Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diagnosed with tonsillitis and given penicillin. During the illness my gums became red and swollen. They are now very sore and if I press down on the gum, pus and blood come out the sides onto my teeth. Please help, it is stopping me from eating properly and extremely painful. ### REPLY: Thanks for your query, I have gone through your query. The tonsillitis and the pus discharge from the gums can be two separate entities or the consular abscess may be .  Nothing to worry, Along with penicillin you take metronidazole 400 mg TID for 5 days (if you are not allergic). If there is gum or tooth infection around the wisdom tooth get the tooth removed. If it is because of consular abscess it should come down after taking antibiotics. If it does not subside then consult an oral physician. Do saline gargling. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a friend who has high blood pressure and is on tablets for this but he keeps complaining of stomach ache and thinks it is to do with the tablets so has not taken them for 2 days but he looks quite ill and stands bent over with the pain in his stomach. Do you think it is his blood pressure getting worse or a side effects of the tablets? ### REPLY: Hi. Thanks for your query. This is neither due to high blood pressure nor due to the tablets. The pain in abdomen which causes the person to be pale and ill; and makes one stand bent over is a serious pain. Unless proved otherwise this indicates that there is an inflammatory process going on in the abdomen like appendicitis or so. He needs to see a Surgeon immediately, to be examined by the Specialist to see there is tenderness and rebound tenderness. Undergo immediate investigations as 2 days have already gone with the pain. Needs Standing X-ray abdomen to rule out gas under diaphragm, ultrasonography and may be a CT Scan to see what is wrong. He may need an urgent exploratory abdominal surgery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 given dapsone tablets for treatment of my right eye 25mg after 4 weeks before I saw my eye specialist I did not feel well and went to accident and emergency their blood tests showed my liver function tests figures going through the roof example [gamma glutamyl transferase 1005 should be o-54.my gp has given me a blood test form and told me he has never heard of this dapdone tablet rest eat small meals drink fluids was his answer.what I would like to know is how long do you think it will take my liver to recover and is there anything I can take to help it at the moment I am a yellow colour in my face and body. ### REPLY: Hi and welcome to , thank you for your query.I've heard for Dawson but i ve never heard that it is used for some eye problem...it could have caused liver damage. And this seems like serious cause liver damage. You must stop taking this tablet of course. Avoid alcohol, smoking and hematologic .  Eat easier food, less fats and more fruit and vegetables. GGT should recover in several weeks. Wish you good health. If you have any question I'll be glad to help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: On Monday I had abdominal pain and nausea and stomach upset.  On Tuesday I developed a rash all over my body that didnt itch and was not raised.  The rash went away in 2 days with antihistamines.  On Thursday my lower back started aching and it radiated down my legs and into my knees.  On Friday the back pain was worse and I was extremely tired and sore all over.  On Saturday my hands hurt and were swollen.  On Sunday my hands and feet were extremely swollen and very sore.   My jeans are very tight today as well and my face looks puffy.  I can barely make a fist with my hands and it hurts to type this.  I also have nasal congestion and a sinus headache now. ### REPLY: Hi ! You may be having some kind of viral fever which can give rise to such symptoms. You should initially get your routine blood tests done with special reference to the platelets including an LFT, Blood Urea and Serum creatinine. In some viral fevers, fluid gets accumulated in the body cavities and that gives rise to edema and swelling everywhere. Your abdominal pain and nausea could be due to deposits in the peritoneum and other intra-abdominal organs. The back pain which radiated down to your legs could be also due similar causes in the spinal cord. Also, the puffiness of your face and swellings in hands and feet could have a similar etiology. The nasal congestion also points to such viral cause of your problem. Please consult your family physician at your earliest possible. Wish you a fast recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 5 year old grand child (female) is CONSTANTLY going to the potty. She truly does void when she goes but it is causing her to not be able to go to sleep because she has to get up and down so often. She probably goes an average of 15 to 20 times a day. Once she is sleeping, she sleeps through the night without having to get up to urinate. She has been checked for UTI and all seems clear. We have been led to believe it is probably a nervous bladder and caused from stress. She has been through a lot with her parents divorcing and moving, etc. What can we do to help her? Is there any medication I can get for her to help her: ### REPLY: Hi...this is fitting into a textbook description of "DYSFUNCTIONAL VOIDING". She would need to be evaluated by a urologist, and she would need an ultrasound abdomen too. The condition I am referring to will cause thickened bladder wall, which will develop an urge for the kid to frequently urinate. This can be managed medically but before using medication, we need to confirm the diagnosis. 