Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 3I YRS OLD MAN,WORKING IN A PERFUME INDUSTRY,YERTERDAY I HAVE DONE MY BLOOD TEST,BECOZ I HAVE SOME HEAVYNESS&BREATHING DIFFICULTY,ECG ALSO DONE,ITS NORMAL.I M VRY MUCH WORRIED ABT MY SGPT LEVEL,ITS 98U/L,COLESTROL;192MG/DL,TRIGLYCERIDES88MG/DL,HDL;52MG/DL,LDL-122,CREATININE-0.8.I M NOT USING SMOKING, OR ALCHOHOL.BUT REGULARLY USING COLAS. ### REPLY: Thanks for your question on . I can understand your concern. Nothing to worry about your blood reports and slightly raised SGPT. In my opinion, your breathing problem is mostly due to exposure to perfumes at your work place. Perfume when inhaled can cause irritation and inflammation of the airways. Since you are working there, you are exposed to perfumes heavily. So chances of perfume induced bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease. Treatment of bronchitis is based on severity only. You will mostly improve with inhaled bronchodilator and inhaled corticosteroids (ICS). Wear face mask during your work to prevent perfume inhalation. 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 my 2.6 years boy is having fever. Can if i use paracetemol250 alone is enough or do i need to use antibiotic also? Or else please give me prescription. Usually we use Fepanil125 till now for normal fever and SUMO for high fever. What do you suggest. ### REPLY: Most of such fevers are caused by viruses where antibiotics are ineffective. So, you do not need to give antibiotics. Paracetamol helps in reducing fever. If you use paracetamol 250 mg/5 m syrup, you will have to give half the amount in ml than if you had given 125 mg/5ml syrup. How much you need is dependent on the actual weight of the child. Email contains paracetamol, but Sumo contains paracetamol 125 mg + Nimesulide and I would not recommend the use of the latter. You may use Metal P instead. It contains metonymic acid and is more effective in reducing temperature. We cannot give you prescriptions through this platform. It is just to enrich your knowledge so that you can deal with your situation better. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I play football on a regular basis! Sometimes in football I have spells that don t last long seconds at best but where I feel something is wrong! For example I was playing with my family had an extremely easy chance to score and instead I didn t feint but my legs went and I fell to the ground! It is happening more regularly for example when I score I can t celebrate properly because I get dizzy is this a brain or heart problem? ### REPLY: Hi, Thank you for posting your query. Based on your symptoms, we need to evaluate your brain as well as heart. If the heart pumping is not good or if there are irregularities in the heart, these episodes may occur. Also, seizures (abnormal electrical activity in the brain) may cause similar symptoms. Please get detailed evaluation done to determine the exact cause. Please get back if you require any additional information. Best wishes, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi just before i fall asleep or trying to falling asleep i feel like my heart is going to stop beating and i cant breath properly! Sometimes i actually fall asleep but wake up terrified cause i think my heart has stopped beating! Can this be anything serious??? Thank you in advance ### REPLY: I read your question carefully, and I understand your concern. Judging from that description I would say that a heart issue is very unlikely. One doesn't actually understand if heart has stopped beating, if it did, there would be lack of blood flow to the brain which would cause lead to dizziness or fainting. I guess if one wanted to explore the issue to the end an EKG and perhaps a 24 hour Holder EKG (where you carry a device monitoring heart rhythm for 24 hours) may be done.However, I believe the symptoms are most likely due to anxiety, which can often manifest this way, so nothing serious. I hope to have been of 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 am having some aching on the left side of my abdomen. There is also a circular shape bruise on the left side of abdomen. I rolled off my bed during the night about 3 weeks ago and must have also hit the corner of a one step stool. COULD i HAVE RECEIVED AN INTERNAL INJURY TO THE INTESTINAL TRACT OF ANOTHER ORGAN? ### REPLY: Hi! Good evening. I am  answering your query. As the trauma described by you was 3 weeks old, I would not consider an intestinal injury or an internal organ injury on my priority list of diagnoses. Most likely diagnosis would be a soft tissue injury of the abdominal musculature and sub-cutaneous tissue resulting in a hematoma formation coming up as a bruise which would take at least 3-4 weeks to get absorbed. However, this needs a clinical assessment to be very certain about it, and if I were your doctor, I would also recommend an ultrasound of the whole abdomen to rule out any kind of internal injury. In addition, I would prescribe an anti-inflammatory along with a proton pump inhibitor . I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For several years now, and increasing every year, I have had an increasingly distended abdomen, nausea, pain, fatigue, and more recently (past few weeks) I have been experiencing severe dizziness and debilitating headaches (not migraines). I have a colonoscopy and endoscopy scheduled for 1/22, but am wondering if I need to go to the Urgent Care or Emergency Room before that. ### REPLY: Cellophane you for trusting ChatDoctorHow old are you?? Are you hypertensive?? Are you diabetic?? Since when you're suffering from above problem??your symptoms are mostly suggestive of somatoform /aromatization disorders. Other possibilities like inflammatory Bowel disease, malabsorption syn . . Until complete history and examination it is difficult to say what it is. Please consult your doctor he will examine and treat you accordingly. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 11 year old daughter and I have been fighting a stomach bug since last week.  Mine took about 5-6 days to completely go away.  She is on day 4 and last night about an hour and a half after she went to bed she woke up shaking/shivering.  She got up and put flannel PJs on and went back to bed but started sweating and still shaking.  She came and woke me up and told me what was going on.  I asked if she had any cramps and she said yes and that she felt a little neauseated but could not throw up or use the bathroom.  I told her that sometimes my stomach would cramp and the pain would be so bad that I would shake/shiver even though I was not cold.  Does this sound like a typical stimach bug or should i get her to the doctor for a check up? ### REPLY: Hi welcome to  forum.  Thanks for choosing . Forum.  Your 11 years daughter and your self got stomach bug, since 1 weak. You are all right now, your daughter still having nausea, cramps.  Your daughter is sick and suffering, and small to bear the pains. So I advise you to consult a doctor for diagnosis and treatment.  Give her like food like bread, soups, milk, coconut water etc. Wishing for a quick and complete 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: I have several freckled colored spots on my body. They started on my chest, then disappeared and moved to my neck. After those disappeared they moved to the top of my thigh and they just keep disappearing and moving. They itch like crazy. My whole body has been itching like crazy. I don t know what it is and its been here for like a month now. ### REPLY: Hello, Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. I would like to know more details about you like - a. how long they last? b. do they respond to medications? c. do you have any allergies? d. do you have any other medical conditions? e. do you take any medicines on regular/frequent basis? f. do you have any digestive complaints? etc. above information would help me to know your complaints better and therefore to make suggestions for you more specifically.2. At present, from your provided history, I would suggest you antihistamine like cetirizine or levocetirizine or HY . 