Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a few weeks ago I started to feel strong pintches in my left side of my chest around my heart area. I feel it once a day everyday and it lasts for a few seconds but today it was stronger and it lasted for about 5 minutes and every time I took a deep breath it hurted more. Can anybody tell me what this may. I m 28 yrs old not over weight and with no anxiety. ### REPLY: Hi. I can understand your concern. If the chest pain is disturbing your routine activity then get a chest x-ray done to rule out any lung infection. GERD (gastroesophageal reflux disease) can cause similar kind of chest pain. 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 central chest pain and nausea. You can take proton pump inhibitors. But along with .  Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Quit smoking and alcohol if you have these habits. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Lose weight if you are obeseDont worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI I AM WORRIED THE PARST YEAR I HAVE HAD A LUMP ON MY NECK ITS A LONG STORY BUT NOW IM WORRIED COZ I HAVE SALTY STUFF THAT FEELS AND TASTES LIKE ITS COMING FROM MY NECK SOME WERE THE LUMP IS PLEASE ANY ADVICE ON WHAT IT MIGHT BE MY NAME IS KIM AND IM 32. ### REPLY: Hi, DEar, thanks for your query to . I studied your query in depth.1-In My opinion the salty stuff from neck lump, is the leaking old last years-neck-lump which has recurred, with salty discharge from it.2-At 32, this could be-Carbuncle / or a chronic-sebaceous cyst with infection and discharge.3-I would advise you to consult -skin doctor, who would treat accordingly.4-other causes could be skin infection/boils.5-Hope this would solve your query.6-Wellcome for any more questions on new or this subject also... Have A 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: last night i was totally fine had a bowel movement with blood in the stool the acute lower left abdomen pain started lasted hours felt ok today little bits of pain i feel i need to have a movement but nothing happens and my lower back and abdomen are in pain again ### REPLY: Hi. Thanks for your query and an elucidated history. The history of sudden onset blood in loose motion is suggestive of severe colitis. You still have a feeling of passing stool and pain in lower abdomen and back. This indicates the need of a 5-day course of an antibiotic, metronidazole, activated charcoal tablets and probiotic. If the problem is relieved, nothing to worry about. If no response then you have to undergo the tests of blood, urine and stool, ultrasonography and colonoscopy to rule out any sinister problem. And the further treatment will depend upon the findings. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i had sex with my girlfriend and i pulled out just before ejjaculation but the condom was inside her when i pulled out and were worried about unexpected pregnancys what are the chances of getting pregnant? maybe the first ejjaculation happend inside the condom and the others imsure it was outside of her ### REPLY: Hello dear, I understand your concern. In my opinion there is very rare chance of pregnancy with pre-cum. This risk is present if the intercourse is done during the unsafe period. As there is a bit of doubt regarding ejaculation only thing which clears the doubt is appearance of period. The first suspicion of pregnancy occurs when the period is missed. A urine pregnancy test needs to be done a week after missed period for accurate results. The test will confirm the pregnancy. Avoid stress regarding the thought of pregnancy because it might also delay the period. Anyways the chances of pregnancy is rare as condom was intact and there was no tearing of condom. So relax. Hope this helps. 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: Hi my name is Ida and I had an MRI done the findings were the posterior fossa structures are unremarkable. the cervical spinal cord is without intrinsic abnormality or cord expansion. the prevertebral and paravertebral soft tissues are maintained. There is mild mid cervical disc desiccation with preserved disc space heights. The axil images C2-C3 and C3-C4 no significant herniation or stenosis. C4-C5: 1.4 mm central bulging of the annulus. no significant central stenosis as the central AP thcal diameter remains 9.8 mm. N foraminal narrowing. C5-C6 1.4 mm right paracentral bulging of the annulus mildly effaces the ventral thecal sac. no significant central stenosis as ther is an abundant CFS dorsal to the cord and central AP thecal diameter remains 10.5 mm. not formal narrowing. what does this mean...? ### REPLY: Hi, Thanks for writing in. Your MRI findings are explained below in simple language.1. The posterior fossa structures are unremarkable. The cervical spinal cord is without intrinsic abnormality or cord expansion. The posterior fossa includes the cerebellum and brain stem which is normal. The upper portion of spinal cord is also normal.2. The prevertebral and paravertebral soft tissues are maintained. The soft tissues in front and on sides of spine are normal.3. There is mild mid cervical disc desiccation with preserved disc space heights. The water content in the discs is decreased. This is age related changes.4. The axis images C2-C3 and C3-C4 no significant herniation or stenosis. C4-C5:The discs at level C2-C3 and C3-C4 are normal.5. 1.4 mm central bulging of the annulus. No significant central stenosis as the central AP thecal diameter remains 9.8 mm. No foraminal narrowing. Mild bulging of disc is seen, but this is not causing any serious concerns.6. C5-C6 1.4 mm right paracentral bulging of the annulus mildly effaces the ventral thecal sac. No significant central stenosis as there is an abundant CFS dorsal to the cord and central AP thecal diameter remains 10.5 mm. not foraminal narrowing. Mild disc is also noted at this level more to the right side and this is also not causing any serious concern or nerve pinching. Your symptoms related to the neck can be managed with medications, rest and physiotherapy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Recently there is an above normal esinophil count. The normal range is up to 6 and I have 8.5. My doctor said nothing about this. I checked previous blood tests and they were normal, about 2.9. There are recent symptoms. In the past 10 months I have had more itchy rashes which are appearing more in various areas around the body. There was a weird smell in the rash under my arms. Could this be related to an undetected STD or is it the emergence of chronic leukemia? ### REPLY: Why think of the worst-it is always better to trust a dermatologist instead of deriving own conclusions. Eosinophils count has more value if absolute count is considered for eosinophils. Skin allergy or infections may show some eosinophils in blood .it is common in allergies. Some more tests may be advised by a skin doctor for diagnosing rashes whicChatDoctore in Hun . To be aware is good but to apply on self or others is a doctors job.it will be all right with proper treatment.it is no leukemia. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI,I AM A HISPANIC MALE 61 YEARS OLD AND MEDICATED FOR HYPERTENSION SINCE A TURN 35,I TAKE TWO PILLS A DAY(HYDROCHLOROTHIAZIDE 25 MG ANDAMLODIPINE BESYLATE 5MG)UNDER MY DR PRESCIPTION,JUST WENT TO MY ANNUAL CHECKOUT LAST TUESDAY AND THE READING WAS GREAT,122/80,WHICH A NEVER HAVE EVEN WITH THE THE PILLS(130/90)TODAY Y CHECK IN THE SHOPPERS FOOD STORE MACHINE IN IT WAS PRETTY HIGH;172/102,166/100 AND 170/98,I DO NOT SMOKE OR DRINK NO OVERWAY EVER ( I AM 5,4 AND 149) I EAT LITTLE OF EVERYTHING AND WALK OR RUN WENT I FEEL LIKE,BUT I AM ALSO CRONICALLY DEPRESED(RUN IN MY ENTIRE FAMILY,MOTHER,FATHER,BROTHERS,SISTER,SON AND DAUGTHERS )AND I AM NOT MEDICATED,ANY EXPLANATION FOR THE HIGH NUMBERS FOR MY HYPERTENSION?I DO NOT FEEL ANY DIFERENT TODAY JUST A LIGHT HEADACHE,WHICH IS KIND NORMAL IN ME,THANKS ### REPLY: Hi, Welcome to  forum.  You have hypertension, and relieved, by medicine, and it is normal, every time you get checked.  Only in the mall, when you get checked, you got a reading of 172/102,still fluctuating. It means it may not be correct, and you will be under exertion in the mall, so there is possibility of having a high reading. If you sit down for some time and to observe, you can have normal reading. It is a physiological variation.