Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi ,i have problem abdomenal problem for one year which is flatuense and nausea with general muscles fatigue.from two days i felt sick with 38 tempreture and heavy headache for all the day and at the night heavy nausea with no dirhea still now ihave just headech and pain at left abdomenal part and strong fatigue i didnot take any medecine and i hv hypoglycimya ### REPLY: Hi ! Good morning. I am  answering your query. I would advise you to avoid eating food from outside if you do, as some components of outside cooked food might give rise to sensitivity reactions to your intestinal mucosa resulting in such symptoms of yours. Furthermore, I would also go for a routine stool test for ova and cyst and treat it if positive. If no relief with these steps, I would refer you to a gastroenterologist for a possible endoscopic evaluation of your intestinal tract. 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 my son is 13 months old running, he started walking from 2 months back, we can notice he is not walking normal as other child. He has a distinct space between his two legs when he walks, i gues it is slightly bowed, his legs are not straight. Since i massage his legs with johnson baby oil everyday, i do not know it will hlep him to straightened his legs in future.Plz answer ...we are worried ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. In the initial stages of children walking development period, because of the body weight, the legs do bend a little outwards and that is natural. As I already suggested, this is due to the body weight. Leg bones and muscles needs to be strengthened in order to carry the body weight. The more your child walks, the muscles and bones become strengthened. For confirmation of the facts, you may consult a child specialist. Continue massaging the whole body especially hands and legs with coconut oil, which has more penetrative and lubricating effect. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a pulsating feeling in the front of my torso area high right side unde my rib cages...I have also been very gassy with burping alot over the past few days.  The pulsating feeling seems to have been moving all day but now stopped at the above mentioned spot.  No pain just very awkward feeling ### REPLY: Thanks for your question on . I can understand your concern. You are mostly having HERD (gastroesophageal reflux disease) and gaseous distention of stomach due to HERD. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. It also causes gaseous distention. So follow these steps for better symptomatic relief. 1. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. 2. Avoid large meals, instead take frequent small meals. 3. Take proton pump inhibitors and prokinetic .  4. Go for walking after meals. Lose weight if you are obese. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been off work for a year and a half with lumbar spine stenosis two slightly bulging disks and sciatic pain. Two days ago I started having a stiff neck and mild headache. Pain in my shouldwe and neck started last night that is almost unbearable. I am taking arthritis strength Tylenol 1350 mg 2 times a day and 800 mg of Advil every 3 to 4 hrs. It does not take pain away. Could this be related to my lower back problems? I did not have a known injury. ### REPLY: Hello, The lower spine problem would not be likely related DIRECTLY to the neck and shoulder pains.  Except in the sense that if you have been diagnosed with the arthritic degenerative disease in the lower spine then, this same diagnosis may be now affecting other parts of the skeletal system, names the cervical spine and shoulder girdles.  You are taking a tremendous amount of OTC medication which itself may be setting you up for a condition known as Medication Overuse Headache (MOH).  I recommend you have a doctor also examine the cervical spine and shoulders for the similar arthritic disease but to find a more feasible solution to taking OTC analgesics every 3-4 hrs.  Which have a number of long-term consequences associated? 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: HI my son came home tonight with what looks like a huge red type birthmark on his inner leg next to his knee . . he doesn t have a birthmark there, I m just using as a reference of description. He s had these little bumps on his lower legs the last few weeks - almost little pimples, but then tonight he has this large really bright red spot?? ### REPLY: Hi, Thanks for query to My  virtual Clinic. I studied all details of your query. Your query information is insufficient to comment on the nature of the lump on the legs. In this background I would suggest consulting our GP/Family doctor or if need be to Dermatologist, who would be the right consultant to check and opine about the suspected huge red lump on your sons leg. In My Opinion you seem to have problem of flare of infected skin rash in to a cellulitis due to aggression of the infecting bacteria. Remedy till you consult your doctor--Cold compresses,-Tab Anti-inflammatory(like Motrin-OTC)-Plan urgent visit to your doctor.Hence, Second opinion from Family doctor or if need be from ER Dermatologist would remove your worry. Hope this satisfies your query.Don't forget to hit thanks and write excellent review comments to help needy visitors at . Welcome for any further query in this regard. . N.M.S. Genl- CUTS. Senior Surgical Specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there,I have been on YAZ birth control for around 7 years and have had very mild PMS during my menstrual cycle but over the last few months, I ve noticed a large amount of bloating/distended tummy before and after my short period. This month I got my period 2 days earlier so I finished 3 days earlier but I still have lower back pain and abdominal cramps just 3 days after my period stopped as if I m still on my period.Is this normal to have pain 3 days after period ends? ### REPLY: Hi dear, I understand your concern at this point of time. Your symptoms like abdominal bloating and backache are suggestive of premenstrual syn . Some treatment options like lifestyle changes, medications like ibuprofen or aspirin and supplements like vitamins and minerals can be tried by you to ease the symptoms.please let me know if you found my suggestion helpful .best wishes for great health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I have been having stomach problems since my gall bladder was taken out in 2004. 15 to 20 minutes after eating i get severe cramps in my stomach as well as a chilly feeling and my heart sometimes races. This usually happens everyday after a meal. The pain goes across the stomach above the bellybutton area. Thank you for your help. ### REPLY: Hi. Thanks for your query. This is a classical finding in patients suffering from Colitis. Colonoscopy and ultrasonography would help to find out the probable diagnosis of a problem with the transverse part of the large bowel called colon. Biopsy may also be needed. All the symptoms of pain-racing heart rate, chilly feeling all go in favor of this. Also, to consider the possibility if IBS, meaning irritable bowel syn .  