Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 on the right side of my neck right under where my jaw line ends. When I till my head to the left side I can see my pulse. The lumps is hard and about the size of a quarter I d say maybe a little smaller. I don t feel like I m sick or have a sore throat. Only when I turn my head to left I feel like more of a pull then sore. Just trying to figure out if I m okay? ### REPLY: Hi ! Good evening. I am  answering your query. Possibly it could be a lymph node swelling. However, I could not mark it to be infective as you are not sick as such and there was no pain as such in the lump. If I were your doctor, after a clinical examination of yours I would send you to a pathologist for a FNAC (fine needle aspiration cytology)/excision biopsy if need be for a more definitive diagnosis for a properly planned management. 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. I wish 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: i am a male . 20 years old , i have been masturbation since i was 16 , but at the last 2 years i have been doing that 5-7 times a week , recenlty i started to have a hyper heartbeating , that i felt am gonna die , i went to a hospital twice because of my body which was shivering , and my heart was beating so fast , My Question Is, Does the Excessive Masturabtion Affect the Heart and Cause hyper heartbeating ?? or i have to go and check for other causes, lastly i went to a doctor before and had the heart devise for 24 hours without any problems and the doctor checked my mechanical function for my heart and he said its ok.... Anwer Me Please because i Do need your Help ... :( ### REPLY: Hello, Masturbation is normally natural and never unhealthy. But masturbation is energy consuming and during and after masturbation your heart rate will be higher.  Your case must be a panic attack of anxiety. You can contact me for treatment options. Let me know if I can assist you further.  Hope I have answered your query. Let me know if I can assist you further. Take care .  V. Anand, Psychologist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 family has a history of cancer right from my father having Renal carcinoma and had been operated and doing well for the last 7 yrs and then my dad d sister who had beast cancer recently expired and there is one more aunt my paternal side who had cervical cancer / lung am not sure of.. now am scared bcos im 29ys old and my aunt who expired was a doctor had told me to get sonomammagraphy done as a regular check up and after 35yrs to get a complete PET scan done in order to rule out the disease . Could you please tell me what test are necessary for me to be done on a regular basis. Kindly give me the details of the tests that needs to be done in future as well. Thanks in ### REPLY: Hello, I can understand your concerns and anxiety with a family history of cancer.  Routine screening procedures are different for specific cancers.  For breast, it starts with self-examination for lumps and mammography after 35 years. For cervical cancer, you can start getting a Pap smear every year now. For lung cancer, cast x-ray is being now evaluated for screening.  There are a few blood tests that can cover for markers of cancer as well. All these procedures are available for low cost. There are a little cancer that can be caused by defects in genes, and they are transmitted within the family. A whole body imaging procedure such as a PET scan can be helpful in such situations. From what you have mentioned, it doe snot look like to be the case with your family. Since PET scan is a costly procedure, I would suggest you reserve it for the last and not as a screening procedure.  You can get it done once some time in the course and later on follow up with other routine procedures described above. Please go for the simpler tests first. Hope this could be of help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: From last 6 to 7 years I am suffering due to allergic cold and continuos sneezing also suffer to breath when sneezing started When I use Montek lc I am getting relief for two days but same situation occur again There is any medicine apart from allopathy for allergic cold and what is the side effect of Montek lc? ### REPLY: Hello, Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. Any medicine apart from allopatry - there are systems which offer treatment for allergic rhinitis such as Ayurveda, homeopathy, Chinese medicine, etc. It is best to contact the qualified persons from respected branches to know more about treatment in a particular system.2. Monteagle is generally considered very safe from long term use. Common side effects are sedation, .  If you are not experiencing any of these side effects, you can continue it for long term use in my opinion.3. From allopatry, as an Allergist-Immunologist, I would suggest you allergy testing, especially for house dust mites, indoor molds, common pollen in your area, insect proteins, and pet dander (if you have pets). This will help you identify the substances that may be causing allergies to you as well as to know the measures to avoid them.4. Based on allergy testing report, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to improve allergy symptoms gradually over a long time.5. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.6. A healthy diet and regular breathing exercises will help you in a long run by improving your immunity and lung capacity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health ahead. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son recently had his appendix out by keyhole surgery ,after about three week s after has been complaining of upper pain under the rib cage on the right hand side . We have been back to the hospital twice having MRI s done also had the camera put down I am worried because it dose not seem to go away only ease of and come back ,he explains it as a stabbing pain ### REPLY: Appendix is located in right lower part of abdomen. As it is removed by keyhole surgery, there will be no complications. As the pain is in the upper part of abdomen under rib cage, his Liver has to be tested. Go for Liver function tests and Ultrasound examination. Till then use skeletal muscle relaxant along with Omeprazole. If you come back with above reports, i will clarify furthering him speedy recoveryRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 protected sex with a girl that I met at a bar while on vacation abroad. there was unprotected vaginal contact only for a few seconds before I put a condom on. I have a little itch in my urinary tract under the head of my penis and also in my rectum. There is no pain or discharge or any other symptoms. the itching has subsided for the last few hours. what could it be? ### REPLY: Brief Answer:STI or inflammation following a trauma during rough detailed Answer:Hello had gone through your question very diligently, and I can understand your concerns see such patients in my clinic routinely, and I will definitely help you as well in the best possible looking at your history this could be STI (sexually transmitted infection) or inflammation of penis due to rough semi would advise you for a battery of tests like blood for hemoglobin CBC liver and renal function test blood sugar urine culture and sensitivity test and swab culture from discharge you may require a course of antibiotics under supervision of your doctor help you better I would like further information like any recent exposure to unprotected sex?since how long you are having this problem?Meanwhile, please follow these guideline swash it with antiseptic soap or solutions apply antiseptic ointment like mupirocinmaintain good hygieneWaiting for your replyFollow up questions are most welcome wishing you rapid recovery and good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 18 years old and have suffered with the problem of not being able to retract my forskin fully my whole life it is painfull to pull it back fully which had an effect on my sex life for