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have a good health, and resistance.  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: I have   account or 10.5 uric acid which is the cause of my pain in the shoulders, groin & wrists I have been put ona daily dose of 100mg of aluopurin but it is not having the desired effect, I can barely sleep 3 hrs at night & I feel so weak & drained out that it is like a dead man walking besides the medicine what are the other  measures to control this & get rid of the severe pain ### REPLY: Hi, Thank you for posting your question here, I will try to answer it to the best of my abilities. Besides taking allopurinol have you changed your diet at all? If you haven't I recommend you to talk to your doctor about what dietary changes you need to take. Other than this you can increase your vitamin C intake, . For the pain you can ask your doctor to prescribe you with NSAIDs or colchicine. I hope this answered your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom is currently having a discharge on the upper two front teeth that tastes bitter and causes stomach upset. She had a root canal and then a apicoectomy and now this. She is also having severe drymouth. We have been to 3 dentist and her GP and no one can find anything wrong. She has lost 13 lbs since January and can t sleep. Any idea what could be causing this? ### REPLY: Hello, Thanks for posting your query, If the pain after root canal is intense, this could be a sign of complications and possibly of a root canal failure existing inflammation of the periodontal ligaments around the root tips of the infected tooth is the most common cause of tooth pain after root canal treatment. A new abscess may be formed as a result of a bone infection due to bacteria that were forced beyond the tip of the root prior or during the endodontic procedure infecting the jaw bone. If there are signs of infection antibiotics will be prescribed. If an abscess is formed, post root canal pain can be relieved temporarily by providing .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have been having a constant cramp-pain in my left lower side which feels like a runners cramp especially when I bend down. I do have lupus, sjogrens syndrome, antiphospholipid syndrome and ITP, though I cant see how this would be related. I also have some fibroid tumors, but the only large tumor is in the upper area of the uterus. If it is in fact the fibroid tumor causing the pain, is there a solution other than a hysterectomy (I cannot take hormones after such due to the antiphospholipid syndrome). Thanks for your time.-AAAAA ### REPLY: Hi and thanks for the query, There is actually no direct relationship between the pain and the health conditions that you present. A clinical examination might be necessary. Excluding gastritis is necessary. Other accompanying signs like fever, diarrhea might be needed during the evaluation process. The past medical history, an abdominal ultrasound coupled with a complete clinical review might be very useful in determining the cause of the pain. A chest X-ray showing the lower borders of both lung fields could be required at some point. I suggest you consult your internist. Thanks and kind regards, Bain LE, MD. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Could i get pregnant if a day late for getting the depo shot? I have been on depo for two years. My bf and I had unprotected sex. I was due for my depo February 28 2014  and had unprotected sex on March 1 2014.  My bf didnt ejaculate inside of me at all. Im not trying to conceive and will be getting the shot In two days or so. Am I still protected by the depo shot? Could I be pregnant? ### REPLY: Hi, Thanks for the query. I am  Badge consultant gynecologist and will be answering your queries. You have said in your heading that you will be just one day late but since you had sex on 1st and will be taking the shot 2 days later, it seems that the delay is more than a day. A difference of 1 or 2 days does not make much difference. You were protected on 1st as ovulation will occur only after the effect of the shot was over meaning after 28, and it usually does not occur on the first day. Still I recommend that you take the shot as soon as possible and use another backup method like condom from now up to seven days after taking the shot to ensure complete protection against pregnancy. Pregnancy can be ruled out by a urine test 3 weeks after the suspected unprotected sexual episode. Hope this answered your query. Thanks for using . Have a good day. ChatDoctor BagdeConsultant Obstetrics and Gynecology ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 upper right abdominal pain.  I have nausea with it.  I thought it was a gastro bug but everything I have one at home has not worked.  It seems to get much worse at night and the pain radiates to my shoulder and back.  I am trying to find out if I need to go to my PCP, or if this is an ER visit. ### REPLY: Hi ! Good afternoon. I am  answering your query. From your history, it goes more in favor of an attack of cholecystitis (infection of the gall bladder|), the pain being referred to the shoulder region. I would rather advise you to report to the ER of a hospital nearby, so that along with a general physical examination, related investigations like an ultrasound could also be done at the same instant for confirming or excluding this diagnosis. Till then, I would advise you to go for an anti-emetic, a proton pump inhibitor, and an anti-spasmodic . 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: Im wondering about sundowners. Chuck is normally a very private person but for sometime now he is acting off. He will go through the house naked  he is 66yrs. old .He has never done this before . He also does different strange things late afternoon into evening. Like today he came into the living roon undressed sat at the computor for a long while taking a bunch of cables then left. He will sit up in the middle of the night for 30-45 min. then Ill try to talk to him and he will lay down.Is this maybe that kind of problem? ### REPLY: Hello, Thanks for posting on , Given his age it is likely that he might be suffering from a neurodegenerative disease, and it is quite obvious that he is having a mental issue, and he is definitely going to need proper psychiatric evaluation. Mental disorder of any kind could make him act that way. If trying to speak to him yields no fruits, then you will need to have him see a mental health doctor as soon as you can. Hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am a 42 year old with history of L5-S1 PSFI almost a year ago.  Symptoms are still present.  Back pain as well as left hip bursitis and pain shooting to my left knee and sometimes down to the shin area.  I saw my surgeon who is concerned that I may have an issue with the instrumentation.  Not infection, rather my body "not being able to adjust to it".  I had a CT scan recently which showed the following: Mild anterior positioning of L5 on S1, minimal spondylosis along the anterior disc marging of L2-L3, moderate diffuse disc bulge at L2-L3 with additional posterior midline disc protrusion at L2-L3 indenting the thecal sac.  Any thoughts? ### REPLY: Dear patient First why L5 s1 fusion was done? Was it for displacement of L5 on s1 (listless)?  Considering your present symptoms' possibility of disc prolapse with nerve root compression is more likely. Your CT scan report is showing disc prolapse at L2L3 level.  Displacement of L5 on s1 is known as spondylolisthesis and is due to instability. I would advise MRI of lumbosacral spine with screening of whole spine as MRI is more sensitive and specific for diagnosing disc prolapse. All the best. Visit expert spine surgeon with MRI report. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was kissed on the cheek by someone with a cold sore.  The person with the cold sore says that it is dried up, but it is still clearly visible, and my assumption is that it is still possibly contagious.  I washed my face and applied rubbing alcohol 8 hours later.  Have I received the virus? Also, if I touch my cheek and then touch another part of my face will I get a cold sore? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint in case if someone has a cold sore actively present it means that the person is having high viral count leading to active infection and in this case the person is contagious and can transfer the virus to uninfected person by an intimate contact.Therefore, in your case there is a possibility that you are infected with the virus and although you may not get symptoms of the disease immediately and can become symptomatic when the viral count become considerably high in your body and skin. I would suggest you to get a blood investigation done at least after 2 weeks so that it can be ruled out that you are infected or not and treatment can be done accordingly. As of now you need not worry as t is not necessary that you will get the infection. 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: I fell over today while ice skating and hit my head hard falling backwards onto the ice, I felt weird once I was hit my head and wen I got up but then after sitting for 5 minutes I was ok , but after about 2 hours I ve started to get a headache and fell asleep this afternoon as was hurting . ### REPLY: Hello, Thanks for posting, You need to get a bed rest after taking some analgesics such as acetaminophen or ibuprofen or aspirin. Ice pack will also be useful in relief. If headache persist, just book an appointment to see a doctor who can examine you and request for CT scan or MRI just to be sure that it is nothing severe. I am sure you are having just a mild concussion that will subside subsequently. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a broken tooth. Gum above tooth is swollen feels like a knot in it, Also swelling and feels like a knot on my cheek right besides nose . Took a round of clindycin swelling went down but then it stated swelling again same way. Called dentist. He put me on augmentin . Been on it for a day and half swelling not improved but not any worse.Do you think I need a strong antibodic . Have appt Tuesday to remove but still have infection in it ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query as you have broken tooth now you have swelling in gums this swelling in gums is due to decayed tooth with periapical abscess so DNT worry you take medicine antibiotic you are taking in addition you can take medicine analgesic anti-inflammatory like aerosol SP or diploma SP. Do warm saline gargle two - three times a day and consult dentist for removal of tooth. 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: My dog bit me on the finger about 3 1/2 hours ago. I washed it and put on antibacterial wash and a bandage. It is still throbbing and oozing slowly through the bandage. It s not bleeding a lot, just not completely stopping. My dog has all his vaccinations and had his rabies shot updated a few months ago. Should I just blow it off or go to the doctor? Thanks! ### REPLY: Hello, Welcome to , Dogs are known reservoir of rabies virus and can transmit to human beings by biting. Rabies is 100% fatal, but it is 100% preventable by proper and adequate treatment. As there was a bleeding from the bite site, according WHO categorization it is categorized into Cat III. So cat III bite should receive following treatment.1. Wash the wound thoroughly with soap and water.2. Active immunization with anti rabies vaccine on days 0,3,7,14 and 28.3. Passive immunization with anti rabies serum around the wound.4. Inj TT, 0.5 ml, IM5. A course of Antibiotics like Tab Augmenting, twice daily for 5 days. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have recieved a letter from my neurosurgeon stating i have a large c4/5 disc protrusion causing canal compromise and myelomalacia in the cord! Could you please explain what canal compromise and myelomalacia are please im 24 years of age and dont understand the terms when i have read from websites thanks ### REPLY: Hello and welcome to , The bones of the spine - which are called vertebrae and their processes create a spinal canal - which is like a tube going down from the lower part of the head all the way down to the back of the pelvis. Inside the spinal canal there runs a spinal cord which is a structure made of nervous tissue. A disc is a small structure between your vertebral bodies - like a cushion. Sometimes a disc can slip out of its usual place - due to injury or for other reasons. This is also called disc herniation or disc protrusion. A herniated disc presses on the spinal cord inside the spinal canal. Because the size of the canal is now smaller due to the protruding disc inside the spinal canal - this is what is called the "canal compromise". Myelomalacia means that your spinal cord - the nervous tissue is damaged - the location of the damage at c4/5 means that it is in your cervical spine at the level between 4th and 5th cervical vertebrae - which is your neck area. You probably saw the neurosurgeon because you were having some symptoms in your arms like tingling /numbness or even weakness - perhaps . Myelomalacia is a serious medical condition, and you should contact your surgeon as soon as possible. Hope I answered your question. Regards and best of 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 seem to have been biting the sides of my tongue in my sleep for the last couple of weeks and the spots are now like little holes and dont seem to heal.  Ive been told that I have stress fractures all through my teeth from clamping my jaw too tight when I sleep.  I also snore quite badly apparently.  What do you think it could be and what would you recommend please?  Theyre very painful. ### REPLY: Held, Thanks for sharing your concern in this forum, What you are having is medically termed as bruise. I think in nighttime you are facing this problem...it is generally due to stress, anxiety,bad . . You are constantly getting traumatic bite on your tongue...which may produce traumatic ulcer... I would suggest you consult with Dentist as soon as possible...you have to decrease your stress.... Proper clinical examination is required for you... If there is any sharp cusp then grinding can be done... You may have malocclusion too...it has to be corrected...as your teeth are getting fractured, so proper x-ray is required to see the extent of fracture...Don't neglect this may lead to temporomandibular joint pain.... Get your proper treatment done... Wish you good health... Regards.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HELLO, I AM NEEDING INFORMATION FOR MY WIFE. A FEW DAYS AGO SHE WAS COMPLAINING ABOUT TOOTH PAIN (UPPER RIGHT SIDE). TODAY SHE WOKE UP LOOKING LIKE AN 18 WHEELER RAN HER OVER, HER FACE IS SWOLLEN ON RIGHT SIDE..CHEEKS ARE SWOLLEN AS WELL AS AROUND THE EYE! IS THIS DUE TO THE TOOTH ACHE/INFECTION OR CAN I BE SOMETHING ELSE? ### REPLY: Hi. Thanks for the query. Swelling of face along with toothache can be due to tooth Infection only leading to tooth abscess and cellulitis of face. So the first thing you should do is to consult an Oral Physician and get evaluated. An x-ray of tooth should be done. If tooth is deeply decayed but can be saved then Root canal treatment can be done under antibiotic cover. If there is gross decay extraction is advisable. But for now first she should start taking antibiotics like Augmenting and anti-inflammatory painkillers like Ibuprofen. Take serratiopeptidases. Do cool compresses over the cheek. 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: We found calcium buildup in my aorta and branches. No symptoms. Female in early 70s Blood pressure controlled (120/70) exercise 5 days/week. LDL 99, HDL 69, Triglyceride 88. Can t take statiin. Terrible cramps. Not diabetic, non-smoker. Stress level totally lowered (retired). Don t want to take medication. Advice, pls. ### REPLY: Hi, there is no specific treatment to control calcifications in the aorta. What you can do is the strict control of blood pressure, serum levels of LDL cholesterol (below 70), paganism cessation, strict glycemic control and maintain a healthy lifestyle. The USO of medicines like statins could help with the cholesterol control. Your LDL cholesterol level is close to the therapeutic target of 70 and as you already do all non-pharmacological measures for the control of cholesterol, I believe that to achieve reach this goal you need the help of statins. I suggest you look for a cardiologist for further research. Hope I have answered your question. If you have any further questions I will be happy to help you. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a cat scan of the pelvic area and it showed I have a Hemangioma on my liver. The radiologist sent the report to primary doctor stating I should have an MRI. When I called my doctor to see what my cat scan showed he said I didn t need an MRI and should make an appointment in 3 months. What should I do next? ### REPLY: Hello agree with your primary doctor. I also don't suggest for MRI scan. Contrast CT scan can easily diagnose liver hematoma. You may only need follow-up ultrasound scan as ultrasound causes no radiation hazard. Liver hematoma is a benign lesion, and it is made up of dilated blood vessels. It is generally an incidental finding and rarely require any treatment. It may require treatment if it is causing symptoms like pain. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: respected doctor,i am suresh singh 45 ys,wt 65 kg,ht 162 cm from sonebhadra up. in june 2007 i was ill due to joindice, i was consult dr. sarswat (gastroenterologist) sgpgi lucknow tested blood found hbsAg possitive and sgot, sgpt was narmal.after one month tested hbv dna level was found 65000 that time and after 3  month again hbv dna tested found hbv dna level was 16000 & sgot,sgpt was normal in test. today(21.04.2011) my sgot.sgpt is in normal range.doctor sir how can i cure.pl help me. thank you very much sir. ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  If your HBO viral load and got, Sept is normal then no need to worry. You are normal now.  Don't worry about your bag positive.  Bag will remain positive for long time.  Past infection or immunization also leads to bag test positive so don't worry about that.  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: Hi I have had a hard bony lump on side of leg just below knee area of left leg, the lump is not painful but i do get a cold like cramp pain feeling in the lower part of my leg. I had a CT Scan a couple of days ago, while there i was sent for xrays to confirm what the scan was showing, but i was not told what the outcome of this was, they told me a report would be sent to my doctor. I know its nothing serious but am curious of what it could be. thanks ### REPLY: Hi, Dear,Welcome to . Based on the facts of your query, You seem to suffer from-hard bony lump on the sides of the leg below knee of left leg. Cramps in the lower leg and X-ray study after the CT scan study, indicates something money osteophyte of the knee joint, causing the issues with the lump below knee. This lump could be MB Cyst or could be Osteolcastoma of upper end Tibia / or could be osteophyte of the knee joint. Arthroscopic removal of the MB Cyst or Osteotomy of the tibia with Bone graft would resolve the lump besides the knee. CT and USG would fix the diagnostic ambiguity and doubts.Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!!  . S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump in lower part of left arm close to the crease also a couple smaller ones no injury haven t had any Ivs or anything also elbow and top of hand have a burning sensation also hand tingling when you put a little pressure on the lump stinging type of pain occours? ### REPLY: Hi. Thanks for your query. Noted the history of a lump on the lower part of left arm close to the crease, and a couple of smaller ones. There is also burning sensation when you put a little pressure on the lump, stinging type of pain comes on. This is indicative of an infected cyst compressing or pressing on the nerve supplying the lower or distal part. I would advise you the following in such a situation. Get a course of an antibiotic and an anti-inflammatory medication. This should solve your problem. Also consult a General Surgeon so that further clinical consultation can be done to decided whether medical management will help or may need a surgery to get the complete recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doc. please, on may 5th 2010,I stupidly had an unprotected sex with a young woman. I call it stupi in the sense that when my condom bursted I continued to move. I asked her then, and she claimed she was clean, but I realized I cant trust nobody. I am someone very much aware of the symptoms of HIV, so for three months, I monitored my body. No early signs. But six months later, I saw two patches on my lower legs and robbed them. They became wounds. I was scared and rushed to the urgent clinic for attention. They checked and said nothing. Two nights later, I had chill and sweating on the face. My throat is really dry, though no sore throat, only a little dry cough. I went to my doctor and complained. He gave me augmentine antibiotics. After another week, I noticed rashes on my laps and tiny reddish-like colouration on my chest whenever I finished taking my bath, then scratchings on both my palms and under my feet. I also noticed that I have achings from my waist down my legs. I went to my doctor and complained.  I also told him about my flatulent stomach which has lasted almost two years now, and a back pain also lasting up to two yars. He said they werent anything to panic about. But I told him about the sex six months ago, requesting an HIV test. But instead, I saw something like cadiovascular risk, urine, glucose written on the paper. No HIV.  Today is the second day since I visited my doctor. And rightnow, I see that the right part of my knees is slightly swollen from the back, a little painful. I also seem to notice that my tongue doesnt taste same. And the date for the said test is January 13th. What could I do in a situation like this? I really want to have myself texted for HIV to be sure, before it gets late. ### REPLY: Hello, You need to be screened for all sexually transmitted infections if you have an unprotected sex. All these are non-specific symptoms to any disease. N for sexually transmitted infections or not. He is going to be the best judge after proper history and examination. For your own satisfaction yes, you need to be tested. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 31 yrs old and was sufeering from giddiness and voimitting feeling.The doc suggested to get a Brain MRI done and teh result is as follows - Loss of cervical lordosis with minimal early posterior disc osteophyte complex not causing any cord compression Can you please advice.. ### REPLY: Hello! Thank you for asking on ! Regarding your concern, I would explain that your cervical spine MRI report indicates just chronic degeneration of the cervical spine, without any clinical significance. There is no description of brain MRI. Coming to this point I would recommend consulting with an ENT specialist for a physical check up and labyrinthine tests to exclude an inner ear disorder. Taking Meclizine or Dimethyl .  Hope you will find this answer helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im suffering from infertility... as the doctors report says im perfectly alright.. and my husband has some count problem... he has 18000 milion count only... my body is looks always hot so in laws suggested me to take gulkand everyday nearly a tablespoon size... is it good when im trying for prego... my husband is also taking gulkand and maxowell to increase counts.... is there any other option to increase his count and getting pregnant?  help me please... ### REPLY: Welcome to . It is difficult to say for gland because scientifically it is not proven for infertility.... You can take this if it is not harmful to your body. Certain medicines are required to increase the sperm count like B12,folic acid, zinc,copper, selenium,molybdenum, l-lycin, minerals,vitamin-e and other supplements. Go for USG ovulation study and plan accordingly. You will definitely get conceive. 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, may I answer your health queries right now ?  Please type your query here...  suffering from kidney problems since 2003. There are cyst & stone in both of my kidneys. I have also thyroid problems, under medication. In 2007, I had a Hysterectomy surgery for fibroid uterus. I have seviour pains in my back which is coming in the lower abdominal areas and maximum pain is in the left side and it is sometimes really un tolerable. Feeling very week and full body swells.  