This can be said if the investigations are normal, and getting a proper treatment. Get an appointment with your Doctor and get a reference for a Gastroenterologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having lower back pain... during the day it is a minor inconvenience just an dull ache but when I sleep if I lay on my right side I will wake up with a sharp stabbing pain in my lower right back to the point I have trouble getting up or standing for a few minutes then it subsides. I have been to the chiropractor and have an issue with scoliosis (sorry about the spelling) ### REPLY: Hi, thanks for asking from . I can understand your concern. If you are having severe backspin on lying down on right side, it might be due to para spinal muscle injury on right side. Such muscle injury usually manifests as dull pain on same side on standing, pain becomes severe on stretching like bending/lateral bending towards left side or pressure on muscle while lying down/direct pressure. Tenderness can be felt at pain site. There is one close differential diagnosis of it - Lumbar disc disease. It can present as pain on either side, pain is sharp/current like/radiates up to same side thigh-calf-foot. Pain becomes severe on forward bending/standing/sitting and some relief on lying down. Your back pain is more like of muscular type. It is not getting relieved due to continuous exertion. You can follow few tips : Avoid prolonged physical exertion: Avoid weight lifting: Ask some family member to massage your back. Apply hot fomentation over back thrice a day.: Apply painkiller gel like Diclofenac thrice-four times a day after proper prescription.: You can take Tab Thiocolchicoside-Diclofenac combination after proper prescription.  Avoid pressure at pain site.: Continue Chiropractor assistance. If still no relief, consult doctor for examination of back. If there will be doubt of disc disease, he will advise MRI of lumbar spine. Hope it will help you. Thanks. 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 step mother is around 69 years old and has had a fever and stomach ache for almost two weeks now.  Her doctor found nothing wrong in her first set of blood work but said she was dehydrated and sent her to the hospital for fluids.  During the first few days of her illness she had a 102 fever and threw up whenever she drank any fluids.  She is no longer throwing up but still has a fever that is around 100.  She is waiting on her second set of blood work results.  Should she go back to the hospital if nothing shows up in bloodwork?  I read on Web MD about these symptoms and they can be associated with serious issues...  Thank you. ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Usually vomiting and stomach ache in such a situation is associated with the acidity in the stomach. So you can give them anti acidity . Fever is associated with the infection. So as if you are taking antibiotics than your stepmother get cured easily. If not than you can give him under your doctors' guidance. Give her plenty of fluids. This will help bring the temperature down and also help cure the infection. You can give her paracetamol as and when required for fever under your doctors' guidance. Cold water sponge can also help bring the temperature down. I will be happy to answer your further concern on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello my daughter just got an ultrasound and ithello my daughter just got an ultrasound and it came back with.... Heterogeneous nodular appearance and coarse in echotexture.larger hyperechoic nodule in left lobe of liver measuring 1.9 cm and right lobe measuring 2.1cm. pls refer to hepatomegaly asap. what does this mean? ### 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. It means that there is a liver enlargement and treatment depends on exact cause. Also, suspicious focal liver lesions are seen and these may indicate benign cyst but also malignant tumors. So you should do CT scan as soon as possible. Other causes are various.  If this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are the most common causes and in this case medical evaluation is required.Also, if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment. 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: Hello, I have been experiencing constant pressure in my chest that does not go away. This has been going on for 4 months. I have been for a stress test on my heart and an EKG, complete physical with a variety of tests and nothing is found. My next step is to go for an ultrasound at the end of this month. It is very concerning. The doctor thought maybe stress but I do not think it is this. It is there all the time. I describe it as someone pressing on your chest. ### REPLY: Thanks for your question on . In my opinion, since your cardiac work up is normal, you should get done PFT (Pulmonary Function Test) to rule out bronchitis.  As many times bronchitis appears only as Highness of chest and cough develops later. So this can be early bronchitis. Another possibility is HERD (Castro Esophageal Reflux Disease). In this there is laxity of gastroesophageal sphincter. Due to this the acid of the stomach tends to come up and cause the symptoms. So HERD is another possibility in your case. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doc good afternoon. Just got my husbands result yesterday of the diferrent lab test...Found out that He has a Hep B of almost 3k virus and his liver has been enlarged to 70. The doctor adviced to consult for a liver specialist..Can help something? Thanks a lot :-) ### REPLY: Hi good afternoon...thanks for contacting  .... Noted your husband has Bag positive. Positivity confirmed by ELISA test... Now as you have hepatitis induce by Bag care must have taken to improve immunity and rest liver.... Take low fatty diet. Refined food avoided. Alcohol strictly avoided.... Udiliv tablet can be taken.... Non veg, cheese, butter, baked pastry etc. avoided.... One tsp licorice with honey useful.... Regular follow up done.... Especially here need to detect Bag positivity after six months to rule out chronic stage..... 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 fibromyalgia and arachnoiditis at the L5, L4 levels. I have 2 questions: 1) is there a diet that has been shown to help fibromyalgia? 2) are there any treatments, including alternative, that have been effective for arachnoiditis? I take both Lyrica and Gabapentin for my fibromyalgia and am still in too much pain. However, I d like to get off my meds. ### REPLY: Hello Thank you for trusting  Dear no specific diet plan for fibromyalgia, but studies suggest that low Magnesium may be to aggravate symptoms, fibromyalgia diet should include fresh fruits and vegetables, whole grains, healthy fats, low-fat dairy, and lean protein, such as chicken or fish. Choose fresh, whole foods high in fiber and low in added sugars, such as: almonds and other nuts and seeds, broccoli, beans, tofu, oatmeal, dark leafy greens, avocado etc., avoid gluten contain foods, avoid artificial sugar. Maintain healthy weight, regular exercise. Aracnoiditis 1.control the information with NSAIDs, prednisolone etc. 2.regular exercises to prevent adhesions. 3.pain relief agents like gabapentin, pregabalin, baclofen, duloxetine carisoprodol. 4. Some time hormone replacement, use of pentoxyphylline relive symptoms. If pain is excess epidural anesthesia also helpful. Please consult your neurologist for further assistance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 injured my knee kneeling down on my knees in my boat.I went to my family md and he gave me a round of anti biotics. My toenail became infected a few days prior to this injury and had seen my dr about that and mentioned the knee injury. well, the toenail shot infection out of the tip and later the nail raised up and came off. Now yesterday, i noticd a swelling about the size of a grapefruit above my hip bone on the back. There is no redness, only a bit of tenderness there. I am concered, but just wondered if these 3 incidents could some how be related?? ### REPLY: Hello I have studied your case Your symptoms suggest systemic infection leading to swelling bruisesEnlarged lymph node need to be examined. You may need to investigate in form of complete blood count, ESR, CRP, So I will advise you to consult a specialist and do require investigation. Yes this can be related. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor I am swapna i have irregular periods ,.now marriage finished 2 years ,once I became pregnant with clomid tablet but so sad that one aborted 10 weeks.after 6months of abortion I went to ob gynec doctor she said may be pcos she said to do hormonal profile and she advised to take duphastone 10mg tablet for 21 days ,can I conceive with this tablet ,because I cant track ovulation period,please give to me good advise ### REPLY: Hello dairy understand your concerned have PCs. It causes hormonal imbalance, menstrual irregularity, insulin resistance and weight gain. I would suggest consulting experienced gynecologist and undergo reproductive hormone analysis, USG scan and ovarian follicle study for better management. Duphastone for 21 days will help you to regularize period. Once your period will regularize you can take it in luteal phase of period. Other .