3. I would also suggest you to apply moisturizing lotion or cream over itchy areas as well as  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, I am 35 years female, got a wisdom tooth extraction done, was constipated for two days then took senna-col laxative. Passed black stool. now the stool color is dark green for the past 6 days. I am taking clindamycin, diclofenac sodium and codeine phosphate for wisdom tooth. Pls help ### REPLY: Hello, Thanks for your query. Combine 1 teaspoon of sea salt with 8 ounces of warm water. Take the liquid into your mouth, let it soak for a moment then let .  Do not spit. The salt water will promote healing and decrease irritation. Whether you're sleeping on your couch or on your bed, place 2 or more pillows beneath your head to elevate your mouth. Elevation will decrease swelling. The vacuum created within your mouth can dislodge your clots and slow down the healing process. You can take prescribed painkillers, or you can take over-the-counter ibuprofen to prevent pain, inflammation and swelling. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 7 months old and we have traveled from US to India. She had an upset stomach a week back for which her Ped prescribed her Septran and Bacigyl. Now she is suffering from a runny nose, sore throat and had 99 fever one night. I gave her tylenol for that night (0.8 ml). She is being given Phexin (125mg: 3 times a day) and Phenergan syrup (4 times a day). I was wondering if this is the right course of medication as I read pretty nasty stuff about Phenergan online. ### REPLY: Hi... Phenergan is Promethazine is not indicated or licensed in this age group. S 95% of the times cough and cold are viral they do not require antibiotics as such. For nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 51 years old.  I have had hep c since I ws 16 due to blood transfusion.  I felt very lightheaded at work and almost passed out.  My blood pressure wawsa very high and i have not had high blood pressure before.  I also had tingling in my fingers.  I am now feeling lightheaded but not like I will pass out. ### REPLY: Hello! Welcome on ! I understand your concern and would explain that your symptoms are related to high blood pressure. I would recommend you to closely monitor your blood pressure frequently during the day for a prolonged time up to 7 days and refer those values to your attending physician. In case your blood pressure values are above 135/85 mmHg most of the time, this would indicate arterial hypertension. Further tests are needed to exclude other secondary causes of high blood pressure: - a chest X-ray study- a resting ECG-some blood lab tests (complete blood count, fasting glucose, blood lipid profile, kidney and liver function tests, blood electrolytes, PCR, sedimentation rate, thyroid hormone levels). You should discuss with your doctor on the above issues. In case of uncontrolled high blood pressure you may need to start antihypertensive therapy. Hope to have been 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: I woke up with a fever yesterday and also felt a canker sore like feeling at the back of my jaw, between my upper and lower teeth.  Its now gotten bigger, size of a big pea and it can move.  Does not look like a canker sore, which I am prone too.  Any ideas? ### REPLY: Thanks for your query, I have gone through your query, the ulcer could be an authors ulcer or herpetic ulcer (since you are giving history of fever) or traumatic ulcer. Consult your oral physician to rule out these things and if I am your treating doctor I would have advised you to take topical anesthetic, analgesic and topical steroids (triamcinolone acetone 0.1%). If the ulcer doesn't heal in two weeks then it can be biopsied. I hope my answer will help you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 68 yr old, f, has hives and other rashes mainly on legs and arms, but now spreading to torso.  Told by allergy specialist no food allergies. Told by dermatologist had a fungus.  Bloodwork shows mildly elevated liver enzymes.  Sonogram indicated no liver problems, but small stones in gallbladder(no apparent problems with that). Negative results on biopsy for celiac disease.  Any suggestions? ### REPLY: Hi Dear, Understanding your concern. As per your query you are suffering from hives with rashes on the legs and arms which seems to be mainly due to systemic causes. It is very important to find out what exactly causing hives or what factor is responsible for their occurrence, because treatment depends upon the causative factor. As such hives are harmless but when they start interfering in vital activities of life then become a kind of medical emergency. Apply ice packs to body for itchiness and redness. The only treatment for hives is steroid therapy. So I would suggest you to consult dermatologist again and start treatment accordingly. Hope your concern has been resolved. Get well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My platelets have been going from 112 to 64 back to 96 then down again to 54 then up again to 86 etc..ct on spleen..ok..platelets not clumping..no bruising..monthly blood work being done.. No definite diagnosis..any help appreciated..I don t know what to watch for or how to handle the unknown..I am 78 yrs old.. ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You have fluctuating platelet count.  But no any definite diagnosis.  Please tell me your symptoms.  Because fluctuating platelet count is not the disease or cause of worry unless you have any symptoms.  You can go for bone marrow examination in undiagnosed thrombocytopenia. Consult your doctor and plan 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 been having some weird symptoms in the past few months. The right side of my forehead started going numb every once in awhile. It s been happening a lot more often and now is numb almost 24/7. I also noticed that I started having really annoying eye twitches. This happens on my right side also. Another weird symptom is I keep smelling a really odd smell throughout the day. At first, I thought it was just a classroom I was sitting in, but now I m noticing it in random places throughout the day. Could these symptoms be related? What could be going on and are these symptoms normal? ### REPLY: Hello, Thanks for the query, I understand your problem I have noted your complaints. I feel that a possibility of epilepsy-complex partial seizure need exclusion in your case. This can be done by two tests 1. MRI scan of the brain 2. EEG test- a test which will tell us if you have seizures. These two tests will clarify the situation.  Hope this clarifies Best wishes .  .com/doctors/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband had prostate surgery 3 1/2 weeks ago. He is a very healthy man of 79 yrs of age. It started out not being able to urinate. Had to have a catheter put in, and then sent to an urologist. Off and on had to have a cath. put in. H e was very distraught! Finally had to have the prostate reamed out. The urologist said he had a very lg. prostate. After surgery , he kept a cath. in for a week then it was taken out. He was ordered catheters so that if he couldn t urinate, he could cath. himself so that his bladder could get used to opening and closing. He had to cath. himself a few times and he was absolutely devastated. then he started urinating on his own. Did find for 2 1/2 weeks, then began to pass lg. clots. Hurried back to the urologist and he said he forgot to tell us that was normal that his prostate was letting loose some clots. And true it did stop and he can urinate on his own but often and he worries about it constantly. Now he is loosing his appetite and is belching constantly. Big belches even when he doesn t eat. Also at night, Do you think he has anxiety. He does have excessive thinking about his problem. I am an R,N. and I don t think it s a heart problem as he is seen by a cardiologist regularly just because his fmly. dr. orders it ....I don t think it is his colon because he was perfectly healthy before his prostate problems started. He has had a biopsy on his prostate about 3 yrs. before this and it was fine! ### REPLY: HelloThanks for query. Your husband has undergone surgery of endoscopic resection of prostate(TURN) for enlarged prostate and has belching and loss of appetite.TURN is a major surgery at the age of 79 years and takes long time for complete recovery. All the problem that