My blood pressure are fluctuating, occasional bleeding from nose, having fever and occasional rashes on the skin also a problem. Sometimes, can not walk due to swollen feet.I dont know whether I have to go to a nephrologyst or I need a Urologyst for my cases) Pls advice.Grateful for all your cooperation in advance. With best regards Elizabeth, Age: 43, ### REPLY: Hi, You had hysterectomy done & have a history of kidney stones & cysts. Fatigue, swelling, fluctuating blood pressure are indicative of kidney problem (dysfunction/failure). Urologists & Nephrologists generally work together.  You are suggested to visit a Urologist & get all the Blood tests, Urinalysis, Kidney Function tests done. You may have to go for a biopsy, imaging tests (CT, MRI, etc.). Get it done, get physically examined & evaluated. You will be treated with medications or surgery (cyst /stone removal) depending upon the severity of your disease. If you need a dialysis you will be referred to a Nephrologist. For pain take Acetaminophen (Tylenol) & some antacid or PPI's, Pantoprazole when discomforted.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi im nancy from australia im 43 single no children Ive been on marvelon for 20 years Ive stopped taking it approx 1 year ago n my stomach feels bloated n gained weight around abdomen n mid section I experience  sharp pain in my lower abdomen as well.I always feel tired n being a small framed woman never been over 54kg now im 62kg!! Im thinking to get back on marvelon and get thyroid tested ?????? ### REPLY: Hi Nancy! Good morning. I am  answering your query. Getting back to Marvel on might not solve your problem of gaining weight and feeling tired. If I were your doctor, I would advise you for a thyroid function test along with a serum lipid profile, a blood sugar, and a complete blood count followed by an ultrasound of the abdomen to see the state of your pelvic organs specially the ovaries. I would decide on starting any medications only after the investigations reports were ready. At the same time, I would advise you to go for a routine aerobic exercise program depending on your medical fitness. 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: my one yr old son been itching alot and he have bumps on his back and stomach and now he itching in his private part and it looking red with a rash with bumps and he itching it alot and it aslo look like he have a rash on his face around his mouth and it looking dry what can i do doctor ### REPLY: Hi... Thank you for consulting in . By what you quote it should be an urticaria or a simple skin allergy. You can use HY .  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my first day of my last cycle was January 7,2014 it only lasted for at least 3-4 days then I was in a car accident on January 17, 2014 rear end from behind I have not had my period or at least what I think until February 28, 2014 and when I first notice it was brownish red on march 1,2014 started off the same way and then turn light red on march 2,2014 I wore a tampon and  when I went to change it a long darkish dry rubber string of what to appear to be blood was on the tampon but barely no blood on tampon ### REPLY: Hi, thanks for using  There are different possible causes for delayed or irregular periods. If you are sexually active, you need to rule out pregnancy as a cause. The other causes are: (1) emotional or physical stress or illness(2)inadequate diet(3)abnormal level of thyroid hormone(4)high levels of prolactin hormone which is released in the brain(5)polycystic ovarian syn . I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am an Early Onset A/D sufferer,diagnosed 2007.......I take Cymbalta for the Adrenaline component since mid 2010. ..and to date it has given me another 40 months of a fairly normal life/existence.......I had my story put on the internet to help others so afflicted........are there others that you know of in the same position as myself ?? ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. Early onset Alzheimer disease is not very common. I frankly don't know many people with this diagnosis but yes have seen two of them. I know its very disabling. Along with a .  Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link: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 20 month old son s head hurts when he runs, crawls or leans forward. This last week he had a cold and was very congested. The cold passed, but then a day later he had a fever which also has now passed, but today he is having these head pains. Went to the doctor today and no signs of ear infection or anything else. Doctor thought it might be a headache from sinus congestion and prescribed decongestant for 3 days to see if it helps. What could this be? Any advice? ### REPLY: Hi... I feel that your doctor is 100% right and sinus infections and chronic cold symptoms can very cause this types of headaches. Knowingly or unknowingly you have mentioned a very important clue in your query - telling that - the headache is more when he leans forward which is very much suggestive of sinus headache. But if his headache I associated with consistent vomiting, I feel you need to get his Blood pressure checked and get him seen by your pediatrician. 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 woke up with swelling on one side of my face yesterday. After touching the swollen area, I noticed a rod shaped lump under my skin right between the bag of my eye and my cheek bone. The area where the lump has continued to hurt when touched but the swelling around the lump has gone down after applying a heat compress. I should note that I had popped what I thought was a pimple a couple of days ago near the lump and I wonder if that might have caused an infection. ### REPLY: Hi, Swelling around the eyes may be due to infection at the local site, or it may be due to renal or cardiac failure in case of dependent edema. Until examination is done it is difficult to say what is the cause for it. If you have redness or itching then it may be a local infection. Dependent edema may be due to the renal or cardiac problem. Please consult your physician, he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I m 40 yrs old G5P4 w/ hx of tubiligation 6 yrs ago and endometrial ablation 1 yr ago. I began having my periods aging regularly after being sexually active on a regular basis for the past 5 months. I m currently 6 days late with a negative home pregnancy test today. I m concerned about ectopic, etc. Should I wait a few days and repeat? I feel PMS sxs though and vaginal ache. Could I be pregnant? ### REPLY: Hello dear, I understand your concern. In my opinion the chances of ectopic pregnancy in your case are less likely. Because the urine pregnancy test shows weak positive in case of ectopic pregnancy.Also, there might be pain abdomen with spotting. The transvaginal ultrasound(TVS) is most accurate in diagnosing the ectopic pregnancy. As the test is negative I suggest you to repeat the urine pregnancy test after a week. If even then the pregnancy test is negative there is no chance of pregnancy, and you can wait for spontaneous onset of periods. As you got premenstrual symptoms the periods might come and the delay might be due to some hormonal imbalance. But anyway confirmation is done by repeat urine pregnancy test. Hope this helps. Best regards.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had wisdom teeth extraction four days ago. Was running a temp today, which has now come down, and feeling unwell. Aches, headache and very tired . These symptoms appeared about two days after my surgery . I has Iv sedation . Im worried about septicemia or endocarditis? AmI over reacting . I saw my dentistToday to address my symptoms and he didnt seem worried . Stated my extraction sites were not infected . ShouldI see a MD? ### REPLY: Hi, Thanks for writing, All you need to do is relax. These symptoms are sometimes seen after a normal minor surgery. As you told, you were given general anesthesia, please give some time for yourself to recover.  Fever can also normally occur after a stressful procedure, and just as it came down, you will recover with other problems also with time.  Just continue with the antibiotics or analgesics whatever are prescribed by your dentist.  Septicemia or endocarditis are risk factors if you have undergone any previous surgeries or have any congenital heart problems or valve replacements. In that case the doctor prescribes you with antibiotics before the procedure itself.  Take sufficient rest and relax to have a fast recovery. You only need to see a physicist if symptoms persist even after taking adequate rest.  