Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 thirteen year old daughter is experiencing acute sharp abdomen pains at LLQ that is radiating to umbilical area.  She also has been vomiting.  She underwent a CT of abd/pelvis and all was normal except small amount of fluid in the cul-de-sac.  Could this be residual fluid from a ruptured ovarian cyst?  Should we be concerned? ### REPLY: Hi. Thanks for your query. Yes, small fluid in the Cul-de-sac has to be bothered about as the age of your daughter is just 13, and we do not get fluids in the abdomen unless there is a problem. It may be a fluid from the ruptured follicle as you are right suspecting, if the dates are coinciding with possible ovulation period, which is normally 14 days prior to the next expected period. If she gets asymptomatic within a few days nothing to worry; you can follow up the fluid with simple ultrasonography. If the condition does not resolve, she will need further studies including the tests of blood, urine and stool and if required Diagnostic Laparoscopy for seeing the interior of the stomach, and to get the fluid for analysis to find the probable cause. The other causes in a child of 13 years can be appendicitis, tuberculosis, primary peritonitis. And so on. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 having 2 days for my period but i am suffering from. Severe stomach pain,low back pain, breast pain,my breasts tastes sour,leg pain, i an very thirsty, and i feel tiered why these are caused due to pregnancy or period. I want to get pregnant.i am Trying for past. 8 months i had ccontact on. All my ovolution days, i am having regular periods 30 to 32 days what is the solution please help me! ### REPLY: Hi, In the current scenario, you can wait for your cycle as it is almost due and then go for a urine pregnancy test 3-7 days later if you miss it. If you wish for an earlier and better confirmation, you can go for the serum beta-ChatDoctor title. Please see your health care provider for a physical exam and get a trans-vaginal sonogram if you miss a period. Your symptoms are not specific to early pregnancy; they can be pre-menstrual as well. Hope your query is clarified. 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 there! So as of recently, maybe in the past two weeks or so, every time my heart beats faster than it normals does, it has this weird feeling to it and if its really quiet you can hear it squeaking. For example, if I stayed in bed all day and get up to go downstairs to the kitchen, when I get downstairs I hear the squeaking with every heart beat. Im turning 17 in a week so I assumed it wasnt any serious heart condition but it wouldnt hurt to be 210% sure. ### REPLY: Dear Patient, Thank you very much for your question. If your heart rate is 100 or above beats per minute, it is called as tachycardia or your heart is beating faster than normal. There are many causes for tachycardia.  1. Anxiety and severe stress.2. Hyperthyroidism.3. Anemia.4. Damage to heart tissue during heart disease.5. Smoking and Alcohol intoxication.6. Fever etc. Also, there are many types of tachycardia, too.  Atrial Fibrillation, Atrial flutter, Supraventricular tachycardia (SVT) are some of them. In order to diagnose these conditions and differentiate them taking an ECG test is mandatory. Therefore, in your case, I would recommend you to consult your family doctor and take an ECG. Also, I would recommend you to do a thyroid test because many young individuals those who have atrial fibrillation have hyperthyroidism.  Do not worry.  Therefore, see a doctor soon and check your thyroid and do an ECG. If your conditions are related to anxiety or severe stress, your doctor will direct you to a Psychiatrist.  Va gal maneuvers can slow down your heart rate.  Putting an ice pack on face, coughing are examples for Va gal maneuvers which can slow down your heart rate during palpitations. Anyway, I again do not recommend you to rely on those temporary solutions. Seeing a physician and observing his or recommendations is the best solution. I hope that I answered your question. 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: My daughter in law is 12 weeks pregnant, she had an ultrasound done which shows a large black area about the size of the baby s head, located in the lower abdomial area. Black spot is present on side images of the baby, however is not present on front views of the baby. She had an ultrasound approximately 2 weeks ago at which time this black area was not present. Her obstetrician is unfamiliar with these findings and has referred her to a specialist. Do you have any idea as to what this black area could be? ### REPLY: Hello, This black spot present in the lower abdomen distended bladder, it is seen when the baby has a condition called megacystitis. It is usually seen after eleven weeks, and not at nine weeks as the bladder is seen on ultrasound at that time interval only., I would advise you to get an opinion of a fetal medicine specialist, and also get repeat sonography done by them. Fetal medicine experts will be better able to make you understand depending on the size of the bladder the options for treatment and follow up required. 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 was going to gym from Oct2013 till Dec 20th and stopped (I lost 3 kgs). I had my last period on 12th Dec 13. I didnt get periods in the month Jan-2014 till now. My husband and I had intercourse on 12th Jan thinking that I am closer to my next period and cant get pregnant. I didnt get periods at all, I had unprotected sex on 19th of Jan and started taking regestrone from 20th onwards and stopped after taking 4 tablets looking at the side effects of the tablet in the internet.Today i saw a yellowish discharge on the tissue paper after passing urine. My question is, is there a chance of getting pregnant as i took 4 regestrone after having unprotected intercourse? ### REPLY: Hallow Dear, Your unprotected intercourse on 19th Jan was well protected by 4 tablets of Progesterone taken within 24 hours. So this intercourse does not pause any threat of pregnancy. You may have some bleeding after few days and your menstruation may be delayed by few days to a week. However, you had one more unprotected intercourse on 12th Jan was not protected at all and hence this intercourse may result in pregnancy. You are not sure of the dates of menstruation. Moreover, you have taken Progesterone pills which will delay your menses. So you cannot figure out whether you have missed your period or not. Hence, the options to detect your pregnancy status are:1. Perform Beta  test on the blood after 29th Jan. 2. Perform pregnancy test on overnight first morning urine sample after 10th of Feb. I hope this resolves your dilemma.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HHi! My name Nima.age33.I am 5 ,onto pregnant and having pain in my wisdom  teeth. I have shown my dentist she said just gargle with salt water, and can take panadol.  so pls advise as Im still having pain what can I do? Or any tablet better than panadol can I take for relief. Thanks ### REPLY: Thanks for using . Read your query. During pregnancy, it is advised not to take a lot of medicines keeping in mind the effect it will have on the fetus. I would suggest you to carry on your dentist instructions of taking Paradox, as other pain tablets are not advisable. You can take the Paradox six hourly. Do salt water gargling. You may require a dose of antibiotics like Amoxicillin (if you are not allergic to any medicine and is also safe during pregnancy) on prescription from your dentist. Hope this was useful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have been experiencing pain in my left hand it feels like there is a bone out or moving about, its a dull ache which can get worse at times it is mostly based on top of my hand there is also a hard lump which I think is the bone it is very painful now that I am trying to type the pain is shooting up towards my wrist and arm the more I use it the more painful it gets what should I do ? ### REPLY: Getting an idea from your pain while tying it is probably the scaphoid bone that is troubling you. Can be necrosis if you had a history of fall on your candor else can be just an overuse pain which had lead to muscle spasm. Stabilize the joint with a compression bandage and apply a contrast bath i.e. apply ice (10 min)& hot packs (10 min alternating 3/4 times) over the pain area 4 times a day. And ray to confirm the diagnosis is advisable hope you find this helpful ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had chronic fatigue, joint pain, water retention, depression and weight gain over the past year and a half.  