he has faced post surgery are known complications of TURN. Do not worry all his rest of the problems will get resolved over a period of time. What he needs is assurance to built up his confidence, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Right at the end of my two middle teethe are swollen, at the top.This had been thee for quite some time now but Im not sure how far this infection has spread. It once had a yellow pimple above the left tooth but thats gone. The right side alone swells sometimes. Somehow I feel that this affects my nerve system. When I touch that area, u get a slight pain running straight to my scull. Could this also be leading to hair thinning? I thought it was natural losing hair but its quite fast now and not only from the head. What should I tell the doc before I go for a check up. How bad can a dead tooth/ root canal be than? I also experience some joints problem sometimes which takes a massive time to recover. The swelling just never stops. I tried some antibiotics and omegas but no avail. ### REPLY: Hello, Swelling in between two upper teeth can be due to-periodontal infection resulting in bone loss or due to deep dental caries involving pulp tissue. I would suggest you to get a thorough clinical as well as x-ray evaluation done. Tooth has to be either extracted or root canal treated depending on the condition of underlying tootChatDoctorplete course of metronidazole as well as analgesics has to be administered. Maintain oral hygiene well. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have had 1MTP, 2 missed abortion in 7th week, 1 pregnancy reached 12th week and had to be aborted due to NTD, 2 spontaneous abortion after that. No specific reason observed so far. I have noticed low uterine lining in the scans before the last two pregnancies and strongly think that can be the reason. Lynoral doesn t help me, can you suggest how to improve uterine lining? ### REPLY: Hello welcome to  . If have you got all the causes of your mishaps evaluated all you must do is just relax and plan for your next pregnancy, and you will need some kind of progestational support. Have got all the immunological factors ruled out? Have patience and keep the faith. There are many women who have similar kind of recurrent mishaps with no cause identifiable, but they do conceive spontaneously and have a pregnancy right up to full 9 months. So go to your gynecologist and plan for your next pregnancy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, for approximately 5 days I have noticed a pain on my right side. It is weird, as it goes from about middle of the inside of my naval to the right in an almost straight line. The entire line (about 3 inches long +) does not ache but rather is a sharp grab when I move in a certain way, laugh hard, etc. Also, the pain is more of a hot burn and a sharp grab,,,,, to the point I would say oh, crap, it stops as soon as I am still. I have no fever, no lack of appetite. I am 57 years old and in good health. High cholesterol and high blood pressure. Thanks for suggestions. ### REPLY: The fact that you have no fever, lack of appetite and are in good health suggests that there is no possibility of any abdominal internal organ ailment. The fact that the discomfort on the right mid abdominal wall occurs when you move in a certain way, laugh suggests that you have due to some reason strained your abdominal wall muscles on the right side. It could have happened while lifting something heavy, or even while just stretching your body. With rest and not straining your abdominal wall muscles, like doing any exercise, lifting something heavy, laughing hard, and the such, the muscles will get rest and in a week to ten days or so you should be relieved of this pain. Even if it takes longer, please give rest to the muscles till complete healing of the muscles to prevent recurrence. It would be good if you could get an abdominal ultrasound examination to rule out any internal organ problem and also diagnose the muscle injury. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son is 4 year old,he has been suffering from eczema (atopic dermititus).his skin becomes red ,rogh &scaly.he feels itchy ness.dr suggested banocide 1p 50 mg.half tb in morning & night for ten days .then after 3monts same course repeeted and this treat ment will continue for one year.plz tell me is this tablet safe for my son and what are its side effects? ### REPLY: Hi, In my view the cause of raised eosinophils needs to be treated first. Allergies of different origin, worm infestations, skin edematous lesions. Allergy screening test or stool examination can help. Treatment of cause for sufficient days, courses of specific medication for eosinophilic and slow tapering down of steroids would be helpful. Improvement of bone health can be done with good nutrition (proteins, vitamins and minerals containing) with specific medication prescribed by orthopedic doctor. Regular physical work-outs and exercises stimulate bone health. 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: My son holland is 5 years old. He has been sick for past 3 months. Keep taking him to doctors for antibiotics an the antibiotics are only doing so much.Last time he has 2 antibiotics an he got so bad w the antibiotics we had to give him a 3rd antibiotic. Now this past weekend he had a temp of 103. Hes never getten better always worse or same. Ill send him to school when he is feeling ok, but within those 3 hours of being at school he gets worse. Does this have ne thing to do w his WBC? ### REPLY: However for past 3 months need detailed evaluation and investigation. What are associated problems along with fever like headache, vomiting, irritability, vision problem, any ear discharge, pain during passing urine, blood in stool, any cough or difficulty in breathing, any history of heart disease, animal contact, joint pain, any swelling, etc. anything can be related to fever. Not only WBC other relevant investigations based on detailed history will be needed. You keep a written temperature record of few days to know the pattern and meet pediatrician. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 URQ abdominal discomfort. Preliminary results of Abdominal U/S are negative for stones. I have Hashimotos Hypothyroidism.......previously (4 years) ago via Endoscopy diagnosed with Gastritis and Acid Reflux.  Do not take scripted meds for this as I have not been able to tolerate.  Could it be my gallbladder, perhaps inflammed ?!?! ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist.RUN pain can be due to Inflamed GB, Gastritis, Colonic disease, from liver. With the information available I will suggest you to avoid tea, coffee, oily and spicy food. Also avoid citrus fruits. Among medications take a proton pump inhibitor like omeprazole and a prokinetic agent like risperidone. I hope I have answered your query and this will help you. Wish you a good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my two year old daughter is coming down from a bad cold and just recently she started complaining about her mouth hurting so i looked and saw some white bumps on the inside of her lip and her gums look red and swolen. could this just be a side affect from the cold or somthing more serious? thank you. ### REPLY: Hi... Welcome to  ... I have gone through your query and can understand your concerns. As per your complaint you daughter seems to be suffering from Viral Infection causing the above described symptoms and the condition is known as HEPATIC GINGIVOSTOMATITIS in which there can be symptoms of cold and blisters in mouth and gums with swollen gums and there can also be fever. You should consult a physician and get him evaluated. In case if the Viral Infection is diagnosed you should give him Tylenol or Motrin for pain relief. Do cool compresses over gums for relief from Inflammation and reduction in swelling. In case of pain in the sores on tongue a numbing gel like Ora gel can be applied. In severe cases antiviral Oral and topical Medication like Acyclovir therapy is given to the patient to reduce the duration of illness... Give him cool and bland diet. Give him sufficient rest. Maintain a good Oral hygiene and brush his teeth twice a day using an ultra soft toothbrush. Hope this information helps. Thanks and regards. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 48 yr old woman with a lot of back problems to begin with. But about 2 weeks ago I started getting this severe pain in my back ribcage. I only happens at night. I wake up with agonizing pain that if I turn, breathe deep, or anything. I went to the Dr, and he took X-rays of my back, (which is not where the pain is coming from) and they came back ok. I am getting worse every morning and hope you have any ideas. Oh, no urinary or bowel problems, just the pain. Thank you for anything you can come up with. ### REPLY: Hi, Thanks for your query. After going through your query I came to know that you are suffering from chronic backache. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. You need to do MRI to rule out other causes. Back exercises, neurotrophic such as mecobalamine and analgesics such as diclofenac give relief. Serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my 4 year old has a stomach virus, she began with fever on Friday and started throwing up that night and complaint of stomach ache, I called her doctor and she said that it was a stomach virus.  She vomited Saturday at 2 am and vomited some bold, the doc said she must have ruptured a capillary, she continues with fever and stomach pain, now she complains of bilateral knee pain, today is Monday and she still has fever 102.4F, she is no longer vomiting though.  Could this be appendicitis? ### REPLY: Hi, Welcome to  forum.  It appears to be the viral diarrhea, super infected with the bacteria. When ever there is continuous vomiting they there will be vomiting of blood, due to the rupture of the capillaries in the stomach.  I advise you to consult a pediatrician for diagnosis and treatment.  I usually prescribe to my patient with such symptoms ofloxacin, dicyclomine HY .  Furthermore, I advise you to give him semisolid, or liquid diet. O.R.S, and coconut water is a preferred supplement.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My doctor switched me directly from the pill to the depo provera. I never got off of the pill; I took it the morning I got the shot. I was wondering, how long will it take for me to be protected from pregnancy? Am I already covered because I switched straight to another birth control? ### REPLY: Hello, Thanks for sharing your health concern with us. Depo-Provera starts working within 24 hours if taken during the first five days of the menstrual cycle. As you were regular with the oral contraceptive pill, protection should be complete. If you switched over without attaining a period, you could experience some breakthrough as the body adjusts to the altered hormone milieu. The content of the pill also influences the change over. Anyway, you need not worry about failure as protection is sustained. You are well covered. 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: Sir, I have facial problem. It is diagnosed as hemifacial spasm . Is t paralysis? Your treatment with medicine or massage therapy? Pls reply to follow. Varadharajan R, madurai. ### REPLY: Hello Varadharajan, Bifacial Spasm involves involuntary contractions of muscles of one side of face. It usually begins around the eyes and can later involve other muscles supplied by the facial nerve. It's usually seen on one side only, although it can occur on both sides of face. These movements cannot be voluntarily suppressed like in a condition called Tics and can continue even in sleep. It is thought to be due to blood vessel pressing on the facial nerve, although it can be due to other causes also. It is not paralysis like you fear. Effective treatment is taking Botulinum toxin injections or doing microvascular decompression surgery if there is pressure on the facial nerve as earlier mentioned. It is possible to maintain reasonable control over the movements with treatment. 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: My Ct scan showed that I have some component of fatty infiltration of the liver. Mild hepatomegaly. My liver measures 22 cm. No space-occupying mass in the liver or the spleen. No abnormality in the pancreatic bed. The gallbladder appears normal. Adrenal glands appear normal. There is no renal mass. No hydronephrosis of the kidneys. There is no aneurysm of the abdoninal aorta. No enlarged adenopathy. No free fluid within the abdomen. There is no indujration in the nesentery. Mild Hepatomegaly. Dinfiltration of the liver. Otherwise, negative comuterized tomography of the abdomen. I used to drink whiskey when I got upset or depressed about something, but quit just recently, and I dont want to drink any kind of alcohol ever again. What does this medical report that is written about my Ct scan mean? Also my blood work came back that I have good liver function, kidneys, and etc. Does this mean I have some kind of liver damage in areas of my liver? Since I dont drink anymore will my liver get better? What can I do or take to help my liver and entire body get back in shape and back to being healthier again? Thank-you for your medical advise, please write me back soon.  YYYY@YYYY ### REPLY: Hi, many thanks for the query! Well, your report is not that bad to be worried so much, but the decision not to . You should start some medicines for reducing fatty infiltration of your Liver with your doctors' opinion. Rest all findings in your report are normal, also it's good that your Liver function tests are normal. Do regular exercise, also yoga & meditation if possible. Wish you a good health. Take care. 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 entire life i have been coping in fetal positions since i was 5 or so. i am now 19 and steal dealing with this, i know my life is hard, i just recently figured out i was being pointed at for things that werent  my fault as in lost jobs, lost friends, having non myself, and etc.my boyfriend has put up with this cause the blame and my situation doesnt allow my life to cheer up any better then it has. hes a nice person but he cant tell how i feel unless i verbally tell him, due to that he cant understand. is their anything i can do to have a better relationship ### REPLY: Yes, there is, dear friend. First, you have to begin counselling with the school psychologist. There is no alternative to this. At the same time, you might want to start your life anew with the discarding of your old baggage. There is no point in claiming to be a victim of circumstances, or cry about your past. Your past is just that: it is your past. Nothing more, nothing less. You must start looking for the solution to the future ... you have a kind and understanding boyfriend, but if you won't start on the right path now, the relationship is doomed. You got to get a hold of yourself. Start by listing on a paper all the good things' life has given you. Perhaps you can begin with this beautiful life itself. Then, may be your parents have been loving. Your sits? Your best friends with whom you can still share secrets? Once you make a list of the good things that have happened to you, the bad things will recede. Perhaps forever. The counselling must continue for as long as needed, till you are out of the woods. The counselor may suggest a visit to the psychiatrist, and if so, please go through with it, and if medications are given, please take them. Hope you find your right path with a mix of positive thinking, shedding of the past baggage, good counselling and a belief in yourself. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 2 Yr 3 Mths old she is suffering from Cough. Doctor advised her to take 2.5 Ml of SOVENTUS 3 times a day and 2.5 of Moxclave BD 2 times a day. I gave her these medicins for 8 days. she has recovered a lot but still the is not 100% cured. Please advice should i continue with these medicins? ### REPLY: Welcome to the ChatDoctorI have gone through your question and understand your concerns. But don't worry. Most of the coughs without fever and breathing problems are viral in origin and improve gradually over a period of time. In early infancy there is no need to continue treatment with antibiotics and antihistamine for these symptoms. As such, I would recommend you to just give her comfort care which includes:1. Keep her well HY .  