Stay healthy, 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 ive had a cold for over two weeks now, the mucous is not discolored just clear, i feel good, i feel clear and within a matter of minutes my head feels full, I blow my nose and its just clear.  I also cannot get rid of my cough, sounds loose.  and on and off my chest just feels heavy.  Could this be allergies ### REPLY: Hello. Thank you for asking at . I went through your history and your query. If you are not having repeated similar complaints, I would not think of allergy at first. If you are having these symptoms for last 2 weeks only, I would think of viral rhinosinusitis. I would like to make following suggestions for you:1. Were I treating you, I would prescribe you an antihistamines like cetirizine/levocetirizine as well as expectorant cough syrup for at least 5-10 days (depending upon response).2. I would suggest you regular daily steam inhalation to improve .  Only be cautious that it does not cause burns.3. I would also suggest you regular nasal irrigation with saline nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 [ains in my tummy on the lower right side only. It is a sore pain and has got worse since yesterday. It hurts the most when i get up from sitting down and i have feld midly sick (similar to a travel sickness feliing) for approx 3 days. The pan is similar to the pain u get when u hold in a wee for a long period of tme but it more intense. I havnt had any contisaption or trapped wind. ### REPLY: Thank you user for your query. Kindly mention the characteristics of pain, I mean what is the type of pain, is it radiating or not, apart from getting up from sitting position? Where is the exact area of pain? What is the intensity of pain? How the pain is getting relieved? Kindly get CBC done, along with a USG abdomen. Can take an antispasmodic (dicyclomine) for your symptomatic relief and .  You can also take pantoprazole tab 40 mg once or twice daily. God Bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had gotten shocked from the neutral of a 277 vac circuit at work about a month ago. The electricity entered my right fore finger and exited my left thumb. The burn on the finger is almost healed the thumb was more severe and is still a little raw. I was experiencing severe pain in my left shoulder and intermittently in my left elbow to shoulder. The shoulder had the most pain in something they called the arch of pain. I have virtually no pain lowering my arm but still when I lift it. I have had xrays and currently go to physical therapy twice a week. Now I am experiencing intermittent burning and or shooting pain from elbow to shoulder and also every now and then a pain in the lower back radiating across my but. Since this happened at work and workman s comp is covering the medical care, Is there something else I should ask them to check or is there something else I should do like pay for a second oppinion.? ### REPLY: Hello, I have studied your case. Shock can lead to sudden jerk to spine leading to disc bulge. Due to compression of nerve root there can be pain in shoulder and fingers.Also, there can be large disc bulge which is compressing over spinal cord. I will advise you clinical examination and accordingly investigation like MRI cervical spine or shoulder will help. For these symptoms analgesic and neurotrophic medication like pregabalin can be started consulting your doctor. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give you relief. I will advise checking your it B12 and it D3 level. 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: i have some type of zid on the back of my head it hearts when i touch it and that bumb is hairless, but i picnhed it already and yes lots of pus came out of it i took ice and had for like 5 minutes, what do i do now? thanks for helping i need help please ### REPLY: Thank you for query. It may be due to bacterial infection. Clean the area with warm water twice daily. You can apply topical antibiotics like Funding or Tract, and take analgesic like broken. You may need oral antibiotics .see that there is no friction or irritation. If it does not subside consult dermatologist else you can send the photo directly to me with the details I will be able to 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: I am suffering from bone TB with infection and inflammation in my left sacral bone. The diagnosis was done after open biopsy. Therapy: Taking antibiotics from last two months. Started with Rifampicin, Isonizid, Pyrazinamide and Ethambutol. As the organism was found as fully sensitive/susceptible, Ethambutol was stopped after two weeks and the therapy continued with three medicines mentioned above. As, I have completed two months, now the plan is continue with Rifampicin and Isoniazid and stop Pyrazinamide. Observation: I felt a lot of improvement in the first two weeks of treatment but the condition detoriated rapidly after discontinuation of Ehambutol. Pain retuned back and much higher this time. However, new MRI and CT scan showed that the infection was not spreading. So, I was advised that the TB therapy is correct and I should continue with the three antibiotics. Now after completing two months of therapy, I am still in pain and way behind the improvment I was noticing after first two weeks of treatment. Bone abscess: Abscess is formed at the infection site, which is supposed to be treated by the immune system of my body and no external interference is done. Nerve involvement: I have severe pain and weakness in my left leg due to the pressure on the nerve roots caused by the inflammation at the infection site (left saclral bone). I took a lot of pain killers and was on a steroid (prednisone) course also for 20 days but pain and weakness returned back once I stopped taking the steroid. Can you please tell me whether the TB therapy is correct and how long will it take to get relief from pain? Also, how long the bone inflammation will last so that my nerve can get a relief and my left leg will feel better? Thanks a zillion in advance. ### REPLY: Hello. I appreciate the way you have explained your symptoms in detail, it is very helpful for a physician. The regimen for TB of the bone (whicChatDoctores under extrapulmonary TB) is 2 months of Isoniazid, Rifampicin, Pyrazinamide and Ethambutol. This is called the Intensive phase. This is later followed by the maintained phase of 4 months of Isoniazid and Rifampicin only. Total duration of therapy is 6 months. This is the regimen recommended by WHO in DOTS and is also followed in India where TB is very prevalent. We have observed very good results with this regimen in patients with bone TB. Though Ethambutol has side effects affecting the vision, we donor generally stop it only after 2 weeks. Even though it does not kill the TB bacteria but only stops it from multiplying, it is considered an important .  Since it was stopped for you, I presume that it was according to the guidelines which are followed in your country. Generally, it would not be significant, but in the light of reappearance of your symptoms, I would consider it significant. Abscess which is formed due to TB bacteria is called a cold abscess as it does not have any active inflammation. It will gradually disappear with the same treatment. Surgical intervention like  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a mylogram done a week ago today. Although i had no major headache, i have been experiencing severe nerve pain in my tailbone, since Sunday. It s stiff when i awake in the morning. Some days is worse then other. I have significant new edit damage in my L5 and S1 nerves. Can they be related? ### REPLY: Hello, As the history don't mention any fall than the tail bone will have no fracture. Due to nerve root entrapment at the L5-S1 levels, there will be a weakness in the gluteus muscles.  Due to which there will be excessive pressure over the coccyx. Leading to inflammation and pain. I will advise you to use piles pillow to avoid pressure over the coccyx bone/ tail bone.  Post which I will advise for some icing. Along with this, core stability exercise, spinal muscle strengthening exercises, hip muscle strengthening exercises, lower limb Strengthening exercises.  All of this will help to reduce pain and inflammation. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am writing about my mother. She is 78 and has been taking medication for depression for the last few years.  