Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 first of all, I m Paola, i need help urgently. I m 18 years old and I ve just started college, my boyfriend and i think i m 2 week an 3 days pregnant, we are scared to go to a doctor, because of what might people say in my town as everyone know each other. So I ve been having this weird symptoms which i don t know if they are normal and they ve just started 3 days ago, first: -i bleeded a little dot on my panties -then i went to the bathroom and pee and a little brown mucus came( i read its normal during pregnancy and that its also normal during my ovulation time but it has never happened to me) -then today i went to exercise and when i got back home i had a spot again on my panty and again a mucus came out but it was white. my boyfriend and I have accept the fact that its a big responsibility this child, and we are going to have it if i am pregnant, and we have great illusions and i don t want to miscarriage, cause it will destroy us and also make me very ill as i am an anemic person. I would like to know what do you suggest we should do, we really don t want to go to a doctor until we know i m pregnant and i don t trust pregnancy test. Thank you, please please answer asap ### REPLY: Hello dear, I understand your concern. In my opinion the confirmation of pregnancy can be done by 3 tests like urine pregnancy test, serum B  and ultrasound. The first sign. Of pregnancy is missed period. Other signs of pregnancy are nausea, vomitings, increased urination, sore breasts which start 2 weeks after missed period or around 6 weeks. The spotting just seen around the expected date of period can be due to implantation bleeding in case of pregnancy. As you don't want to go to doctor only way to confirm pregnancy is doing a urine pregnancy test by yourself. This test usually gives accurate results a week after missed period. So consider doing the test. The spotting in case of pregnancy might suggest abnormal pregnancy like miscarriage due to hormonal abnormalities. Nothing to worry. If the cause is corrected it can be prevented. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi My daughter is 3 n hlf minths old and is weighing 5 kgs.she is a full term baby with birth weight of 3.12 kgs. Her weigt @ 45 day was 3.7 and on 2 n hlf month was 4.6 kg. She is generally active but is not putting on appropriate weight . Doc has suggested Rubired syrup and multivitamin n multimineral supplement. She excl.breastfed. Pls suggest wethrvi should go ahead with prescription for her weight gain. Thanks in advance. ### REPLY: Hi thanks for posting your query in  In my daily practice I many times see such weight pattern. Thing to note is babies weight gain is poor till 45 days of age. After that age she is gaining normal for her age, I mean it increased from 3.7 kg ti 4.6 kg in one month from one and half month to two and half month. And again she gained 400 grams in next 15 days. I would also like to know her length and head circumference. Regarding supplements if her doctor is if opinion she needs, can be given. Regarding initial poor weight gain had there been any feeding problem. At present gain in weight , there does not seem any reason to worry. Hope I answered your query revert if you have any other query 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 period ended on 25th november ... I have done unprotected sex on 26th nov at night and taken unwanted 72... 28th nov in morning at 4 am... but again I had unprotected sex on 3rd dec. Now I m worried that shoud I take pill again or should I wait 4 periods to come ... plzzz help me fast .... ### REPLY: Hi, thanks for writing. I pill will be effective only for that cycle. The sexual intercourse in 3rd DEC a repeat dose will have to be taken since you are in your fertile period assuming it as a 28-day cycle. Take an alternate contraceptive measure instead of repeated use of I pill. Hope I have answered your query. Feel free to ask any doubts through http://doctor.ChatDoctor .com/doctors/ .  Good day ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had pain in my chest rib near the sternum  (maybe Costochondritis) after I had been weight training a new exercise. recently I noticed my lymph node in my left arm swollen and my arm feels weak ocassionally. This has been going on for about 4 months. ### REPLY: Dear Friend. Welcome to . I am . I have read your query in detail. Furthermore, I understand your concern. This can be due to an infection. It should be examined and if it is simply an abscess, you should be given a course of antibiotics like Augmenting. If it still persists, You should get a FNAC of that area, to be sure of the diagnosis. This is my best advice for you with the available details, if you have any further query, please ask us. Stay Healthy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 having extremely bad pains on my sides...cant sleep on either side and feel a popping sensation under my left kidney.  i have had a copper coil fitted in. It has been 7months was ttold after a screening test that i have pelvic imflammatory disease was given antibiotics but had a bad reaction to them so couldnt compplete the course. I have been in my lower back thinking could it b my kidneys ### REPLY: Hi welcome to  forum.  Thanks for choosing . F.  It appears to be the pelvic inflammatory disease, along with renal Lithuania, (kidney stones) urinary tract infection.  When you find the .  He will give you a medicine which suits to you. If they are gastric irritant you can use P.P.I, and antacids to combat gastric irritation with your doctors advise.  The copper coil also may be the cause of resistant infection. The removal can solve the problem.  Wishing for a quick recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear doctor, early this year,  my Dad age 61, he has been diagnosed with eosinophilia, report shows Acidophilic Cell %: 9.4, above the healthy range (0.5-5%), Absolute Value of Eosinophil: 0.73 above the healthy range (0.02-0.5X10^9/L). Top Chinese hospitals have held a few consultations, however the cause cannot be found. 2 years ago, he starts to get red dots mainly on arms and legs, then dots expand to bigger circles and then disappear. In the mean time, he also gets tumour under skin, mainly on legs, arms, neck and forehead. Looking forward to hearing back from you. ### REPLY: Hi, Your father has eosinophilic and tumor under skin. Eosinophils play two roles in your immune system, Destroying foreign substances and Regulating inflammationEosinophilia occurs when either many eosinophils are recruited to a specific site in your body or bone marrow produces too many eosinophils. This can be caused by a variety of conditions, diseases and factors, includingParasitic and fungal diseasesAllergies, including to medications or Food .  Hypereosinophilic syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 an enlarged coagulation of lymph nodes under my right chin. it is painful. off and on. at first they put me on oxycodone.  then radiation to (in March 2013) reduce it and remove pain. 4 doses of radiation. 2 then 2.  the pain went away for 45 days then came back about 3 weeks ago.  The radiation oncologist recommended daily doses for 2 weeks should I need it.  I dont like taking the pain pills.  my blood counts are completely normal, even lymphocytes.  oncologist at Kaiser thinks radiation helped that.  but they have been coming down anyway over last 6 months.  should I take more radiation?  