, chills and previous history of stone suggest that it could be recurrence of stone in kidney (nephrolithiasis). Pain in nephrolithiasis is very severe with nausea, vomiting. Pain can persist up to 4 to 18 hours duration. My recommendation for you is to consult urologist get investigation like ultrasound abdomen and discuss with him for further investigation and management. For temporary relief of pain till you visit doctor tablet acetaminophen can help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi this is visu male 29 india i had tumors on around trunk means around stomach and some r on hand and legs they r small but i want to remove them here consulted doctor but they said that there is no treatment for that if in case they r big then only they will remove them by surgery is it true or any other solution is there ### REPLY: Hi, Welcome.you mostly seem to have -Lipomatous. Your doctor is right, as these small tumors are benign and non-Cancerous. If you have any complaints by size/by site/or if they are painful/growing big/causing disfigurement, you can remove them with homeopath study to rule out any risk of cancer in it. Hope this reply would answer you query and would help you to take care of it. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! . 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 10 year old daughter is complaining of pain in her left side just below her ribs. She says it hurts every time she breathes out. She says laying on her stomach makes it not hurt. This happened one other time a last week and lasted for about three hours. She is not crying but walks hunched over because it hurts. ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. The possible causes of the pain below the ribs could be acidity, stretch or strain or simple apprehension and anxiety. You do mention that the same symptom was present before so days, and it went away after three hours. First motivate her that this is nothing. Then apply some mild painkiller gels and convince her that with this treatment the pain should vanish. Encourage her to divert her attention towards more entertaining and creative tasks. Inspire of all this, if the pain persist, consult a doctor. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck. 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 nearly 68, have suffered from a bad chest on and off.. the last twelve months I have had a continues cough , when I start I can t stop until I cough of a plug which are so sticky... I have had a broncoscopy this morning..the results say..scattered cecreations , most in RML and left LINGULA....and likely infective changes..what does this mean.... pat ### REPLY: Thanks for your question on . I can understand your concern. No need to worry about this bronchoscopy report as it is only minor infection. In my opinion, we should rule out bronchitis in your case because bronchitis is common in elderly people, and it causes chronic cough with expectoration. So consult pulmonologist and get done PFT (Pulmonary Function Test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will improve with inhaled bronchodilators and inhaled corticosteroid. So first diagnose and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I do not have kidney stones yet I have severe pain my left side and so far a ct scan and ultrasound havent shown much that would be causing my problems. I have nausea quite often and often times will throw up or have loose bowel movements. I also have to pee every 20 minutes to 30 minutes max. I dont sleep much at night because Im up so may times to pee. I cant take this much longer. Any other ideas as to what may be causing this? ### REPLY: Hiif you have gone through CT scan and ultrasound, and they were unable to pick anything then in my opinion the cause of your symptoms is urinary tract infection, I would suggest you to get your urine complete examination done and if it shows significant pus cells then get your urine culture and sensitivity done and start antibiotic according to culture.in the meanwhile I would suggest you to start cranberry extract twice daily for the relief of your symptoms. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is currently in the hospital trying to get stabilized. When he went in his lithium level was less than 1. I know that he takes his medicine. He may miss a dose occassionally, but does take it. I was wondering if there is a difference between lithium and lithobid? ### REPLY: Hi, Lithium is a salt. It is the same salt in all the different lithium pills. However, how much of the pill gets in, how fast it gets in differs even between the same pill from different manufacturing lots! Certainly the time released will give a more constant level without as many ups and downs. However, you cannot predict the overall level you get even with the same milligrams per day when you change a lithium formulation and this will require blood testing. 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: Hi Doctor, I am 41 years old woman just my father expired 10 days back I am feeling very anxious and having anxiety attach for last few day very frequent. When these attachks happen I have to sit up or go out from the room have some fresh air and I can not sleep after that feeling very low start thinking about non sense things. Also feel suffocated and can not breath properly. I went to doctor yester day he precribed me Nexpro - L capsule one daily in morning empty stomach, Cilpar LA 20mg one in the morning and Trika .5mg, I took Trika yesterday night I slept but it was not very sound keep awaking and need to sleep on pile of  pillow to make my head upwards and with light on, just checking if it is a temperory situation I am very scared have two very young kids. What should I do. Thanks a lot fro taking time for my question ### REPLY: Hello &, I had gone through the case and found that this is the case of Post traumatic stress disorder. Do not worry, it is curable. For proper sleep and lowering the anxiety level, start doing yoga and chakra meditation. It helps to reduce the anxiety level and feel you relax, balancing the brain chemical. So learn the yoga and meditation under guidance. By doing the exercise your medicine requirement will reduce. Hope my answer will be effective for you. For learning yoga and meditation, you can discuss further with me. Thanks, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have had a dry cough for almost a week. I do not smoke (never have). About 5 days ago, my chest was obviously infected as when I coughed, you could hear the flem, but nothing would come up. Yesterday, my coughing became so bad that I could not stop coughing and started to heave - eyes streaming and pin pricks all over my chest. I have been to the doctor and she gave me antibiotics on Tuesday. The high fever has gone down, but not completely settled back to normal. I am concerned about the pin prick feeling in my chest when I cough as I have never experienced this before. The flem in my chest is till not moving. ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. In my opinion you are having lower respiratory tract infection (LETI) mostly. Pneumonia is common cause for LETI. You are having all symptoms like fever, cough, pleuritic pain (pin pricking) suggesting pneumonia. So better to consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x-ray. Chest x-ray is needed to diagnose pneumonia. And treatment of pneumonia is first isolated the causative organism and then start appropriate antibiotic effective against that organism. So get done sputum culture and sensitivity report. Avoid haphazard use of antibiotic because it can delay the recovery and increase chances of .  So better to consult pulmonologist and discuss all these. And start appropriate treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: iacuired MRSA in 2005-2007 during an outpatient surgery....l became septic(In my bloodstream)was given the wrong antiboitics for 8 months(amocillion)before l was told by a friend to have a culture and sysitivity test...which showed that l actually did have MRSA...almost died...had a ChatDoctoran catherer placed in my chest/heart and had to take Vancomicyn for 6 hrs aday for almost 3 months....bedridden for about 16 months before getting any better...My question is ////ln the past month l have had MRSA sores come up on me...1 on my leg and3 on my chest...surgically drained one 3 weeks ago on my chest...l now have 2 more within a couple of inches ofeach other....What should l do to prevent anymore and is it possible to ever get rid of MRSA.. ### REPLY: Hello and welcome to , MRSA is a very resistant strain of Staphylococcus aureus.These bacterium are normally present on the skin. This infection is hospital acquired and is common in patients who are on instruments like catheters, iv lines, gastrostomy, antrostomy, etc. The strain rapidly acquires resistance against commonly used antibiotics. In your case, it is advisable to get a culture and sensitivity done each time you get any infection on the body. Since, you have used vancomycin in the past, there is a chance that the bacteria may have acquired resistance against the antibiotic. MRSA is an infectious agent, so definitely it is possible to get rid of it but it is resistant or in lay mans words, it is stubborn, so a culture sensitivity is required each time you acquire the infection. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been on lisinopril for a couple of years. (10 mg). About 5 months ago the doctor up it to 20mg. Back in earlier December I started having this painful and scary pins and needle sensation in my back and then traveling to other parts of my body. Could it be caused by the lisinopril? If so should I stop taken it all at once? ### REPLY: Hi, Well, this is the month of July... I don't know when you wrote your original question or whether your symptoms have since resolved.  However, there are some patients who do get tingly feelings throughout their body who are on lisinopril. Therefore, it is possible this could be a side effect of the medication, or it could be coming about as a result of an interaction with another medication. It is generally NOT a good idea to stop taking medications (of any sort) cold turkey unless you've spoken with your doctor about the symptoms you're experiencing.  There can be other causes to explain feelings of pins and needles. But in case, your doctor feels these uncomfortable sensations are due to the medication he/she may prefer you slowly taper the .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Billie Hernandez. I have been dealing with an absess since August of last year. I have had it cut open 4 times. I had surgery November of last year they found 3 others one that have closed up. The first one they found is still open. It closes up and opens up over and over at times it just drains green, and brown pus. I have lower back pain with it and at times I cant eat also is very hard to walk and sit when it is build up. I sit in hot water to help it pop and drain. I have a new worry now when I feel like I need to go pee it hurts to push it out, also I when I need to go bm it hurts my back then when I go its very painful to go cause I feel like it s pushing on the absess. I fill like there is a build up right next to me rectal and I think that s what causing the pain. If you can help me to understand what is going on. I have colon cancer that runs in the family. Oh, yea I had loss bm for a day that was black I researched it and they said it s blood so know I am really scared on what s going on with me. ### REPLY: Hi, Thanks for writing in. Back pain can be due to many reasons from congenital disorders, trauma, infection and cancer. Since you have a history of abscesses and surgery, it is likely that your back problem might be due to the same reason. If colon cancer runs in your family then you should get screening investigations done. If you had black stools after having no stools for a day therefore it will be good to get an occult blood test done and also a colonoscopy if it has not been done in last 5 years. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I had first time felt weakness in the evening and than severe fever at night with full of body pain four days ago than next hall day fever and at night again even can t control with paracetamol and diclo till 4 to 5 hrs. Even after taking same drug at midnight I was not able to sleep.than I had done blood and urine analysis next day all reports normal expect 4-5 pus cells. As my family members are pediatric surgeons they suggest me it s viral fever just take nimesulide and rantac. But after 4 hole day I am suffering from high fever at night and now it s yellow colored stool and too much weakness. Should I admit in hospital today? ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. In my opinion you should admit to hospital. The cause must be investigated thoroughly. Common causes of fever must be investigated first. I suspect malaria, dengue, chikunguniya, yellow fever. Cause of fever must be one from the above list. Till you got admitted, I advise you to take paracetamol for fever. Please take plenty of water, as much as you can. Take high fiber diet to prevent constipation and increase absorption of digestive bilirubin products. I will be happy to answer your further concern, you can ask me on bit.ly/ .  Thank you. ChatDoctorInfectious diseases specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Mu husband has a swelling in his left parotid gland . Our GP sent him for an MRI scan as he suspected stones. The results came back last week and my husband had to visit the GP for them. Our GP said there were no stones but that he wanted to refer him to a specialist. He asked my husband if he had dry eyes (which he does not). The GP said that there is inflammation there (although we can feel a small lump) and he also wants my husband to have a Chest Xray . I am a bit worried as my husband never asked any questions. What do you think - thanks ### REPLY: Hello and welcome to , Parotid gland swelling and formation of lump, indicates inflammation of parotid gland which is the major salivary gland and is called as Acute Parotitis or Infectious parotitis. It is viral or bacterial infection of salivary gland which causes blockage of salivary ducts may be due to presence of salivary stones or calculi.  It may be caused due to poor oral hygiene or severe deny . You can start with antibiotic Augmenting 625 mg along with diclofenac serratiopeptidase tablet 2 times daily for 5 days, it works against bacterial infection. If there is abscess formation, Aspiration or  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 31, slightly overweight at 150 in a 5 2 body. I ve been pretty healthy my whole life with only minor issues. I also grew up with herpes on the my mouth, contracted as a child. I have no diseases or major allergies that I know of otherwise. I have had one sexual partner for several years. Our house is averagely clean, we eat organic food, I live in Portland, OR. Recently, at night I felt like bugs were biting me here and there. I thought maybe my skin was just dry and itchy. Then on my arm, the next day, a tiny mark that looked and felt like a mosquito bite appeared and I scratched it, the sore filled up with clear fluid and took at least a week longer to heal than it should have. Another one appeared next to it. Then later some on my jowl appeared. They became very crusty and seepy, not like a scar from scratching a bug bite. It reminded me greatly of the herpes I used to get on my mouth, but there were Not lots of little bumps like with herpes. Then they left a scar and faded away. I got some on the lip of my nose and they still have not healed because they keep getting reinfected by a cold weather nose drip. I got two on my left hand. One was on a finger joint and one was not, the joint one is incredibly painful and looks infected even though I keep putting antibiotic ointment on it. I have been putting antibiotic on all the sores and little is happening. I m very concerned. What is happening!!?? I barely ever go anywhere to contract diseases. I do the same thing every day and nothing carrying disease has been introduced into our house. Please tell me what this is and what to do! Thank you! ### REPLY: Hi, seems like reactivation of herpes. Herpes virus tend to hide in our nerves and reactivates when our immunity lowers. E.g. Cough any cold. Old age. Cold weather. According to your history most likely herpes. If you get frequent recurrences you should go for prophylactic therapy.otherwise taking only treatment from your GP is enough. When people undergo stress. Immune suppressive treatment, cold weather it causes frequent recurrences. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 got a cold about two days ago. my throat has been hurting the whole time I been sick. but now instead of my throat being sore, there feels like there s a lump towards the middle of my throat. why is it there and how can I get rid of this lump fast? ### REPLY: Hi! Welcome to ! This is a very common clinical presentation in my clinic and people often complain of lump following sore throat or common cold, flu etc. and as per my experience of ultrasound and related needle biopsy reports, I get following possibilities:1. Reactive enlargement of regional lymph nodes2. Reactive hyperplasia of tonsils, tongue lymphoid tissue or adenoids3. Abscess4. Ectopic thyroid tissue5. Cystic lesionsTherefore you have to take warm saline gargle, maintain oral hygiene and see an ENT specialist for a clinical examination and some azithromycin-based antibiotics under medical prescription!regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,doctor i have lucoria from 12years now im 26years.my weight is47&my hight is5.4.also i have my grain. i tried Ayurveda,homeopathy&alopathy also but did not get any relief.all time my body is getting heat&Im very irritating myself by lucoria . can i get any remedy for this? ### REPLY: Hi Welcome to ChatDoctorThis is . Dear I would like you be aware of few facts as to what causes Leucorrhoea .Some causes of this trouble in women and young girls are rheumatism, excessive coitus, repeated abortion, uterine infection also cancer. Leucorrhoea may frequently be accompanied by headache, pallor & constipation In childhood, it occurs due to lack of cleanliness or infestation of thread worms Not to worry. Proper cleanliness, a balanced diet, fresh air and correction of the predisposing factors mentioned above are necessary for long-lasting cure. As you have tried all therapies, I would suggest you magnetic treatmentArrange a set of two SUM magnets Sit on a wooden stool. Keep both the magnet on a plank , South pole on your left side and North Pole on your right Keep your right foot on North Pole and left on South Pole. Apply for 20 mins daily in the morning. I addition,  ### END