Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: to start out my husband and I were both virgina and the only ppl we slept with was eachother..anyway my vagina has a skunky odor just recently and my underware are bleached  as if someone sprayed bleach on them, my clit also hurts a bit after I pee, what could it be and what r some home remediess ### REPLY: Hello, In my opinion You may suffer from bacterial vaginosis (BV) which is an infection of the vagina caused by overgrowth of bacteria. Bacterial vaginosis is common vaginal infection in women and is more common in women who are sexually active. Symptoms of BV may include:watery, white, gray or yellow discharge which can be smelly (fishy-smelling odor), itching,burning, burning during urination. Bacterial vaginosis is treated with antibiotics which have to prescribe Your doctor. He or she should examine You and perform laboratory tests on a sample of vaginal fluid. Please note that You can lower your risk of developing BV by limiting number of sex partners and not douching. Hope I have answered your question. If you have any further questions I will be happy to help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Had a wisdom tooth extracted 3 days ago and my dentist looked at the site today and said it is healing properly and looks good and that I could smoke. After smoking, I felt some burning. No pain or bad taste, but it has a weird feeling. I also drank pop just now and wondered if that could be causing the sensation. I worry constantly about this area and my family is tired of me having them look at it to make sure it still looks like its healing. Just wondering what the burning sensation is. ### REPLY: Hi, Hold off on smoking a cigarette for at least two weeks from the time of the extraction. I would encourage you to quit smoking before the time of the appointment to help reduce the risk of post-operative complications. Your body heals by forming a blood clot which is a matrix for the healing tissue and bone to form on. Cigarettes affect this in many ways, the suction you form on the cigarette itself can pull the clot from the socket and cause .  The smoke is hot and irritating which can cause pain, delayed healing and also  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir I m on edon 5 tablets every alternate day with fertyl 25f tablets. But no improvement in erectile dysfunction. After taking edon 5 i have no erection. However in the morning everyday after I wake up I have hard erection but it does not last long and there is no ejacuation during interiors in the morning. Should I increase the dose of edon and take stablon 12.5 once a day at the same time. Please help. I have a slightly high tsh of 11.87 and is on Thyronorm 50 tab. ### REPLY: Hello, Many causes for erectile dysfunction, most common cause is anxiety neurosis. Diabetes, hypothyroidism may be other causes. Alcohol intake, antihypertensive, antidepressants may aggravate the problem.  You may take tadalafil to increase the dose under your doctor guidance. Check for Thyroid profile once again. Regular exercise, avoiding porn films may improve interest in your partner. If not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 24 year old female diagnosed with benign PACs/PVCs (halter and echo were normal minus the heart palps).  While working out yesterday I used the heart rate monitor on the elliptical and it gave me a reading of 215 bpm.  This seems really high, but Ive had this issue before on such machines (where you touch the metal handles to get your heart rate).  So I actually have two questions: Could the monitor be off even though it seemed to be accurate the rest of the workout?  What could the cause be- Do I need to see a doctor about this? ### REPLY: Hello, First thing do you have any symptoms during this reading, because at this heart rate one will severe symptoms like giddiness, fainting, chest pain or heaviness, shortness of breath etc. If not It's likely to be a false reading. Sometimes it can record each pulse as two and doubles the heart rate.  If you had symptoms, then it can be a cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You can repeat 24 hour holder monitoring. Also, hemoglobin and thyroid test should be done. Ln order to abort such episodes you should try to cough hard. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day.  If none of the above is successful then last option is of electrophysiologist studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: am pregnant with 9 weeks, but the problem that i have is that am bleeding,was attending the hospital and under go several ultra sound test and the doctoe said that the baby is fine and there is no any problem in the uterus,and he advice to take premolute depot once a week for five weeks,have alredy take 3,but for the last 4 days now i found that the bleeding is comes out with a bad smell,i went to the hospital again we do ultra sound and the doct said he didint find anything bad,the baby is verry active my i sould wash the vigina every time,am trying to do that but am still smell it,is going to be a problem please advice doctor ### REPLY: Hi dear, I have gone through your question and understand your concerns. Bleeding in early pregnancy can be due to threatened abortion, or chorionic hemorrhage, or due to any local lesions in cervix and vagina. If the ultrasound is completely normal, then your doctor should do an internal examination to rule out any local lesions in cervix or vagina, which can cause foul smelling bloody discharge. Hope you found the answer helpful. Wishing you good health. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, I m feeling slight pressure in my chest , breathing is fine but not as effortless as before, also i felt little pain in the chest last night & couldn t sleep with chest pressing against bed. Also i feel intense pressure in lungs or heart when i ejaculate & this is where i first noticed this problem. My ECG report is fine, currently i m on Dompian 10mg & Veloz 20 but don t feel much improvement. Kindly pls help me diagnose. Thanks ### REPLY: Degree understand your concerns went through your description. I suggest you not to worry much. From the description, I can conclude that you are having anxiety problems. The pressure around chest area could be due to so many factors, but most likely it is due to gastric derangement. As you were already worried about your sexual ability it concerted as anxiety. Your ECG is clear confirming this. Your doctor has given you anxiety .  Exercise hard, work hard and forget about past and future, avoid apprehensions and anxiety. You might need psychotherapy and other cognitive behavioral therapies. I can help you through telephone. Please do contact me through customer care of www.ChatDoctor .com for a telephonic consultation session. Hope this answers your query. Available for further clarifications. Good luck. Merry Christmas. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a pain in left lung for a couple of months , also a persistent cough and only recently coughing up a brownish substance  which has me concerned. I dont feel unwell but get tired quite easily. I I am a 47 yr old female. My GP said he couldnt hear anything going on , and it might be muscular ?Kind regardsL. Mc ### REPLY: Hello, You have brown sputum expectoration in form of cough since many months. So, it should not be neglected. Your work up is needed in form of chest x-ray. If chest x-ray normal, then no need to worry and bronchitis can be the possibility for which antibiotic course prescribed and symptomatic management done. Provide your reports for giving more comment. 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 a physical and my liver enzyme came back as ast- 80 and dr. said should be 40. Also my slt came back 100 and dr. said should also be 40. Wants me to wait 2 weeks without my cholesterol medicine and have test taken again. Your thoughts. My medicine was crestor 20 mg. Thank you. ### REPLY: Dear friend, greetings from  I do not think you should stop the medicines. You continue the medications. Do not take. Any other medications without doctors prescriptions. You need to avoid alcohol, high fat and carboy .  