and will it kill more cancer cells permanently as the neck has a lot of veins. ### REPLY: Hi, Thanks for writing in. Radiation therapy is one of the promising methods of cancer treatment in conjunction with chemotherapy and surgery. Some cancers respond best to radiation. I am not sure if you are affected by lymphoma or any white blood cell malignancy. Usually radiation treatment works well in them.It's not just the size of lymph nodes coming down, the meiotic or cell divisions going on also must be controlled. This happens with radiation. Your doctor has taken a calculated decision after weighing benefits and risks involved. Hope it helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 30 years old female trying to concive. Im PCOD and taking madicine like letroz, menopure injection, duphaston.My wieght is 60 Kilo. Doctor last 3 months i suffer heavy hair loss. i want to know the cause of my hair fall and want to know how to prevent it. ### REPLY: There are multiple causes for hairball...POD, Stress, lack of essential nutrients can lead to hairball... Letroz is an aromatize inhibitor can also lead to hair loss... Get your thyroid profile and hemoglobin also checked which may also leads to hairless... Include exercise and healthy food in your lifestyle... You can use maintop 2% lotion over your scalp twice a day... Above all, avoid all sort of stress Hope this would help ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a little anxiety problem, and have trouble relaxing and sleeping after a work. I work shift work and long hours. I am very irritable after work and feel overwhelmed which seems to trigger the anxiety. My family MD used to prescribe 32 valium per month 1/per day taken each afternoon. I have a new family MD now due to my former family MD passed away. My new MD says she does not believe in prescribing Valium. What should I do? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Valium is not an alternative to other remedies such as relaxation exercises. You are aware that you have anxiety problems. Then you should also know that anxiety is a disorder and not a disease. Diseases are treated with medicines and disorders can be successfully treated with lifestyle changes. You need to practice relaxation and certain lifestyle changes. Lifestyle changes include being busy and learning to prioritize thoughts. You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HelloMy husband and I have been trying for a baby for 3. Months now but it hasnt happened.. We also have been taking prenatal medication.. Is there a problem? I am 28 and he is 32? Also to find out he has phimosis? Does that affect conceiving?! Am worried? Thank u ### REPLY: Hi welcome to healthcare magi. I have gone through tour question. As far as Mitosis is concerned it does not affect fertility. Phimosis may cause urinary infection but doesn't affect fertility. Or during intercourse bleeding due to tear. I would suggest Do intercourse in fertile period on alternate days, try for 3 months, if not conceive then do reports for You ovulation profile, thyroid profile, hist salting graph SG. Semen analysis for your partner. Hope I have answered your question. Would be happy to help 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 just noticed swelling at the very lower part of my back just above the center of the top of my butt cheeks. Sometimes I will have a sharp pain in that area when bending over or after getting up from sitting on a hard surface. I just had a baby 2 weeks ago and was in a car wreck 9 months ago. What could this be? ### REPLY: Dear-thanks for using our service. You might be suffering from sciatic neuralgia, secondary to herniated disc or spinal stenosis.  You have been pregnant recently and the weight on your back could aggravate your pain. Furthermore, you should have an MRI of lumbosacral to see what is the level of damage. Anti-inflammatories, analgesics and muscles relaxants can help your pain. If no improvement in 2 weeks then consider massage or physical therapy. If no improvement, then epidural block is the next step. I hope my advice has been helpful .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i fell and my right arm broke the fall with all my weight on it and I heard some kind of noise and felt something in my shoulder. It is not bruised yet, but somewhat tender when I move it to high. I have iced it and am wondering what this injury could mean. ### REPLY: Hello, As the mechanism of injury indicated it will be an outstretched hand during the fall. This must have damaged the muscles of the shoulder joint and the shoulder joint ligaments too. If there is no Bruise or swelling then it will be a ligament and muscle injury which is common.  I will advise you to stabilize the shoulder in an arm sling and do hot water fermentation. If possible an x-ray will be good on the safer side. Doing stability exercise like static biceps, static triceps, static deltoid should help to stabilize the shoulder joint. Post which after 3-4 weeks start strengthening exercises which are free exercises mostly to regain the shoulder range of motion. Post achieving this, strength conditioning should help get good strength. In my clinical practice of over 12 years, most cases with shoulder injuries are advised for shoulder rehabilitation program and respond well. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I been having a teeth gum issue for like a month first my gums were red and swollen and also very itch the stung for about two week I took penicillin and my gums got better now Im getting ing white marks my gums are itchy and are rising up and disappearing?? ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have itchy, red and swollen gums this are features of Gingivitis, due to Poor oral hygiene deposition of Food debris and formation of Plaque and calculus leads to Gingival and Periodontal problems. For this you should consult dentist and go for Scaling and root planning.  Do warm saline gargle two - three times a day 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: hello, im shikha im 23 year old girl ht 5`5 n wt  45 kgs.. i hv very thin hair n plus hv a hair fall problem... my hair does not grow much either... cos of my scanty hair people often crack jokes on  it... i wil b gettin married next year n d boys family often discuss about my thin hair which puts me in a very embarrassin situation ... pls help me ### REPLY: Hi, It seems that probably you may be having halogen effluvium. Kindly consult the dermatologist for the firm diagnosis. There are many causes of halogen effluvium. Blood tests may be done. Anemia, vitamin and mineral deficiencies, stress, thyroid dysfunction, typhoid, other internal diseases may be responsible. I would suggest.- removal or treatment of the cause-local application of mild steroid lotion-biotin 10 mg daily-vitamin E 400 mg once a day-oil application on hairs ...like almond oil-cleansing the scalp with herbal shampoo-if Dan .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Some rashes have come upon my legs below the knees from the past 1 month. but no pain or itching.just discolouration, something like patches. i was asked to do blood test.  I am 57, female.my Hb was 12, ESr 25. My Dr advised Alegra 120 mg- 1per day for 10 days.is that ok. he told ESR 20 is good, 25 is also not dangerous. what can be the reason. ### REPLY: Howell come to ChatDoctorIf the skin lesion does not cause any symptoms then systemic disease need to be ruled out, blood sugar level need to be tested, some time skin biopsy could help in diagnosis, ESR is questionable here, in my opinion better to have dermatology opinion because clinical observation is the best way of diagnosis when it is question of skin disease, 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: Sir.There are several persons here, who are saying that they can cure renal failure with herbs, is this possible my father is suffering from kidney failure,can u help me for right treatment. he is above 66 years doctors says they cant take a risk of transplant.what should i do, can u please help me! ### REPLY: Hello and welcome to . As a Urologist, I cant recommend herbal treatment for kidney failure. However, if you can send the last reports of his kidney function, with present medication being taken, I can give you an expert opinion. Send them to me as a direct question, and I shall give you a professional advice, regarding further course of treatment. Wishing your father good health. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has parkinsons. Just the last 2 or 3 yrs. it started progressing. He has dimentia with it and it has gotten worse. July 19th, he woke me up to help him get up. When I tried to help him, he could not even sit up. My son lives with us and I got him to come help and he could not stand up. We called 911 to take him to ER and they did a lot of testing and said that he had cellulitis. He had a scratch on lower part of his leg and the scab came off and we bandaged it. The home health nurse came next day and she looked at it and said it looked fine and she cleaned & bandaged it and it was the next that he could not get up. He stayed in hospital 6 days. The cellulitis healed real quick. He was sent to nursing home for two weeks skilled nursing, but he has never walked since and can not understand him talking. He also has a critical kidney function and was sent back to hospital the 14th day in nursing home and was there for about 6 days giving him fluid in his arm. I do not know what stage of parkinsons he could be in. Just wondering how I can know the stage he is in. ### REPLY: Welcome to  From the thing you told in my opinion patients having Parkinson disease have difficulty in walking it's not like they can't walk. And you told he had cellulitis also so please organic brain disorder. Please consult Neurology so that they can rule out meningitis or other metabolic causes as your husband having critical kidney as well which will cause deranged metabolic parameters so which can also cause dementia indirectly/ directly Complete health checkup with detailed evaluation is needed. Do not consider it lightly and get consultation as soon as possibleRegards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently dianosed for type II diabetes. My sugar levels are now under control. My microalbuminurea level is 275 to 225. I am 73 yrs old. Male. I have frequent urination especially in the night. After the intake of Urimax 2 mg this frequency has reduced to two or three times a night. My doctor says that albuminurea would reduce stage by stage. I am taking Amaryil 2 mg (twice a day) Ubexo 40 and PPG 2. Kindly inform me what more drugs should I take to reduce microalbuinurea? Also what damage this would create for my kidneys? Thanks ### REPLY: Hi, Microalbuminuria is a condition in which kidneys start filtering proteins in the urine. It usually occurs in diabetics and occasionally in hypertensives also. To control microalbuminuria, the most important step is to keep your sugar and blood pressure well controlled. Once they are controlled, the further progression of microalbuminuria is slowed down. Salt restriction also helps.  There are certain medications which can be started like ACE inhibitors, but I feel they can only be started after certain investigations like kidney function test and serum electrolytes. Many studies have been carried out to study the complications of microalbuminuria. What I would like to tell you is that if not controlled it can affect multiple organs-esp proteinuria and diabetic nephropathy (diabetic kidney disease) and can even further have cardiopulmonary effects (on heart and lungs). Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having numerous infections some with colds and temporary swollen glands in both the neck and especially in the groin area including the back of my legs. I have been sometimes fatigued. I have gone through many blood tests with only it showing that I might have some type of mono type illness, could tis be CMV virus? I just read about it and would like to know what you think? ### REPLY: Thanks for your question on . I can understand your concern. Yes, CMV (Cato megalo virus) can cause sore throat, enlarged glands in neck, cold etc. But it is not commonly infecting virus. CMV infection is common with immunosuppressive conditions like HIV infection, patient taking steroids or chemotherapeutic . . So if you are having any of these conditions then chances of CMV infection is high otherwise it is low. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello there doctor! I had a report about primary complex in children. Please help me to understand about the disease,what is the s/s ,incubation period,mode of transmission,different types,and what are the other important informations about the disease? thank you doctor! Portwine Stain ### REPLY: Hi, Thanks and welcome to . Primary complex is due infection by tuberculosis for the first time. It is seen in lungs on x-Ray. It is treated with INH and Rifampicin for 6 months. If not treated it may progress to progressive primary complex, plural effusion or cavity and ultimately leads to death. Hope this rely on is OK for you. Please feel free to ask further queries if any. . V. Subrahmanyam. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here... My son was prescribed Predcort for and Klaracid.  It was also recommended that he takes the Ventolin Inhaler for a week.   We were told that he has an ear infection that was never cleared up which subsequently lead to the throat infection.  He also had a very heavy cough and the doctors advised that he has an early stage of Pnemounia.   How can I help to ensure that the Pnemounia is properly treated and the infection is cleared up?   Can I bathe him daily and is the fan and aircondition o.k. or should i discontinue until he is fan?  What should I do?   Also are there any steroids in  prednisolone? ### REPLY: Hello I understand your concern. You explain that pneumonia is in the beginning, if yes Klaritromic is the proper treatment. Prednisolone in see is a cortisone medication. It helps in chronic ear infection and in pneumonia too lowering the swelling of the airways. As a result the cough will be better and the ear infection too. Air condition is not so well recommended in pneumonia caused. From a specific bacterial agent but in Community squared pneumonia there is no against facts. So I wish good health for your SoftBank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I would like to know what I should to do I have really bad beck lower pain and I used only tylenol and some hit pads but still hurts I am take caring of paralise person spine cord ijnury C4 and C5 so  always I lifting her but  main essue is my work I m doing landscapeing  and I  am female 25y old what I should do pain is really often. ### REPLY: HiT hank you for asking . I have gone through your query. Your problem can be due to repetitive stress injury or due intervertebral disc injury from heavy weight lifting.  A physical examination with an orthopedic will be helpful in ruling out this. MRI might be needed in case of positive findings for intervertebral disc injury.  Usually I manage such cases with NSAIDs like Nimusulide, muscle relaxants like tizanidine and local anti-inflammatory gels. Muscle strengthening exercises and physiotherapy will be needed if it is long-standing. Hope this may help you. Let me know if anything is not clear. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi a week and a half ago i had flu symptoms, sore throat, body aches, fever. After feeling this way for a week i went to the Dr.he did a strep test it came back negative so he sent me on my way.i ended up feeling better a few days later. My symptoms have slowly returned and i don t feel good at all and on top of it the palate of my mouth is swollen now. Any advice on what to do? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint the symptoms of sore throat, body aches, fever and flu like symptoms seems to be due to upper respiratory tract infection, and it is viral infection and due to it only strep test that is for bacterial infection came back negative. As the symptoms are relapsing it is due to relapse of viral infection. The swelling of the palate is due to inflammation secondary to infection, and you need not worry as the infection will subside the swelling will also resolve. I would suggest you to take Tylenol for fever, decongestant like Pseudopod . . You can suck throat lozenges and can also chew vitamin C pellets. Avoid spicy and hard foods. Maintain a good oral hygiene. Hope this information helps. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: How do i stop touching myself?Im a 16 year old girl and i touch myself. I do it for a min. I dont do it every day. whenever i finish doing it, i regret it instantly. I wanna stop, but i cant for some reason. I dont go hardcore, i dont finger, or shove things up my ***. Im still a virgin. ### REPLY: Hello and welcome to . Thanks for your query. I understand that you are worried about your masturbatory habit. Now, masturbation is considered as a normal part of human sexual behavior, and it is common in teenage. However, if it becomes uncontrollable or distress-causing, as in your case, the person may need help. I would suggest that you consult a psychiatrist in your place for a detailed evaluation and for further management of your problem. Often psychological therapy or counselling may be beneficial in controlling such thoughts and habits. 