quite a while but I read up online if I have sex well lubricated then it should not have much of a effect on my sex life .. I tried this and it worked well but recently I ve being having quite a bit of unprotected sex with my girlfriend and I ve noticed that on the left side of the helmet of my penis (where the forskin won t retract to) there seems to be these white flake like things but I can t seem to get a good look at it due to my problem of not being able to retract my forskin .. While I was having intercourse I got a sharp pain where these flakes appear to be and when I pulled out I noticed these white flakes where at the very tip of my penis there is no real irritation swelling or redness just these white flakes any idea what these could be ?? I have not contacted my doctor about this problem because of the embarrassment .. ### REPLY: HelloThanks for query. You are unable to retract your foreskin over glans penis. This is due to what is called as Mitosis. The white material that you have noticed is Sega which is . There is no medical treatment for Mitosis. Consult qualified General Surgeon for clinical assessment. You need to get circumcised. This is a simple surgery done under local anesthesia as an out patient procedure and offers permanent cure and helps to have enjoyable sex for rest of the life. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: actually we are planning for the pregnancy and we went to the doctor yesterday and she suggested to take these tablet mcbm_69 before pregnancy and after also is there any problem because we should not use the tablets im worrying abouat this and if we will use this tablets any effects will be there on baby ### REPLY: Hi, It is considered to be safe for both mother and the unborn baby. MCBM-69 is a multivitamin (folic acid, methylcobalamin and pyridoxine) commonly prescribed during pregnancy to treat the deficiency states. These vitamins are used to prevent anemia during pregnancy whereas folic acid also plays a vital role in preventing a serious birth defect (spina bifida) in the newborn baby. Generally it is well tolerated by most of our patients, however it may cause nausea, heartburn, altered taste and flatulence. So, there is nothing to worry take this medicine as prescribed. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: After riding in a car approximately longer than 3 hours my lower leg and feet get tingly and I move them around a lot although that brings no relief but I can t just leave them still. Is there anything I can do to prevent this? I am on medication for HBP and seasonal allergies and I am a 49 year old female, weight 205 height 5 5 ### REPLY: There is blood circulation defect as due to long sitting pump of veins eye not able to push blood up to heart and fluids collect in legs and causes all these apply crêpe bandage after putting the legs in warm water for 20 MTS put 2 - 3 pillows ta night under leg to get blood reached to heart get dose of BP titrated as some salts of BP causes thee in allergies can take basting 10 mg OD for 3 wk till you consult specialist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I noticed yesterday that I had a spot in my head that was bleeding for no reason I didnt hit it or anythingMy head is now sore and I noticed another spot in my head that has blood coming out. When I say blood it is not a lot about as mucChatDoctores out as a small pimple ### REPLY: You should have an examination on the head because these lesions need to be identified to be able to tell whether they are being caused by scratching, by the presence of small abscesses or pimples, or by some other pathological process that needs to be treated whether by medical or surgical means.  In the meantime and until you get examined please keep the head ordinarily clean and shampooed, and you should be fine until you see your doctor.  Please rate this a 5-STAR ENCOUNTER and feel free to write more questions to me at: XXX ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m 11 weeks pregnant. checked my lever last year, including the ultrasound. everything was fine. Got my blood test today. bilirubin is OK, SGOT is OK (28), whereas SGPT is 72! I stress a lot, can this lead to such a result? (If I rule out viral heps, what are other options?) Thank you very much for your answer! ### REPLY: Hello, and I hope I can help you today. An isolated elevated liver enzyme can happen in healthy people with no discernible explanation. Because your SGPT is only slightly over the expected level, I really do not think that anyone is going to be particularly concerned. I do agree that doing tests for hepatitis would be helpful, and if you are not already immune, the Hep B vaccine (which is completely safe during pregnancy) would be in your best interest to protect yourself. Doctors may never be able to completely find out a reason why your liver enzymes are slightly elevated, as many normal healthy people have that happen once in a while.  However, what I can tell you is that this is not something that is caused by stress or pregnancy. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes for the rest of the pregnancy,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Why do I spit up mucous every time I use my inhaler for Asthma? It is miserable and I spit up morning and night at the use of the inhaler. Why, I have never smoked, but did live with a smoker for 7 years, but I am now 61 and haven t been around it for years. I am upset with choking and spitting up of mucous. ### REPLY: Thanks for your question on . I can understand your situation and problem. Mucus production in asthma patient can be due to1. Infection2. Poor control of asthma (lung inflammation and irritation)So better to consult pulmonologist and get done1. Chest x-ray to rule out lung infection.2. PUT (pulmonary function test) to rule out worsening of underlying asthma. If infection is present than you may need antibiotics. If worsening of asthma is there than you may need additional inhaler or increasing dose of pre-existing inhaler. So better to consult pulmonologist and discuss all these and start treatment accordingly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: How long does it take to find out if someone has cancer in their female parts my pap smear came back with abnormalities and I have better than double the number of cetain markers. My pap smear was done in April and I am having cerious pains in my lower abdomian and I have a hemmoragic cist on my left overy and a large cist on my right overy ### REPLY: Thanks for your question on . In my opinion you should consult gynecologist and get done1. Cervical biopsy2. Ovarian biopsy3. CT SCAN OF Pelvic are at higher risk of malignancy as1. PAP smear is suggestive of abnormal cells.2. Higher markers.3. Bilateral ovarian cyst. So better to get done CT pelvic and biopsy of cervix and ovary to confirm the diagnosis. Consult gynecologist and discuss all 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: my wife 56yrs old is having one stone of 1.3 cm in right kidney and 9m.m.stone at the end of urinary track .ct scan shows hydronefrosis in both kidneys.9mm stone of ur track is in left side..pl suggest treatment .email address is  YYYY@YYYY  help. ### REPLY: Good Day, and thank you for being with  ! The best way to treat the stones of your wife would be an ureteroscope procedure wherein we insert a small scope in the tube that connects the kidney to the urinary bladder (ureter). This would entail the use of a laser fiber to crush the stone on the left side and possibly putting in a stent to relieve the HY .  