I had my blood work done and my Prolactin level is at 52.3.  I will be having more blood work in about 6 weeks.  Could Prolactin be causing these problems?  Oh and I am only 32 years old, I shouldnt be feeling this bad. ### REPLY: Hello and welcome to , The symptoms of chronic fatigue, joint pain, water retention and weight gain are not associated with high prolactin levels. High prolactin level is caused by increased secretion of prolactin by pituitary gland. Increased secretion of prolactin can be due to prolactin secreting tumor. The symptoms of fatigue, water retention, depression and weight gain are suggestive of disorders of thyroid gland. Hypothyroidism can lead to similar symptoms. Thus, thyroid function tests are required to assess the thyroid functions. Pituitary gland also needs to be examined by imaging study to look for any tumor of pituitary gland. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! My 18 month old had hand, foot and mouth disease last week and passed it along to my husband. Little blisters began to form on his hands, feet and mouth on Friday but is still not feeling any better. He has a cough (he s had over two weeks), low fever, mild headache and feels light headed. My impression of the diseases was that he should be feeling better after the blisters appeared but that does not seem to be the case. He feels worse now than he did Friday. Should he see a doctor tomorrow? ### REPLY: Hello, Welcome to , Hand, foot, and mouth disease is caused by a group of viruses known as retroviruses. This is a condition which can lead to fever, blisters on the hands and feet, mouth sores, sore throat and a poor appetite. It can spread from one person to another through direct contact with discharge from the nose and throat, saliva, infected stools, or fluid from a blister. There is no specific treatment for HFMD. Medication may be given for relief of symptoms such as fever and aches. I would suggest yo to follow1. Good personal hygiene2. Oral NSAIDs3. Topical anesthetics to minimize the pain caused by the blisters.4. Wash your hands frequently. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have ezcema on my breast or something that looks like it when it first started out it was a bump with pus coming out of it red in it the rest of it was yellowish it itches it sweats it sticks to my bra and Im so sick of it was do you think it is and what should I do to treat it ### REPLY: Hi, Welcome to ! Well, first, I'd strongly advice you to visit a surgeon and get it examined and investigated. Bump with pus might be a breast abscess (infection) or there's a chance of it being a tumor (benign or malignant). Hence, I'd strongly advice you to visit a surgeon. If it only an infection, you will need to take a course of antibiotics plus aspiration of pus. That should suffice along with regular . Painkillers like Diclofenac may be taken to get relief from pain. Hope this information helps. Please do pay a visit to a surgeon at the earliest to get the bump examined. Wishing you the best. With 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 not certain i have allergies. my symptom is a few sneezes when i wake up in the morning. that is the only time throughout the day. no other symptoms (itching eyes or nose, watery eyes, redness, puffiness, sniffels, coughs ............nothing else). few sneezes occurs no matter the season (summer winter fall) ### REPLY: Hi, You might have sinusitis or allergic rhinitis or upper respiratory tract infection or bronchitis with congestion which actually causes all these symptoms. You can do some routine blood tests with sputum examination and chest X-ray to have confirmed diagnosis. Anyway, you should be given oral antibiotics (quinolones or accolades) in full course for about 4 to 5 days with antihistamines syrup or mast cell stabilizers and nebulizers with steam inhalation to get rid of complete infection from throat or chest. Consult ENT specialist for further treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor, i am female 28yrs, me and my husband are desperately trying for a baby for last 9 months , we will be going to celebrate our 3rd anniversary this July. I consulted a gynaecologist after examination i come to know that i have sign of pcos my height is 5.2 and weight was 58kg in feb after exercise and healthy fat free diet now i am 53kg. Doctor prescribed me clomifene , Acetylcysteine tablets with Astaxanthin for one month and asked my husband to do Semen analysis his reports shows the following results: Volume : 3.0ml viscosity: Normal sperm count : 120,000,000ml viability :70% Motility after 1 hr Active motility : 40% sluggish motility : 30% dead sperm : 30% Motility after 2hrs active : 30% sluggish : 30% dead sperm:40% Microscopic exam: Agglutination : +2 RBC : 1-2 WBC : 1-2 Epithelial cells: nil immature germ cell : - parasites : nil spermatogenic cells : 1-3 abnormal forms : 20 % i am on my 11th day of periods as my ovulation days are near kindly suggest me what to do as i want to conceive in this two months , plz do prescribe any medicines if my husband require.we are currently in middle east. Thanking you in anticipation. ### REPLY: Hi If your periods are regular then you must be ovulating in 14 days prior to your next menses. That means if you expect your menses on 30th of a particular month then you will be ovulating on 16th of that month. Your ovum must be viable for at least 24 to 72 hrs. So during this period you can do serial trans vaginal ultrasound to monitor ovum release and its maturation. Your husband s semen analysis report is relatively normal. Both of you now don't need any medicines. You need perfect relaxation, rest, nutritious food and keep your mind out of tension. Having sex at the time of ovulation and up to 3 days after ovulation is very important... Wish you both all the best.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir , My age is 20 year old and i am to week my weight is only 56 kg but my height is good. Sir some people tell me your weakness is due to releasing sperm. i ask with you that is this right. sir i release my sperm from 14 years. and i release it in one time in a week or another i release it more than 2 time a day. so sir tell me about this facts. I am highly thankful to you for this ### REPLY: Hi, I had gone through your query and understood your concerns. Sir, the release of sperms is just like any other normal phenomenon. And, its quite common among young boys. The process only burns some calories like any other exercises do. Other than that there nothing else like causing weakness. When you do it more times in less time, that lead to slight restlessness. Otherwise else, now and then is not at all a problem. Hope this guides you. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 7 month old baby has been having frequent (4-5 times daily), green/brown oily/slimy loose stools with loud toots for the past 36 hours. His behavior hasnt changed and he is sleeping normally. He hasnt ran a fever or been sick in any other way during this. I have recently started him on solid foods. Should I be worried?? ### REPLY: Hello, Thank you for asking at . I went through your babies history and would like to make suggestions as follows:1. I find nothing to worry with him as there is no fever, no vomiting and no signs of sickness. So please do not worry about such frequency of stools.2. I would only suggest you to continue breastfeeding and give more liquids during day such as coconut water, rice water, lemon water, etc. Please avoid fruit juices and cold .  