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: My six year old daughter was at summer camp and swallowed a staple that was connected to her school papers etc... She said the staple was closed and slid down her throat fast. She said it hurted going down but now it does not hurt anymore. What should I do? ### REPLY: I suggest you immediately take her to an emergency room and get her abdomen X-ray done. It will show immediately if it is still there. The kid might need serial x-rays to determine the movement and position and the need for endoscopic removal if it is stuck somewhere. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: a rat bite my 3year old child on 24th october night. now he has fever on 13th November and recurring every third day(16th and 19th). we have seen a doctor twice and he declined it to be RBF(rat bite fever) and subscribed us tablets for Malaria lumerax and zifi-o. please suggest what to do as i am confused. ### REPLY: Hello. Welcome to . I am . I can understand your panic. If I was treating doctor then I would have definitely gone for diagnosis first. Also see whether your son has any swelling and ulcer near rat bite area. Though signs you told can be seen in RBF there are other features like lymphadenitis will be seen. Giving treatment of malaria without lab diagnosis and giving antibiotics along with it is not at all logical. Consult expert physician and proceed for treatment after diagnosis is confirmed. This might help you. You can definitely ask for help if you need it again. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor my son is 9 years old from age of 2 ,he is having aasthma by that time docs told at the age8 he will be alright  but still he is having the problem and he stammers when he have cold &coughand afterwards aiso it continues what to do ,please help me ### REPLY: Hello. Thank you for asking at . Most of the childhood asthma improve with age and subside by 7-8 years as told by your doctor. However, exact age at which the child will be alright cannot be told and of course, some child . So if your sons' asthma has improved over years (that is, he is having fewer attacks of asthma than he used to have before, or he is requiring fewer doses of inhaler medicines that he used to require before), I would not worry. However, if his asthma has not improved as suggested above, I would think he may have an allergic asthma which continues into adolescent and adult age. In such case I would suggest you to consult an Allergist-Immunologist who will after detailed history taking suggest your son allergy testing, which is necessary to know what he is allergic to. Breathing exercises & avoidance of amoke-dust-air pollution will help him a lot improve his asthma. Regarding stammering, it is a speech disorder and is not directly related to asthma. However, psychological issues such as low self-esteem (which may be due to having asthma) can contribute to stammering. I would suggest you to stay positive towards him, encourage him and get a help from a speech therapist who will suggest some speech exercises for stammering. Hope this will be helpful to you. Wish your son the best of the 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: my CBC : show Comment : ( what is it mean ? is it aviral infection & what is the other tests i can do ? ) RBCs SHOW MILD HYPOCHROMIA.RELATIVE LYMPHOCYTOSIS Haemoglobin 14.4 g/dl 12.5 - 17.5 Haematocrit (PCV) 44.7% 41 - 52 RBCs Count 5.64 millions/cmm 4.5 - 5.9 MCV 80 - 100 fl 79.3 L MCH 27 - 33 pg 25.5 L MCHC 31 - 37 g/dl 32.2 RDW-CV 11.5 - 15 % 14.3 Platelet Count 303 thousands/cmm 150 - 450 Total Leucocytic Count 6.2thousands/cmm 4 - 11 Absolute Values 2.41 x10^9/L 2 - 7 2.97 x10^9/L 1 - 4.8 0.49 x10^9/L 0.2 - 1 0.24 x10^9/L 0.1 - 0.45 0.04 x10^9/L 0 - 0.1 Percent Values Differential Leucocytic Count Neutrophils 39.1% Lymphocytes 48.3% Monocytes 8.0% Eosinophils 3.9% Basophils 0.7% ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your lymphocytes count is high. Rest of your all reports are normal. Mostly it is due to some viral infection. No need to worry at all. Just be relaxed. No, any further testing is required right now.  .  Take symptomatic treatment only. You will be fine within few days. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i THOUGHT THAT IT WAS MY SINUS PROBLEM THAT CAUSED ME TO FEEL SO ROTTEN AND COUGHING SO HARD IT HURT.  I WAS RUNNING A FEVER AND FELT REALLY ILL SO RESTED IN BED AND DRANK LOTS OF WATER.  ITS BEEN  3 WEEKS NOW AND ALTHO COUGHING IS BETTER I STILL FEEL EXHAUSTED AND ACHEY - SHOULD I SEE A DR.?? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have sinusitis.  You should go for ct scan. It will give you exact diagnosis and severity of disease. Then you should take treatment accordingly.  If needed you should take a course of antibiotics like cephalosporin or amoxiclav.  You should take antihistamines like chlorpheneremine palate or cetirizine to decrease secretion in sinus.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, after reading patients blogs about symptoms in details I guess I have Sarcoidosis..(What type Cardiac/Lung) dont know..Still Sir just wanted to know the way out further from you...Or you could suggest me some doctors in Delhi who are specialist in thiss... ### REPLY: Sarcoidosis is multisystemic disease(affecting number of organs)predominantly affecting lungs and surrounding lymph nodes .it Amy also affect eyes (uveitis) skin liver, kidney,heart and other tissue u would get following symptoms shortness of breath fever chest pain fatigue, arthralgiayour doctor would examine you physically by stethoscope to check great sounds. Blood test will show significant increase in ESR.chest x-ray would show findings of acidosis. Pulmonary function test would be done.there are some other disorders which have similar symptoms to sarcoidosishistiocytosis lymphoma tuberculosis these conditions would be ruled out by your doctor.I would suggest you following-go for blood test and chest x ray you can take oral tab prednisolone after confirmation of diagnosis take govern Sr 100 tabs for pain consult ophthalmologist if eye symptoms appear. Specifically for acidosis you should see the doctor who is MD pulmonary/chest medicine or MD medicine.thank you and take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i went from 10 mg of Lexapro to 5 every other day for a week or so and quit.  I am not having any emotional problems and started taking it over a year ago as well as going to a grief councilor to cope with my brother fighting and losing his battle with lung cancer.  I still miss him and have periods of being weepy, but that will not be stopped with meds nor should it.  I am certain I will always miss him but am thankful we had each other.   I am having more physical type symptoms which my dr diagnosed as Lyme disease, but now Im not sure.   I am having some stomach cramping, weakness, swollen glands, lower energy, body aches....is this from Lexapro? ### REPLY: HI, thanks for using  Learn can be associated with fatigue in 5% of persons using it and muscle aches (specifically neck and shoulder pain) in 3% of persons using it. If you are not currently using it any longer then it is unlikely that it is responsible for the effects that you are experiencing. If you are presently being treated for Lyme disease, it is possible that your symptoms are related to that condition. You may want to consider speaking or visiting your doctor for an evaluation of your symptoms. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor, my dad is 55 years old and is suffering from right inferior alveolar neuralgia and high blood pressure which generally ranges from about 130 to 150 (systolic) and 85 to 110 (diastolic). Around six months back he started with radiotherapy for neuralgia. now his taste sensations are gone along with the pain. but now he has suddenly become very weak and lost weight. For hypertension he takes enalpril and hydrochlorthiazide. kindly help ### REPLY: Hello, From what I understand your fathers blood pressure seems to be fluctuating. Since there are times when his blood pressure is fine then other factors need to be considered that might be causing these changes such as changes in diet (especially salt content), body weight changes, effect of other .  