I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 horrible mouth smell..it is like taht all day..i have been to dentist and they said there is nothing to do with ur teeth..and then i thought it might be coming from my stomache..even thoguh i brush my teeth it smells hprrible..it smells just 10-15 mins after i brushed my teeth..i cant talk to people at all..can u pls help about that??thank u..i am 23 years old..82 kg and 1,73 cm tall.. ### REPLY: Thanks for your query, I have gone through your query. The possible causes for the bad breath could be the gum infection or deposits, pus discharge. Consult an oral physician and take an opinion to rule out these causes. These causes can be treated by getting your teeth cleaned and maintaining oral hygiene. If these causes are not there then, it can be secondary to respiratory disorders like sinusitis or gastrointestinal disorders. Consult a ENT and Gastroenterologist to rule out these causes. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear sir.  I have been suffering from upper abdominal pain from last 4 years I have tried every possible ways but could not find relief.  I have got done endoscopy colonoscopy ct ultrasound lft and other blood test also. All were normal. It my request to please advice me what should I do. I am really very concern about this.  I used to imagine that i have big disease . I will wait for your reply. ### REPLY: Hello, thank you for your query. As far as I can see there is nothing to worry if all your reports were normal. You seem to be having acid peptic disorder (And don't worry it's not a big disease). You should take a fiber rich diet (salads and fruits), whole grains, yogurt along with plenty of water/oral fluids. Avoid these 4 S:SpiceSmokeSpirit (alcohol)StressTake small frequent meals instead of 3 big ones. Avoid having constipation. If constipated, a mild laxative might help. Take a course of pantoprazole and risperidone (empty stomach) twice a day (for initial few days. Hope this was helpful. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,this lakshmi..today i had a TRANSVAGINAL SCAN..reports came as follows right ovary measures 35*29*32 mm--17cc left ovary measures 34*31*23mm--13.5cc no free fluid seen in pod.. i ve already decreased 12 kgs wieght when my doctor said i ve pcod ...my periods are regular now..but am enable to conciece...plz tell me weather i ve to decrease some more wieght...now iam 75kgs.. ### REPLY: Hello Lakshmi, First congratulations on the efforts you took and reduced 12 kg. Now you said, you are 75 kg. So, your ideal expected weight can be calculated only after knowing your height. You need to maintain BMI in 20-25 range. Now, your periods are regular, that is a good sign. But, for conception, I would suggest you to consult a fertility specialist and you and your husband needs complete evaluation and treatment accordingly. Hope this information is useful. Continue the healthy lifestyle. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 22 year old, i masterbating regulerly from 4 years ago. now i realise that i cant concentrate on studies and anything else. i am living in my own thoughts. i physically present but not mentally.my thinking power ,analytical power is become very poor . how can i recover the loss happens to my brain. how can i get my concentration back ??? ### REPLY: Howell come to ChatDoctorI really appreciate your concern, although masturbation is natural instinct and physiological phenomenon and of course this may cause physical and mental trauma if care being not taken, it has to be some limits and with well mental balanced, no stress, no functional conditions, it is advisable to stop this for some time before this could cause maniac disorders, hope this information 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: My son bought some new head phones and has only worn them for a day maybe two and now has red, itchy ears and a little on his cheaks and neck in small spots. The redness is raised a little almost into a rash. What can I do? I gave him one bynedryl and he is 11 and it has helped just a little. ### REPLY: Hi, Welcome to the ChatDoctorBrief answer... It is contact dermatitis. Detailed answer. Conntact dermatitis is hypersensitivity (allergy) reaction in form of itching and rashes. Since there can be different triggering factors like (clothes, jewelry, headphones, slippers etc.) which has to be noted down and avoided in the future. For itching and rashes he may apply defense . Tab.Belfast can also decrease allergic response. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i recently had a physical. i am 27 and 129 lbs about 5,8". My overall cholesterol overall was like 149 or 143. My HDL is 22 (low) and my triglycerides are 155 (high). then my vitamin D was extremely low. What health implications are posed here? Like what does this mean? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your triglycerides level is slightly high.  However, your HDL cholesterol level is very low. HDL is a good cholesterol.  It is protective in heart disease. Low HDL is an independent risk factor for coronary heart disease. You should take low fat diet with high amount of polyunsaturated fatty acids. Repeat your cholesterol level after a month. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was exercising today and my chest started hurting around my sternum. This wasnt the first time Ive felt this pain but I cant seem to find a reason for when it hurts and when it doesnt. During the exercise, I was pulling my shoulders back and widening my chest. ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. So better to avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Take painkiller and muscle relaxant .  Apply warm water pad on affected areas. You will mostly improve in 1-2 weeks with all these. If not improving then get done chest x-ray and ECG to rule out lung and heart related diseases. 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: I have had pain, some severe, and numbness in my left anterior thigh along with swelling of my entire left leg I have had a CT scan of the lumbar spine and an MRI of my lumbar spine which were both negative. The pain is worse at night when I am sleeping and it wakes me it is so severe. Also if I walk too much or sit too long I have pain. I have seen 3 doctors and they all seem to be stumped. I am having an MRI of my abdomen on Friday to see if there is a mass in my abdomen pinching on a nerve. I have been having this problem since the middle of December. ### REPLY: Hi, As you have mentioned, one of the causes would be a radiculopathy. However, I think since the MRI is negative, another possible because that needs to be ruled out is a neuropathy- an isolated single nerve involvement, called mononeuropathy. I agree with the testing of the MRI abdomen. However, I think you should also be tested with a Nerve Conduction study of all 4 limbs-sensory as well as motor. This may need to be followed by a nerve biopsy. 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 Here are the details of the surgery my father had undergone : admitting diagnosis : coronary artery disease, recent itferior myocardial infraction,s/p PTCA to RCA (Sep 2011) ,total rupture of posterior papilary muscle of the mitral valve, severe refractory pulmonary oedema,s/p atrial septostomy, cardiogenic shock with iabp support,normal sinus rythm,severe pulmonary artery hypertension,nyha class iv. final diagnosis : s/p emergency mitral valve replacement with 29 size medtronic hall tilting disc prosthesis done under cardio pulmonary bypass on 8th Sep 2011 course in hospital : patient was admitted with aprovisional diagnosis of total rupture of the posterior papilary muscle with severe refractory pulmonary odema in NYHA class IV and on IABP.the patient underwent emergency mitral valve replacement with 29 size medtronic hall tilting disc prosthesis done under cardio pulmonary by pass on 8th Sep 2011 the intra operative and immediate post operative period was uneventful the post operative echo showed : mitral valve prosthesis well seated,triv leak , mitral valve gradient -6/4 mm hg, no aortic regurgitation,triv tricuspid regurgitation,right ventricular systolic pressure 30 mm hg, no pericardial effusion,good left ventricular function . could you please advise me the precautions /preventive measures / restriction in dialy life style for this ### REPLY: First whatever medicine are prescribed should be taken on regular basis without default. Healthy lifestyle, brisk walking, low salt, sugar and fat diet. Avoid addiction. Patient must be some blood thinners for which he must have been advised test of INR which should be maintained between 2.5 to 3.5. This is important if INR is less than 2.5 then there is risk valve beings tucked and emergency presurgery and if more than risk of bleeding. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 baby is two year he got cough and cold from 2 months its coming and going...... yesterday nite he was restless and dint sleep today i took him to doc she said this may be asthma :( so i m worried ...pls help meand in our family no one has asthma or any lung diesease pls tell wat it could be ### REPLY: . Hi... Thank you for consulting in . Greetings from Chennai. Less than 5 year old kids cannot be labelled as asthma. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. 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: pain seems to originate from center of my back, between shoulder blades. when i breathe a deep, sharp pain is felt. the pain seems to be inside, not just surface muscles. i think of a belt wrapped around my my upper back that hurts wherever it would expand, the front and back all at once. ### REPLY: Hi Welcome to  I have gone through your query and understand your concern. You are likely to be having pleurisy. Treatment of it is rest, analgesic and breathing exercises. If you have fever then you need to take antibiotics. You can get your chest exercises to rule out chest related causes. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i had dengue fever 2 months ago...and now i am losing a lot of hair...is it because of that fever??.. i have started using Minoxidil 5% Topical Solution but i am scared of facial hair growth as i am a woman. is there a better way to treat hairloss...please help. ### REPLY: Hi.diffuse hair loss after fever or any prolonged illness is known as halogen effluvium...start taking biotin 10 mg daily along with iron and calcium supplements daily at least for 6 months...this condition gets reversed by itself with oral supplements and there is generally no requirement of topical minoxidil if it's not severe or much visible. If you wish to use some topical therapy use minoxidil 2 % topical solution as it won't cause unwanted hair growth. You will get good results with above prescribed med in 6 months time...thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pain in my right ankle when I walk. It s at it s worst when I first start to walk after sitting or laying down for awhile. After walking for awhile it feels alot better. sometimes it feels like there is nothing wrong. What in the world could be the problem? ### REPLY: Hi, doesnt seem to be a bigger problem. Why don't you try looking for some simple blood test to check out your uric acid levels. You can even meet up a physical therapist who can help you learn some simple lower limb strengthening exercises and your problem will come down. Simple exercises and simple care taken can avoid any bigger issues in the near future. Wish you a speedy recovery and a good Health. 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 just started have chest pains about 3 hours ago and I know bronchitis is going around could those chest pains be the start of it if so is there anyway I can catch and take some type of meds. To make it go away I m going camping in Kentucky in about a week so if I could I need to get it gone before then ### REPLY: Hi, The term bronchitis is applied to inflammation of smaller airways and can cause chest pain. Most cases of acute bronchitis resolve without medical treatment in two weeks. Common medications prescribed to treat bronchitis includes antibiotics, cough medicine and bronchodilators which are medications to reduce inflammation and open narrowed airways in the lungs. As you are camping outside, the following precautions may help a quicker recoveryAvoid lung irritants like smokers a humidifier if availableWear a face mask outside ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had surgery on my right knee, I had a displaced tibial plateau fracture and a tear in my meniscus. I had two screws put in and I m almost six weeks out of surgery. I m a gymnast and thats how I injured myself. I would really like to go back and my doctor says I will be able too. I started physical therapy. I m still on crutches with little weight baring onto my leg. I want to know how long my recovery will be until I ll be able to go back to gymnastics doing what I used to be able to do and what I can do to help my recovery. Any other useful information would be great! Thank you. ### REPLY: Hello, I have studied your case history. For intra-articular fracture to unite it will take around three months time from date of operation. You will need X-ray of bone where implant is placed. You can also send x-ray photo on my profile. You need to increase weight-bearing gradually. 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: Are there early symptoms of a brain aneurysm? Sine 5/2, I have had little stabbing pains in the left side of my head; for the past few days, in addition to the stabbing pains, I have had aches in that area w/ occasional aching in my upper left palate. This occurs off & on during the day. No ache or pain is severe but I shouldn t be having them at all. Brain tumor symptom, mayb3e How long should I go w/out getting my head examined/ LOL! I am a 71 yr old woman in good health except for my afib, which is being controlled by meds. I do have high BP but the diltiazem I take to slow down my heart controls the BP. G ### REPLY: Hi, I am . The symptoms you describe are more likely due to irritation of Trigeminal Nerve by a loop of blood vessel. Chances of aneurysm are quite low based on what you have written It is better to consult a neurosurgeon at once and get proper evaluation If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, it is about 16 months that my son who is five and half years old has lost his ability to speak, he does not have a good appetite, he eats very little food, and cries a lot during the day and night. I would like to seek your assistance in this regard, though I have taken to doctors many time but no improvement is observed. ### REPLY: Hi.... I understand your concern. I have few questions and suggestions for you -1. What is his birth weight and current weight?2. When did he start walking?3. Did he cry immediately after birth or did he require any special assistance to take the first breath?4. How long does he see television or tablet or cartoons per day?5. Did any one of the parents had a speech delay as child .  How many words s does he speak as of now- I mean his vocabulary consists of how many words? Suggestions:1. I suggest you are doing great by singing rhymes to him.2. Do not use tablet or computer or TV or laptop for doing that.3. Do not force him too mucChatDoctorparing him with others.4. He might get benefited by speech therapy, but before that kindly get back with the answers to my above questions. If you need any future medical consultation and suggestions, I will be glad to help. You can approach me at the following link. Please find the link below.www.ChatDoctor .com/doctors/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i started 3 days ago with swollen neck glands(right side painful and evident) then midday thurs my mid back started hurting and got wicked headache. woke up  friday w swollen gums bloody and sore and now have a kanker soretoo. a fewnight sweats and joint pain in hands/wrists.. what is this/ ### REPLY: Hello, I read carefully your query and understand your concern. Swollen neck glands can be related to enlarged lymph nodes These lymph nodes are usually related to an infection in the system. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the inflammation. I also recommend gargling with salty water. If the symptoms continue, a physical examination is needed. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir My daughter is 1 years & 7 months old and since the last 2 days she is having severe stomach ache/abdominal pain with High Fever irregular & constipated stool (No Vomiting & Diaorhea). Her atppetite has gone down considerably. Some other key changes observed are: 1#. Suddenly she has taken aversion to Water, be it to drink or to wash/sponge body;whereas earlier we had to try real hard to get her out of the Bathroom 2#. Give her anything that she normally likes/loves and she throws it down. 3#. Her Head is very hot compared to entire body. Please suggest ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your daughter is suffering from abdominal pain and high fever which seems to be due to viral infection and due to lack of fibers in diet leading to electrolyte imbalance in body. Need not worry. I would suggest you to visit pediatrician once and get it examined. You should get blood tests done and start treatment after proper diagnosis. Take diet rich in fresh juices and fruits. You should give your daughter complete test.  .  You should take anti-allergic medication along with proper course of antiviral along with Ibuprofen. Do tepid sponging as well to lower down fever. Avoid intake of outside food and avoid sharp and spicy food substances. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been having heartburn frequently sharp chest pains and like someone is sitting on my chest and i have a lump under my chin it hurts but not like having a sore throat or strep its a burning sensation in my throat kindda do i have reason to be worried? ### REPLY: Thanks for your question on . In my opinion you are having HERD (gastroesophageal reflux disease) mostly. But better to rule out cardiac cause first by ECG. If ECG is normal than you are having HERD mostly. It is due to laxity of lower esophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause heart burn. Try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food 2. Avoid large meals, instead take frequent small meals.3. Avoid stress and anxiety.4. Take proton pump inhibitor.5. Go for walk after meals .6. Keep 2-3 pillows under head in bed to prevent reflux. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having problems with landing in emergency periodically with rapid heart rate and my blood pressure sky rocketing. Have periodically cool spells and feel tired. Wondered if it could be my thyroid causing me problems . I have been on thyroid medication since I was 21 years of age. Now am 81. I take 50 miligrams of metoprolol twice daily, plus 25 miligrams of aldactone once daily. ### REPLY: Thyroid issue can cause the symptoms you described, the increase in heart rate and BP can be when thyroid function is increased, while cool spells and tiredness due to decreased thyroid function, however both cannot occur together.  Its is wise to do free t3/free t4 along with TSH to exactly titrate your thyroid medication.  Also, at 81 simultaneous essential hypertension is very common which may result in your blood shooting up, this needs to be ad .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i m 27 female years old suffering from bone tb dieses, i want to know that what are side effects of rcinex400mg tablets on my colour complexion, whether i should take multivitamin or not. i have come to know that tb patients can concieve in future. ### REPLY: Hi, R-cinex is a combined medicine (rifampicin+ isoniazid) commonly prescribed for the treatment of tuberculosis. Common side effects of rifampicin include orange discoloration of the urine / saliva / sputum, flu like symptoms, and liver dysfunction. Common side effects of isoniazid include peripheral neuritis, hemolysis, and liver dysfunction. You should take vitamin-B6 containing supplements to prevent isoniazid associated peripheral neuritis. Yes, you can conceive while taking these medications as they do not cause any harmful effects on your unborn child. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Mom is having fever since yesterday with headache and body pain. Today one doctor suggested malaria test + complete blood count test report says there is no malaria but the doctor is saying that there are some symptoms of Dengue. Can you suggest some advice. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of fever, headache and body pain this seems to be viral fever or flu. Need not worry. I would suggest you to 1) Take anti-inflammatory medications such as Ibuprofen to prevent fever and body-ache.2) . 3) Do warm saline gargles.4) Take analgesic such as Flexion and take light diet. Your symptoms will resolve in 3-4 days. If symptoms keeps on persisting visit general physician once and get it examined and start treatment after proper examination and prescription. Go for blood tests as well to find out exact pathology. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was feeling fine yesterday, when all of a sudden I felt a sharp pain in my lower back/rib area. I didn t lift anything, fall, hit the area or anything. It doesn t hurt to bend over, but when I try to stand up straight, it brings tears to my eyes. It also feels like spasms and stabbing just to the right of the center of my back. ### REPLY: Hi, Welcome to , It seems that you have got spasm of your back muscles might be due to some unusual movement at back during sleep. This gives problems aggravates while stand up due to movement muscles go in to spasm. Apply some muscle relaxant cream like Relay. Take some analgesic with muscle relaxant medicine will give relief within a day or two after spasm will be released. Ok and bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a root canal 17 days ago and feel a numbness and tingling my chin and lower lip where the root canal was conducted.  What is causing this numbness and tingling and when can I expect it to go away?  My Dentist prescribed Methylprednisolone and antibiotics. What will these drugs to do resolve the situation?  Thanks ### REPLY: Hello, As per your query, you have symptoms of numbness in chin after root canal treatment which seems to be due to traumatic injury or nerve injury which occurs while needle insertion, and it could be due to allergic reaction to anesthesia. Need not worry. I would suggest you to visit oral physician once and get complete examination done. The doctor can take x-ray of tooth to check underlying infection. You should visit allergy specialist once and go for allergy testing for anesthesia and start treatment accordingly. If it is due to nerve ending injury it will take time to recover. 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 from philipinnes.and i working here in hkg.i just want to ask my 1 yr old grand son, 2x already found a small worm in his stool,is it the food,milk or he swallow some dirt things ,hes very active baby,i just want to know what medicine i can give to him. thank you very much and god bless ### REPLY: Usually, worm infestation of this kind is due to ingestion of worm eggs with food or when they are lodged inside the untrimmed nails of a child. These are most likely pin worms. The adult worms reside in the children gut and after the female is fertilized, she emerges out of the anus at night to lay her eggs. This routine produces anal itching, which the child does to relieve his itch. The newly laid eggs then get stuck inside the children. If he does not practice proper hand-washing, the eggs will be ingested with his next meal, and these eggs will give birth to new babies inside the children gut. To treat pin worms, give a 3-day course of MEBENDAZOLE 100 mg twice a day after meals. An important thing to do is to REPEAT the same course after 15 days. Mebendazole is available world-wide in the form of a syrup (suspension) as well as chewable and normal tablets.