Take more of green leafy vegetables, fiber rich food stuffs. Do exercise levels will go down slowly. Thanks for your query and do contact us for more questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a happy life. In fact Im happier now with my life then I have ever been. Im engaged now. Im in college and loving it. However I have a problem. I have been havng thoughts that are negative. I worry all the time. Its stuff that shouldnt even cross my mind. Like when my fiance leaves for work I think oh my gosh what if he has a wreck. Or the other day I was on my way to class and I started thinking what if someone came into the college with a gun how would I protect myself. I do not understand why I all of a sudden started worrying constantly. Its getting worse too. I do it all the time now. I use to never have these thoughts. Whats wrong with me. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I sincerely suggest that you are victim of your own negative thinking. You cannot term your current state of mind as clinical depression. Rather, this is just disappointment. Disappointment which arises out of unforeseen life events do bring such symptoms like sadness, irritation, anger, lethargy, lack of interest, lack of appetite etc. Please understand this fact and make sure to introspect. Talking to your friends, outdoor activities and being creative should give you relief. Find the reason for your disappointment and consult a psychologist if need be. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 58 years old. i am 5 10 tall and my weight is 170lbs . i have been diagnosed with dementia i have had two MRI s with no change and they are both ok. I have had an ultrasound on my throat and it was also ok. My next step is to go to my eye doctor who is also an MD, my thinking is I will go to ear, nose,throat doctor next. i am dizzy all the time. ### REPLY: Hello I have gone through your question and understand your concern. Dementia is clinical diagnosis, and it is defined by progressive loss of cognitive functions ABD memory abilities. I think you underwent several tests before making the diagnosis. The MRI sometimes is associated with brain atrophy in frontal and temporal lobes. It is not clear for me what was the US of the neck for, while I suppose the ENT consult is for the dizziness. If the dizziness was peripheral it is self limiting. Anyway you can benefit from betahystine. Your ENT doctor will provide it for you if he feels you have benefits from this treatment. It does bot interfere with eventual dementia. Hope this answers your question, please feel free for further questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi am Patrick. i have been having a dry cough, runny noses, sneezing that have persisted for more than 5yrs. i have visited so many hospitals and have not been helped. i have tested for tb and it was negative. during the night, i experience alot of pain in my ribs or and chest. please help ### REPLY: Thanks for your question on . I can understand your situation and problem. Possibility of viral infection is more in your case. Running nose, cough, chest pain etc. are suggestive of rhinitis and bronchitis. Both are commonly seen in viral infection. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule other lung disease. PFT is must for the diagnosis of bronchitis. You need antihistamine, inhaled bronchodilators and inhaled corticosteroid (ICS).  .  Take steam inhalation 5-6 times a day. Don't worry, you will be alright with all these. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Am a Thyroid(Hipper thyroid) present and BP. using Tab. Tyro fit 50m 1-0-0. and Trilol 20m 1-0-1., Eritel 40. 1/2-0-0 tab daily.my weight is 58kg. Age-58. seafaring Foot -join pain .using medicine correct or not? eating food very low ! How can I manage? ### REPLY: Hello, I UNDERSTAND FROM YOUR QUESTION THAT YOU ARE HAVING FOOT PAIN. THE .  HOPE YOU ARE REGULARLY CHECKING BP, THYROID WITH YOUR DOCTOR. I RECOMMEND YOU THE FOLLOWING.  CHECK URIC ACID IN YOUR BLOOD. IF its NORMAL YOU MAY NEED TO CONSULT ORTHOPAEDICIAN. HOPE YOU HAVE CHECKED SUGAR AND IS NORMAL.  USE SOFT SHOES LIKE SKETCHERS, ALSO WEAR SOFT BUT THICK SLIPPERS AT HOME. DO NOT WALK BAREFOOTED. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was sweeping and cleaning the other day after my son was sanding a new room we are making out of the garage. After that when I took a deep breath it would hurt. Now that is not bad but at the very top of my windpipe I think it hurts. especially when I bend or lie down. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having musculoskeletal pain. Your pain is associated with movements and specific position, so possibility of musculoskeletal pain is more. So follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Apply warm water pad on affected areas. 5. Take painkiller like ibuprofen. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir i ama patien t suffering from high blood pressure. i canot sleep at night because of this issue. i went toa doctor and he prescribe d me lonazep 0.5 mg to take daily. he also told me that ther e are many patients with severe heart ailments who take tis medicine.please guide me in this matter ### REPLY: Hello, Initially, you should practice sleep hygiene and later med can be given for the same. Sleep as long as necessary to feel rested (usually seven to eight hours for adults) and then get out of bed. Maintain a regular sleep schedule, particularly a regular wake-up time in the morning and try not to force sleep. Avoid caffeinated beverages after lunch especially during evening hours. Avoid alcohol near bedtime (example, late afternoon and evening). Also, avoid smoking or other nicotine intake, particularly during the evening. Adjust to be .  Avoid prolonged use of light-emitting screens (laptops, tablets, smartphones, and e-books) before bedtime. Resolve concerns or worries before bedtime. Exercise regularly for at least 20 minutes, preferably more than four to five hours prior to bedtime. Avoid daytime naps, especially if they are longer than 20 to 30 minutes or occur late in the day. If this is not helpful, then you can get prescribed tablet Fresh bedtime as needed basis. You can also have Located  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 2 year old son has a lump on the left side behind his ear, it is hard and does not move, thought it was a swollen gland, because it was going around at our house, but its been about 2 weeks and he still has it. its not any bigger , but not any smaller. ### REPLY: Hi ! Good evening. I am  answering your query. In my opinion you are possibly right in believing that it could be a lymph node swelling. If I were your doctor, I would advise him for a course of broad spectrum antibiotic after doing a thorough examination of the ear, nose, throat, and the scalp region. If it doesn't subside or increases in size, then I would not hesitate to refer you to a ENT specialist/general surgeon for consideration of a FNAC/excision biopsy of the lump. Further management would depend on the clinical examination and investigation reports, I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am getting my LH sugar negative ? why so My last period was on 29th March and my cycle is about 31 days.so accoring to ovulation calculator my ovulation is on day 17th (14th april) and most fertile day 16-18 (13,14 &15 april)but all these 3 days my LH sugar was negative .  Can you please guide me on these matter ### REPLY: Hello. Thanks for writing to us. It is not necessary that you must ovulate in every cycle. If the LH test is negative it means this one is going to be an ovulatory cycle for you. The delayed ovulation is also a possibility. An ultrasound scan will help in confirmation. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve been getting sharp pains in my chest for the last 6 months. They last between 5-10 seconds and happen inconsistently if I take a deep breath after the pain my chest feels tight and sore. I don t get it every day i can go a few days but it happens at least 2 or 3 times a week. I ve read that it could be pleurisy. I m just wondering what would cause this? ### REPLY: Thanks for your question on . I can understand your concern. Pleurisy (inflammation of pleura), heart diseases and anxiety are likely cause for your chest pain. Pleurisy is seen in pneumonia, pleural effusion, tuberculosis etc. So get done chest x-ray to rule out these causes. If chest x-ray is normal than no need to worry about pleurisy. Get done ECG and 2d echo to rule out cardiac diseases. If both of them are normal than no need to worry about heart diseases. Stress and anxiety can cause similar symptoms. So consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For about a week now I have experienced pain around my spine from the bottom of my neck to the middle of my back. Also wrist and thumb joint tenderness. I am a barber for 9 years and have never had these symptoms before. I also recently became vegan back in January, so I am wondering if I am defiance in something? ### REPLY: Hi, Back pain due to long term standing and wrist pain due to constant use is common among barbers. Preventive measures have to be taken. Regular breaks in between work with sitting and physiotherapy for back muscle strengthening and wrist and forearm muscle stretching and strengthening is needed. Tab attract twice a day for pain relief can be taken.  Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello i am a 31/m indian, i had an ultrasound which shows-LIVER: mildly enlarged in size (16.4cms) with grade-II fatty change, no focal lesions seen, portal vein and intrahepatic biliary radicals are normal. portal vein measures 10mm.it also shows-SPLEEN: mildly enlarged in size (13.3cms) & normal in echopattern. no focal lesions seen. ### REPLY: The mild increase in liver may be because you have a fatty liver. This is cause by a variety of causes. If you on alcohol u must avoid it along with fatty food. The enlarged spleen may be an indicator of an infection. But ultrasound alone is not enough for a diagnosis. A detailed history, blood tests and examination is necessary to diagnose. You should see a doctor who will be able to do this 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: hiiii....i have a problem or not i dont know bt when i was done my first sexual interaction wth my girlfriend..my penis was not stand up n aftr some time my sperms come out....well if i see blue films then my penis will grow harder and stronger but it was nt happnd wth me in real time...what is the problem behind this ???? ### REPLY: Hi, It seems that you may be having erectile dysfunction. Most probable cause may be psychological. It may be due to performance anxiety. Relax, it may be alright after few days. You may take anxiolytic like fluoxetine 20 mg daily till you get benefit. Taldanafil 20 mg may be taken 2 hours before sexual act. You might get good result. After improvement in your confidence, you may have sex without any medicines. You consult physician or sexologist. I hope you got my answer. Thanks. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a heart attack (mid wall variant takotsubo syndrome) on 15th April and am booked in for a root canal treatment on 3rd may, is it safe to go ahead and have this done.  I am 62 years of age, am on one aspirin daily and half a 50mg metoprolol tablet twice a day.  I was on medication for hypertension before this happened. ### REPLY: Hello...read through your query...n I must say that if I was your doctor I would have waited for 3 months more to do root canal treatment if u don't have pain now.but it's fine if v do it now also.my treatment is to wait for 6 months after heart attack.different doc had different treatment modalities...it's fine if u do it now. And regarding your aspirin and metoprolol it's better to consult your cardiologist b4 doing root canal BCO some cases u have to stop these . ...it all depends on your body and your cardiologist will b knowing it.....hope u got some help from my reply.have a nice healthy day ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my hair is falling out a lot more than before i know you hair does fall out every day but mines constant  im 26 and get stressed my roots need doing and dont want it all to fall out im not sure if its falling out by the roots because when it comes out it has little white bits on it i dont know if its the roots or if its snapping off im whating for my blood test to come back from the docs he wanted me to have a thyroyed test ### REPLY: Hi, As per your query you have hair loss which is known as alopecia problem which seems to be due to genetic factor, fungal infection, hormonal changes and stress. Need not worry. I would suggest you consult a dermatologist for proper examination. The doctor may order skin patch test, blood test and physical examination. The doctor may prescribe you a .  Start taking supplements like vitamin A, Omega-3 and vitamin E. Take Indian gooseberry powder (half spoon) with water once a day and use almond oil to do hair massage.  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: Yesterday leaving work i felt several pinches on my upper calf near the crease.. Later on that night I found maybe 6 bumps in that same location with pain and swelling and not to mention itching .. So today it s pretty swollen and kind of painful when I walk. So my question to you is what is it and what can I do ? ### REPLY: Your symptoms suggest that you have acute spasm of gastrocnemius muscle or hamstring muscle. Take analgesic such as ibuprofen, muscle relaxants and hot fomentation over painful area. It will decrease pain. After 3-4 days when pain subsides start hamstring and gastrocnemius muscle stretching exercises. Hope this helps. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pain and pulling when I bend my head forwards and backwards. Been doctoring for almost 2 yrs. With no relief. I ve had an MRI done as well. I do have a tiny bulge in the middle part of my spine , and also shown were gapping in 3 or 4 areas in my spine. Numbness and weakening in my arms. Tingling in my both shoulders and arms and hands as well. Numerous Migraines. please help. ### REPLY: Hi, Thank you for posting your query. I presume what you meant is that there are multiple disc bulges in the spine, leading to pinched nerves at various levels. This would explain the numbness and tingling sensations in the arms. Initial treatment would consist of physiotherapy and medications such as pregabalin. Please get back if you require any additional information. Best wishes, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my girlfriend had taken the plan B pill right after we found out that the condom broke. She was trying to swallow the pill but it desolved in her mouth. She kept drinking water to get it down. She is just wondering if it will still be affective or not. ### REPLY: Hello, Even though the pill dissolved, it will still be gulped down in the powdered form and the effect will still be the same. Moreover, if she is the safe period of her cycle, there is no reason for worry even if the condom broke and the emergency medication has not been taken. She may see some with .  She should get expert help if the next period does not happen even ten days after it is due. Hope you find this information useful. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an abscess in a upper tooth late last year and had a root canel and put on anitbodics. Yesterday I felt the bubble on the roof of my mouth and sent and seen the dentist today. Took xray and infection still there. Am being sent to an endontics dentist on April 12. Now this afternoon I have a nose bleed on that side of my nose where the infection is. Is this normal or not. ### REPLY: Hello, Well, nose bleeding may or may not be related to your tooth infection. As it can be commonly seen. If there is an infection in the upper front tooth. It can co-incidental however if there is repeated episode of bleeding then it needs clinical examination. For re-infection in your root canal treated tooth. You should consult an endodontist and a re-root canal treatment advised. Also, a course of antibiotics like Augmenting and painkillers like Ibuprofen will be advised. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has been on enoxaparin for four years (for DVT) and has a few of the side effects listed. They are shortness of breath, dizziness (when getting up from chair or bed), fatigue, weakness, and heaviness in legs. He also went through chemo and radiation in 2010-11 (and is now cancer free!) Is there anything that can be done to improve his overall well-being. ### REPLY: Hi, Welcome to  forum.  Your husband is using enoxaparin, since 4 years, and now you are facing short less of breath, postural hypo tension, fatigue, weakness, and heaviness in lungs.  I advise you to consult your doctor foe these side effects. He may change the .  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods for maintenance of good health.  Wishing for a quick and complete recovery. 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: Just curious, my mom had a urine microalbumin test done a week ago. She is diabetic and has cirhosis of the liver from hep b. Her results are as follows: albumin/creatinine ratio 115 high (range 0.0 - 19.0mg), urine creatinine 11.3 low (range 40-133mg), urine microalbumin 13.0 normal (range 0.0-22.0). What do these tests mean??? She also has a cyst on her kidney measuring 4.7cm...can that effect the urine microalbumin results? ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. Generally, a high serum creatinine level means that your kidneys aren't working well. Your creatinine level may temporarily increase if you're deny .  The dietary supplement creatine can have the same effect. If your serum creatinine level is higher than normal, your doctor may want to confirm the results with another blood or urine test. If kidney damage is a concern, It's important to control any conditions that may be contributing to the damage. It's especially important to manage your blood pressure, which often requires medication. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 36 years old women.i have two childreans and i eat rajnigandha panmasala worth RS. 35 daily.....I work all day long cleaning my house And try to keep it as clean as possible...But as soon as i go to bed,every part of body starts paining and i cudnt sleep because of it...Can u please give me a solution??? ### REPLY: Hello, I will advise you to get indulge in regular aerobic exercises as this will improve your endurance and also avoid the night pains. Having calcium and iron in the diet form should help as well. Usually, in females of your age due to menstruation there will be excessive loss of HE in the form of blood loss and will take time to recover. In fact, by the time, it recovers it again comes down due to the next cycle. So the body is always weak.  Having a good consumption of water, calcium and iron content diet and simple aerobic exercise should help you get rid of symptoms. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a positive ana with other symptoms my doctor said relate to lupus.  no diagnosis by a rheumatologist yet.  cant get in for another two months.  i do get three inch really red bruises on my stomach often.  does that sound like it relates to lupus. ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You may have lupus or some other autoimmune disease.  You should go for complete ANA profile & coagulation profile.  It will give exact diagnosis.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, Good day PS my wife is having severe knee pain when body is in Rest ,and changing side, or climbing stairs. Pain is on both knees and moves from top to underneath . it has judt started few weeks back, shee feels some knock sound from knee joint occasionally. Will appreciate your advice and treatment or tests required to be done including x Ray etc. She is 61 years of age . Look forward for your kind response. With Regards Deen K Mohnani Maxdeen@gmail ### REPLY: Dear Mr Monsanto start with a X-ray and a thorough clinical examination of the knee will help. Her symptoms seem like supra patellar tendonitis and osteoarthritis. Can you share her age and weight as well. Please visit your nearest arthritis clinic and get her evaluated, if properly treated conservatively knee replacement can be avoided for a long time. Please feel free to ask any more doubts that you have ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having pain and pressure in my left upper/middle back which radiates to my lower left front abdomen (rectum/bladder area). I have had kidney stones before. This is the second attack in three days, both followed almost immediately by a scant bowel movement. I took pain meds, a hot bath, and drank lots of water the first night. I was feeling better by morning. Trying the same the second time. ### REPLY: Hi. Thanks for your query. Read your history and understood the problem. Since you are a known patient of kidney stones, the present symptoms of pain in the back radiating to the lower left front abdomen is suggestive of an impacted stone in the left ureter. I'd the stone is large it may be pushed down by the HY .  I would advise you the following:First get an ultrasonography done to see the site of impaction of a stone in the ureter, to see whether there is HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey my partner has a bad cough and got up in the middle of the night to get a drink of covonia chesty cough mixture. He did not read the instructions so he drank approximately like 80 milliliter. He is insulin dependent diabetic and had high blood sugar before he drank it so he had a dose of insulin before he drank it. Is he going to be alright? ### REPLY: Hello, Thanks for the question. Taking 80 ml of the said cough mixture gives a considerable amount of glucose, as the product contains liquid glucose for taste. So it is bound to give rise to his blood glucose. This will be a temporary rise. Other ingredients are unlikely to cause any serious problem. However, a person with diabetes should avoid taking cough mixtures which contain either syrupy base or liquid glucose. There are other preparations available free of sugar specifically for diabetics. 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: had a molar removed 7 days ago.  extraction was not an easy one.  would not numb all the way  tootChatDoctore out in pieces.  still pain several days after and went back  said it was dry socket  put some nasty tasting paste to fill the hole  top edge of gums still very sore and white spots have formed on there that are painful to touch.  should my dentist give me an antibiotic.  asked him if infection and he said didnt think so but did not address the gum issue ### REPLY: Dear friend. Thanks for sharing your concern. Your history suggests that you had a traumatic extraction, and post extraction it became a case of . Do not worry, white spots that you are seeing is due to local application of medicament there. Gum soreness will slowly subside as it takes time in complete wound healing. Please maintain good oral hygiene and do warm saline rinses. I would suggest you to revisit your dentist for clinical evaluation. Of a course Based upon that starting a course of antibiotic is recommended. Hope it helps. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir. i am jayanta from india. Sir , i have a neurological disorder like when i write something i feel a kind of shivering in my hands resulting in a worsened handwriting. inorder to write good i need to put some extra power. Same shivering results when i pick up or hold a phone or a cup of tea for example. This happens more when i am in a public place or someone is watching me writing. I feel a kind of fear these days whenever i take to writing something and my heart beats faster. Can you tell me the remedies or the reasons for this disorder. Sir , i am so distressed. please help me out. yours etc email - YYYY@YYYY ### REPLY: Hi Mr Jayanti, Thank you for posting your query. Based on your symptoms, there are two likely possibilities: 1. Essential tremors 2. Writers cramp In both these conditions, shivering may occur while writing, making it very poor handwriting. Problems get worse with anxiety. There are good medications available to treat them, such as beta blockers, Pakistan, etc. Your neurologist would be able to guide you regarding the best medications. Best wishes, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MY mother has ultrasound which says Endometrium is wide and echogenic thickness of endometrium is 1.9 cm. Fiinding are No mass, cyst or collection see in pelvis. But found small 2X3 cm polyp. Doctors plans TAHConslusion:Wide & Echogenic endometriumDiognosis D/C to exclude growth.She also conduct the PAP SMEAR testUterus LS TR AP = 8.4 X 5.6 X 5.12 Normal size.What do you suggest do there is a chance of canceric growth?Kindly advice us what to do? ### REPLY: Thanks for your question on . I can understand your mothers situation and problem. Endometrial thickness of 1.9 cm can be seen in malignancy. But chances of malignancy are less because she is not having a mass lesion or enlarged inguinal lymph nodes. So possibility of post menopausal thickness is more. But better to rule out cancer and hence dilatation and curette (D&C) is advised in her case. If D&C is negative for malignancy than no need to worry about cancer. Also get done hormone levels to rule out hormonal imbalance as this is the common cause for endometrial thickening. Hope I have solved your query. Wishing good health to your mother. 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 38 weeks 3days. For the last 5 days I ve been having regular labor contractions that last approximately 30 seconds and are 3-4 minutes apart. I also am having major back pain and I m having a constant period like cramp in my lower abdomen that s doesn t go away. I ve been to the hospital 4 times and they ve sent me home each time. I m dilated 2cm and 70% effaced. Any information...because I am full term I just need something done to help me dilate? ### REPLY: Hello, You are carrying 38 wk plus pregnancy and presents with true labor pain. Cervix is also dilated 2 cm with 70% effaced. So you are near about to deliver your baby. In this time, back pain, lower abdominal pain are quite common and originating from uterine contraction. It is a emergency situation. So contact with your doctor/local hospital to admit immediately for safe delivery of the baby. Wish you for successful mother. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear doctor, The last 3 times during intercourse with my wife I was not able to sustain the erection. I have a very low sperm count (~1 mn/ml) but never before faced the issue of not sustaining the erection. in order to boost sperm count i did take Co Q and another prescription medicine for ~2 months. And all these 3 instances have happened post taking the medicine only. Otherwise, during masturbation I do not face any problem. Any guidance will be a great help. Thanks ### REPLY: Thanks for contacting . I am sorry to hear that you are having problems with maintaining erections and having low sperm counts. It is possible that if you masturbate too much that your sperm counts can decrease, and you overall desire for your wife may decline. I recommend to help increase sperm counts and improve your erections that you decrease masturbating. If this does not help then I recommend you seek a medical attention for possible low testosterone levels. Hope this answers your question. Please contact us again with your medical concerns and questions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been feeling very weak..I have lost a lot of wait..I have had pretty bad sharp needly pains in my brain..It starts in my eyes, then goes to my temples, then shoots to the back of my head.my appetite rabidly changes.. Blurry vision, hearing problems, loss of balance, memory loss.. I have all of those symptoms. ### REPLY: Hiwelcome to  the symptoms u had been experiencing like headache, weakness, loss of weight and appetite change can be symptoms of hyperthyroidism i.e. increased function of thyroid gland or chronic infections but blurring of vision, hearing loss and memory loss are significant symptoms .you must undergo an MRI BRAIN as lesions in medial temporal lobe can cause these symptoms mainly if it is an infection kindly mention your age and duration of illness hope u find this helpful ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi Dr, I had a preterm delivery at 28 weeks due to low placenta position and twin pregnancy as well. one of the twins survived after staying at hospital for 1,5 mnths, he is now 9 mnths-3 (according to the due date delivery).my 1st. question regarding my pre term baby, does this will cause him any mental delay in recognition? i notice that his physical development is delayed the 3 mnths difference, how can i notice his mental development? my 2nd. question, what is the probability of the pre term again in case of single pregnancy?is there any precautions to be taken? thnx alot ### REPLY: Hello, The development of a baby depends on the age of the baby. The actual age of the baby is twelve weeks behind the age you measure after birth. So physical development is normal. For mental development, there is relaxation up to two years of age for preterm. You can consult a local pediatrician for that. There are chances as in the general population for a chance of preterm in the next pregnancy. 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 recently had a partial tear on the short head of my bicep. My orthopedic surgeon read the Mir and said I wouldn t benefit from surgery. I m 45 years old my I love to bodybuild. Will it heal overtime or will I never be where I used to be? It s been almost a month now since it happened. What is your advise? I m getting depressed. ### REPLY: Thank you for asking on . Biceps tendonitis and median nerve compression may be common following this injury. Loss of strength will be 30-50% in the injured arm. Loss of supination strength is more significant than loss of flexion strength. Since your orthopedic surgeon said you wouldn't benefit from surgery, I will recommend for you: immobilization of injured arm, applying ice and Advil 400 mg gel capsules three times daily. Hope you will recover ASAP! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just gave birth to an 8lb 4oz little boy. they are moving the baby to another hospital because the hemoglobin levels are low and they are worried about bleeding in the brain. I don t have much more than that but I m searching for some additional information. Please help ### REPLY: Hello ! I read your question and I understand your concern. Intracranial hemorrhage in infants is a very common problem in premature or low weight infants. The low hemoglobin levels predispose him for low oxygen flow to the brain with further aggravation of the situation. Vitamin K injection is done in all infants after birth to prevent hemorrhage, but when hemorrhage happens there is not much to do, besides symptomatic treatment. The baby should be held in the intensive care unit, with oxygen support, and symptomatic treatment to avoid seizures and respiratory insufficiency. Blood transfusions may be helpful to increase the blood cell count. The diagnosis of the intracranial hemorrhage is made with repeated ultrasounds. Hope to have been helpful! 