2. Use normal saline nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: when i scratch my skin a rash appears that is really itchy. Mostly on my upper back, lower neck and upper chest. it is in these areas that it feels like a sunburn but it is not sunburn. It seems that scratching or touching skin irritates it and rash appears. ### REPLY: Hello. Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. I would like to know some details about you like - What is your age? Do you have sweat a lot? Does rash worsen in sunlight? Etc.2. From your given history, I would suggest you to take a multivitamin especially containing vitamin B complex (including Niacin) for 2-3 months.3. I would suggest you to apply a moisturizer/lotion like calamine over the itchy area regularly and take an antihistamine like cetirizine or levocetirizine for symptoms.  Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctors. please help me im desperate for medical attention for my beloved sisterher symptoms includes:-CONTINUOUS pain in the region of diaphragm (according to local diagnosis, its muscular narrowing and its untreatable) also, the pain increases significantly when she breathes or try to swallow some food... her breath is very shallowher personal medical historyshe suffered emotional stress, then peptic ulcer (in stomach) then it hurt her esophagus. that the doctor put staples in her esophagus, the thing is, she was barely breathing at that time and when she went to other doctor, he removed 1 of them so she can breath better, but the pain is still there.. ### REPLY: Hi. Thanks for your query for your sister. She has continuous pain in the region of diaphragm, which increases if she tries to breathe or tries to swallow some food. There is also history of emotional stress, peptic ulcer, stapler in esophagus which had to be removed to improve the breathing, and it did. But the pan remained. This looks to be due to hiatus hernia with associated symptoms. I would advise you to undergo an upper GI Endoscopy to confirm the diagnosis, take a few months course and if this does not help, get ready for surgery as a permanent cure. Continue PPI or Sanitizing, antacid get, small frequent meals, soft bland diet, no anxiety or stress at all as it increases all the problems. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 father is suffering with Lumbar spondylitis. He became shorter than usual height. He buttocks became less flesh. He is unable to walk and also affected with Osteoporosis. He is feeling heavy pain 24 hours continuously. Could you please advice him for pain relief and recovery. ### REPLY: Hi, Thanks for your query. The general recommendations for Lumbar spine issues are as follows -- Usually 1-2 days of bed rest will calm severe back pain. Do not stay off feet for longer-Take rest breaks throughout the day, but avoid sitting for long periods of time.- Avoid lifting heavy weights as it imparts more strain on back-Change daily activities so that avoid movements that can cause further pain, especially bending forward and lifting as it will worsen back pain-Use a lumbosacral back support to stabilize & strengthen the back musculature- Use analgesics like Advil or alive and muscle relaxants to relieve pain and muscle spasm, as needed. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello iam martin and iam worried for the last month on my right male breats on the right side of my nipple i got a lump wicChatDoctores and goes and it itches also the skin peels of and wen my nipple gos hard because of coldness the lump comes out to wot is it and wot should i do ? ### REPLY: HI, Dear,Thanks for the query regarding your daughter. I studied your query and understood your health concerns. Remedy-You seem to have acne/pimple of the Montgomery glands on right nipple. Treatment would be antibiotics / anti-inflammatory . This would reduce completely with this treatment. Else show it to Surgeon who would treat it accordingly. So Don't worry and act fast as suggested. Welcome for any query to  and me in this regard. Have a Good Day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I read in magazine that the best way to keep the mouth clean by regular brushing 2 times a day and also to do flossing 2 times a day. what is this flossing, how to do it? ### REPLY: Hello there, Thanks for writing your query, Flossing of the teeth is a procedure of removing plaque or particles stuck in the teeth. It is done by a dental floss, which are available commercially in various forms .it is available in the form of thread like structure and small brushes. Flossing is done in inaccessible areas where tooth brush cannot reach such as interdental areas. Proper flossing helps in maintaining good oral hygiene by restoring good gum health. Approach a dentist and learn about the proper flossing methods, I hope this helps, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i aged 64 yra ; 5.5 cms ;87 k.g and under went byepass heart surgery ,replacement of mitral valve cms with tissue valve in 2007.-- l a -- edd-5.4cms ;esd-3.7cms ;ef-58% ;pw-3cms;edv-ml;esv-ml;ef% doppler --mild tr-jetvel-3.2m/sec ;mild ar ;pr ppg-34mm,g ;ppg-41mm;rvsp-mmgh ;mvg ppg-14mm;;mpg-4mm.g;pbf-1.3,/sec ;avg ppg 57mm/g mpg-37mm.g;vii-102 cms. other findings are hypokenesiaof interor wall. pl cna you go through the above and inform my heart position and medicines. ### REPLY: Hi There After going through the details provided it seems like you have undergone CABG with MVR probably you had an inferior wall MI with MV pathology severe enough to be considered for replacement at the time of CABG. Luckily your ejection fraction (EF) is still good (58%) which means that your heart is pumping adequately, rest it seems u have a moderate PAH as your RVSP is 44mmhg which means your right heart valve which is tricks pis valve is leaking to a certain extent which can be taken care my medicines like diuretics. Your EDD which means end diastolic dimension and ESD both are within normal limits meaning your Left a ventricle is not dilated and is in good condition. Overall it's good. Rest regarding your medicine query I personally want you to take them as advised by your cardiologist. Wish You Good Luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doc, I ve had an asd repair about 4 months ago I m 22 years old and weigh 160 lbs , but I m getting frequent chest pains and they become stronger as time goes on. My cardiologist says it probably inflammation but I doubt that as the pain I feel is the same pain I used to have before I knew I had an asd. What do u figure can be the problem? I also have constant dizziness and arm pain. ### REPLY: Hello, I understand your concern and would explain that it is important performing a comprehensive differential diagnosis between a cardiac chest pain and local musculoskeletal inflammation (including Costco .  For this reason, I would recommend first performing a cardiac ultrasound, a resting ECG and cardiac enzyme levels. Other tests to consider would be a chest X-ray study, complete blood count, PCR, ESR for inflammation.  You should discuss with your doctor on the above tests. In the meantime, I recommend trying acetaminophen for the pain, coupled with a PPI (Omeprazole, Pantoprazole) for possible acid reflux.  Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had a surgery to repair a hernia. A little under a year ago. And recently I got sick I assume it was the flu, My body ached from head to toe. But I could really feel the most discomfort in my calves, right bicep and in my groin. All other symptoms have subsided for the most part but I still feel discomfort in my groin. And now I feel the groin pain in my testicles as well. Is this normal? What might this be? ### REPLY: Hi. Thanks for your query and an elucidated history. Noted the history of pain in the groin, biceps and calf after flu. Also noted history of Hernia surgery. After infection with flu, which is a viral infection, it and the inflammation thereupon affects the old injured area, scars and so on, hence you have got the pain in particular areas only. The pain in the testicle must be a referred one, or a neurological. I would advise you the following:-Bed rest strictly.-Oral anti-inflammatory medicines like Ibuprofen. Hot fomentation. Oral steroids if required. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 blood drawn almost 2 wks ago. At the same time I had just stop taking amox-clav 875mg for what I thought was a yeast infection. Because I was experiencing a little burning and discharge. In the past week I have had what seems likes cramps and pain throughout my body. especially in hands, legs and feet, back pain, & waking up at several nights sweating.  Now I am cold with tingling in my toes and fingers like frost bite. What could be the problem and should I be concerned? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Co amoxiclav is antibiotics, and it is used for the bacterial infections and not for the fungal infections. Your symptoms are not related to the infections. It sounds like it has some peripheral vascular disease. Peripheral vascular disease can cause bluing, feeling of cold and pain. This is the same symptoms as you have described. So in my advice you should examine your self for the PVD with your nearby doctors. Vasodilator .  You should also take that, this will help the control of the symptoms. Avoid cold exposure to the limb. This can cause pain in the limb. Warmth feeling of the limb can immediately revert the symptoms to the normal. I will be happy to answer your further concern on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ecg report vent rate63 bpmPR interval 152 msQRS duration 148 msQT/QTC454/464 msP-R-T axes 26/26/244RR/PP956/PP interval 956/950 msSystem Evaluationnormal sinus rhythm left bundle blockHDL Colestral 35swear pain during fast walking & Eye sight intruption/looses for fifteen mts once ### REPLY: Thanks for your question on . I can understand your concern. Your ECG (electron cardio gram) is suggestive of left bundle branch block. There are two conduction systems in heart by which pulse is generated and heart beats. One is right bundle branch and other is left bundle branch. Left one supplies left side of heart which is main part of heart which supplies blood to whole body. So any conduction defect in this part will cause reduced blood supply to body organs like brain, eyes, lungs, liver, kidneys etc. So your symptom of sight intuition is due to reduced blood supply to eyes. So you should immediately consult cardiologist and start treatment. You may need pacemaker insertion. 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: 30 years old young boy was found affected with HEPATITIS B virous , as per Pathological test he has been found HBV+ POSITIVESGPT 53.0, he needs immediate treatment , is it LIVER SIRROCYS.PLS COMMENTS how TO PROCEED FOR GET PROPER TREATMENT .. MY EMAIL <  YYYY@YYYY >, cell phonre : 880-0000, bangladesh. ### REPLY: Hi welcome to .... First don't be panic ..... Here your son having Bag positive and liver enzymes are elevated slightly .... Here your regular follow up us necessary ... Usually our immunity clears the infection with the time ... But if Bag positive after six months than you are in carrier state which remain lifelong ... If you converted into carrier than HBV DNA and Bag tested to look for if in active stage ...for which antiviral medication needed ...Meanwhile, take more fruits and green leafy vegetables more ... Advise : consult gastroenterologist.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m a relatively healthy 46 yr old woman and I ve had pressure in my rectum the last few days. At first I thought my tailbone was sore maybe from running and training for an upcoming road race. My bowel movements have only changed the last week in that my stools are bigger and longer and I m not experiencing any other digestive symptoms. I honestly feel pressure in the rectum that is constant and it s a very strange unfamiliar feeling. I ve had a pain in my upper hamstring (believed to be caused by running). It was high up where your thigh meets your buttocks, so at first I was wondering if there was some connection between this which preceded the feeling of pressure in my rectum. Thank you. ### REPLY: Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As mentioned, that you were practicing for the run and feels like the digestive systems has some issue due to hamstring pull than there is much less possibility for this. Also, for run you need to balance your diet intake and your run output as well. Due to excessive loss of water during the run practice in the form of sweat and other metabolism there may be a chance for the hard stools. For this I will advise to eat the fruits more to balance the fluid intake and output. Now coming to your hamstring, if I have got a pull or a tear we need an assessment of the muscle to be performed. Also, initially you have to stop training first as it will aggregate the muscle fibers to not heal, and later it may trouble more. Besides, undergoing proper physical therapy before training is advised to get the maximum output from the muscle. I deal with sports cases regularly and prevention is better than cure for the longer runs. With physical therapy they respond well and perform better in a later stage of sports. RegardsJay 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: My 4 year old son s motion from yesterday is watery and gets a feeling to pass out motion every 1 hr, but the stool is coming out.Either a small quantity is discharged or nothing is coming out.He is not active as he used to be.What is the remedy? He also bits his teeth while sleeping. ### REPLY: Hi, It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better.  Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting. You need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes - I am 49 years old, weigh 130 pounds I am a runner and a fitness instructor. I recently took on a full time job where I sit at a desk. I still teach and run 8 hours a week. Recently I am experiencing swelling of the lower legs - knee to ankle and bloating of the abdomen. After I remove my work shoes, I have indentations where the straps have been. My lower legs feel tight like sunburn without the burn. My abdomen and waist is enlarged. I haven t had a period in 6 months. What is going on?? ### REPLY: Welcome to  I have gone through your query and understand your concern. You should investigate yourself for cardiac status. It can be due to congestive cardiac failure. Second cause can be due to fluid retention after menopause. You are advised to visit a physician. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am currently having an IC flair up (which I have not had in a long time and it had been controlled with diet); I am also experiencing upper respiratory allergy symptoms (sinus drip, sore throat, coughing). I do have an appointment with my family dr. this after noon. What kind of treatments should I expect? Do you have any suggestions. ### REPLY: Hi thanks for contacting  ... Noted you have flu like symptoms... Sore throat, cold etc... It may be viral or allergic infection.... Symptomatic management done... For cold decongestant taken like oxymetazoline.... If it seems pure allergic and if you feel by doctor he might prescribe you Palestine antihistamines nasal spray .... Cetrizine also useful.... I would like to suggest you to do your CBC. If lymphocytes viral and if eosinophilic allergic could because.... . ... Steam inhalation useful.... Avoid excess spicy food... You will recover within few days.... If still not improving then according to your physical examination further work up will decide.... Take care... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve been sick for weeks. It started with a bad sor throat and cold in my chest. I m 74 yrs old and work three days as a nurse in a residential care facilty..Everyone there has had pneumonia, brochitis or some lung problem..We have arouind 40 residents with one nurse and one cna in the evening..I m small - I weigh around 90# but, I m small boned and 5 1 ..I ve worked hard all my life but as I get older its harder to recover from illnesses..I had back surgery in 2009..(I fell on the ice) and kept working as I didn t think it was as bad as it turned out to be. The back surgery helped but, I still have to have epidurals abouit every three months to keep me going..I m on Avelox 400mg qd..And I m on predisone 40mg x2 wks then 10mg x2 wks. I have this week to go..I ve had a Ct scan of my head..