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a sore on the side of my tonque for many months..two doctors have looked one biopised it..not cancer But still there and painful .there is a tooth on that side that I just found out needs to be pulled...how do.I know What else causes it? ### REPLY: Hello, Thank you for consulting with . There are many causes of sore on the tongue it can be authors ulcer or a traumatic ulcer. Apthous ulcer does not occur at the same place, they keep on changing the area, and they are recurrent. If the ulcer is situated at the same area on the tongue, and even you are mentioning that you have a decayed tooth then it can be a traumatic ulcer only which is caused by it. Better you visit a good dentist and get it extracted. Hope it 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: how to last longer in bed for men naturally free  semenax and volume pills  cliahttp giver  wearing boxers to increase sperm count  how to make nail polish last longer on natural nails  sperm count more than 100 million  aniversarea rhizome  pills that change the taste of your sperm  steyn floydboe  what is the name for low sperm count  puso hbnetwork lester  volume pills price in philippines  natural foods to help you last longer in bed cure premature ejaculation proven methods to stop premature ejaculation  want to get pregnant but husband has low sperm count  fattadopo ebony luisteren  vitamins that help with low sperm count  sole privinsert martrag  what to do if u have low sperm count  hopeless others guestbooksun  what are my chances of getting pregnant if my husband has a low sperm count  winnings pauljensenz factoring  things to eat to improve sperm count  vorbeasca fachgeschaft egyhazat  what can a guy do to raise his sperm count  politici priests  tramite rosin   latihankoord vanishing  attila foregoing ### REPLY: Hello dear you need not to worry, I am here to help you out in the best possible way this could be due to any of following conditions 1. Hormonal imbalances like low testosterone2. Poor nutrition3. Stress and anxiety 4.hostile environment for sexing my opinion you should try to rule out these possibilities one by one like spend more time in foreplay make a conducive environment for Sexton take too much stress and don't fear about performance anxiety avoid smoking and alcohol have good balanced diet with multivitamin supplements Hope this helps you please feel free to ask for more clarification I will be happy to help you regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 28 healthy male currently deployed to Qatar. I noticed a rash around my genitals and it itches really bad. This has never happened before. I haven t been sexually active for 6 months. The rash is in the creases of my legs, on my penis and my scrotum sack. What could this be? I have also had throat soreness along with neck, and jaw pain. ### REPLY: Hi! Sorry to inform you that you got some infection that needs immediate medical attention it might cause infertility in future! As per your description, I would like to consider few possibilities in your case as follows:1. Genital mumps infection2. Systemic viral infection3. Fungal infection around scrotal region Therefore you some tests, clinical examination and necessary steps; please see a physician right now!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: husband was on operating table for an aortic replacement valve. Went under anesthesia and suddenly his blood pressure went down to 40!! skin became red Had to stop. told us he was allergic to vecuronium (muscle relaxer) they think !! Now we need to find out what drugs made his allergic, this vecuronium or something else. Have a list of 20 meds they gave him before, during and after surgery. Our surgeon cannot find an allergist that can test for these drugs. Where do I go. Wonder if the Anesthesiologist did something wrong and Doctors are covering up. Waiting two days and doctors have no answers for us. I live in Florida, Port Orange. Have you ever had a case where you could be allergic to this. So dangerous for any patient to undergo this and it could have been fatal. ### REPLY: Hi, Hypersensitivity associated with histamine release leading to allergic reactions may occur, and in rare instances, life-threatening anaphylaxis (causing hypotension) may occur with europium.  In general, when compared to other neuromuscular-blocking agents such as pandemonium, rocuronium or atracurium, the safety profile of europium is favorable.  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: blood pressure im 21 i recently started taking atenolol because my blood pressure was high for three days in a row i honestly believe it as anxiety my blood presdure has been 90 over sixty since i started so my doctor told me to cut my 50mg to 25mg my bp lowering my does has caused me to have some mild chest pain and my bp moniter says my heart beat is irregular what should i do checked my bp now it was 127 over 50 ### REPLY: Thanks for your question on . I can understand your concern. Yes, stress and anxiety can cause hypertension. In fact these are the biggest risk factors for hypertension in young age. Atenolol is beta blocker. It can not cause chest pain or arrhythmia. In fact, it is given in some arrhythmia. In your case, stress management is very important to control blood pressure and arrhythmia. So better to consult psychiatrist and get done counselling sessions. You may need anxiolytic .  For arrhythmia, get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). On the basis of reports, you will need anti arrhythmia  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diagnoised with neuropathy over nine years ago I was given a nerve stimulation test 3 times on each leg nerves so damaged ICOULD NOT TOLERATE IT so the nerologist told my MD he would not put me through that again after many med tries I have had good results with duragesic patches on a 24/36 hr schedule along with xxanax I also am w/c bound with arthritis and now for some reason neuropathy has become uncontrolable with the xxanax not holding for more than 2-21/2 hours may doseage of xxanax is 1mg every 4 hours 7 x per day my MD doesn t have faith in what I say and neither does my family my husband does to some intent it scares him if stuff makes me sleepy but lately it has no effect. please help ### REPLY: Hello and welcome to . Thanks for your query. 7 tablets a day of Xanax is definitely excessive and indicates that you have developed an addiction / dependence on the medication. You must remember that long term use of benzodiazepines, like Xanax can result in "tolerance" to the medication - which means that progressively higher and more frequent doses will be required to produce the same effect.  So, increasing the dose is not only dangerous but will just push you into more dependence. I would advise you to consult a psychiatrist for further help in coming off the Xanax, and planning other treatment strategies to tackle your chronic pain. Wish you all the best.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am scared.  The dentist said to have my teeth cleaned and insisted they be scaled.  I have never had this done before.  I hear that scaling hurts a lot. I read that two studies had shown that scaling was of no use, was intended only to fatten the dentists pocketbook. The dentists assistant called to say she would have to scale my teeth because just cleaning them would be too dangerous.  So I said to cancel the appointment.  What should I do? ### REPLY: Hello, Thanks for your query. No, none of these procedures cause any discomfort. If you feel any sensitivity or unpleasant sensation on your teeth, inform the dentist. Bleeding may occur during scaling if the gums are already inflamed. However, it is transient and stops soon after the procedure. You may not even know that your gums are bleeding. There are no side effects associated with scaling and polishing. In fact, it should be made a practice to do it once in six months. You will feel the difference soon after the completion of the procedure. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve had a kidney infection before (about two years ago) currently my back and side hurt (it s just the lower right side of my back and my right side) It burns when I urinate and it smells a bit. I think I may have another kidney infection, but my arm has been tingling as well. Could they be related? ### REPLY: HAI, As from your query it seems to be a urinary tract infection possibly because of some kidney stone also. Kidney stone will hurt the back .but there is no direct relation between tingling sensation in arm and kidney problem. Tingling sensation in arm may get other cause like neurological cause too. Kindly do urine routine urine culture and ultrasound abdomen and visit a physician to rule out the cause. Regards . Senthilnathan ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 was dx with systemic viral infections with reactivation of EBV, HH6, HSV, Cytomegaly too. Probable viral meningitis. chronic migraine since 2009. Episode of Mono 12 years ago. I m taking 1gm of valtrex daily and was told to go up 2gm for the next week. Today, my lower back started hurting just above my hips I equal on both sides. Constant pain which sharpens occasionally. I am an otherwise healthy active 49 yo female who works as a full time business office director in a hospital. I need answers and I need to get over this. Recommendations on a specialist in this area of medicine? ### REPLY: First as 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 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. Also, I will advise you to sleep on plain surface for some time as it is very helpful in case of back pain. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 got treatment of hcv genotype 3A upto dec2009 after negative reports i checked on sgpt it was normal till end of 2011 , in march 2013 i got tested gain, SGPT is 47 and SGOT is 39 , note : my weight has been increasing so far and i took omeperazole 40mg before testing now. what could be the possible cause my age 38 height is 6 feet and weight is 104kg ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist (DM). Increase in weight may be due to hypothyroidism which may developed due to interferon therapy. Or it may be due to general well-being, improvement of appetite. Also increase in GOT and SGPT may be due to increase in weight. So it is advised to get your lipid profile, thyroid function tests, Ultrasound abdomen to see for liver echo texture and blood sugar I hope I have answered your query and this will help you. Remain in touch and get-well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dark spots on my legs and  arms due to scratching and itchiness of the bite of some insects SINCE WHEN I WAS YOUNG. Until now, I am shy to show up my legs because it has some black spots that is inappropriate to see. What would i do DOc? What product is best for mr or natural therapy to relieve this. I want a flawless skin in my legs and arms. ### REPLY: **1. Dark spots could also be inappropriate because of fair and sensitive skin (which might be in your case), also menstrual history should be taken for any irregularity.2. If they are resistant to treatment, you should visit a Dermatologist regarding the same.3. Avoid exposing the area to skin as it will lead to further darkening of the skin.4. .take radish seeds and crush in cows milk and apply. Soybean extract, which is thought to reduce the transfer of pigment from melanocytes to skin cells (keratinocytes) and inhibit receptors. Good sunscreen (around the clock). Pelagic Acid containing food items ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 stinging pain which feels like its at my cervix. It feels like burning or babies head is acting like a corkscrew on my cervix. I am currently 39 weeks pregnant and have no uti s or anything like that but I get it everyday and its happens when baby moves and I have to end up moving to get rid of it. Can you tell me what it might be please? ### REPLY: Hallow Mummy to be, It seems you have started feeling the symptoms of initiation of labor. If this is your first pregnancy, the cervix gets prepared by getting merged in to the uterus. This is giving you the feeling you are getting. Moreover, the head of the baby is descending into your bony passage of the waist. Therefore, you are feeling pressure in the lower abdomen. In first labor, these things happen before you actually land in labor. You be prepared to receive your baby now. Probably you will have to go to the maternity hospital within weeks time or may be earlier. Wish you a bonny baby, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 m y gallbladder was removed 18 years ago never had any problems after that whatsoever.....the past week however I have been getting extreme pain and bloating in the upper stomach area, together with terrible burping and gas.....happens especially after eating anything and during night as well........have been taking Gaviscon and it seems to help sooth the pain for a while..... ### REPLY: Hello, Thanks for the query to . Forum. I would come up with these possibilities for these symptoms, This includes.1 The first possibility is of peptic ulcer disease (hyper acidity) . Diagnosis can be confirmed by Upper G I endoscopy. Try raising the head of you bed about 4 inches with blocks. It might also help to avoid eating or . To help control stomach acid one should not  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: a coworkers wife sitting on the couch had a sharp pain in her shoulder, scapula, and under her breast on the left side. Can move through ROM at her neck and shoulder. No Shortness of breath, worse with sitting and standing better laying supine. should she go to urgent care for cardiac issues? ### REPLY: Hello, Regarding your concern, I would explain that her symptoms do not seem to be related to the heart.  In my opinion, as the pain is modulated by body position, it could be a musculoskeletal pain.  For this reason, I would recommend just having some rest and taking ibuprofen for the pain.  If the pain does not improve in the next hour, I recommend going to the ER for a physical exam, a resting ECG and cardiac enzymes.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was told I had an inflamed Fallopian tube at birth and it was posed to be taken out. Now I have a 32mm cyst with free fluid in the same side on my ovary. The right measures 38, left 48, and cyst 32. With free fluid. What Does this mean? Could this be cancerous? ### REPLY: Hi and welcome to . Thanks for the query. This is moderately large cyst, and it is hard to evaluate is this cancerous or not because the size is not the only factor which indicate malignancy. Some other ultrasound features can help us to determine malignancy. However, most commonly such cysts are benign simple functional cysts and all that is needed is frequent ultrasound follow up. Wish you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Sherry l am 59yrs old and was recently diagnosed with reversal of the lord is.dextroscoliosis in the mid upper thoracic spine, stenosis and osteophyte formation near my spinal cord. My Dr suggests a prosthesis because of this. What are your thoughts. This is most evident at T7-  T11 ### REPLY: Dear Sherry as the problem is on more than one thoracic vertebra surgery won't be helpful. I would recommend you to undertake two spinal magnetic resonance between one year to see the changes. In the meantime you should hold a thoracic fortress to protect you from injury. You have to be sure if there is any spinal stenosis because that is the only problem which need surgery. Any other problem is treated conservatory, with oral medication. Wish you all the best ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ok...doctor i am suffering from hairfall problem from last 2 yrs....i have nvr taken any medicine till date but now the problem is very serious , i have lost half of my hairs  and now i am taking follihair tablet . 1 tablet daily....will it be useful and is there any side effects of this tablet ### REPLY: Hi. I guess you have not consulted a dermatologist and the cause of hair fall has not been established yet. There are many reasons for hair fall and the cause needs to be established for a proper treatment. Collinear is a biotin supplement and is modestly effective in controlling hair loss due to halogen effluvium. It has limited role in hair fall due to other causes. Collinear, being a supplement, has fewer side effects unless you use it for a pretty long time. Hope your queries are answered. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Baby is almost 6 weeks old and is bothered by a lot of wind. He always seems very uncomfortable and seems to strain a lot when passing wind or doing the toilet. We are currently using Colief in his bottles but it doesn t seem to be working. When he has dirty nappies there is small white blobs in it. They resemble curdled milk. Please can you advise. ### REPLY: Hi, First congratulations on your baby. I can understand your every concern related to your baby. Usually all infants produce lot of gas and strains, grunts, turns their face to red while passing stool, and it is absolutely normal. Their stool texture will be continuously changing, so unless there is very hard pellets like stools or blood tinged stool, there is nothing to worry. I had the same experience with my baby. It is hard to see your newborn baby turning red, crying, grunting, straining while passing stool, but this will remain only few weeks. What has helped me during those days are - Giving tummy massage or exercise 3 -4 times/ day and while passing gas or stool, burping after every feed? Even Colic aid didn't work for my baby. Giving 2.5 ml of gripe water has helped sometimes. Don't worry, as far as your baby is gaining weight, passing urine and stool frequently. Continue exclusive breastfeeding for 6 months, that increases babies immunity and also reduces the chance of constipation and diarrhea. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just fell about an hour ago on my right side.  Seemed that my upper (right) arm took the fall.  No pain in rasing arms, however I do have pain under right breast (rib area) and on the right side of my breast.  Painful when making any quick movements. ### REPLY: Thanks for your question on . 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 rib fracture, or it could be just a muscle pull. Do not lift heavy weights. Possibility of musculoskeletal pain is more. Ibuprofen is anti-inflammatory. You will definitely improve witChatDoctorbination of painkiller and muscle relaxant .  Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. 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: My abdomen was cramping really bad. To where I couldnt think straight. I thought maybe I needed to use the bathroom or was about to start my period. When to the bathroom only thing that happen was cramps getting worse and slowly started getting nauseous. Got up to go to the living room, took bathroom trash can just in case I threw up and started getting dizzy and cold sweating. I grabbed my phone and hurried back to the bathroom and hurried to the floor. I set there for a couple mins then got back on the toilet and ended up using the bathroom. What is wrong with me? ### REPLY: Hi ! From your history it seems that you have got into a food poisoning either by eating unhygienic food from outside or by consuming some stored food at home which without your knowledge has become stale. This is why you had cramp in your abdomen followed by nausea and sweating with dizziness which possibly was vast legal reaction to the sensation of pain due to cramping. It got settled when you went to the floor. At the end you went to bathroom, although you did not mention if you had loose stool or not. Although there are several other causes of cramping abdomen with nausea, I will suggest you to visit your family physician to have on the spot clinical examination of your abdomen and possible antibiotics and antispasmodics if he agrees with my provisional diagnosis. Wishing you an early recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, today my husband noticed a rash, were are here looking at it now. It is on his pelvic area, inner thigh, and part of the shaft of his penis. It is red, blotchy is some spots, swollen, warm, itchy, and tender. It wasnt there this morning and by late afternoon he noticed it, but being a man didnt say anything unroll I noticed him scratching and asked why, and then to see it. We have been in a vomited relationship for four years and havent had intercourse it about a week. He has no health insurance and hospitals and urgent care centees charge $150 upfront,I outlined the rash to monitor it, but am rather concerned about the serverity and rapid development.  help please! ### REPLY: Hello Welcome to  forum. Thank you for your query. I understand your concern regarding your husbands skin problem. It looks like fungal infection or intertwine of skin. He needs to apply clotrimazole cream with mild steroid. Tell him to keep the area . For itching, he can take antihistamines medicine. Ask him to wear loose and cotton cloths. It is better to consult dermatologist for proper treatment. I hope I answered your question. Let me know if you have any further query. 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, our 3 month old son has been diagnosed wit Carolis syndrome,my partners dad passed away from liver problems and we know that it is genetic,my partner is been checked for the same thing but we want to know if our son is going to suffer the same path as my partners dad? ### REPLY: Hi I can understand your concern... Yes, Carol disease is genetic disease. It may be simple dilatation of bile duct, or it is associated with hypertension and fibrosis known as Carol syn . .... Let me know you condition is dangerous .you can consult surgeon for treatment.... Ursodiol can be used. If limited to one lobe then lobectomy might be done. Liver transplantation is also another option... Patient usually die by complications like repeated cholangitis.... Death usually within 5 to 7 year according to various literature... 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: The tip of my tongue is very irritated and it is incredibly painful. My teeth are also sore. Especially when I bite down, even if Im not biting onto something. If I clench my jaw, ALL of my teeth hurt. They almost feel loose. I also have a very sore spot on the inside of my bottom lip in front of my teeth. Right about where the tip of my tongue hits the inside of my lip. Does anyone know what could be causing all of this? Does it sound serious? Also, if anyone has any suggestions about what to do about the pain? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have itchy sores on your tongue along with pain when bite your teeth. Well the symptoms you mention in query can occur due to many reasons like burning mouth sum .  It can also sometimes occur due to problem in temporomandibular joint and acid reflux. I would suggest you to consult dentist for proper examination and to find out exact cause. Doctor may perform oral prophylaxis and may refer you to oral pathologist depending upon the diagnosis. For now maintain proper oral hygiene, do warm saline rinses, avoid hot and acidic food and use or abase gel for itchiness. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My dad just told me a few nights ago he has throat cancer... Has known for over a year... Didnt want to worry me... Now that he has Lump size of a golf ball on outside of his neck and has had lump in his throat ... He has let me know... Will not be getting treatment... Told drs months ago he wouldnt treat it... Im packing and going to him in a couple days... With having it for over a year... His physical symptoms... Also very tired... Can I expect months or years with him?? ### REPLY: It depends on from where the tumor is arising and in what stage it is in, type of tumor etc. to predict the prognosis. One thing is that all tumors have to be treated, and it appears a slow growing types as he has it for a year as you say-nevertheless persuade him to treatment for good quality of life and indeed modern treatments prolong life too few years-.and all treatments are affordable nowadays ### END