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 am extremely depressed and do not want to continue living.  I have exprerienced many episodes of trauma, of many varieties,  and have flashbacks, etc.  Im sure you dont want to hear all of that.  The thing is, Ive decided to end it all . . . I do not believe for one instant that there is someone who can help.  PLEASE prove me wrong ### REPLY: Dear, We understand your concerns went through your details. You are ready to listen to someone to prove yourself wrong about your decision, in itself is called HOPE. You see, You are still hopeful. That is the true spirit. If I said, all these are part of life, you have to forget past, you have to adjust, you need to be hopeful etc., you are never going to accept. You then say, I heard all these and I don't want any new sermon. Just give me something NEW. That NEW is renewed HOPE. Across the world, everyone knows, one day or other, they all will have to die. No one knows when. No one knows what tomorrow brings. Still all are hopeful. They set alarm to get up next morning. They set plans for tomorrow. Furthermore, they set targets. All hope (false hope) that everything will be alright. All these in spite of knowing that tomorrow is uncertain. That is HOPE. When billions of people can live with HOPE, Why can't you? If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Happy New Year. 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 having itching from my 7th week and now im in 8th week, which started on my arms then belly and thighs. my gynae suggested cetaphil cream which relieved itchin on belly and nipples but the itching on arms and thighs n bums has not gone . Is this a normal for pregnant women in their 8th week??? ### REPLY: His can understand your concern. Itching is one of the most common skin symptoms in pregnancy. Causes for which are numerous ranging from specific dermatomes of pregnancy to various skin conditions such as atomic dermatitis, urticaria, infections, and infestations or .  In addition to these, various systemic diseases can also manifest with itching. It could also be due to some liver problems like cholestasisI would advise you to do certain lab tests like CBC, absolute eosinophilic count, liver function tests (to rule out suspected homeostasis of pregnancy). A physician consultation is then recommended.Meanwhile, you can use calamine lotion on the affected area which is a safe medication during pregnancy. Hope this answers your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I took dyoxicycline for almost 8 days becuase I had to spot it due to a terrible heartburn, I called my doctor and he said that it will go away on its own, but it even hurts me when I drink water. I am taking omeprazol OTC 20mg once a day. Is that ok? ### REPLY: Hello, Omeprazole is antacid, and it is the .  Instead of taking it once a day, you should take it twice daily on an empty stomach. Along with omeprazole, you should also follow these lifestyle modifications for better symptomatic relief in heartburn. 1. Avoid hot and spicy food. Avoid junk food.2. Avoid large meals instead of taking frequent small meals.3. Go for walking after meals.4. Keep 2-3 pillows under head in bed.5. Quit smoking and alcohol if you have these habits.6. Avoid stress and tension be relaxed and calm.Don't worry, you will be alright 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: hi I am doss I have took my semen analysis and I listed my details. 1.colour - opaque grey 2.volume-1.5ml 3.viscosity-normal 4.ph-8.4 5. reaction-Alkaline 6.total sperm count - 45 million/ml 7.active motile- 30% 8.sluggish motile-40% 9.non motile - 30% 10.pus cells- 4-6 ### REPLY: Good day! I believe your semen analysis are within the Normal ranges as considered by the recent W.H.O.you have pus cells in your semen might be infection or inflammation. Usually for my patients I give them a prescription of antibiotics. You may want to see a Urologist to get a prescription. Otherwise everything looks good in your semen analysis and best of luck. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ .  Best wishes.  Manuel C. See IV, M.D. DBU FPGA ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good morning Doctor, I Ms. Tanushree das, am 30+ yrs old. I got pregnant in the month of May, as I did a Preg test in the same month and took the required precautions. In the next month too I did the preg test to confirm my pregnancy, as before this I got a miscarriage in the month of March 2009 after 6 weeks of pregnancy. As I m working I took leave from the workplace. But on 6th July 2010, I felt some sticky things coming out and hence consult with the Doctor. She prescribed me Tedenal, Follic acid, Polybion syrup and a USG done immediately. I did the same. But when my USG was done I got a pain in my lower abdomen and hence she suggested me to take complete bed rest. At the very next day, ie on 8th July I got severe pain in the lower abdomen and the blood started flowing. At midnight a pinkish sac ( very small) came out andthere is slight relief from the pain. In the next morning a big sac like structure came out with slight blood clot on it. I consult with my gynae, she toldme to wait and watch if at all any blood clot iscoming or not and wait for 3-4 weeks and get a USG. Sir, I just want to know that whether my pregnancy is still there or not. I m afraid of the USG test as it seems to be painful to me. What should I do. I don t want to happen this again and again. And one more thing I got a Progestrone injection on 8th July. Sir please help me to know whether I m still pregnant or not . what are the other precautions I should take in my future to concieve a healthy baby. Thanking you, Yours truly, Tanushree Das ### REPLY: HI, Thank you for the query.  - From your history, you had bleeding in early weeks of pregnancy followed by abortion. Yes it seems to be complete abortion, as the bleeding completely stopped after passing the big pink sac. (suggests expulsion of fetus.). It can be confirmed by USG abdomen.  If you feel USG is a painful experience for you, try USG scanning per abdomen is not painful at all. Only thing is you have to retain urine till bladder is distended before the scan. - Injection proton depot is a hormone preparation given to avoid abortion. But probably it was given after the harm was already made. - Precautions for next pregnancy- - get complete health check up of both partners including blood grouping/ V .  Any problem found must be treated before getting next conception. With an expert gynecologist/ urologists advise.  _ Try to have good health (with no health issues) before planning for a baby.  - Take folic acid pill/ capsule vitamin E 200 mg once a day (both partners.  - Take oral contraceptive for 3 cycles before trying for a pregnancy.  After 3rd course, stop the contraception & try around ovulation day (tested by LH surge test . Home kit.)  - Get pregnancy test done after 8 days delay in period & once the pregnancy is confirmed, start with medicine like Proton depot (hormone for fetal development & continuation of pregnancy)weekly with your gynecologists advise.  - Continue hormones as advised by your doctor. Avoid stress (physical/psychological) up to 14 weeks of pregnancy.  - Have regular pregnancy check-ups This will take you to a successful motherhood!  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, my son is 4 years old .he is suffering from acute constipstion, doctor has prescribed milk of magnesia but he is not recovering from past 10 days. when I give him enterogermina he passes stool with difficulty. is enterogermina is useful in constipation also. can I give him regularly. what do u think about his problem? please give me the answer ### REPLY: Welcome to the  I understand your concern but don't worry. Most likely reasons for constipation in this age group are poor HY .  