(OK) I had fluid around my heart which I know isn t good..I had rheumatic fever yrs ago and I have a small murmur and a prolasp mitrial valve which was doing really good until I got sick this year. I talked to my Dr re: another Epidural and he was telling me about a lot of patients coming in with what they thought was back pain and it turned out to be Meningitis..Of couse now I m wodering if this is why I have been so sick and what should I do????? ### REPLY: Hello rearward welcome to .come have evaluated your query in details .* Ave lox containing moxifloxacin can be used for treating sore throat and cold that could lead to bronchitis ; under medical supervision.* Issue of meningitis has to be evaluated in details with clinical parameters and results of spinal tap fluid. Wishing you fine recovery. Feel free to ask any further doubts. 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, Im 22 years of age. I have had no children. I have a marina coil fitted. I had a period last week which was very light but lasted for over 2 weeks. I have been feeling tired, withdrawn and tetchy. My legs have been a bit jumpy and i have had slight pain in one of my calves. I am now experiencing itermittent pain within my lower abdomen, mainlly on my left quadrant but also effecting the right side. At times the pain is enough to force me to hunch to be able to walk.. Thanks for your time. Its much appreciated. ### REPLY: Hi. Thanks for your query. Read the history and understood the problems. Female 22 with Medina Coil fitted has pain in both sides of the abdomen, pain in one of the calf, feeling tired, with . The probable reasons can be :Colitis - causes pain in both sides of abdomen, causes electrolyte imbalance and other symptoms you have. PID-Pelvic Inflammatory diseaseMerina Cold can assist in causing PID and pains in abdomen. I would advise you the following:-Ultrasonography of the abdomen to see for the proper position of the intrauterine coil, PID, colitis and appendicitis. -Tests of blood, urine, stool -Colonoscopy and CT scan of the abdomen only if required. -Get a course of an antibiotic and metronidazole and symptomatic and supportive medicines in consultation with a Gynecologist and an Examination by a General Surgeon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had pain in my front in between my rib cage when I would sit up and also lower.. It would hurt when I cough or laugh that lasted a week it s been two weeks and I ve notice my left rib cage is like half a inch higher than my right ,, it doesn t hurt really anymore it seems the pain is in my back now,, what could this mean? And should I go see someone ? ### REPLY: Hi and thanks for your query, Its actually an issue of concern. Cough a rib cage pain usually indicates an issue with the thoracic cavity. This could be an infection of a deformation. However, it's not certain whether your measurements were accurate or not. It is imperative for you to a chest X-rays, and get your lungs and sputum checked. This could be a lung infection or a pleural effusion most of the time. I suggest you take an appointment with a pulmonologist for a proper evaluation. Thanks and best regards, Luchuo, MD. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was detected with pus cells 20-25 in Urine and was given antibiotic course for 7 days. After completing the medications I did a test again to see that the number of pus cells have not been specified and is now Plenty with some epithelial cells. I am pregnant. Please advise what this means ### REPLY: Hello dear, I understand your concern. In my opinion the pus cells of more than 5 in urine suggests urinary tract infection (UTI). Plenty of epithelial cells is not significant. If at all there are persistent of pus cells I suggest you to get urine culture and sensitivity test done to know the accurate diagnosis and treatment of UTI. Nothing to worry.UTI is routinely seen in pregnancy due to alteration of hormones. Take adequate fluids up to 3 liters per day, cranberry juice to prevent UTI. With adequate treatment it will subside. 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 was out walking my dog yesterday in a field and got bitten it was first very itchy then started to swell up i took ibrofuen and piriton and it did go down but today it is quite swollen and where iv worn my work boots all day its made the swelling move up ### REPLY: Hi You seem to have developed cellulitis (infection of the soft tissue of the leg) following dog bite. Assuming that your dog is not vaccinated against rabies, you need to take a single tetanus shot and 5 doses of anti rabies vaccine on the days 0,3,7,14 and 28 following dog bite. If your dog remains healthy and does not show any abnormal behavior for 10 days post bite, you can discontinue the anti rabies vaccine doses on day 14 and 28.Besides, you need to take a course of appropriate antibiotic (like Oxacillin) and anti-inflammatory .  Do not forget to vaccinate your dog every year and always keep the vaccinated certificate valid. Hope this answers your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I m 42 weigh about 9 stone . There is a history of bowel cancer in the family and I had a small polyp removed 5 yrs ago. I ve been noticing for ages now that my stools have a very distinct old musky smell and I m a bit concerned what it could be. I have been checked for coeliac as my sister has it and I m clear. I have a pain sometimes on my right side near my appendix not very often but when it comes its severe enough for me to curl up and not move for ages. Please advise ### REPLY: Hello! Thank you for the query. The symptoms you have mentioned does not sound like a cancer. Bad smelly stools can be caused by pancreas disease, IBS or diet. Right lower abdominal pain if is severe can be caused by ovarian cyst or urinary tract inflammation. I suggest you to have some tests: abdominal ultrasound, urinalysis, full blood work with liver and pancreas tests, stool tests and transvaginal ultrasound. And you definitely should have colonoscopy repeated (it is advisable to have colonoscopy repeated after 5 years of small polyp removal). If all tests will be negative, you may suffer from IBS. Therefore, Rifaximine 400 mg 3x1 during 7 days and Mebeverine 200 mg once a day can be helpful (should be prescribed by your doctor). Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello my 6yr old daughter is running a fever 101 degrees, I have given her tylenol and this usually takes it away for awhile, then it comes back. She is also complaining of headache and dizziness. Should I take her to emergency or just watch her closely? ### REPLY: Hello, Headache, dizziness with fever in a child warrants detailed clinical evaluation by a pediatrician. Causes of sucChatDoctorplaints are commonly upper respiratory infections, but may be seen in certain other conditions such as migraine, hypertension, anxiety, CNS infection, etc. You should consult pediatrician and get detailed clinical evaluation done. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello my 9mth old daughter has had diarhea for the past 5 days a new tootChatDoctore out last wk and we attributed it to that but now im gettig worried as she had abt 10stools yetsrrday. All very small and some solid and some watery. She is eating and drinking and playing as normal but now she has diaper rash and is in alot of discomfort. Im giving paedialyte and one vial of enterogeina but no relief yet. She eats solids, has formula and breastfeeds at nights when i get home. Please advise. ### REPLY: Hi, I had gone through your question and understand your concerns It looks that your baby is suffering from viral diarrhea which usually takes 5-7 days to resolve, in some case it may be prolonged due delayed recovery or post diarrheal intolerance. You can add zinc apart from ORS and enterogemina. In Diet, you can add curd, chichi, mashed banana, or banana with curd. For diver rash you can use cream like nappy rash cream B-4 nappy cream. If baby is well, active, accepting feeds adequately, no large watery stools, no high fever, there is no blood in stool, passing urine every 3-4 hourly, there is no need to worry. Otherwise or if diarrhea persists more than two more days you need to consult your doctor. Take care, 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 been on Anacand for 2 1/2 years.  