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 DR . TODAY when I had got out of bed I was fine , later on in the day my lower back left side became so painful that it is just about impossible for me to walk or bend ! at first I had thought it was one of my kidney s being diabetic !! & also I had thought siadic nerve but it is just painful where the back bend s !! help as iam in so much pain !! ### REPLY: Hi, The symptoms you describe seem to be sudden in onset. Its most likely a sprain in back. It should go with rest, anti-inflammatory -analgesic pills (ibuprofen like pills), muscle relaxant ointment, fomentation -in a couple of days.  In case its long-standing, likely to be joint pain, spondylitis. In this condition proper examination, investigations & treatment by an Orthopedic doctor would help n long run. Oral medicines, injections,physiotherapy are various ways to manage such condition.  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 34 yr old male i exercise regularily  i m 6ft tall and weigh 95 kgs  i am a regular tennis player for last one year or so i am having frequent chest discomfort no pain . i got my tmt and echo done 3 times in last one year both are absolutely fine with my tmt results going better than 100% whay is this frequent chest discomfort ### REPLY: Thanks for your question on . I can understand your concern. No need to worry about heart diseases as your 2d echo and TMT (trade mill test) are normal. In my opinion, you are mostly having musculoskeletal cause for your chest discomfort. Your chest discomfort is associated with exertion (playing tennis), so musculoskeletal cause is more likely. So follow these steps for better symptomatic relief in musculoskeletal discomfort. 1. Avoid awkward movements. 2. Sit with proper back and chest support. 3. Apply warm water pad on affected areas of chest. 4. Avoid heavyweight lifting and strenuous exercise. 5. Avoid bad postures in sleep. 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: my friend had a heart attack two years ago and died twice in hospital just the other day he said he went to stand up and there was a numb feeling in his leg so much so he had to grab on to table to stop him falling over im worried about him wot should he do ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, I would recommend going to the ER for a careful physical exam and some tests: - a resting ECG- a brain CT scan to exclude a stroke- a Doppler ultrasound of the cervical vessels to exclude possible peripheral embolism-complete blood count, blood electrolytes It is important excluding a possible stroke or an arterial occlusion in the leg as a possible cause of his symptoms. He may need urgent treatment. Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my wife has gallstones. multiple calculi floating and measuring 5-7mm. She complained about dull radiating pain about a week ago. the pain has subsided now but she has dizziness on and off. doctors advice removal of the gall bladder. I am confused and wondering what to do ### REPLY: Hi.thank you for posting query at .I thoroughly read your query and understood your concerns. Gallstones are small stones that form inside the gallbladder. Gallstones pain (Biliary colic) usually is experienced when the gallbladder contracts in response to a fatty meal. This compresses the stones, blocking the opening. As the gallbladder relaxes several hours after the meal, the pain subsides.1. Biliary colic -"The pain without cholecystitis- gallbladder infection/inflammation" - usually subsides within few hours to a day. Acute cholecystitis secondary to gallstones may be continuous and accompanied by fever.2. Medical therapy is an option for gallstones, though a vast number of surgeons around the globe prefer removal of gall bladder-surgical intervention. Medical therapy includes intake of ursodeoxyholic acid (UCA) for a period of 12 to 24 months. UCA has been shown to inhibit biliary secretion of cholesterol, reduce intestinal absorption of cholesterol, increase hepatic bile secretion, and improve gallbladder emptying. Medical therapy is useful if mild symptoms, stones are smaller (weight reduction and low-fat diet is also a part of medical therapy.3. Surgery lasts for less than one hour (usually half an hour). Laparoscopic surgery has greatly reduced surgery time duration and surgical complications. You may travel 7 to 10 days after surgery, though the surgeon may indicate precise time. I would also like to mention that gall bladder is removed completely in surgical intervention which may impair fat digestion. You maybe asked to cut fat completely from your diet (or keep to minimum) after gall bladder surgery. Hope to answer your concern. Wish you good and sound health. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,sir i feel sever pain in my occipital region,n also heaviness in this region while studying.whats d problem ? ### REPLY: The headache and heaviness aggravated by studying can be due many reasons. Assuming that you are a student, it is unlikely that you have a refractory error (near vision problems are usually seen in middle age). Association with studies almost rules out other causes like sinusitis and migraine.  When mind is forced to do what it does not like, it will react in such a way that you have difficulty doing it. Headache, decreased concentration and forgetfulness are some problems commonly seen in students. High expectation from self and others only add to the burden. Following points may help you overcome this problem:1. Take frequent breaks in between study sessions2. Make the Studying process interesting (like group discussion, audiovisual aids etc.)3. Take help for difficult subjects(coaching/tuition)4. Plan well to manage time. Remember, "Failing to plan is planning to fail" ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: which is the better combination for treating hihg blood pressure and weak heart condition with RBB. mepressor 100 mg (one morning) + dilzem 60mg (one evening before meal) + 1/2 +1/2 sustac6.4mg or coversyle plus (one ,morning) + concor2.5mg (noon) + norvasec5mg (night). ### REPLY: Hello, It would be unwise to take opinion on the best combination.  Any individuals requirements for antihypertensive medication are different based on his Co morbidity like diabetes, heart issues. Any sudden change will Disturb the homeostasis and can cause large fluctuations in blood pressure which is not good. Ideally ace inhibitor /ARB with calcium channel blocker and if Co existing heart disease or rhythm disturbance a beta blocker would be ideal to add. Regards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having severe pain on my left side. I have had severe heartburn since last night. Hard to take deep breaths. I am also a breast cancer survivor of 5 years and have breast reconstruction . I get sharp pains in the implant which shoots to the back almost feels like someone has punched me really hard. Been sleeping all day very tired ### REPLY: Hello! Thank you for the query. Your symptoms sound like caused by heart problem - heart ischemic disease or even heart attack. This is the first thing which should be ruled out. Heart ECG and heart enzymes (CK-MB and Troponin) should be performed. Heart ultrasound might be necessary as well. If no heart problems found, you should have upper GI endoscopy performed as such symptoms may appear with gastric reflux disease, peptic ulcer. Reflux disease is very often associated with asthma what can be the reason of breathing difficulty. To diagnose it, blow test should be performed (spirometry). If no findings in all this tests, abdominal ultrasound, full blood work, liver tests (AST, AT,GGTP) and amylase, bilirubin, urinalysis should be performed. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. i have had a very mild sore throat for a year. I thought it was my tonsils because i realized i started get tonsil stones. after looking in my throat more i realized theres 2 sore gray spots in the crease right above my tonsils.I have no other symptoms. can this be due to smoking? and do you think this is a start of cancer? ### REPLY: Hi welcome to  forum.  It appears to be the chronic pharyngitis, may be due to the resistant organism or chronic allergy. Cancer is a lost to be considered.  I advise you to consult an E.N.T.surgeon for diagnosis and treatment. You may need to have culture and sensitivity of the throat swab for diagnosis.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to hasten the recovery.  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: my 2.5 year old son has been pointing to his belly button and crying that it hurts. He also cries out in pain that his leg hurts also and sometimes his arm. What could be possible causes? He does have a small umbilical hernia but other than that nothing else. Thanks. ### REPLY: Lower abdominal pain, change in skin color and tenderness at the site, an irreducible swollen hernia, abdominal distension and/or fever may all be signs complications, of an umbilical hernia and require immediate surgical attention.  However, usually spinal hernias can have neurological symptoms such as sciatica, incontinence, problems walking, numbness, pain or tingling in the limbs. I think there are no connection with umbilical hernia. It seems he had comics, give him Charcoal 1 tablet and fennel. 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 and baby good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My dad had a colonoscopy today. He became nauseous and vomited after the procedure. Came home, rested. Ate some soup, drank fluids, and rested most of the day. He ate a little more soup and drank fluids. He became Ill again late this evening, and has a headache. He also earlier took tyelenol. His procedure was at 10:30 and it is  now 9:00. He is also type two diabetic, he took his blood sugar and its 153. Not too low, maybe elevated.  What should he do? ### REPLY: Hi, your father had colonoscopy, became nauseous, vomited, and feeling weak. He is diabetic with slightly elevated RBS.  It appears to be due to the premedication, or result of the anxiety of the procedure. First of all his sugar level must be brought too normal to prevent the infection at the site of procedure.  So I advise consulting his doctor to adjust the dose of the diabetes .  Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...my sister was told she has cancer.She found a very small blister on the outside of her vagina.She had a biopsy done, but was not told what kind of cancer it could be. Do you know what kind of reserch I can do,or what she may have. Thank You ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She may have squamous cell carcinoma. It is the most common cancer of vagina. But it can be other type of cancer also. Please send me biopsy report of your sister so that I can help you further. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friends 6 year old boy hit his head at school yesterday, she just found out today that the school did not tell her that when he awoke from being unconscious he was seizing and stiff, eyes rolled back into his head and foaming from the mouth (her son has never had a seizure). being that she did not know this occurred she just watched for signs of a concussion. all day today he has been complaining about abdominal pain... Do you know what this could be from ?? ### REPLY: Hello, Head trauma is, unfortunately, a common occurrence among child .  However, most of them are not knocked unconscious and have a seizure. Abdominal pain is not a typical sign of a concussion. When he fell, could he have hit his abdomen? Could he have stomach flu? I recommend your friend have him seen by his primary care physician or at the ER if his condition is severe. 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: Hey my eyes hurt, my skin and body feels fragile, my eyesHurt when i turn them, and burns at times, ive been voughing with mucus. I have bronchitis and live in carpeted house, i also have really bad allergies. Should i be worried? What meds should i take? Ive been deinking vick and zyrtec ### REPLY: Thanks for your question on . I can understand your situation and problem. Since you are having severe allergies, you're all symptoms are suggestive of allergic etiology only. The best treatment of allergy is identification of allergen and if possible complete avoidance of it. You are living in carpeted house. And carpet fur is common allergen. So if possible remove the carpets. Avoid dust, animal contact, pollen exposure etc. Antihistamine .  Anti-allergic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 iam Rehaan. My wife is a lupus patient for past 12 years. Her kidneys are mild increase in cortical echoes. Her protein level is negative. Her creatinine level was well under control below 1.0. Only this month her bp was very high for some reasons 170/100 for a weeks time. Now after medication bp is under control. Now her creatinine level is 1.3. When the bp was high.the increase in the crtinine level was due to hypertension. Also her HB is 8.0 now. Pls suggest. Thank u ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She has lupus.  Hypertension is common with lupus.  She should take medicine for hypertension.  Don't worry about creatinine. Her hemoglobin is also low.  Go for anemia profile 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: My husband, age 65, has diabetes and on the cusp of 4th stage renal disease. He had to get up to urinate more last night than usual. No pain. Woke up, had fever 99.4-100.4 and blood sugar was 179. I sponged him down and gave him lots of fluids and brought his fever down. Now at 6:30 he has chills and fever again. Any ideas? He doesn t seem to have any respiratory problems, outside of the chronic COPD. ### REPLY: Hi, Thanks for your question. I feel really sorry after going through your question. Most likely possibility in your husband is urinary infections. You should consult your doctor immediately. There is need for - 1) Detailed clinical Examination. 2) Urine Examination along with urine culture. 3) Blood tests like Complete mammogram, Renal Function Test, Liver Function Test, Serum Calcium, Magnesium, Phosphates. 4) Ultrasonography of abdomen and Pelvis. 5) Cardiac evaluation. 6) Blood sugar monitoring. 7) May require Insulin for better Diabetes control. He may require Intravenous Antibiotics with close monitoring of renal functions. Monitoring of respiratory function is also important as his COPD may complicate his recovery. Hope this helps you, if so do vote. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a sed rate that is slightly high. In June I had wrist pain on a camping trip and was tested for Lupus, Gout, ANA, and lymes. All came back normal. My WBC, Platelets and sed rate were high. in the past month the WBC came back normal, the platelets are almost back to normal and the sed rate came down by 2 points but I am still at 25. My Doc doesnt seem concerned. Should I be? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. There are many causes of high ESR. Tuberculosis, infection, anemia, autoimmune disease are the common causes.  If you don't have any symptoms and your tests are negative then no need to worry.  Many persons have slightly high ESR without any known disease or abnormality.  So no need to worry. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I started have an aching pain in my left lower abdomen radiating to my lower rib area and sometimes my chest (under my left arm pit). This has gone on for about 2 weeks. Yesterday the pain started radiating to my inner left thigh and behind my knee. The pain is more intense when I walk, almost like a bruised feeling. I have been very tired and most of my joints feel very achy . Any ideas?? ### REPLY: Hi. Thanks for your query. Read the history and understood your problem. You have combined symptoms which look unrelated but if considered together namely the pain in the left lower abdomen radiating to the lower rib area, chest, arm pit, for 2 weeks and now radiation to the inner left thigh and left knee back, it can be due to spinal problem. I would advise you to have the following:Consult a General Surgeon for a very typical presentation, clinical evaluation and physical examination to decide whether these are different problems or sue to a single problem having varied presentation. This will help to get the investigations done:The first should be EKG as you have chest and armpit pain. Rule out the cardiac problem first. MRI of the whole spine from the cervical to the lumbar spinet scan of the abdomen investigations of the blood, urine and stool. The final diagnosis hence made will help to formulate the proper treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 45 years old .  I have been experiencing a sharp pain in my right lower side (like a pinching) along with some heartburn, belching, and lots of gas. Sometimes my lower back hurts as well.   I do have acid reflux and have always had stomach problems.  I have seen my doctor and he is treating me for IBS.  I am very worried about this, but he tells me it takes some time for this to get better (maybe months).  What I have noticed is that I feel great for most of the month, but then about a week or so before my period is when it bothers me the most. ### REPLY: HI. This may not be IBS as your pan increases about one week before the periods. This is more suggestive of a problem with hormonal effects. I would advise you first to get in consultation of a Gynecologist, to undergo clinical examination, ultrasonography and blood and urine tests. Diagnostic Laparoscopy can help for the diagnosis and treatment too. IF this is endometriosis or tuberculosis of the abdomen, you will need definitive surgery and medical treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 70 year old female. Broke my femur in a fall two years ago. Everything healed well and had no residule pain for two years. For the last two months I have been having pain in my thigh. Seems to start in the lower right area and radiate up my leg. I had an X-ray recently by my surgeon and he said the rod and pins were in tact. It hurts whenever I am walking and especially when going down stairs. I am taking ibuprofen everyday to cope. What could it be? ### REPLY: Hi, If fracture united and implants are intact, the reason for pain after 2 years of surgery can be an infection. Early infection is difficult to diagnose. An X-ray of the right femur may show lysis around nail and screw may back out. Serum levels of C-reactive protein and ESR should be done.  If they are increased, there is a possibility of an infection. If the pain is around the knee joint, it may be due to osteoarthritis at this age. 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 son 9 years old he has sevrior allerg and asthma wanna know about any good docter we are already showing him to Dr, mohsin at sout city and we often visit Dr,A.H.Hai at park view we did vacination from medicion was from germany but after one year same problem we faced plz help us to find out any best docter for asthma and allergy. ### REPLY: Hello dear, Asthma is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages. Management consists of:1. Stalin inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, this can be used during an acute attack.2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma. This will also give protection from recurrent allergy.3. Antihistamines like Cetirizine can also be used to provide symptomatic relief.4. Need for anti bionics can arise if there is a secondary infection. But this should be taken only under the guidance of a Physician.5. Steam inhalation & deep breathing exercises.6. Maintain adequate HY . 7. Make sure that your son is well protected from exposure to cold, dust or other allergens. Wishing him a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 27 weeks pregnant, and had a history of UTI during my first trimester, and now, the problem i have is when after i urinate,a drop of blood comes next. I thought i was having some vaginal bleeding , but when my OB doctor checked on me, the blood was not from my cervix . I did KUB ultrasound and they found out that i am having a mild dilatation of pelvocalyceal system in my right kidney. but not demonstrable stone was seen. There is also a fullness of the right ureter . they found out also that there is urinary bladder sediments. and urinary retention of 21%. what does this means. thank you! ### REPLY: Hi there, blood in urine indicates injury or infection anywhere along the urinary tract starting from the kidney to the urethra. As your pelvicalycial system is dilated along with right ureter fullness it indicates obstruction at the level of ureter most probably due to stone or stricture. Some amount of urinary retention is acceptable in the 2nd trimester as the uterus is pressing on the bladder and hinders in complete evacuation. The dilatation of the ureter and the pelvicalyx should be taken care of. As you are 27 weeks pregnant, you may take the advice of a urologist whether it can be taken care of now or you need to wait. Usually 2nd trimester is a good time for any surgical intervention if required but at your stage the attending urologist will be the best judge along with your obstetrician. 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 normal temp is 98.6, but it s been all day dropping little by little it is at 97.4. I have been feeling sick for more than a weak, nausea, stomach ache,and headache. I have been very weak and sleepy, I know that I have several gallstones in my bladder for some time, could that b the reason for this ? ### REPLY: Hi.noted history of gallbladder stones. It is best if you do a follow-up consult with your doctor, preferably a general surgeon, for physical examination and clinical evaluation. The usual clinical symptoms of a gallstone disease are abdominal pain (usually epigastric to right upper qua .  If there is obstruction, patient may also experience yellowing of the skin and mucosa and elevated bilirubin levels. Abdominal ultrasound and liver function tests may also be requested for further evaluation. Other diagnostics and management (medical and/or surgical, cholecystectomy, if indications are found) will be directed accordingly. Hope this helps. Good day!!~ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, my concern is towards my husband. My husband is struggling with OCD and past few days he is taking LANOZEP on a daily basis. Lanozep gets him sleep and also he starts using abusive language, looses his power to stay calm and listen to me. I need to take him out of this at any cost. please suggest. And also we are planning for our second baby, is there any side effect Lanozep on this . ### REPLY: HelloThanks for question OCD or obsessive compulsive disorder is one of disorders of anxiety spectrum disorders. It is one of disorders that is very difficult to treat, but treatment options are available and treatment is also successful. Both medicinal and non-medicinal (psychological) treatment are available, and combination of two results in best outcomeMedical treatment is based on use of SSRI medicines (Fluoxetine, Paroxetine etc.) or Clomipramine. These .  And the medicines are safe also with no major side effects. In addition to this benzodiazepines like he is taking (located) are used for control of anxiety. But these are with abuse potential and individuals tend to become dependent on them. So they are usually prescribed on SOS basis only and these are controlled  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hoping someone can help, i am suffering from right sided abdominal pain just below my ribcage for the last 4 days. there is a constant aching there but does increase to sharp pains every now and then, these do not seem to coincide with any activities. 