Probiotics such as enterogermina helps in replenishing the healthy flora of the gut. But has no direct role in treatment of constipation. So, I would recommend you the following:1. Ensure adequate fiber rich balanced diet2. Give him plenty of fluids to keep him well HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am 38yr old female 59kg 164cm. I was diagnosed with menieres 12 yrs ago but more recently for the past 6 months have had chronic tiredness, 24/7 dizziness and off balance, sensitivity to noise and light and some nausea. All of these symptoms have been a constant everyday. I also just had an MRI and it noted an intermediate rounded focus of hyperintensity in right frontal lobe. ### REPLY: Your symptoms of dizziness and balancing difficulties and sensitivity to noise associated with nausea go in favor of deniers. Are you still using any medications or stopped? If not kindly restart the medications. How is your hearing ? Have you been to any ENT surgeon / Neurologist recently? Do you have any headache associated with it? If so is the headache is associated with sensitivity to noise, light and some nausea it may probably be due to migrant also. Do you get relief from headache from these complaints after sleeping for some time? You mentioned that there is a rounded focus of hyperintensity in right frontal lobe on MRI - is it on T1W or T2W image pls clarify.is there any mass effect or midline shift on MRI ? What is the size of lesion?if the size is small and no mass effect and midline shift nothing to worry emergently but I suggest you consult a neurosurgeon as early as possible because this may be due to a solitary lesion in the brain may be abscessed / granuloma/ tuberculous/any glioma/ infarct. But the MRI findings should be correlated clinically. Hence i suggests you to consult a neurosurgeon meanwhile take tablet vermin 16 mg BD, cinnarzine 25 mg OD, tablet paracetamol (solo 650 mg) thrice a day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I was just wondering if I were to go to my doctor could they evaluate me to see if I have a personality or mood disorder, or do I have call around to a specialist? When I was very young I was evaluated with depression but the doctor who said that I had depression said it could also be a personality or mood disorder but because of my age she just wanted to treat it as depression. I went through many different medications that only made my symptoms worse so I stopped going to her and stopped medication. I am now living in a warm state, it seems to help a little but I still struggle with issues and would just like to find out what for sure it is I have and treat accordingly. Thank you for your time and help.Ashley ### REPLY: Hello In your query you have not clearly mentioned that what symptoms you are having exactly. You have mentioned the diagnosis only. Still I would like to tell you that usually Psychiatrist don't label an individual to have some personality disorder in his/her teen years. Personality usually develop at around 18-22 years of age. Yes mood disorder like depressive disorder or bipolar disorder may present in teen years. Abnormal temperament may be a finding only. Still if the problems are causing distress to you and affecting your social and occupational functioning then please visit a Psychiatrist for expert evaluation. 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 twisted my foot/ankle a few days ago at work. I thought it was alright, but in the past day or two it has begun burning and throbbing, but is not swollen. I ve been propping it up and using an ice pack. Anything else that would help? Is it worth getting it looked at by a doctor? ### REPLY: Hello, As what I feel is an x-ray is a must. It might be an ankle sprain but sometimes a hairline fracture too which gets ignored in initial stages and later the healing is not proper.  Please get an x-ray and meet up and orthopedist. Also, for now kindly Immobilize the ankle with crêpe bandage and keep it elevated over a pillow and do not put 100% of body weight for 2 weeks.  For healing to occur. Most ankle sprains which happen in the ankle ligaments don't heal properly due to poor care. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, doctor, i have this problem of memory lost, i hardly recall things,and am always outside minded and withdrawn.I do recall then with my eyes close but eye itching and sleep have taken over. When ever i close my eyes to recall it is sleep that would come.The eye itches always and its red.My brain seems to be covered with sleep. I can sleep for 18 hrs a day.I also found out that my mouth sometimes is filled with sliver and mucus making me dizzy, my joints seems to give. I do need help, am a student. Thank you. Isha. ### REPLY: Hello OSHA! Welcome on ! First, I would like to have some more information on you: - How old are you?- Do you suffer from any other disorders like hypertension or diabetes?- Have you ever suffered from depression? You should know that memory loss and lack of sleep can be related to different disorders like Dementia, Alzheimer, Depression, Thyroid dysfunction, Vascular Dementia, Vitamin deficiency, etc. For this reason, I would recommend consulting with a neurologist for a physical exam and some cognitive. A brain MRI is necessary to exclude possible brain atrophy. Some other tests may be needed (thyroid hormone levels, blood lipid profile, vitamin E levels, Vitamin B12 levels, complete blood count, etc.). If all these tests result normal, I would recommend consulting with a psychiatrist to exclude depression or anxiety, which can lead to insomnia and lack of concentration, mimicking dementia symptoms. Hope you will find this answer helpful! Wishing all the best,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is chandra prakash from delhi and i am surfing from filariya fever and pain in my abdomen. i have taken banocide fort tablet 3 month continually according the doctor suggestion but after 15 days i feel pain in my abdomen & fiver again. please suggest my about my treatment. ### REPLY: Hi. Thanks for your query.First I would like to ask a simple question: Is the diagnosis filariasis is confirmed by blood tests ? Continue tablet Genocide forte - at least for 3 weeks. If you are not relieved of the symptoms, I would advise you to go for tests to rule out or confirm the diagnosis of pain in abdomen and fever. - blood tests = routine, for blood sugar, kidney function and liver functions.-Ultrasonography of abdomen. - It is possible to get another 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: Hi. My sister has pancreatic cancer and has been diagnosed with low haemoglobin and is having a blood transfusion . I understand how serious this is, but was wondering what to expect now. She has been very light headed and very fatigued. She has just had two treatments of chemotherapy, after having treatment for the last four months on a weekly basis, and will now miss her treatment tomorrow. She has a stent in her duodenum and bile duct and she has a temperature. ### REPLY: Delivery sorry to learn about your sisters' problem, but the fact is that nothing beyond chemotherapy can be done. This treatment is palliative and not curative. Till she is alive, she has to be managed conservatively only as nothing aggressive can be done. Take care of her nutrition, manage her hemoglobin levels and give full psychological support. Look for any sign of infection as she is having fever. Infection has to be treated with antibiotics only. 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, I fell mountain biking today. I landed on a 3 inch tree stub about the width of a nickel or quarter. When I finished the ride & got home I notice a large goose egg. It s on the side of my leg about 8 inches below hip. I m trying to ice it all night so I can go on my trip Monday & Tuesday & ride again. Any Thoughts? Thanks KB ### REPLY: Thanks for your query. I have gone through your query. The lump can be because of the inflammatory swelling secondary to trauma. The other possible cause can be because of the fractured bone. Nothing to be panic, consult a general physician and get it evaluated. You need to get a radiograph done to confirm the diagnosis. Meanwhile you can take analgesics like diclofenac and anti-inflammatory . I hope I have answered your query. 