She lives in Asia and is on paroxetene 30 mg daily.  She has been improving a lot but always wakes up from an afternoon nap very depressed and desolate.  Her doctors answer is that she shouldnt sleep, but she does need a nap because of not sleeping too well at night.  I was wondering if this may be a low blood sugar issue which can be addressed by a hot sweet drink as soon as she wakes up.  Thank you for reading this! ### REPLY: Hi I had gone through your query. It is necessary to sleep whole night or up to 7 hours in old age. Depression is common after wake up, and it is called melancholic features.  Avoid nap to avoid depression in afternoon.Meanwhile, avoiding afternoon nap to achieve sound sleep at night. Shifting dose of paroxetine to night is useful for sleep. Avoid any medicine at afternoon to prevent nap. Add on low doses of benzodiazepine like lorazepam in night for maintenance of sound sleep. Psychological counselling will help her for depression. Take advise from your treating doctor before taking any medicine. Glad to hear from you. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,My wife had a wisdom/mouler tooth extracted from the left side upper jaw about 3 months ago. Since then she has experienced congested nose and throat. Phlegm runs down her throat and she needs to cough to clear it. Her nose will not clear problem with blowing. The phlegm is sometimes tinged with a light green colour. She complains about a foul odour in her mouth when she bend over. Additionally, there appears to be a fragment of tooth rising up from the extraction site. What is your opinion about these problems? Do you have any suggestions for treatment? ### REPLY: Hello and welcome. Thanks for sharing your concern. Based upon the history posted here it appears that the two ailments like extraction of wisdom teeth and sinusitis are two different entity. Please understand that they are nowhere related. Extraction of teeth cannot cause cough, cold like symptoms. In such a case please see your ENT specialist soon and get your self evaluated. It appears that it could be sinusitis of various degree. Hope it helps. 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: I accidentally threw something in an empty garbage can, and then I tried to retireve it by bending into the garbage can; at first attempt the item escaped my grip. then a second attempt was made stretching more than I should have and since then my abdomen - right under my right rib cage has been in acute pain; I cant sneeze and I cant breathe deeply or have normal bowel movements as I cannot push and put pressure on my abdominal area; I had Cat-san done and ultrasound taken, and they dismissed it as an inflammation of the inner stomach lining and put me on Amoxicillin for 10 days; but the pain is still there; today is day number 5 ### REPLY: . I read your question carefully, and I understand your concern. From the information you gave, the first thing I suspect is muscle strain. The suspicion for this condition is even higher after you have done examination, even a CT scan. Regarding the Amoxicillin therapy, it is an antibiotic and I can't find a reason for taking that, but for sure the doctor that prescribed it had a reason for that. I do have some questions though. Is the pain localized in you abdomen or between the lower ribs in your right side. The pain is steady, or it begins or worsens with movement? Do you have any swelling or bruising? Is it tender when you touch it? If it is more localized between your ribs, it gets worse with movements or sneezing or deep breathing, it might be tender when you touch it than probably it is just muscle strain (as I said you excluded major conditions with examination. Besides this, the condition how it started (stretching too much to get something) and an acute onset, all lead to muscle strain. In general, muscle sprain can be treated with RICE therapy - rest, Ice application, Compress and Exercise. To alleviate the pain you could take pain medication like ibuprofen or naproxen. It is necessary to limit the movement of the torso (rest, but just the firs days). Gentle stretching exercises can help strengthen the muscles. Pain can be alleviated applying an ice pack for 15-20 minutes 2-3 times a day (ice should not be in direct contact with the skin). For a full recovery it can take 4-6 weeks. Feel free for additional questions. I hope the answer helped you. 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: Hi, I recently went to my ob-gyn for a pap smear it came back abnormal, I then was scheduled a polynscopy and it reveled I was positive for hpv. Not knowing how long I had, had it or how long it had laid dorment. In six months I have to go back, should I go back for a repeat pap smear (knowing it s going to come back abnormal) or should I go ahead and schedule another polynscopy? And what are the real statistics it turning into cervical cancer? Thank you! ### REPLY: Cancer of Cervix is associated with HPV, and it strongly believes now HPV is one of the most responsible for developing cancer. The statistics differ one study to another. But now we strictly follow - HPV infected persons should be under careful observation. The colposcopic examination is compulsory as it can help to detect the cancer at its early state. The abnormal Pap smear means not the cancer. The best thing what you should do is following the instructions by your Doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 in generalized pain especially on exertion pain in upper limbs pain radiating down one leg from lower back area rtf side becoming worse at night also back ache I had disc surgery 4 months ago c5c6 replaced and pain since in upper limbs and rtf side of back Mir shows c4 narrow but surgeon doesnt want to operate says he think having muscle spasms any ideas what could be problem I m having difficulty sleeping with pain ### REPLY: You have not mentioned your age which is very important in case of back pain. But as history suggests you are an active working women I will advise you to take painkiller like kilos or biozobid-plus 8-12 hourly for your back pain only when it is worse enough or disturbing your daily work. Apart from this you can take some calcium supplement like tab shall once daily preferably in afternoon. You can do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advise you to sleep on plain surface for some time as it is very helpful in case of back pain. Thank You ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am asmatha pateints for a very long time but seasonally more in winter time get morning cough, lasting for 5-10 minutes. And prolonged couging has created slip disc affecting my leg, i have taken x ray advised by doctors, but feeling senseless ness on my right leg foot portion ### REPLY: Dear I am very sorry for that.you have asthma and because of severe bout of cough you developed slipped disc. Now you are having loss of sensation over right leg.loss of sensation is suggestive of compression of nerve roots responsible for carrying sensation from that area.  This can happen in slipped disc. It may cause compression over nerve. You need an immediate MRI of affected spinal cord most probably of lumbar region that can only tell about exact cause of compression .and if there is any compression this should be managed as soon as possible otherwise the affected nerve may get permanently damage. X-ray will not so any compression. It can only help you in assessing whether any bony abnormalities are present or not. MRI is investigation of choice that is indicated at this time that too without any delay. Hope this will help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father suffers from convulsions and high fever. the fever comes swiftly followed by fainting, excess perspiration, convulsions, low BP. it lasts for about 3-4 minutes approximately. He has stones in his gall bladder and portal hypertension and portal vein thrombosis. The root cause has not been diagnosed as yet. Please help. ### REPLY: Hello and welcome to ask a doctor service.  I read your query and here is my answer. It looks s he is suffering from some sort of infection most likely CNS infection.  Gall stones have nothing to do with these. He may need certain tests like blood test, CSF test and ct scan may be. You need to take him to the hospital as it may be dangerous for his health. Hope I answered your question.  