10 years ago i contracted a severe case of tick bite fever whilst living in south africa, and heard there may be long term effect of this, that are agrivated by stress, that may cause problems, likewise i returned from holiday in a malaria zone 6 weeks ago, however i followed protocol with my anti-malarials. any ideas? ### REPLY: HI. The pain on the right side of the abdomen below the rib cage, for 4 days, which is constant aching but with periodic ups and downs is suggestive of Cholecystitis meaning inflammation of the gallbladder. Other probable causes can be abscessed of the liver or ulcers in the duodenum and so on. This may not be related to the tic bites you had. Malaria causing pain in abdomen is called acid malaria and the pain is all over and very severe. I would suggest you to undergo an ultrasonography first and then the other blood tests including liver function tests, CBC to know the infection and all relevant blood tests. Start the treatment with antibiotics and as per the findings on investigations. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is almost 13 and this morning noticed a lump under her chin.  I am assuming it is a submandibular lymph node.  It is tender to the touch and about 1 cm.   She also has a 1/2 cm lump in front of an ear which she has had for several months.  She does have mild acne so I am assuming this is the most likely cause?  She has no elevated temp.  She does take Cetirizine 5mg daily for moderate allergies.  Possible sinus infection being masked? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint it seems like she has swollen submental or submandibular mph node swelling and the lump in front of ear can be swollen Parotid group of lymph nodes, while can also be due to swollen parotid gland secondary to infection or other causes. You should consult a Pediatrician and get evaluated. After thorough examination and investigations like ultrasound and FNAC/Biopsy the correct diagnosis and treatment can be done . In case of infections and inflammation antibiotics like Augmenting or amoxicillin and anti-inflammatory medicines like steroids can be taken. As of now do alternate warm and cool compresses over the swelling. If there is pain Acetaminophen/Tylenol can be advised. Hope this information helps. Thanks and regards. . . Hope this information helps. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have pain in some tooth in lower left side of my jaw. I met a dentist today and she performed an xray . Although clinically there is no evidence of any severe cavity, she says that xrays shows a cavity and RCT is the only option. I want to know if there can be some other measures before going for RCT. ALso, please recommend a competent and honest doctor in XXXXX ### REPLY: Hello and welcome to  forum, as you stated, you are experiencing pain in your lower left tooth, but have not mentioned whether the pain is intermittent or continuous, does it radiate or not, what are the aggravating or relieving factors. Therefore, I assume that the pain might be quite intolerable and that must be the reason why your dentist suggested root canal treatment. RCT is performed when the nerves and vessels of your teeth get infected, in such a case, RCT is the only treatment or in severe cases extraction of the concerned tooth.I would suggest you go for RCT quite soon before the pain becomes severe., delay in the treatment can cause spreading of infection to the surrounding tissue(gums, jaw,etc.) also. Kindly visit a dentist who is specialized in Acts.I wish you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, Im not sure if I have a toothache or if its wisdom tootChatDoctoring down , it does feel like a toothache as I have that feeling were I just want to pull my tooth out at the back right hand side , its causing pain over right hand side of face also! And a sore eye but I cant see anything in my eye , and pain in right temple , could you help e figure out whats wrong please :( ### REPLY: Hello and welcome to  forum, The toothache and pain in temple region can be due to periodontal inflammation of impacted wisdom tooth. Get clinical as well as x-ray examination. If there is adequate space for tooth eruption, flap overlying tooth has to be removed to enhance tooth eruption. If there is no space, get it removed. Get your decayed teeth restored if any. Get scaling done. Maintain good oral hygiene. 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 son is 8 months old and he is teething. I have found him sucking on his bottom lip alot and now he has what looks like white sores on his lips and tip of tounge. It doesn t seem to bother him and he doesn t have a fever. Should I be concerned? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per query your son have symptoms of white sores on lips and tongue which seems to be normal during teething. Sometimes it is due to fungal infection and poor oral hygiene.  Although they can be uncomfortable, avoid touching or pricking them with any sharp object. I would suggest you to consult oral pathologist for proper examination. Doctor will examine carefully and rule out conditions like scarlet fever, syphilis and traumatic fibrous. Doctor may prescribe antibiotics along with anti-inflammatory. For now do warm saline rinses several times a day and maintain proper oral hygiene. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Erika I went to the dentist Nov 13th to get a wisdom tooth out. Now i keep getting sinus infections, I took a 10 day dose of anti-biotics but my infection came back with a cold and another sinus infection and this morning I woke up with a swollen face on the side where the wisdom tooth was pulled. I need advice on which doctor to go to I dont have insurance and I dont want to be going to three different doctors, should I go back to the dentist, a reg GP doctor or a ear nose and throat doctor? Thank you Erika Martin ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have undergone wisdom tooth extraction don't worry you should consult dentist and go for investigations IOWA X-ray if there is any infection present in socket. As you have problem of sinus also swelling can be related to sinus infection if there is no finding in oral cavity then consult ENT surgeon. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I had and MRI done with and without contrast. It say s I have a 3.1x 1.28 cystic lesion within the conus medullaris/proximal cauda equine. It also say s the lumbar assumes 5 non rib bearing lumbar vertebral bodies. There is intervertebral disc desiccation and mild at L1-2 and L2-3 Note is made of L4-5 and L5-S1 moderate facet degenerative disease. There is more but can you please help with this part for now? Thank you. ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Disc Destination and facet degeneration is suggestive of Lumbar Spondylosis i.e. wear and tear. But you should be more concerned about the cystic SOL and undergo further evaluation and if needed treatment for that Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care.-loops 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback. PS 2 : In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am constantly fatigued and I lose concentration so quickly. I can t keep my mind on one specific thing. I am a single mom, a full time student, & have a full time job... I just can t keep up anymore. My mind is constantly jumping from one thing to another! ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I think this is the case with almost all working mothers across the world. They have to take care of so many things, fatigue is quite natural. You also study. That adds up to the stress level. If you can't keep up, then you have to find a solution. Solution available in three ways. One - leave the job. Two - stop studying. Three - Do both the above. I know you can't leave job because of the salary is the only income. So leaving study my give you good relief. Still better is, keep relaxed keeping your passion. As all working mothers do across the world. Take occasional holidays and enjoy the life and be passionate with your work. You should feel good. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. 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: Hello, I have a 6 week old baby whos tongue had a white coating on it her first few weeks of life. Her Dr. said it was a coating of milk. Now, it has changed and appears green. She also cries now in the middle of every feeding. Thought it was gas but now Im beginning to think her tongue may actually be hurting. She is formula fed, by the way.  Id appreciate your thoughts. Im calling the doctor for another appt. in the morning. Thanks! ### REPLY: Hi. Thanks for the query. As per your question white coating on tongue in an infant does not seem like Milk retaining over tongue but seems like fungal infection known as Oral Thrush and can be commonly due to premature immunity in infants. The change in color from white to greenish can be due to chromogenic bacteria(color producing bacteria) that is causing greenish color of the coating. I would suggest you to consult a Periodontist and get evaluated and for Thrush he/she can advise antifungal Oral . . Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: In the past month, my fathers kidneys failed and he is getting dialysis through a chest catheter.  He has a foley catheter in place because he cannot relieve himself on his own (seeing a urologist about that). My question is how is it that his urine output is about the same as the fluids he is drinking?  I dont understand how his kidneys cant be working if he has so much urine output.  Is there an explanation? ### REPLY: Hello. There is a simple explanation for good urine output even though body requires dialysis support. Kidneys have two major functions: 1st is purification of blood with maintenance of acid base electrolyte balance and 2nd is removal of excess water from body. In lots of advanced kidney diseases (more than 90% function of kidney - lost), purification of blood is affected badly, but water excretion is preserved due to residual functioning of kidneys. Dialysis is needed when either of them hampered. Best wishes for your fathers' health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i just notice a lump that developed on my forehead directly above my nose and is an inch above my eyebrows so on my upper forehead. I have only noticed this one other time and it went away within a day. It does not hurt to touch, i did not bump my head, i do not have any allergies or take any meds. ### REPLY: Hi. Thanks for your query. No other lumps than the allergic also called as urticaria can come and go in a single day. From the description you have provided, the lump you noted looks to be an urticaria. I would advise you to take an antihistamine like cetirizine and see the results. If there is no response, you can always have a consultation of a Doctor as a detailed history by a Doctor and examination give you a confirmatory diagnosis and treatment . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 28 years old and I have about 7 or 8 pea sized to nickel sized bumps on the left side of my neck from about 2 or 3 inches below my ear down to my left trapezius muscle.  They seem to follow a muscle or tendon along the left side of my neck.  Any idea what it could be? ### REPLY: Hi, Dear,Thanks for the query from you to my  Clinic. I have gone through your query and after in-depth study on it, In My opinion-your chain of bumps in neck is mostly due to-Lymphadenitis-due to chronic mild-scalp-infection / and or / it could be -TB lymphadenitis of post-triangle of neck. I would advise consulting ER surgeon or physician who would treat it properly. Hope this would resolve your worrisome query for now. Wellcome-to my  Clinic for any more 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: Hello doctor, I am married and its 3 years now. I am trying to conceive. Am diabetic. My ovulation period comes 19th of every month. and Had intercourse on 31st, 1st and 2nd of this month. TOday through out the day i had pinching pain in lower abdomen in the left side. Frequent urination, and feeling damn hungry, thirsty and nausea feeling ..though its there since 15 days. Kindly advise me what needs to be done. Regards, xyz ### REPLY: Hello, If you are ovulating on 19th,then your most fertile days for pregnancy are from 15th to 21st. So doing intercourse on 31st,1st and 2nd is going to be non-productive and moreover these days should coincide with your normal periods days. Your other symptoms of nausea, increased urination, thirst hunger seems to be due to uncontrolled diabetes. Control your diabetes meticulously and do the sex in your fertile period to have the best chances of pregnancy. 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: This is for my son-in-law, he is seeing flashes of light describes as stars, having difficulty swallowing, like something is stuck in his throat, then when he swallows he has chest pain to the right of his chest. any ideas? The stars are in his left eye only and has been there a few days. This was his first symptom. He is concerned he has a neurological disorder like MS. ### REPLY: Hello! I read carefully your question and understand your concern. In my opinion the symptoms you describe may be related to anxiety. Multiple sclerosis can affect the visual function and the swallowing but not both in the first episode. The visual disorders in multiple sclerosis often occur as difficulty in seeing colors, pain behind the eyes with loss of vision, or double vision. Flashes and stars are visual hallucinations, which are not a common sign in MS. The pain in the chest after swallowing is not related to any neurological disorder. I would recommend consulting with a neurologist, have a good neurological examination. A chest X-ray and an abdominal ultrasound would be necessary to rule out any other cause of the pain. If the neurological examination is not normal a brain MRI would be helpful to rule out MS. Hope to have been of help! Greetings! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Have severe pain in T6/7 vertebrae and shoulder pain. Been doing the tennis ball pressure point massage. This turns the tennis balls in to egg shape. My muscles contract and relax and never stop doing so. It does help soothe the pain but why are my muscles doing this and will it be a problem in the long run. Fyi...was injured in rear-end car accident 2005 and will be having cervical disc surgery in 2 months. ### REPLY: Hi... The problem is due to less movement in thoracic vertebra. In addition to tennis ball point massage I recommend you.to dolor of icing frequently ... Roll a foam roller in your back bullying on too of it with your back.go for back arches.while doing slowly move upwards and downwards.along the thorax...cat and camel exercise will help to maintain the mobilization... Hope this is helpful for you. Kindly revert in case you need any further clarification... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im having chest pain and stomach pain... My chest pain is mainly on my left and it run under my arm so it hurts if i move...My stomach pain it hurt if i dont eat anything in awhile and its bloating im wonder what is wrong with me cause im only 19 yrs old, 5 foot 5 and 173 lb i dont have any medical history either ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of left sided chest pain, burning stomach pain, bloating, gaseous distention of stomach, chest tightness, pressure etc. So follow these steps for better symptomatic relief in HERD. 1. Avoid stress and tension, be relaxed and calm. 2. Avoid hot and spicy food. Avoid junk food. 3. Avoid large meals, instead take frequent small meals. 4. Take pantoprazole and levosulperide combination twice daily on empty stomach. 5. Quit smoking and Alcohol if you have these habits. 