You can give him ORS also if he accepts it (Some babies may not accept it because of its taste).3. If diarrhea persists or worsen, I would suggest you his stool examination in laboratory as well as consultation of a pediatrician. In that case supplementation with zinc and probiotics may also be helpful. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish your baby the best of the health ahead. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i haeve a very extremely painful bruning like a 12 on 10 while i pee after i masturbate one day and did a fast movement like i bended it almost perpendicular while it was hard , the bend happenned accidentaly close to the top of the penis , i felt like i cut from inside , ### REPLY: Hello appreciate your concerns might be related to inflammation following injury during masturbation. I would advise you to be careful while masturbating.Meanwhile, have plenty of fluids which will help by diluting the urine as well as flushing of the urogenital tract. You should apply antiseptic or anesthetic ointment like lidocaine for pain relief. If it doesn't heal than you need to see a urologist for physical examination and further course of action. Please do let me know if you have further queries, I will be happy to help you 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 husban is 36 he is 5"4 and stopped smokin 3 yeasrs ago when I had a tubal reversal and been trying to concieve we got checked out and I am ok but he had a cyst that had to be taking out he has 0percent rapid progression and we still r in high hope for our child no matter what the tests shows or where the numbers are ### REPLY: Hi, Thanks for asking.  I understand your concern.  If you & your husband are normal after treatment, you should give a fair trial for normal conception(take It E & folic acid . Both of you/ know your ovulation time by using LH surge test & have unprotected sex around the estimated ovulation day.  - If you do not conceive in 3-6 months, / if the counts are low-go for GUI/ test tube baby.  - In case the sperm count is non-promising. You can take advantage of sperm donation & GUI/ test tube baby.  Wish you all the best.  Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctors my wife is running in 17 th week of pregnancy but today doctors have done her ultrasound and they said that its 19 th week but we are confirmed that its 17 th week .however all reports are normal. doctor said that ur baby is running 2 weeks in growth .is there any comliction in this situation? ### REPLY: His think I have understood your concern. There are following possibilities-1] Wrong dates (but you are confident of dates)2] Constitutionally large baby3] USG machine data variations4] Gestational Diabetes. I would like to know if the findings were same for USG at 6 to6 weeks or at 12 weeks gestation. It carries more importance. Please rule out gestational diabetes by doing 75 gram glucose load test. Do blood sugar levels 2 hours after glucose load, if above 140 mg then start with diet, exercise and MNT_ medical nutrition therapy. Please do follow up USG, at 4 weeks interval to assess growth parameters. I hope this answer helps you. 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 15 years old. i was on depo then i  stoppd it after the first shot. 2 weeks later i had a 5 day cycle then 9 days of brown spotting. im still spoting on and off. i took a pregnancy test and it came out negative. and i do not want to got to the doctor because then my mom is going to know wats going on. with me not goin to the docta my doctor does not kno whether i could  be pregnant or not.wat do u think? also i do not know whether my cycle has not come because im pregnant or because of the depo not leavn my system completely. ### REPLY: Hi dear, I have gone through your question and understand your concerns. Depo proverb has the side effect of irregular spotting or prolonged amenorrhea. If your pregnancy test is negative, then the pregnancy is ruled out. I suggest you not to worry as it is the side effect of demo shots and will slowly get normalized. Hope you found the answer helpful. Wishing you good health. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here... i am from nasik my child , 2 year old, suffered from Severe Fever last week ,after that doctor admitted him for 6 days ,after discharge now he is suffering from loose motion & Vomitting, but there is no smell in motions or vomit can u suggest sm medicine so , that his motions were quickly stop ### REPLY: Hello dear!please provide the details of medicines given by the doctor during hospital stay. It could be due to lack of useful bacteria vanished away by antibiotics use. Also, it could be post infectious IBS.I would recommend to start giving homemade probiotic composition that is homemade yogurt mixed with rice and lentil cereal(with minimum salt). It acts as a natural probiotic. Also give fluids especially ORS after every stool and for vomiting give rice water(water that we normally throw away when we boil rice-it has starch in it), its v effective for vomiting. If it doesn't settle with all this, start spy. Metronidazole 200 mg/5ml(5ml thrice daily) for 7 days and spy. Zinc 5 ml once daily for 10 days. Hope it will help. Be blessed :-) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 what seems to be some fever on the right side of my head. very slight pressure on the back of the eye...it does NOT affect my vision. some soreness on the right side of my throat and a tenderness on the right side of my head. I also feel a slight sensitivity in my right ear. age 58 225 No alcohol/drugs 6 1 Generally excellent health no recent trauma for the past couple of days a slight increase in anxiety which I normally NEVER have. ### REPLY: Hi, As per your symptoms it could be due to upper respiratory infection(pharyngitis, laryngitis, tonsillitis, epiglottis etc.) or middle ear infection, sinusitis you should undergo routine blood investigations and after that you may take antibiotics (quinolones or accolades group) with antipyretic and analgesics with other symptomatic treatment according to underlying cause. You consult ENT surgeon for further advise. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 took primolut N for 6 days. i was not aware that i was pregnant. My last MC date was 17-aug-10 and i took primolute N ( 1 tab / day) from 11-sep to 15-sep. When i did pregnancy test on 30-sep-10 , i came to know that i was pregnent. I want to know does premolute N has any adverse effect on foetus? is it advisable to continue pregnancy? ### REPLY: Hello, I can understand your worry, but, I would like to say, the dosage you have taken is very little and also very early in your pregnancy. Hence, the chances of affecting the embryo are very minimal. Norethisterone can cause virilization of a female fetus when used in higher doses, if used at 7-8 weeks of pregnancy, as this is the time of organogenesis of gonads, where there is hormone sensitivity. It is a category D .  In view of these facts, you can decide on the future of the pregnancy if you can get the fetal DNA tests done to detect any malformations early enough. If no abnormal test results come, you can continue with the pregnancy with regular monitoring. Hope you find this information useful. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i am Dheeraj from India i had so much mastrubution before marriage now its been 4 years of my marriage and this is effencting on my life that i am not getting kids i had my semen test in that test 15% are living cells and 85% dead cells in my cemens kindly advise me the best medicene ### REPLY: Hello Your semen analysis suggest low sperm motility. It is important to know other parameters like sperm count, morphology,liquefaction time etc. You need proper clinical examination and further investigations. Investigations include routine hologram, random blood sugar, urine RE/ME, ultrasound of scrotum. Hormone assay can be done if needed. You should do exercise and take nutritious food. If findings doesn't improve then you may need assisted fertilization techniques like GUI, ICSI etc. 