I have gained weight, have back pain, bloating, dizziness, mild sore throat, shortness of breath, stuffy nose, sneezing, head feels heavy, extreme anxiety, muscle pain in right arm and both legs.  I do have a pacemaker and wanted to go off Anacand and my doctor wont listen to me.  What do I do? ### REPLY: Hello, Thanks for the query to . Forum. Atacama (anaconda) is candesartan , side effects are dizziness, nausea, sore throat, stuffy nose, upper respiratory infection. As you stated that you are already on pacemaker so in my opinion consult one more cardiologist and get his opinion as physical as well ECHO E K G report is very important in this case. Weight gain is dangerous, so consultation is important. Good luck.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been having a lot of abdominal pain and throwing up, i went to the emergency room 3 times and they did not find anything I went back to the emergency room last night and they admitted me in the hospital. I had to drink some stuff to do a test and now they say that I have a spot on my pancreas. I am a 38 year old female please tell me how likely that is to be cancerous. ### REPLY: Hello, thank you for writing in to .You're most likely to be suffering from acute pancreatitis/ peptic disorder/peptic ulcer. However, for us to come to any conclusion we need to know whether you're having any symptoms of jaundice? Also, you have not given details of your prescription. I'd suggest you to get admitted in the hospital to be monitored closely for further symptoms, as well as so that you're given IV fluids. In case of pancreatic cancer, the gall bladder gets swollen resulting in bile pigments in urine. So you can get your urine and stool test to check for presence of bile pigments in them, although they're not confirmations for cancer, they just give a guideline. Also get a CT for abdomen. If it is simply pancreatitis, you can be cured by managing conservatively and with the help of antibiotics. If not, then you might have to go for surgery. Meanwhile, you can take pent parole and risperidone tablets along with broad spectrum anti bionics. Follow a bland diet. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently starting having chest burp/gurgling noises when I breath in deep and my chest feels more constricted than normal. I was on penicillin recently for a bad cough and sinus. Never had this sensation before and starting to worry me. What can I do? ### REPLY: Thanks for your question on . I can understand your concern. Penicillin is an antibiotic. This can cause gastritis and gastritis in turn causes all your symptoms. So better to take pantoprazole and levosulperide combination on empty stomach twice daily. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Go for walking after meals.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im having some serious dental problems and havent seen a dentist in seven years. I have no dental insurance Im on disability and the dental help I need they wont supply. Because of this dental problem Im having, I find myself in a situation where I cant chew food without being in serious pain. I have lost so much weight because my body isnt getting the nourishment it needs. In the last year so many of my teeth have broken off and left the rest of the tooth up in the gum. I need help desperately.  l ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have mentioned that you have toothache, don't worry you should consult dentist and get Investigations and go for Oral prophylaxis, as you have decayed tooth go for Extraction of those tooth, For home remedy you are asking Only you can do is Do warm Salt water Gargle 4-5 times a day For toothache you can take Analgesic, One Tablet Paracetamol twice daily for pain, Visit dentist as early as possible, Hope this will help you.  Wishing you good healthRegards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor. I just had my left upper and lower wisdom teeth today. The stitching was not done properly, the flesh from the top wound was sewn to the lower cheek. Now the flesh has gotten loose and fallen off. The problem is, I have had flesh stick to the gauze i was told to bite on, which was then removed along with the gauze. I also have had persistent bleeding. In short, I have regular portions of flesh dislodging from the upper wound, with persistent bleeding from both upper and lower, more so from the upper wound. Any advice? ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have bleeding from extraction socket don't worry it is due to dislodgement of Blood clot from socket.  You can apply cotton dipped in cold water on socket and compress it. Consult dentist again and go for Medicated pack of Zinc oxide eugenol as early as possible.  Hope this will help you. Wishing you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Pls have bin feeling this down abdormal pain some times by the left or right side, and I do have vaginal discharge,some times d smell is offensive,for a long time now, I ran scan last year march the result said I have candida albican a yeast infection, I took some pills that was been prescibe 2me, buh still yet I still feel same way! Please what do u advise I do? Or what medication would u suggest 4 me? ### REPLY: For such cases of vaginal discharge with smell and given that allopatry medicine has not given you many results, I would recommend to my own patients that they should, hesitantly, get Ayurveda treatment for vaginal discharge. Safe and economic Ayurveda medicine for leucorrhoea and other vaginal discharges including infections, have wonderful cure and also help to relieve anemia and low back pain that may have been associated. Ashokarishta, Pradarantak NASA/ Laugh, Pushing herbal powder are classical medicines of choice while Lukoil, Ashoka dev syrup etc. are Patent excellent medicines for such conditions. Pure, non-synthetic, Ayurveda vaginal wash are made of any .  There are multiple choices, but selection depends on various conditions of patient at given time and medical history. Your Ayurveda doctor is qualified to decide it. No path is bad but suitability and response is important to decide switching from one system to another. Even Ayurveda doesn't counteract with your other medicines if given at proper intervals. Hope it guides you well to switch to other options open to you safely in you own interest. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey i am 33 year old female for about 6 months i have had right shoulder blade pain stiffness, and over the last month it has become worse when moving the arm or holding it straight out the pain has since moved down as well to elbow making it hard to open  and close my fingers ### REPLY: Hi, A lot of causes for shoulder stiffness and pain like the bones, ligaments and tendons that make up your shoulder joint are encased in a capsule of connective tissue. Pain attacks or stiffness occurs when this capsule thickens and tightens around the shoulder joint, restricting its movement. Doctors aren't sure why this happens to some people, although its more likely to occur in people who have diabetes or those who recently had to immobilize their shoulder for a long period, such as after surgery or an arm fracture. In my opinion physiotherapy, yoga, hot commendations with topical gels is helpful, Advil, acetaminophen, muscle relaxants, rest is recommended it may take sometime. In some cases if persists you may ask your physician for imaging and physical examination for the best evaluation for proper x-rays, MRI, other investigations like RBS, urinalysis, SUA, RH factor, and ASCOT title. I think this is only muscle sprain and will go away soon. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I masturbate almost everyday. I have a varicocele and I feel like masturbation has a big role in why I have a varicocele. I have read things saying it has no affect, but then I read things saying the opposite. So I masturbation the reason I have a varicocele? ### REPLY: Good Day, and thank you for being with  ! No having varicocele is not due to your masturbation. It is due to inherent abnormal valves in the veins in the spermatic cord.  Straining may aggravate the varicocele but would not cause it. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ .  Best wishes ### END