Feel free to ask more if you need further assistance.  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 Mother have a ulcer like problem in her mouth doctors said that it is for life time but they give some multivitamins and also said that she  has to take all the vitamins for life time. The ulcer are located in inner side right and left cheek. I read somewhere that if ulcer stay for a long time it may cause cancer. What i do??????? ### REPLY: Hello, the ulcer as you described are in both cheeks of your mother, how much old they are and what type of secretions are coming out from them if they are not blood stained and clear straw fluid then you can have surgical intervention by ENT surgeon and the mucosal lining in ulcers can be removed and that can be examined by pathologist and fear for possibilities of Cancer can be overcome by you and your family. You can also go for mouth hygiene by washing mouth twice a day, morning and evening by astringent diluted in water and using B-complex and multivitamins along with vitamin A supplements, The ulcers will respond definitely ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 addisona diease . My ultrasound shows I have a poorly visualized  pancreatic tail,mild atheromatous diease of the abdominal aorta, slight right renal cortical thinning,borederline prominent hepayic size at 17.2, andleft kidney shos signs indicative of some renal diease. I am in a state of shock. My doctor tells me all they can do is watch my bllod pressure and monito my blood sugar. I have red that the thinning of the cortex is the begining of the death of the kidney. Is that true ? Is there a special diet I should follow. What about vitamin supplements? ### REPLY: HiT hanks for your query. While thinning of renal cortex is a sign of kidney disease it certainly does not mean that your kidneys are dying. We can slow down the progression of your kidney disease by a number of measures about which your doctor will be able to tell you. As far as diet is concerned you will benefit from a low salt, moderate protein diet (a consultation with the dietitian will be useful). Vitamin supplements are good for your health but will not have any role in preventing the progression of kidney disease. Hope this helps 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: Hi Doctor About 10 weeks ago i had a high risk exposure via a condom burst. Since then Ive noticed the following changes in my body:1.Swollen lymph nodes in groin, behing ear and below right jaw.2.Been losing a lot of weight, lost about 4-5kg in the last 6 weeks. Also losing muscle in my arms.3.Had a rash like black mark on my head.4.Been feeling uneasy lately.5.Had a minor night sweat last week.6.My eyes also seem to be unusually in pain lately.I have done the 4th generation ELISA test at 4 and 6 weeks which botChatDoctore back negative. Also did the rapid antibody test at 10 weeks which also came back negative. I have now done the PCR HIV test as recommended by my doctor as i am in so much panic and seem to be overwhelmed with anxiety.My question is, what are the chances of my negative result changing to POS even though i seem to be experiencing these symptoms which seem to be in  line with those of HIV?Thanking You In Advance ### REPLY: Welcome to . 1. Enlarged lymph nodes can be due to infection / inflammation which can be localized or systemic.2. Multiple group lymph nodal enlargement with loss of weight - it could be lymph nodal pathology itself. 3. In this case I would recommend a thorough health checkup. A chest x-ray, abdomen pelvis ultrasound and enlarged lymph nodes to scan by ultrasound initially.4. That will give a gross idea about the underlying causes and nature of the nodes.5. Definitive diagnosis can be done with a FNAC - fine needle aspiration cytology of the enlarged lymph nodes. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: well my girlfriends had this thing all her life where she completely zones out for hours on end to the point where you cant get a word out of her. she like floats around the room if you know what i mean and then climbs upon her wardrobe with a blanket shes had since she was a baby and just lies there for hours on end without giving any reaction to whats going on around her. she finally comes out of it a few hours later and she has no idea whats just happened and she can feel like no time has passed atall when really its been around 2 hours. i have no idea who to ask about this and its worrying me a great deal as i have no way of helping her. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  From the given symptoms, I am tempted to say that she is schizophrenic. But the symptoms you are mentioning here could be just your perception. Most probably, as you have limited knowledge, you could be exaggerating. Talk to her and find what he is doing inside her room. Talk to her parents. If need be please take her to a counselor and then to a psychiatrist. Thorough analysis needs to be performed before diagnosing. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I had my molar removed about 6 months ago and have recently noticed a bump protruding from under the extraction site. I m assuming it is the titanium screw. It appears that with time it may break through the gum tissue . I m not sure if it has been there since the surgery because I m just noticing it now. Is this normal or should I be concerned? Thank you. ### REPLY: Hi and welcome, Titanium crews are placed in the jaw bone, and they are uses as Tooth Implants.  A dental implant is the prosthetic tooth replacement, so make sure you were undergoing such treatment. As you have mentioned the bump arising from the extraction site, I suspect it to be a gum boil. If it is a painful swelling, it needs clinical examination and treatment. But this can only be confirmed by an X RAY examination. I would suggest you to consult a dentist and get the x-ray done which will confirm if it is a screw or some infection in the gums accordingly treatment can be planned. I hope this helps, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i was told i had bulky ovaries on my last ct scan report. my doctor had asked me to take asmita tablets and chrominac a tablets ,, i tuk those for one month and presently stoped since i was feeling some sort of irritation in my vaginal region...wat shud i do?? shud i continue with the tablets...plz help mam... ### REPLY: Hi, Asmita Tablet is an anticoagulant and is used to help reduce the formation of blood clots. As it is a blood thinner, it works by preventing the formation of blood clots in arteries or veins, thus reducing the risk of heart attack, stroke, or other serious conditions. Chroming A is a mineral supplement, and it can cause Itching, headache, weakness, gastrointestinal disorders, nausea, vomiting, constipation, loss of appetite, .  Vaginal irritation has not been reported with these  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently did an ekg and it came back with abnormal results. makred left axis deviation and lafb septal infarct. I have high blood pressure that is under control with meds. I did a stress test a year ago with no problems. My doctor seems to think that this was present last year but does not have those results to compare it to. What would cause this in the ekg. ### 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. You should know that the electrocardiogram apart gives an automatic interpretation based on the amplitudes and impulse. But we never judge on a cardiac history based on paper interpretation but on the cardiologist interpretation, meaning that the electrocardiogram should be interpreted by the doctor, not the machine. So, left axis deviation is not something to worry about. It is a normal ECG pattern in people suffering from hypertension. About infarct diagnosis, it is not made only by the electrocardiogram. To make the diagnose of infarction we rely on different characteristics like chest pain, electrocardiogram, cardiac enzymes and echo cardiograph. If your doctor said that you had this changes, it might mean that this is not an infarction but just an electrocardiogram pattern. So, to definitely make the diagnosis I would recommend a cardiac echo to evaluate heart walls if it is a problem or not, cardiac enzymes and to talk this with your cardiologist. Hope I was helpful. Best regards, .  ### END