Consider regular monitoring of his blood pressure either manually or by ambulatory BP monitor then go to the doctor to review. Best of 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 have been sick with a sinus infection and tonsillitis over the last week and a half. i am on antibiotics for these. Now I feel it in my chest. I am coughing non stop. My throat doesnt hurt much just from the coughing. My chest feels heavy and I have some issues with breathing. Could this be bronchitis or pneumonia ? ### REPLY: Thanks for your question on . I can understand your concern. Your symptoms are seen with both, bronchitis and pneumonia. And both of these them are common after upper respiratory tract infection (URI - sinusitis). So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed for the diagnosis of pneumonia. PFT is must for the diagnosis of bronchitis. Antibiotics are the mainstay of treatment for pneumonia. Inhaled bronchodilators and inhaled corticosteroid (ICS) are the mainstay of treatment for bronchitis. So first diagnose an . . Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,         I am 24 weeks pregnant. My placenta is posterior, lowlying, lower margin, 3.5 cm from internal os, grade 1 maturity. I want to go to bangalore and its 1 hour by flight. Can I take the journey and also how is the placental position. Is it ok. ### REPLY: Hello dear, I understand your concern. In my opinion the placental position appears normal as per your information. The placenta is said to be low-lying when it is present 2.5 cm from internal OS. As it is 3.5 cm it cannot be considered as low-lying. So relax. Yes you can travel by flight. And air journey is always better than rail or road ways. So you can go on. Take adequate fluids up to 3 liters per day to prevent urinary tract infection (UTI). Hope this helps. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have seizures randomly...I am 48 and never had them in my life till last year. I see a heart doctor and a neurologist...and they put seizures off the list and thought I was just passing out...well today I had a seizure at the doctors office and woke up in emergency room. It started by a light on a machine in doctor office...I felt it coming on....I had temporary amnesia is that normal...that happens to me sometimes when I have the seizure  and my body does have convulsions...this so scary....My diagnosis today was Seizure Disorder HCC and was put on levETIRAcetam 500 mg My question is will this hurt me to take if I am not epeliptic? ### REPLY: I read your question carefully, and I understand your concern. First I must say that looking at the description of the last episode it does look indeed like a seizure. You should have an MRI and an EEG if not done already. As for Levetiracetam, as all medications it can have some side effects. Side effects are similar whether you have epilepsy or not. Among the antiseizure medication it is one of the safest ones which has made it one of the most popular in the last years. However, in a percentage of patients there may be some side effects like somnolence, dizziness or character changes such as hostility and aggressively. I remain at your disposal for other 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: My mother is 89 years old.  over the past few days they have had to tap fluid off. Each time it is equalt to a litre. Nobody will give me an answer as to where this is going. Are we in the final stages of Heart failure?  What can we expect going forward? ### REPLY: Hi, It is really difficult situation for you. I want to know1) Cause for heart failure in your mother (like heart attack) if you are knowing.2) Any previous records available 3) Any associated conditions like diabetes, blood pressure problem, cholesterol problem, kidney problem.  4) Any symptoms like cough, cold, fever, swelling over body. There might be following causes for fluid collection in chest1) Heart failure.2) Infection of lungs.3) Kidney failure. Following investigations may be helpful in management 1) Blood tests - Mammogram, Kidney function test, liver function tests, BNP, Electrolytes, calcium, magnesium, phosphorus .2) Urine examination for infections, urinary proteins.3) ECG, 2DEcho of heart (to know pumping capacity of heart)4) Test on fluid collected from chest.5) Ultrasound of chest, abdomen and pelvis.6) CT scan of chest. Depending upon because she may be benefited by -1) Antibiotics.2) Diuretics. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 there, I was wondering if you could answer this question for me. A friend of mine has a sister whom has terminal cancer and don t know how much longer she will last. Apparently she had a puck inserted into her abdomen for pain and the medication is dilaudid, not quite sure of the spelling on that. My friend, her brother said that she was still having pain so he said that he gave her his prescription of 15mg oxycodone (percocet}, so I guess I m asking if that is the wrong thing to do and can this harm her? I was under the assumption that this was a free of charge, one time question. I assume that I won t see an answer to my question, however, I will alert her family and they can speak to her doctor, as I don t want any harm to come to her, after all she is enduring to begin with. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. In routine case this .  But patient has terminal stage of cancer.  It is very, very painful condition. Symptomatic treatment should be given to receive pain. It is justifiable in terminal stage illness. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 27 year old. After trying for 1 and half year we went to a gynocologist . She did a ultrasound and able to see some polyp in my uterus. She also dignosed some abcess near or around my left fallopian tube . Then she referred me a HSG test. My both fallopian tubes are open, then she said TB in my fallpian tube. After reading in internet I found that in XXXXX the TB in fallopiantube is very common. So does any one know if I have TB in fallopian tube. then is it recoverable ? Is this kind of TB is curable by medicine ? what are the chances to getting pregnancy?if there is any problem in baby ### REPLY: Hello madam. Welcome and thanks for your consultation, what you are suffering from is tuberculosis of the genital tract (fallopian tube).TB is very much curable with medicine, and there are bright chances of you conceiving in the future if you are completely cured of the condition. However if there is scaring of the fallopian tube due to TB the scenario changes. So be optimistic and continue your treatment for TB witChatDoctorplete sincerity and as your HSG report is favorable, things may go your way. Once treated there is no transmission of the infection to the fetus or the newborn. May god bless 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: Can oral herpes cause gum recession and cause the gums in between my teeth to bleed? If so where do the sores usually appear at? Or would this simply be a case of gingivitis? I am 20, 6"1, 130 pounds. I have very bad oral hygiene which is why im unsure what the symptoms are pointing to ### REPLY: Hello, Thank you for consulting with . The type of symptoms you are mentioning that there is gum recession, bleeding and bad oral hygiene, it all look that you have infection of gums called as gingivitis as this is caused by poor oral hygiene which and to control it you have to visit a good dentist and get complete cleaning of tooth done. Herpes never causes gum recession. 