6. Go for walking after meals. Keep 2-3 pillows under head in bed to prevent reflux. 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: Hi Doctor, My mother has undergone hemithyrodictny 1.6yr before and prior to that operation for breast cancer + RT + CT in the year of 2006. now she is having a burning sensation at the lower left stomach whicChatDoctores occasionally and increases at night, she is also feeling a pain behind the right ear.. could you please suggest me regarding this ### REPLY: Hi. Thanks for your query and concern for your Mother. She has already undergone Hemithyroidectomy and Operation +RT + CT for Cancer of the breast. The causes of pain in the left lower abdomen can be due to Colitis, secondaries of the cancer in the abdomen. I would advise CT scan of the abdomen and Colonoscopy to find out the actual reasons so that further treatment can be planned . The cause of the pain behind the right ear can be again a lymph node due to secondary of the cancer or a muscle spam . Clinical examination and FNAC will help to get a right 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: I am suffereing from excruciating pain in my low back, radiating to my legs espacially left leg since last month, MRI of Dorso-Lumber Spine done on 15th Dec gave impression of DISC BULGE, ANNULAR TEAR, LATERAL RECESSES NARROWING AND EXITING NERVE MILD COMPRESSION (L.R) IS SEEN IN L4. 5 LEVEL; NO OTHER GROSS ABNORMALITY SEEN I have been advised of continous pelvic traction of 12.5 kg for 30 mins BDand given pawan mukta Asan for pacticePlease give me more suggession.Indrani RayFemale 35 YearsSiliguriDarjeeling,West bengal,India ### REPLY: Dear patient Your MRI of dorsal umber spine suggests disc bulge and tear with nerve compression that means disc has come out of its space and is compressing the nerve root which is responsible for sharp pain in legs. You are taking strict bed rest and pelvic traction that is a correct treatment. But how much relief is The from current treatment that u have not mentioned. If you have been on traction for a week and not getting relief then you should go for epidural steroid injection. It acts by reducing swelling and inflammation around nerve root And is a harmless old procedure. You can visit pain specialist nearby you for same.  And if you are getting better with traction continental for few more days and you we get relief. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 some sort of nerve pain in my right arm. It hurts the most when its touched especially when touched softly. I also have lower back pain around the kidney area. Both paincould be described and lightning pain. But, these are not always felt. All my life Ive menstruated every 2 or 3 months. Never on time. I am 20 years old. ### REPLY: Hi, The location and movement of pain give clues as to what is going on. And sensitivity to touch, lightning-like feeling are indications of a nerve being the cause. This can be from sick nerves or injured nerves and if it is one then it is usually a local injury. The elbow has a prominence that the nerve gets hit between it and most everything else (funny bone). There can be arm pain from a problem beginning in the neck. 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: Dear sir,            I got an attack once, and i am taking tablets since 3 years.. I take tegritol cr 300...Sir I use to eat gutkha earlier...is that the reson for the attack..For how many years shall i take the tablets..and i drink one beer in a month..is that ok or shall i stop that also...waiting for Ur valuable answer ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. In any case, beer and gut are unhealthy. You should not use them. No doctor shall advise the other way round. Gut alone may not be reason for heart attack. Sedentary lifestyle and other reasons must have caused it. As long your medicine is concerned, you should consult your doctor for further advice. He knows your physical and health conditions better than us and his advice should be treated as final word. 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: afternoon my 15 yr old son is always having dizzy spells almost always when he stands up or moves to quickly, and seems to have low blood pressure lots of the time, he has had a massive growth spurt over the last 6months and has reached 6ft 1 so not sure whether the growth could be part of the reason ### REPLY: Hi, Welcome to  forum, Normally dizziness can happen if anyone stands in hot sunlight for a long duration in the afternoon, that is called syncope. But if without any trigger or heat or strain, he gets dizzy, then he needs to be investigated thoroughly which includes blood tests, cardiac check with an ECG and also EEG if needed. Kindly consult a pediatrician without further delay. Hope I answered you query adequately. Let me know if there is any further clarification you need. 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: hiis it a sign of depression when i talk to myself very frequently. i kind of did something i should not and ever since i have been having trouble to sleep as i think i am going to die. i also get these head aches and its really annoying me now because in school i lack concentration and my mind wanders off very often these days. ### REPLY: Hi, Going by what you have mentioned, you are under stress definitely. Whether this is because of depression or anxiety disorder will need further information like duration of these symptoms, how you feel, whether you have lost interest in doing things which you liked once, appetite loss, etc. In any case, you will be needing treatment either in form of medications or therapy sessions. I would advise you to consult a psychiatrist. You might need treatment with one of the SSRIs like sertraline, paroxetine, etc. You can also start to exercise on a daily basis. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a heart condition called Wolff-Parkingson-White and I occasionally get palpitations. Currently, Ive had one for about twenty minutes (the palpitation has decreased but its still there) and I was extremely faint and feel as if I am about to pass out. What should I do? Should I wait it out? I cannot get in touch with my doctor and dont know if I should go to the hospital. Im not sure what to do. ### REPLY: Hello and thank you for using . I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. As you already know, wolf Parkinson White is a rhythm disorder. It means you have an theory pathway that cases the electrical impulses through the heart. So, if you are experiencing palpitation my opinion is that you should seek medical attention. You can present directly to the emergency room when it is possible to do a simple electrocardiogram and watch what is happening with you rhythm. It is recommended to do so because it might be a kind of arrhythmia than might be controlled with any medication and so you might be free of this palpitation.Then the long term strategy of this rhythm disorder should be consulted with your cardiologist based on other examination like echocardiography, holder rhythm monitoring, you complain ect. Hope I was helpful. Best regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My dentist used a new ultraviolet light wand to look at my mouth today to check for early signs of cancer. He found what he called trauma or dark patch on the upper palate. It looks normal when viewed without the ultraviolet although it appears to be a red patch to me when I look at it tonight. Of course, the red could be the result of my dentist cleaning my teeth and gums today. ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query, as you have red patch on soft palate and check this can be due to inflammation of oral mucosa due to trauma, allergy, bacterial infection .or thermal burn. Don't worry I will suggest you to consult your dentist if you have symptoms of pain, or discomfort. Inmeantime I will suggest you to go warm saline rinses, and you can apply Denote or Mugel on red patches. Hope this will help you. ### END