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 realize what a completely ridiculous question this is, but I have a lump that has grown on my chest. Under the skin, not on top. I assumed it was a giant zit, but its gotten larger, and has a very faint odor Does cancer have a smell? (I swear I m not usually a hypochondriac) ### REPLY: Hi, Welcome to . I studied your query. I understood Your concerns. Based on facts of your query, Dear you seem to have a Boil. Which could have a smell due to the accompanied infection. Smell is not the criteria for any Cancer. Hope this reply would satisfy and would help you to plan treatment with the right consultant doctor. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! . Senior Surgical Specialist M.S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: At times my faces feels numb and when I poke my face a sharp pain travels from my face to my chest, there s also a sharp pain in my chest that feels like there are needles in my heart... And it gets hard to breath like there something on my chest weighing it down ### REPLY: Hello! Welcome on ! Regarding your concern, I would explain that your symptoms seem to be related to anxiety. The distribution of the pain, is not compatible with any nerve trajectory. So, it doesn't seem to be any pinched nerve. Anyway, I would recommend consulting with your attending physician for a physical exam and some tests: - a cervical spine X-ray study for chronic degeneration of the cervical spine, leading to irradiating nerve pain-complete blood count, PCR, ESR for inflammation- blood electrolytes for possible imbalance. If these tests result normal, you should consider anxiety as the main cause of your troubles. 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 am stammer person (32 Years) and its getting more when little bit tension or nervous other times all getting little bit and when pronouncing few letters like N L T getting more stammer.Many folks would suggest like Be brave, confident, dont be tension ,,etc , But even though some times going stammer.And also I would be participating in meetings, and teaching, but the thing is I will be stammer, even though going forward....Is there any medicines to cure this?Kindly suggest ### REPLY: Hello and welcome to . Thanks for your query. I understand that you are quite distressed about your stammering problem. As you have mentioned, anxiety and tension can often increase stammering. Unfortunately, there is no medicine that can cure stammering. But very often individuals can benefit from Speech therapy. Speech therapy can teach you certain techniques of pronouncing difficult syllables as well as help you learn how to avoid anxiety and pressured speech. So, I would advise you to consult a speech therapist for further help. Wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Dr.Mahashur, i have been diagonised with MYCOPLASMIC PNEUMONIA by a Dr in Singapore,(mycoplasmic pneumonia antibody fbc=  >1:1280) and am now on a 20-days course of avelox ( moxifloxacin 400 mg) and have also been advised to take steroids for 10 days. I have already gone through a course of antibiotics to treat pneumonia (CLAVICEF)and TB has been eliminated by carrying out a bronchoscopy and lab analysis for TB. I am apprehensive about taking steroids, so pls advise if it is necessary to take steroids? thanks. ### REPLY: Hello rearward welcome to .come have evaluated your query thoroughly.* The need of steroid is determined by the clinician taking into considerations many parameters.* Steroids help to relieve mucosal inflammation of the bronchi, gives faster recovery, so under medical guidance a short course of steroid to be consumed has no harm in it. Hope this will help you for sure. Welcome for any further assistance. 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: Had a root canal and crown on bottom left (last) about a month past; my regular dentist put me onclindamycin 150m but the tooth is still very sensitive. should I see a root canal specialist, or what do you suggest? I am still on the meds he gave me. thanks ### REPLY: IIN regard to your query, clindamycin is antibiotic which is usually prescribed to patients who are sensitive to pencilling and it not a .  You might be having sensitive because of dissolution of cement at the crown site. Secondly, after the root canal treatment tooth will be non-vital which means no life in the tooth so I think you might be having pain rather than sensitivity. I would strongly recommend you to stop using  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a Parietal CellAB test result of 12.6. I have pernicious anemia and have been giving myself monthly B12 shots. What does this result mean? Do I still have to give myself shots. The doctor s office never responded to the test results. Thanks. Barbara ### REPLY: Hello, THX to contact us. If I am your treating doctor I would like to advice you that the result of the test should be regarded in terms of reference values. Each test which we carried out has its own reference values. Until you do not mention reference value it will be difficult to tell you about the result of the test. But if your report suggest a low B12 than you have to continue with the B12 shots. If you have anything else to ask please contact me. Than.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Dr. I am suffering from cold and cough for the past 4-5 months. I have taken some medicine such as livocet , mlivocet etc.. but it did not help. Recently i have done the blood test at pathology lab. The report shows the high range of Eosinophilia count i.e 8 %.  Please let me know what to do. ### REPLY: Thanks for your question on . I can understand your concern. Eosinophils are one of the white blood cell (ABCs). It is usually seen in very low percentage like 1-2 %. Higher percentage suggest allergic disease. Other conditions like .  But in your case possibility of allergic etiology is more. You are also having cough and cold since 4-5 months. And not improving with routine medicines. So possibility of allergic cough is more in your case. You need to start combination of antihistamine and anti-allergic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I started taking the Depo-Provera shot for birth control this past September (aprox. the 3rd). I have been experiencing a light period for the past ten days, after not having a period last month, only minimal spotting. Is this normal for the Depo shot, or should I call my family doctor and schedule an appointment? Thanks in advance. ### REPLY: Hello, Thanks for the query to . Forum. Depo-provera is a .  As you mentioned that period is from 10 days although light in nature. Last month there was no period as you mentioned that only there was spotting. This is an indication of irregular bleeding or dysfunctional uterine bleeding. In my opinion get in ultrasound of uterus as well both ovaries for any disease. Consult a gynecologist and get his opinion. 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 about two years ago i started taking depo shot i came off of it a year later and i had a period about two - three weeks later...i started taking the shot again back in june and missed my last shot december 3rd...its almost been two months and i haven t had a period and showing early signs of pregnancy...but if im pregnant im only about three or four weeks..i just wanted to be explained whats going on...i took a pregnancy test about a week ago it said negative but it might have been two early to tell...im wondering could i be pregnant? or when should i be seeing my period? ### REPLY: Hallow Dear, Since you have missed your Demo shot, there are good chances that you may be pregnant. Your logic for negative urine tests sounds very correct. These tests done too early, before 8 days of missed period, are likely to give false negative results. Beta  tests are more specific and sensitive. These tests give reliable results within 2-3 days of missed period, sometimes even before missing a period. So you may opt of Beta  test to get the confirmation of diagnosis of 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: I have a sore (maybe a pimple or boil type thing) right below my tailbone. It hurts to touch and at times sitting can be uncomfortable. Is it a cyst? Is it possible to treat this with something over the counter? I have good hygiene but do sweat a lot. ### REPLY: HI, thanks for using  It is possible it is a cyst (a sac that may collect fluid, it can become infected). It may also be an abscess which is a localized collection of pus. It would be best to be reviewed by your doctor. The lesion may need to be incised and, if infected, antibiotics given. If it is a cyst then it would be best to have the sac removed, or it will recollect. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Vitamin D3 5000 IUs ... is it will help my PCOS? I don t want to take pill .. it did effect me in someway. I would like to be nature way to do without pill. I just discoved that I have PCOS last thursday without know them about. I did success with two pregenices before. Now I am struggling to get my peroid back after second child. It already passed 1 1/2 years no periods. ### REPLY: Hi,if the periods have been quite regular for a number of years and then suddenly stop, or the cycle becomes frequently interrupted, it denotes debilitated and devitalized condition of the system. Causes towards the condition are anemia, worry,grief, fright or other serious emotional disturbance etc. You should have three meals day of fresh juicy fruits like apples, pears,grapes, papaya,orange etc. You should boil one spoon carrot seeds in one glass of water for 5 to 6 minutes and take it for 5 days in early morning, it is very beneficial for this. Sesame seeds are also use like this. Warm hip bath is also regulating the menstrual disorders. 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 was playing and landed with her knee in my nose. I have nose tenderness and a headache that has lasted two days. The headache is threw my whole head and after taking Ib or tylonol my headache remains. There is no swelling in my nose and no discoloration in my eye areas. Do I need to see a doctor? ### REPLY: Hellman thanks for contacting  What I can infer based on your description of your complaints is that you are suffering from a soft tissue injury to your nose and head. As you have mentioned that only headache remains, what I would suggest is for you to take paracetamol for the next few days and observe it. If there is sudden increase in headache, vomiting or giddiness then to consult a doctor. I would also suggest you to take it easy for next few days Hope I have answered your queries Wish you a speedy recovery ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im a 17 yr old girl and i have asthama since i was 4 yrs old. I use forocort rotocaps 200 everyday since 8 months. And i have problem in breathing mostly everyday and after using this medicine i feel better. But again the next day i have problem in breathing. So what should i do? Im really very disturbed due to my health. Is their any other treatment except using the inhalers? ### REPLY: Hello. Thank you for asking at . I went through your history. For detailed assessment, I would like to ask a few more questions like - Do you have any nose symptoms (nasal congestion, sneezing, running nose, etc.)? If yes, then how frequent? Do you have regurgitation/vomiting, especially after eating hot, spicy foods? Do you have any other medical problems? However, from your history, I would like to make following suggestions for you:1. If you are having daily breathing problems despite using Forecourt 200 rota caps daily, where I treating you, I would prescribe you daily montelukast in addition to rota caps.2. I would highly recommend you to get your technique of using rota caps reviewed by an experienced physician. If all the necessary steps are not followed, you might not be getting adequate amount of . 3. Personally I would suggest you to use metered does inhaler with spacer device, which causes more deposition of  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sister , age 30, got kidney failure, (doc describes as ARF). This happened after she delivered baby thru c-section. She has been struggling for more than 7 weeks and has gone thru number of dialysis till date. 1 week ago she shifted to big hospital in Calcuta. what are the chances of getting out of this. If needed I can send the respective doctor a soft copy of the latest report. Please suggest and guide. ### REPLY: Hi, Thanks for your question. Sorry to know about your sister. ARF means Acute Renal Failure. ARF following C- section may be due to-1) Blood loss or hematoma (blood clot formation).2) Hypotension (low blood pressure).3) Infection.4) Direct injury to ureter.5) Aggravation of pre-existing kidney problem. Chances of recovery from ARF depends on upon-1) Correction of underlying causes.2) Serum urea, creatinine, uric acid, calcium, phosphorus level, arterial blood gas analysis.3) Urine production per hour.4) Level of Blood pressure maintained with or without medicines.5) Signs of fluid overload. After knowing this one can comment on recovery. Over all there is definite chance of complete recovery of kidney function in most of the cases of ARF Hope this helps you. If so do vote as helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Uhm, hi. My best friend has been suffering from depression for a year or so now. She s attempted suicide twiceand cuts herself. She used to live just down the street, but now she s moved and I hardly get to see her anymore. I know that she s hurting, but it s hard to keep tabs on her with the distance. I thought maybe I d send her a care package, but he last thing I wanna do is belittle her or make her feel embrassed. Any suggestions of what I can do? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I can see the emotional empathetic heart you possess and understand it. Furthermore, I also hope that your best friend is under psychiatric treatment and therapy for her depression and suicidal ideation. Your kind words and friendship must be an oasis for your friend. Therefore, be your friends true friend. Your package should include your open heart, true love and words of kindness and understanding. Meet your friend occasionally and talk through phone often. Motivate her to do different creative things and to enjoy life even though depressed. If there is no treatment, then should motivate your friend to consult a psychiatrist / psychologist.  Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I slipped and fell in the bathroom, hit my head, right shoulder, and right arm. No loss of consciousness. Just very tender in the back of the head, shoulder and spine. No visual bump or bleeding. Should I get this checked out? Its been about 24 hours ### REPLY: Hello, I have studied your case.I are having symptoms like nausea, vomiting, giddiness them you need to consult your doctor soon. When such patient comes to my hospital we usually do MRI if abnormality suspected. Some medication like analgesic [paracetamol] will reduce pain. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Iam 30 weeks pregnant & Yesterday at an appointment with my widwife, they detected he had irregular heartbeat ( was kind of hiccuping or missing a couple of beats) up until this point everything has been fine. I was rushed to an ultrasound to have a closer look at the heart & they could not detect anything wrong. Heart rate was 160 and not skipping. I have to go back again next week but am really worried! should i be?? and could smoking one ciggarette a day be causing this?? or anything i am doing?? ### REPLY: Hello, Thanks for submitting your query here. Your fetus has some nonreassuring heart rate detected which later was not confirmed by ultrasonography. I must tell you that a CTG(the machine) is a good guide regarding fetal condition provided you are in labor. It's not always indicated routinely in 30 weeks if your fetus is not either growth restricted or you donor have diabetes or hypertension. However, I suggest you to monitor your fetal movement daily. Just count it daily and keep a record of it. A count 10 to 12 per day is considered adequate and if less than that; need an urgent consultation. Sincerely ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 two days a jaw tooth was cracked, it was not painful as I can eat and drink.  