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: hi, i ve been suffering from dust allergy for some years now. i ve been taking odimonte-lc, fluticone nasal spray and budesal respules 0.5mg [nebulizer] for last 3 years now. i want to know that whether these medicines are supposed to be permanent part of my life because when i don t use these medicines then i start having the same problems that i was having before and in addition now i also suffer from itches on different parts of my body. So is it normal or should i change these medicines ?? Are these medicines antibiotics and will they stop responding after some years time?? ### REPLY: Hi, you have allergy either dust or can be pollen also. You are using correct medicine and all allergy medicine has to be taken for life. But even after taking these you got skin itching that means your allergy is increasing. Now it is best that you find out what exactly your allergic to, then either of can avoid them or you should start with immunotherapy. You will have to go to immunologist who will do skin prick test on you. Then depending on allergen he will start immunotherapy currently this is the best treatment available, and it can cure your allergy by 80-90 percent if every thing goes well you not have to use that many medicines. Kindly go to immunologist 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 had all four wisdom teeth extracted seven days ago and still feel not quite right in my head (groggy/woozy). Is this normal and how long will it take to feel normal again? I am 29, 5ft 10, 11stone and take fluoxetine 20mg 1x per day ### REPLY: Hello and Welcome to , Thanks for writing to us. Yes, it is normal. Extraction of wisdom teeth is often associated with post complications like fever, nausea and vomiting. After extraction, the healing process starts and there is increased salivation due to which you may feel nausea and vomiting. Due to reduced appetite and low intake of diet you may feel hyperacidity and vomiting. Fever can be reactionary symptoms or sometimes infection of the extraction socket may lead to pain and fever. Continue with the course of antibiotic and analgesics prescribed to you along with paracetamol. If the symptoms do not subside in 3 to 5 days you need to consult your dentist Hope this helps you. Wishing 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: my daughter has Angelman Syndorme She has been taking Senokot liquid via her g-tube since she was aprox 3-4 years old. the senokot brand liquid does not sell anymore in the US I have been ordering it from Canada/ I bought a generic brand . can t afford senokot anymore. It didn t work as well. I used the bottle up and havent recieved my other shipment yet. She get s it every morning. I have no dose for tomorrow. But she has not had a bowel movement since saturday evening. Is there something else that may stimulate her to go? She also takes meralax to soften her stool. I tapered her senna dose I was slowly trying to try to get her off of it I went from 10ml to 6.8ml. I think her body needs a stimulant her stool should be soft she just can t pass it. trying to get her body working on it s own again. I don t know if it will but I d like to try. she is 22yrs old now. ### REPLY: Hello there! Thank you for asking.  I want to warn you to not manipulate the doses of your daughter. If you think something can be done about that consult her doctor. Don't try to be smart enough to do that your self. You will bring more harm than good. Let this thing be professionals decision to do.  Trade names don't matter. Until and Unless the generic brands are same. You can ask the doctor before taking medicines. Remember it's not some experiment.  And doing anything without opinion would be something to repent on for the rest of life.  Stay in touch with her doctor and keep serving her. I know you mean well. Take disregards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,Need help. Am suffering from throbbing tooth pain that extends to my left side of the face until the forehead..Am taking ibuprofen 400mg to control pain, but to no luck. Is it OK to use Azithromycin to help cut down the infection?Please advise. ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query, as you have pain in tooth pain in tooth can be due to carious tooth secondary to periapical abscess. I will suggest you to consult oral surgeon for examination of tooth, and you can do warm saline rinses, as you are asking about medicine Azithromycin you should take by consulting with your doctor don't take medicine without consulting your doctor. If I am your treating doctor I will suggest you to take Medici like Amoxicillin or Ampicillin if you are not allergic. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband has advance prostate cancer for 3 years, recently he s been on new drug Abieraterone for 6 months, all stabled untill now, he has bruises appeared on his hands and legs for no resons and a little tired then normal! please can you tell why? is it urgent to be seen by oncologist asap? thank you.? ### REPLY: Bruises without trauma usually indicates an underlying clotting insufficiency. It can be due to low platelet count (platelets are responsible for clotting blood). Although abiraterone is not known for decreasing blood cell count, but this possibility should be ruled out. The other possibility is prostate cancer progression affecting marrow and blood counts. The tiredness can be secondary to disease progression OR mineralocorticoid deficiency or hypokalemia (low potassium levels) associated with abiraterone. Please discuss this with your treating oncologist. An early appointment is suggested. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 29 January 2014 - 1-2 day heavy period with clotting and flu like symptoms. 21 February 2014 - 4 days before missed period = very sore larger breasts and blotting took clearblue digital test - pregnant 3-4 weeks . This doesn t add up ? How far along could I actually be ? Thanks ### REPLY: Hallow Dear, If you understand some basic facts of conception, your dilemma about the day of conception would be clear. The conception takes place on or within 24 hours of the egg release (ovulation) as the egg can live only up to 24 hours. The day of ovulation is 14 days prior to the next expected menses. You had your last menstrual period on 21 January and the next expected period was 25 February (21 Feb + 4 days). So your day of ovulation is about 11 February. Therefore, the day of conception would be around that day. Though clinically the period of gestation is calculated from the date of last menstrual period (LMP), actual conception takes place around 2 weeks later. This has probably created the confusion for you. Pregnancy of 3-4 weeks from the date of LMP is actually 2 weeks lesser in age. To further clarify this dilemma, you may get ultrasonography done. By ultrasonography, the age of the embryo is calculated by its size. Hence, it would be the real age of the embryo; i.e. calculated from the day of conception. However, please be aware that in such early stages of pregnancy, there could be variation by few days to a week in calculating the age of embryo. I hope this resolves your dilemma.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 under the right rib cage...i found it suddenly an yeas ago. I recently did a sonography and it seems attached with the skin. is it cancer? the lump doesnt pain normally but if i press then it does. sometimes it does a little. if it is cancer then its been an year..wouldnt i have felt something..?? my apetite and other activities are fine..please advise ### REPLY: Welcome to ChatDoctorThanks for the query. It doesn't sound like cancer and this is probably some benign subcutaneous lesion such as lipoma or fibrous. If this was cancer it would grow more rapidly, and you would have some other symptoms and signs. It can be surgically removed under local anesthesia and then sent to analysis to be sure but if you don't have pain or redness around it, I don't think that treatment is necessary at all. 