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 sarcoid and have blood drawn regularly.  The last time, about 8 weeks ago, I developed a lump at the site that felt like a marble.  The area around it is red and blue.  Last week I developed another on my other are.  It has been several months since I had blood drawn from that one.  What is going on? ### REPLY: HI, Welcome to  with your query. Based on the facts of your query, I would suggest you to consult a Physician rather than self-decided aspirations of blood from such lumps. As Acidosis is autoimmune disease with lungs inflicted in 90 % patients, possibility of lung affection in time to come is challenge which you should be worried about. Skin lumps currently indicate, that the autoimmune attacks are recurring and active after 8 weeks again. And you have to be on watch with your doctor. You need to be very careful with your bland and well-balanced diet, which mostly is the exacerbating factor known in such cases like autoimmune diseases. I would hence suggest being under guidance of your Physician and be with needful medicines to control the remissions periods with these medicines like Steroids with It D3 supplements. Hope this would help you to plan treatment with your doctor. Will appreciate your review write up and hitting thanks, to help needy patient visitors like you at . Welcome for any further query in this regard. Good day!! . N. Senior Surgical Specialist. M.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: I have a rash and its affected certain areas of my body. First it started on my eyelid last night and then spread to my neck, upper back, armpit area, under my breasts, and also spread to my upper thighs. Its appears to have small bumps, and is reddish in color, and it also itches badly. I would like you to help me identify it and see what type of treatment I can get. ### REPLY: Hello, Thanks for the query to . Forum. Since this rash is spreading, so the reasons may be,1 Urticaria due to many reasons as allergy, antigen antibody reaction, insect bite, food allergy, so get in blood for eosinophils count .2 worm infestation, can be confirmed by stool examination 3 Tropical eosinophilic, get in blood for eosinophils count as also above-mentioned. Consult a dermatologist and get his opinion and treatment. Good luck.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had gallbladder surgery 3 weeks back.Just after the surgery, I experienced shivering in my legs and felt very cold. This symptom still crops up at night. In fact, last night my whole body was trembling. I also experience severe abdominal pain and pain in the armpits some days, specially at night. Can you help please? ### REPLY: Hi thanks for contacting . After gall bladder removal no bile reservoir present ... Bile can leak to the stomach and adjacent structure and can lead irritation ... So pain can be there ..... At incision area check for redness or pus leakage from that ... If present incisional site infection can be there. So postoperative infections can lead fever.CRP done .... For infection antibiotic given for 5 days. Healthy and balanced diet taken ..... 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: Hai, my husband left kidney is affected by left renal multiple cysts. this problem for last 7 months. it will be cured or not?, URO doctor said multiple cysts not big problem, but left kidney very painful to my husband. There is any complete solution for this problem. This problem make any dangreous problem in future. We have no child now. Both are normal in all tests. Cysts may be problem for this infertility or it will be reasons for future. ### REPLY: Hello Thanks for writing to simple cortical cyst in kidney is a benign lesion of unknown etiology arising from renal parenchymal, and it rarely causes complications. Renal cortical cyst is a very common type of kidney cyst, and it is a fluid-filled sac. Small cysts generally doesn't causes symptoms, and it is found in a routine examination for other issues. When cyst grows larger, patient may feel pain or pressure in back or sides, which often radiates downward. Renal cortical cysts usually doesn't require any treatment. Your husband only need regular follow-up ultrasound scan. Renal cysts are nor related to infertility. Cause of pain need proper evaluation. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Dad is 82 years old.  He just told me that for the past week or so when he wakes up in the morning he has dried white stuff on his penis,  He said it looks like he had ejaculated but it is dried.  He thinks he recently had a bladder infection,  he also told me the head of his penis is red and irritated. what could it be? ### REPLY: Hello, Welcome to , The history and symptoms are suggestive of fungal infection. The fungus is the normal commensalism of the genitals which will be kept under control by helpful organisms. Whenever there is imbalance in the environment this fungus will activate and produce the symptoms of fungal infection. For your fathers condition I would suggest to follow1. Keep they are clean and . Topical application of antifungal cream like Point Micanazole.3. Single dose of oral Rifleman, 150 mg.4. Urine routine and culture. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have this bump on my cheast it started out like a pimple, but slightly bigger and red around the surface with a head in the middle. i talked to a friend of mine and he said it kinda looking like staff infection or mrsa. could i get info on this health condition? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You have lump on chest with head. It can be sebaceous cyst or some abscess formation or inflamed cystic lesion.  You should go for examination.  Then you should take treatment accordingly.  If it is infection then take antibiotics treatment and if it is cyst or tumor then excision biopsy should be done.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir.. I really doubt if this feeling is still a costochondritis.. I always felt pain at my chest, back, both arms and legs, jaw and even in throat sometimes..and I always felt dizziness and after I ate like at dinner time, I used to vomit and Ive got to vomit like a color pink blood..what will I do? ### REPLY: Hi thanks for contacting ... Noted you are complaining omitting and chest pain... Let me know you gastric cause can lead to referred chest pain... So you could have ulcer in stomach or chronic inflammation that can lead such presentation... Omeprazole like acid suppressing . ... If still cause not clear endoscopy after your examination advisable to investigate further... And in Costco ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 79 year old pensioner with moderately severe COPD. I hold amoxicillin and Prednisolone for emergency use. Due to a persistent cough with small amounts of clear/cream sputum and extreme lethargy I commenced predisilone only yesterday. This was followed by 6/7 hours of severe diarrhoea, unusual for me. I now note the expiry date was Nov. 14. Should I stop the medication, or take today s dose and contact my Respiratory Nurse tomorrow? Why do such things always happen on a Bank Holiday! Thanking you in advance. Email. YYYY@YYYY ### REPLY: Hello... As you said that you are suffering from Moderately severe COPD. In this case, oral Prednisolone is helpful to control exacerbation with breathlessness. But diarrhea is uncommon side effect of Prednisolone rather than it is more common with Amoxicillin. As you mentioned you are also taking Amoxicillin along with Prednisolone. So my advice to stop Amoxicillin and continue your Prednisolone. You will feel better. Thank You ### END