yesterday it was  warm slight pain, now the tooth next to this  cracked tooth is slightly red. I think it has an abscess. wanted to extract it but.... I have a tumor on my left temporal lobe and may have surgery within a week or 2. ### REPLY: Hello, Thank you for consulting with . Yes it looks like your tooth was infected a few days back and now there is abscess in the apex of the tooth, it is not necessary that you have to go for removal of the tooth, you can go for root canal treatment of the tooth as well, as it can also reduce the infection, and you can start with the treatment before the surgery for tumor. Hope it will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my search is to find some reasonable cause for continiual blood clotting problems "sticky Blood?" and swallowing problems as wellas many symptoms similar to ms. No one seems to be able to conclude the actual cause or link if any to the two... so the continued treatment is for MS. Blood clots have ben reocurring dispite the blood thinners that have been taken. Is there something that ties this all together? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern.  If you have continued blood clotting problems despite blood thinner then you should go for thrombophilia profile. You may have some deficiency like protein c or protein s or some other factors. Consult your doctor and investigate for that and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have recently had labs drawn for low testosterone. I am a30yr old male, RN. Symptoms are fatigue, mood changes and no motivation. Went too my pcp: T level was 0.81 on scale of 0.95-4.30 (free testosterone). I am just looking for recommendations, I am a healthy active person and don t know why my levels are low at such a young age. Had total T levels drawn as well but no results yet. My pcp is not much help. Thank you! ### REPLY: His understand your concern. Yes there are reviews that low testosterone is associated with mood changes and anxiety features. Antidepressant with testosterone supplement will helpful. Consult endocrinologist as well as psychiatrist for further help. Antidepressant like low dose sertraline will help to regulate mood and motivation in such kind of patients. So consult and get help. Still have a query then feel free to ask. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im 31 yrs female last married since last 7 yrs nd no children last yr i had gone misscarrage . last month .my bp was 150 f90. doc told i had high bp i did stop eating salt but it makes me fatining if i go and check it remain same .so i stop checking and satarted eating since im worried pls suggest me ### REPLY: Hello, It's of utmost importance that your blood pressure is controlled.  You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then you should be on medicines for it. You should get prescribed tab Amlodipine 5 mg once a day and monitor BP as advised above for few more days in order to confirm adequate control. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Hope this helps you and get back if you have any doubts. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor,My daughter has been advised to take budecort inhaler (100) i puff twice daily and also budenase AQ nasal spray 1 puff twice a day for 3 months for running nose and mild fever sometimes accompanied with cough which she has been getting some 3-4 times in the last one month.Do you think these steroid sprays are necessary?? ### REPLY: Every doctor has his own recipes according to his experience. You have not given details of your daughters condition and treatment given since then. I am sure if your doctor has prescribed steroids inhaler he has his own reason to do that. Actually when condition arrives steroids to go a .  Local use is even safer to use. Please write back to us with details of her illness and previous medications. So that we can advise you more appropriately if to continue steroids are not. Fever and cough for such a long time is not a good sign, give details of investigations as well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sirmy kid is of 1.4 yrs as per our doctor he his suffering from throt infection from last two days we are giving him ANTIBOITIC NIKOMOX CV. 4ML TWICE A DAY TODAY we have given him last dose at 1.pm. but from last 2 hours he his having motion nearly four time ALong with NIKOMOX CV he his also ADVISED for nutrolin d ,zyrcold, syp ibuqesicp ### REPLY: Thanks for putting up your query at . I am sorry that your small kid has a throat infection. When antibiotics are taken the beneficial bacteria that remain normally within our bowels, also die. This is the cause of the diarrhea. Please continue giving him the antibiotics for the full duration of 5 days as prescribed. Alongside, give him curd/yogurt which is rich in Lactobacillus which form some beneficial bacterial of our bowels. You may also give Enterogermina - 1 sachet twice daily for 3 days. Continue giving him the other medicines as well. I hope that helps. Feel free to revert with further queries if any. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 am 39 year old divorcee unable to do sexual intercourse  now and suffering from ED and impotency problem from the age of 16 year this problems due to excessive masturbation  also  having frequent urination problem and always feeling stomach heavy take lot of treatment but having no use please tell me whether it is curable or just waste of money ### REPLY: Degree understand your concerns went through your details. Excessive masturbation cannot cause erectile dysfunction or other sexual problems. Masturbation is normal, natural and never unhealthy. I think your present sexual problems are due to unnecessary anxiety and apprehension and wrong knowledge about masturbation. I suggest sex counseling. If you require more of my help in this aspect, please use this URL. http://YYYYYY/YYYYYY. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My sister age 26 yrs have identified HBS b Positive during pregnancy test. Also she delivered death baby last week. Now she is getting treatment from the Gynecologist. Kindly advice HBS B positive is curable? What Precaution is required? also advice what kind of Doctor is required whether gynecologist doctor is OK to cure her? ### REPLY: Hi Dear Welcome to the . Hbs AG positive means you are infected with Hepatitis B virus. Baby required to be given Hepatitis B immunoglobulin injections easily available with the pharmacist along with the consultation of your pediatrician for your baby. Mother should consult the gastroenterologist. He will further investigate her for the status of the virus with viral makers, DNA markers etc., and accordingly she may be given antiviral . Hope the query is answered. Thnaks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 5 weeks post-op following sub-total hysterectomy. Whilst in hospital I had chest pains and shortness of breath, whereupon they did an ecg etc and they said nothing was the matter. This has continued for the past five weeks off and on, I went to the doctors two weeks ago where again an ecg was done and my bp, the only outcome was a slight increase in my pulse. This is disconcerting as I dont know what it was, only to say I had slight problems with svt two years ago which settled down, and i also had a mibi scan which showed no problem with my heart. Can you offer any advice, I was pretty low in health prior to the op also with sore throats and had been put on amoxicillin. ### REPLY: Thanks for your question on . I can understand your concern. First no need to worry about major cardiac post-operative complications because your ECG and mini scans are normal. Possibility of bronchitis is more likely for your symptoms. Bronchitis is inflammation of airways, and it is common after surgery. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If PFT is showing obstructive defect then bronchitis is the cause. You will mostly improve with inhaled bronchodilators and inhaled corticosteroid (ICS) (budesonide or fluticasone). Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my partner has taken around 10 pregnancy tests on around three qauters of them there has been white lines appear in the test zone within 3 minutes averagely about 5 of them have had pink dots within the test zone pretty sure thats where the test line appears we first had sex 2 weeks exact ago on the 30th oct and she had the implant in two weeks exact and last tuesday 5th she had it taken out she was told from the moment it came out shes fertile and we had sex both the tuesday 5th and the next day 6th could she be pregnant ### REPLY: Hello, In the current scenario, a definite conclusion can be arrived at through estimation of serum beta-ChatDoctor titles. Urine pregnancy tests can give a positive result about 3 weeks after conception when done with a fresh early morning sample. So many inconclusive tests mean that the testing is early and inappropriate. You can also get a trans-vaginal sonogram about 3 weeks after ovulation to clarify the issue. The blood test will clarify the issue and further help can be had from your consultant. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 69 and taking sulfamethoxazole 2 times daily for bronchitis. Last 3 nights I have had a fever and chills during the night. Am still rather weak and lack energy and have difficulty breathing. I had heart bypass in 2002 and my lungs aren t good because I smoked many years before heart attack and no not smoke since 2002 ### REPLY: Thanks for your question on . I can understand your concern. Fever with chills in bronchitis patients are suggestive of lung infection like pneumonia. Since you had heavy smoking habit in the past and now suffering from bronchitis, your lungs are weak and prone for infection. So we should rule out pneumonia first. So consult pulmonologist and get done 1. Clinical examination of respiratory system2. Chest x-ray 3. Complete blood count. Chest x-ray is must for the diagnosis of pneumonia. CBC is needed to know the rise in total white cell count. You will mostly improve with broad spectrum antibiotic like levofloxacin or Azithromycin. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im liel,23yrs of age married.my husband and i have been together for almost 3 yrs but until now i cant be pregnant..he has a past disease with is std 4 yrs ago but we want to have a baby., and on part,i am little fat .what is the best thing that we should do for us to have a baby ? ### REPLY: HelloFresh last 3 years you are trying for a baby, so please do following things.1 Husband, get in blood for V D R L test and also for H I V (due to past history of S T D) . Get in blood for c b c, RH GROUPING, e s r (if very high take a treatment. Now most important thing for your husband is got in SEMEN ANALYSIS and deal accordingly.2 Wife, ovulation study and date of ovulation release, ultrasound of uterus for endometrium thickness, ovarian cyst, tubal condition. As you are somewhat fat so also get in hormonal study of F S H/ L H ratio. Deal as I mentioned above. If everything is within normal limit do sex on stipulated date, if anything abnormal deal according to condition. Hope this information will be helpful for you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 47 year old caucasian male. 5"10", 190 lbs. I jog 3-4 miles 4x a week, I am experiencing random sharp, intense pain in my inner left thigh. I also cannot cross my legs due to the pain on my left side. Noo pain when I run or walk or regular day to day activities. Just sudden sharp pains and inability to cross legs due to pain. Any ideas? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concern. As per your complaint pain in inner thigh that is occurring on crossing the legs can be most probably due to strained or stretched Adductor muscle that is an inner thigh muscle. It might have gut injured during running, stretching etc. Other causes can be Inguinal hernia, Pubic dysfunction, Osteoarthritis, kidney stones etc. I would suggest you to consult an Orthopedic and get evaluated and a thorough clinical evaluation and investigations like Palpation tests, x-ray, MRI Scan, Electromyography, blood tests etc. can help in diagnosis and treatment can be planned accordingly. In case if it is due to muscle strain you can be advised to take anti-inflammatory painkillers, muscle relaxants, warm compresses, physiotherapy under trained Physiotherapist, massage therapy etc. can be advised to relieve. Avoiding strenuous exercises can help in faster healing. In case if it is due to other causes treating the underlying cause can relieve. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m a guy from a small town i have a problem of NIGHTFALL My age is 17  and after a particular period means a span of 7-8 days my hands cant stop  to do hand practise and night fall is also happens i m in 10th std plz plz i wana concentrate on my studies plz help mi ### REPLY: Degree understand your concerns went through your details. Masturbation is healthy practice, and it cannot have any health problems in you IC you are moderate with the practice. Nocturnal Emission is the process of body and happens because you are sexually excited often. In both of the cases, you don't have anything to worry or to be anxious. Still I suggest you to consult a psychologist / sexologist to clear your unnecessary doubts. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last Thursday, 5/1ST I noticed that my daughter was unusually pale. and the color of her lips are also pale. She is asthmatic and been taking her normal treatments. She is also autistic and takes Clonazepam, Risperdone, Topirates, Fish Oil, and Geritol vitamin complete. Getting dressed, which she does independently seems to be an effort. ### REPLY: Thanks for your query. From history its seems your child may have developed anemia. I suggest you to consult a pediatrician for proper evaluation to find out the cause of anemia. It may be due to nutritional deficiency of iron/ vitamin B12 or folic acid. Or may be due to increase destruction or decrease production of red blood cells. Only after investigations proper diagnosis can be made. 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 82 yrs. old. My primary doctor gave me a DTP shot on 6/12/14. On Sat., 6/14/14 I got up and within a few minutes I felt faint. I was sweaty and lightheaded. I took my blood pressure and it was 104 over 70. Is this a reaction from the DPT shot? I felt poorly for 2 days then started to feel more normal. Today is Tues. 6/17/14. My arm at injection point is still bruised and my upper arm is red and itches. Is there anything I should do or should I just give it time to wear off? ### REPLY: Hello, Thank you for your contact to . I understand your concern. If I am your doctor I suggest you that either you had allergy or reaction to DPT vaccine. You have to be careful when you go for second dose. Right now you can take an ORS and chlorpheniramine male ate as antihistamines to relieve from such s light headdress also think for low dose prednisolone for further improvement. I will be happy to answer your further concerned can contact me. . Infectious disease specialist. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr Jain , im asking about my mother ,  she is 41 yrs and she has abdominal pain and edema(in right lumbar region)In ehografia results are: Uterus AVF ,grown D=9.3 x 4 6                         Endometrium: p.v                         Adnexet : pv. u/sHer doctor says that she has edema  in uterus.She made a test from a substance from uterus to see if she hasany bacteria or something else.If you want ill send you ehografia picture.She is using some vaginal medicament 1 in a day. Thank you very much , have a nice day ### REPLY: Hi. Thanks for your query and concern for your Mother. Read and understood the problems you have mentioned. The cause of the pain in abdomen with edema in the right lumbar region can not be due to any problem of the uterus. This is most probably due to the following:Appendicitis in the behind the colonColitisRight Kidney problem. Like HY . Although the diagnosis of edema in the uterus has been made, this can be an incidental finding. I would advise you to have MRI of the Spine, lumbar region as ultrasonography already must have been done. The further treatment will be as per the findings of the additional tests and clinical examination by a General Surgeon too. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diagnosed with a uti yesterday and was given a shot and I am taking antibiotic which today is the last day of the medicine.  But I have been having low back pain when I sit or get I get up from a chair I am more comfortable standing up the pain in my lower back feels like something is pulling ### REPLY: I think along with UTI either you are having a renal stone or back muscle spasm. Both this disease causes such type of pain as you have mentioned. So now I would advise you to get ultrasound of your abdomen and X-ray of your spine. These two investigation give us clear picture about your disease. If it turns out to be back sprain than take muscle relaxant like moral and MySpace. If It is renal stoner than meet a urologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 54. healthy. walk many miles a day. noticed hard to take deep breath a few days ago when walking uphill. next day sternum began to hurt, and hurt to touch. no fever, no cough. a lot fatigue. 2 days ago. palpitations. no tachycardia. 2 wks ago got a varicella booster. antiinflammatories help with the pain but the palpitations concern me. no caffeine or meds. im an RN. had heart check up 2 yrs ago.all good. how long do i wait until seeing my MD re: the palpitations? d. ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. In my opinion you should consult cardiologist and get done1. ECG2. 2d echo3. Stress test (trade mill test)To rule out cardiac cause. There is high possibility of cardiac cause in your case, so we need to rule out this first. You are having palpitations, breathlessness on exertion (uphill walking) and age more than 50, all these favor cardiac cause more. So get done above-mentioned investigations first and rule out cardiac cause. So consult cardiologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 12 year old child experiences high fever and chills. He also says that his heart feels like its pounding. Two weeks before these symptoms, the child fell off his bike and skinned his knee. This child also has a history of a heart murmur. What disease should be considered? ### REPLY: Viral infections are the commonest cause of fever in child .  Palpitations are common during fever and increase in heart rate occurs with increase in temperature. The falling off a bike and associated injury 2 weeks back is probably unrelated. The murmurs are probably unrelated too, but it is hard to comment without knowing the nature of murmur. I would suggest follow up with a cardiologist. The diseases to consider are viral and bacterial infections including typhoid. The probability of malaria depends on your geographical location. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mom have back problem, we have gone through MRI SCAN. Age: 52 years 1 diffuse posterior disc bulge at l3-l4 indenting thecal sac. Mild Facetal arthropathy is seen at this level. 2 diffuse posterior disc bulge at l4-l5 with right lateral protrusion compressing thecal sac, indenting existing nerve root and along with facetal arthropathy and ligmentum flavum hypertrophy result in narrowng canal neutralforman 3 diffuse posterior disc bulge at l5-S1 with posterocentral protrusion effacing epidural fat. Please suggest me what is best procedure for the same. Thanks, Ramautar Singh ### REPLY: Dear patient your mother is suffering from degenerative disc disease at multiple levels including l34 l45 and l5s1 levels. And considering her age most significant of 3 of this is l45 levels.at l45 disc level she has disc prolapse with nerve compression and facial changes which requires treatment. Also, what are her clinical symptoms.  If she is having significant back pain and lower limb radiculopathy she may be given a trial of epidural escort injection which helps is decreasing inflammation pain. And if she is not benefitted by epidural injection surgery is the only option. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive been having a tightness in my chest lately. Im a smoker and sometimes its hard to take a deep breath. What should I do and what could be the cause? Theres no real pain and Im experiencing no real difficultly breathing. Just a tightness in my chest slightly superior to the navel extending upward to a few inches inferior to the nipples. Ive been diagnosed with GAD in the passed but have no previous trouble in this area. So...what could be the culprit ### REPLY: Chest pain can have many possible causes and generally should prompt a medical evaluation to rule out serious causes. Important causes to rule out given your smoking history include heart disease, emphysema and asthma. The initial work up includes a medical history performed by a doctor, an electrocardiogram, and a chest x-ray. Generalized anxiety disorder makes you more prone to panic attacks which can present with chest pain like this, but the other more serious causes should be ruled out first before blaming it on anxiety. I hope you get this figured out soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My Kidney function level is at appox. 55 percent due to kidney stone blockage some years ago. At time i experience some heavy breathing, only for a short period after exertion such as gardening or minor lifting. Does this seem normal with low kidney functioning? As i mentioned it passes quickly. ### REPLY: Hi, Thanks for writing in. Heavy breathing might be a symptom of your general health and not specific to your kidney. It is appropriate if you can get examined by a general physician and get routine blood tests done. Anemia due to low hemoglobin counts s the commonest cause for sudden tiredness after short period of mild exertion. If you are past your middle age then getting your heat checked is also important. Abnormal thyroid hormones also cause sudden heavy breathing after exertion. The fact that it passes quickly indicates that the condition should you have any is in its mildest form and treatable with medication. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 15 month old now has often on and off cough and runny nose that lasts up to a week ever sense he was around 5months old. It seems like just as we think hes getting over it it comes back full blown. we do the common cold meds and have recently started allergy med over the counter. Is giving that medication that does not seem to fully be taking away the cold safe to be giving all the time? weve stopped bringing him in to doctor cause he really never has fever with cold and they just say give the over the counter meds. he has had two ear infections throughout the time with the colds. I just feel helpless ### REPLY: Hi and thanks for the query, A proper review is required to distinguish if the cough is of viral or bacterial origin. Symptomatic treatment with anti histamines, anti-inflammatory .  Bacterial infections cause more severe illness. More fever, and pus like mucous. X-rays, clinical review and blood tests might be required to make a difference to decide the choice and duration of antibiotics to be used. The opinion of your doctor is need if symptoms persist or aggravate after symptomatic treatment to avoid complications. Kind regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Sir/Madam, My name is l,u, last week i just went to enquirer how can i fix clips on my teeth, and they asked me to do the following things 1. Take an x-ray 2. Teeth cleaning 3. And after they told me, i have born loos need to do some gum treatment, Gum surgery. it will have 4 sittings, each sitting they will ### REPLY: Thanks for your query I have gone through your query, radiographs are definitely needed to see the status of the bone, cleaning should be done before starting the treatment. If sufficient bone is not there then orthodontic treatment or clip treatment is not possible. Even after gum surgery or grafting the prognosis will be poor. Consult an orthodontist and take an opinion whether treatment can be done or not according to your bone condition. I hope my answer will help you. Take care. ### END