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: I m 42 years old.I have a history of high BP (140 / 110) since 2003. My Doctor started with Covance AT and from 2007 I am having Telvas 40 and Concor cor 2.5mg. Last three months I bring some changes in routine. Start brisk walking, control food intake, loosing weight. Within a month I feel better and my bp was like 98 / 65..and the heatrbeat 64. Then my doctor adviced me to stop the Concor cor 2.5mg.I stopped it. And now my average bp is 127 / 76. My question is the process I m going through is perfect?? How long I have to stop the Concor cor 2.5.Is there a chance of anything wrong..? ### REPLY: Hello! Welcome on ! I carefully passed through your question and would explain that your actual blood pressure values seem to be under control. This means that you do not need to take Concord, as even after stopping it, your blood pressure values are quite normal. We can not determine, how long your blood pressure will remain under control. I would recommend you to follow this healthy lifestyle, because it is the best thing you can do to have a better management of blood pressure. It is also necessary to closely monitor your blood pressure during the day. If you notice that your blood pressure values go up again, restarting Concord may be needed. Hope you will find this answer helpful! 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: Hi i have back pain problem for last four year, initially i felt pain only back now i have pain in neck, leg palm and left side of the shoulder. As per my doctor suggestion i took MRI study of Lumbo- sacral spine . please go through below for MRI Result and suggest me the next treatment my doctor suggest me for operation . and let me know is it curable or not. my age is 32, height 165cm and weight 65kg. Diffuse annular bulge L4-5 disc with impression on the dural sac and exiting nerve root bilaterally. diffuse annular bulge L5-S1 disc with impression on the dural sac and exiting nerve root bilaterally. Ligamentum flavum hypertrophy seen at L3-4 &L4-5 Facetalarthrophy seen at L3-4 till L5-S1 L5 vertebra shows hemangioma . the bodies,pedicles, lamine, spinous process and transverse process of the lumbar vertebrae show normal morphology and narrow signal. Cervical Spine Disc osteophytes protrusion C3-4 till C6-7 with impression on the cord seen. No significant abnormality is seen in the dorsal spine. Thanks and regards Ram ### REPLY: Hello, Thanks for the query I have noted your complaints and MRI data. All these MRI findings should not make you worried All these are important if there are clinical neurodeficits.  A local neurologist can determine if you have any deficits or not. If there are neurodeficits and pain dose not improve with conservative treatment you may go for surgery You need a short course of analgesics and physiotherapy 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 diagnosed with noctural hypoxia but I exhibit signs of hypoxia during daytime also. Takes several days for symptoms to become noticeable. If use oxygen during day, no symptoms. Regular 6 min oxygen sat tests don t detect. Takes several days for oxygen levels to drop when no oxygen during day & several days for levels to rise when back on oxygen during day. I ve heard a test does exist that can definitely prove this exists. I found a dr who has heard of this but was subbing for primary at time & no one will tell me who she was or where located. 1st person in 2 yrs who knew it was true. ### REPLY: Hello dear, thanks for your question on . Nocturnal hypoxia can be seen in 1. Obstructive sleep apnea (OSA)2. COPD (Chronic Obstructive Pulmonary Disease)3. CCF (congestive cardiac failure) etc better to consult pulmonologist and get done polysomnography (sleep study) first. Chances of OSA are high. If this is normal than get done chest x-ray and PFT (PULMONARY FUNCTION TEST) to rule out COPD. Get done 2D Echo to rule out CCF. In my opinion sleep study will clearly indicate if hypoxia is present or not. So consult pulmonologist 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: I think I may be experiencing bells palsy. I had pneumonia a few weeks ago, since then have been treated, however, I ve experienced a death in my immediate family, thinking I was under much stress, I started feeling an abscess grow in my mouth, I went to the dentist and he could not find anything. My right side of my face swelled and as of today I m still feeling like I m growing an abscess. What do you think I should do at this point? ### REPLY: Hello, As you got it checked by the dentist I also don't think its abscess formation. Because if it was such things and symptoms would have been different. Also, bells palsy doesn't seem to produce selling but pain and weakness more. I will advise you to have a check with the ENT once to rule out your abscess doubt.  Also, doing simple gargling exercise of the muscles of the mastication and monitoring your diet should help reduce the symptoms. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Greetings of the day sir,My mother is suffering from jaundice from the past 2 weeks and she recovered a little in between but now again her condition is severe. The bilirubin has again reached to 15.please suggest some thing to have a control on this I will be really thankfulRegards ### REPLY: Hi thanks for asking question. You have not mentioned the result of jaundice.Anyhow, here are few suggestions for you. Avoid trans fat containing diet like red meat, cheese, butter, pork meat, junk food etc. Use very less oil in cooking. And use only good oil like sunflower oil. Fruits taken more. Green leafy veg useful. Avoid refined food. One teaspoon papaya seed with lemon juice taken daily. Garlic is good. Licorice with honey can be taken. Udiliv tablet can be taken that contain ursodeoxycholic acid. Avoid alcohol and smoke. If still no benefit detailed investigation with further work up needed. Tak 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 went for a Rhizotomy 3 months ago and it took my lower back pain away.  Two of my disks is too close to each other.  Last week i lifted something heavy and the next day I had pain that comes and goes.  I will be sitting down, twist my pelvis and get a sharp shooting pain on the lower right side of my back.  It was bad for 2 days and just comes and goes.  What can this be? ### REPLY: Thank you for sharing your complaint, the back pain is neuromuscular pain. If pain is not severe, take simple analgesic like ibuprofen twice a day. Exercise and physiotherapy is of much helpful to you. Do exercise which will make your back muscle stronger. Also take nutritional combination with methylcobalamine for a month. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon dear friend .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 26 years old...before 7 months i had done straightning into my hair..after then only my hair fall started...after washing my hair its falling much..doctor consult me to use tugain 5 which i am using daily night before going to bed since 2 months..but still there is no improvement.i am very worried ..so plz help.. ### REPLY: Hello. Thank you for writing to us at  Straightening / hair relaxers can make hair shaft weaker and thus lead to hair fall, specially if hair is subjected to repeated straightening, however, it is unlikely to last for 7 months after the procedure. Hair fall is commonly due to either halogen effluvium Or an . Halogen is resting phase of hair follicle; once hair enters halogen it is going to be shed subsequently over the next 2-3 months. Causes of halogen are dietary deficiency/ deficient Iron stores; thyroid abnormalities; preceding stress e.g. medical illness like dengue, jaundice, surgery etc.; Or after delivery in females. After hair is shed, hair follicle again re-enters managed / growth phase. An ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lump on back of neck that swells up during period is painful and scabs over and then de swells (stays there) I went to dermatologist today who has been in business over 30 years he did biopsy of it right there same day....should I be worried about this..how common are same apt biopsy ### REPLY: Hi, dear. I have gone through your question. I can understand your concern.  Your lump may be some benign tumor or cyst or some malignant lesion.  You are on right tract.  Biopsy is the investigation of choice.  It will give perfect diagnosis.  Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i have a pea sized lump juat on side of breast but not under arm.....i just noticed it as i was naked and was pulling my hair back the sun light shone and thats when i see it...i felt it straight away and it is not sore but the size of a pea ....please help so worried many thanks louise ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have fibroadenoma, fibroadenomas, some benign cyst or cancer.  Chances of cancer is very low. You should go for mammography and biopsy.  It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I need as many case studies that I can get about the treatment of Lung Cancer, that might be proved to be better.for example, if there is a case study that proves that chemo with __ is better for stage 3..Also, any additional information about treatment/combination ideas or websites and reasearch question--additional immunotherapy/complementary medicines? ### REPLY: Hi, Welcome to . Lung cancer can be of different types. Depending upon the type of malignancy treatment regime varies. Some respond to chemotherapy while others respond well to radiotherapy while still others do not respond well to any kind of treatment. The best person to decide what type of treatment is suitable for the particular patient and dosage requirement, is oncologist who is managing the case. It is best left to him and both advantages and disadvantages of a particular type of treatment has to be weighed carefully, noting that treatment should never be more disabling than the disease itself. Wishing the patient 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: My husband was working in the garage and got a puncture from a nail in a piece of wood. He thinks his last tetanus shot was 2 or 3 years ago, but cant be sure. Our family doctors office is closed for the weekend so there is no way to find out for sure. Should he have another one? ### REPLY: Thanks for contacting  with you health questions. I am sorry to hear that your Husband injured himself this week by stepping on a nail.  After stepping on a nail there is a chance of contracting tetanus from the puncture wound. Tetanus shots help prevent tetanus and are usually good for up to 10 years. But since you do not have any medical documentation as to when his last tetanus it would be prudent to proceed with an additional booster. I recommend he seek medical attention for his tetanus booster. Hope I answered your question. Please contact us again with your medical concerns ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good Morning. Doctor , i am having head problem, left part of my head looks weak, the case is such my mind dosent looks in control, sometimes it gets very positive and sometimes very negative. It is getting weak , reaction taking and learning capacity is getting reduced. Kindly suggest a solution to my problem. Regards ### REPLY: Hiyour problem lies not in your head.but in your mind its necessary to know that our thoughts . .nice.and light looks like you are anxious worrisome by nature quit that at once.here are my suggestions1)get up early in morning try expose yourself to sun .this cause release of the feel good hormones in our body2)do breathing exercises.or aerobic exercises.this will ensure a good blood supply in your brain3)listen to some good cheerful music4)feel like a free bird and do whatever that keeps you happy5)have a good diet every day with lots of juices and fruits6)believe in yourself.nothing can go wrong unless you want .so BE HAPPY To BE BLOOD BLESS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have 19th week pregnancy. And i hav a subserosal fibroid. now for last three days i have swear pain in my lower abdomen and also in chest region.. i cann t even change my body position because i got pain.what should i do to avoid such type of problem? ### REPLY: Hi, Management of fibroid or complications due to fibroid during pregnancy is usually only medical. You will need to take symptomatic management to relieve pain and discomfort. Paracetamol is absolutely safe in pregnancy and can be taken. Avoid deny . Surgery for subaerial fibroid can be done 6 months after delivery if still symptomatic. Surgery is avoided in pregnancy as it could lead to preterm labor and complications for mother. Hope this helps. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son aged 1 yr 1 mth had high fever last thursday and was admitted to the hospital on the friday, reaching almost 40 temperature. His fever fully recovered on sunday, in which he was then allowed to be discharged from the hospital. today - monday, at home, his body begins to rash with tiny red spot on his cheeks and chest, and some at his stomach. it does not itch because my son does not scratch the red spots at all. and he has no fever. any idea what this might be? or this is normal for toddlers after high fever? ### REPLY: Hi... Thank you for consulting in . It could be any viral erythematous illness. But as you quote them as red spots after fever - the possibility is any other trivial viral exanthem. I suggest you use calamine lotion as its giving results along with oral antiallergic like HY .  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have spodylosis in my lower back and also a bulging disc. I just noticed a bruise going across my back from left to right. Im 36 and my weight is 240 but not the obese size. Im 5ft3in. Female. Im on a 4medications to help with my pain. But nothing to correct my back. ### REPLY: Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you have spondylosis and disc bulge in the lumbar spine, you need to undergo physical therapy. As with the use of the therapeutic ultrasound therapy and TENS therapy your pain levels will be reduced. Post which with simple exercise you should respond well. As spondylosis is the aging of the spine and disc bulge occurs due to wear and tear of the spine. It is a normal physiological process.in my clinical practice I have seen cases with disc bulge, and they respond well to physical therapy.regards Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a very painful wisdom tootChatDoctoring in. I think it might be infected. I have seven days, three pills/day, of cephalexin left over from a previous bacterial infection. Will that suffice for my tooth or do I need to visit a dentist. I dont have insurance. ### REPLY: Hello, Thanks for consulting ChatDoctorRead your query, as you have painful wisdom tooth this pain can be due to carious tooth, or impacted causing infection peritonitis or periodontal abscess. For this I will suggest you to consult oral surgeon for oral examination and investigations Iowa X-ray of region of wisdom tooth to rule out the cause of pain. In meantime do warm saline gargle two - three times a day, you can also apply stolen gum pain on region of wisdom tooth. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor..Greetings.. i would like to ask question related to allergy...All of a sudden i got allergies related to synus and cough..since one year am suffering..resulted as asthmatic problem..am been prescribed to take montek lc. but once i stop this montek lc, am again getting problem. my question is , will this montec lc solve my problem.then how long i should take this medicine? am worried!  PLs give me reply. ### REPLY: Hello. Thank you for asking at . I went through your history and understand your concern. I would like to reply as follows:1. Monteagle can control most of the symptoms of allergic sinusitis, but it does not "cure" allergy. So one has to take it as long as one has symptoms of allergic sinusitis. However, if it does not cause you side effects like sedation, . 2. For nose and sinus problems, personally I would suggest you regular steam inhalation which will hasten your process of recovery.3. I would also suggest you regular nasal irrigation with saline sprays which can be helpful.4. For asthmatic symptoms like wheezing, difficulty in breathing, I would suggest you to use albuterol or levosalbutamol inhalers when you have symptoms.5. Please avoid exposure to dusts, smokes and air pollution as much as possible. Please do not smoke if you smoke.6. Regular breathing exercises and a healthy diet rich in vitamins and minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) will also help you in a long run.7. Personally I would suggest you to consult an Allergist-Immunologist who will suggest you allergy testing and may suggest you specific allergen immunotherapy depending upon results. Immunotherapy can provide long term relief from allergies by improving your immune responses. Hope above measures will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health. Thank you & Regards. ### END