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 just recently had an ultrasound and CT scan with the results coming back with mild splenomegaly. Ive had blood work done with results coming back as normal. Blood pressure is normal, however I have a high pulse (~ 95 bpm). This all started back in April 2011 when I got either a severe stomach virus or other illness that caused burning/cramping in the stomach, nausea, lack of appetite, etc.. It doesnt seem like my GI specialist or Primary Care Doctor are too worried about it. Just wondering if a person can be born with it or are there other tests that can be performed. They pretty much ruled out the major causes of splenomegaly, but Im still worried that Ive got something thats causing this. My weight is ~ 220 lbs and Im 40 years old. Ive never had any serious medical condition except Ive got torn rotator cuffs and bursitis in both shoulders. Any help or guidance would be greatly appreciated. ### REPLY: Hi, Splenomegaly is enlargement of spleen. It can be mild, moderate or severe. Spleen enlargement could be due to infection as spleen enlarges to produce more cells to fight infection. Spleen size will vary amongst different people and there is no specific normal size. Mild on ultrasound could be normal to you. As most of the tests done are negative, you need not worry. If you want to do a recheck, get an ultrasound done after six months to check any increase. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 27 year old white male. I ve been having diharrhea with small amounts of blood in it, i ve felt nauseous but have not vomitted. I went to the doctor they told me i had a parasite and put me on antibiotics . I ve been taking the antibiotics for about 5 days now and today i passed, along with diharrhea a small thin red/maroon colored tube. about 1 inch long and hollow. I have been taking cipro for the parasite, but could this be something worse? ### REPLY: Hi, Thank you for posting your question here, I will try to answer it to the best of my abilities. The tube you passed was the parasite, it means that the medication is working, the parasites are dying and it's the dead parasites that are coming out with your stools. There will be more of them coming out in the following week, so don't panic. This is the way it is supposed to happen. I hope this answered your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey, I am a 25 year old male started taking finax 2 months back, I was in a state of depression, I still am. The thing is just a few days back I realized I am not getting an erection like I used to before starting finax, and today I couldn t get an erection at all, I tried a lot, also the volume of the sperm has been reduced, I don t know what to do, I am in a lot of tension right now as I am losing a lot of hairs and want to continue on finax and at the same time this happened, is it because of finax that I am not.getting an erection. Please reply. ### REPLY: Degree understand your concerns went through your details. You are not getting erection because of your anxiety. Final helps you. You are already having anxiety and that anxiety converts itself into performance anxiety. In any case, you should consult your doctor and request change of medicine because you are obsessive and anxious about this medicine. Take care. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. 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 son is 6 and has had a cough going on two weeks we seen dr last Saturday and Wednesday they have some X-rays and swabs for flu and pneumonia and all negative , they even swabbed for pertussis and the results have not came back . But he has been coughing so hard since Wednesday he has been puking up mucus and tonight he has been coughing since 10:30 and puked 7 times. Is there anything we can do or what may this be . He has had predisone, Zithromax and anoxiciilan and something for cough and congestion. Nothing is helping ### REPLY: Hi, Thank you for asking question on . Looks like spasmodic cough due whooping cough or bronchiolitis. Erythromycin is the . Albuterol+Bromine combination 3 times daily and prednisolone syrup 1 mg/kg in 2-3 divided dose will reduce the severity of coughMinimum 10 days treatment is required for prompt relief. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake 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: With in 1 to 3 days after we take our daughter swimming she always developes a phlegm cough and wheezing . She coughs until she makes herself bring up the white foamy phlegm. Then she developes a sore throat and upset stomach which makes her not want to eat. She has been previously diagnosed with Symptimatic Asthma but has not had to take her inhalers on a regular basis yet. Do you think she could be having a reaction to the chlorine at the swimming pools? Or is this a normal reaction for people with asthma? ### REPLY: Hi, Your daughter has an allergic diaeresis i.e. she is prone to develop allergy to various allergen and that's how she has been diagnosed asthma in the past. Similarly, when she enters the pool, she is reacting to various allergens that may be present in the pool including the chlorine and the cold water. You must ensure that the [pool she is using has good standard of hygiene and is cleaned regularly. You may try putting her on some inhalers like airport or Aeroflot and a tablet of montelukast for 3 to 5 days and then take her to the pool. These medicines can be continued for few days to weeks as these are very safe. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son 3yrs old had consumed kerosene at 8 am, today but we forced to do vomiting, and the out come was the mix of kerosene,then went for doctor,they saw and asked for chest xray,report was clear ,when he did poty smell of kerosene was there. again we went to doctor he suggested xray again at 4pm,there the xray was fine.he is fit and active.playing,please suggest wht to do next.,is he out of danger ### REPLY: Hi, I had gone through your question and understand your concerns. You should be worried but not too much. You must give him Charcoal -1,5 tablet daily for 5 days for absorption toxins and kerosene, keep him HY . Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you and baby good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am f 36 yrs old. History of PCOS. Weight problem but otherwise healthy. For the last few days I have been experiencing not pain but a very bovious discomfort in my upper left abdominal area. It can become worse after eating but not always. My upper left abdomen is harder than normal most of the time. I have not had a period since 14 nov 2010 which is not unheard of with my polycystic ovarian disease. All preg tests say negative. It is very uncomfotable to lie on my left hand side in bed since this all began about 5 days ago. ### REPLY: Hi. Thanks for your query. You have a problem just for 5 days, which you give a history of hardness in upper left abdominal pain and increases on eating off and on. This can be due to gastritis or pancreatic problem or Costco .  An examination by a Doctor and ultrasonography and upper GI endoscopy can help you the diagnosis. The late periods or irregularity in periods is known to occur in PCs, ultrasonography will also help in confirming the problem and can take treatment under the guidance of a Gynecologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell about a year ago and when I fell I put my hands out to catch myself and now my right wrist has A protrution on my rigt inside wrist. I had it xrayed and they said no fracture but it really hurts at times and cant lean on it. What could be causing the pain? Shouldn t tot have healed by now? ### REPLY: Hi, As of now you can use analgesics/anti-inflammatory combination like Diclofenac/Seratiopeptdase for symptomatic relief. It is better to immobilize the affected hand in a splint. If symptoms persists you can consult an orthopedics and plan for an MRI scan to rule out possible causes like carpel bone fracture which can also present with similar symptoms. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doc!My mom who is a diabetic patient (68)for the past 15 years having severe cough on her throat of which she is not able to sleep for the past 4 days, 4 days before she was having it in her chest after taking medication from the general physician she feels ok and now again she is getting it in her throat and she was not able to sleep in the night due to coughing. shes vomiting for the past 2 days whenever she took tea/milk. she is not having fever but she looks very weak as she already have heart problem too. what home medication can I give for her now?? ### REPLY: Hello, I can understand how distressing your mothers cough is. My opinion is that a proper diagnosis should be made rather than give her some home remedy like ginger and pepper etc. There are some medicines given to people with diabetes, heart disease and kidney problems which can produce a hacking cough. If you let me know your mothers medicines, I can tell you if any of them is responsible. You are welcome to contact me for any further query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my wife admitted in icu with acute exacerbration of interstial lung disease.now she requries 15 lit o2 /she is tachypneic,having tachycardia,no pul hypertension.having secondry bacterial infeion with fungul infection..doc r not sure about gud prognosis,can homeopathy help this condition now. ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. Interstitial lung disease (OLD) is very bad disease to have. No cure is available till date. And it is progressive disease. No . So better not to start homeopathy medicine. It may even more harm you, because of the side effects. So better to avoid such homeopathy medicines. Better to discuss end of life issue with her. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an allergy test done on the 10th of October, on my right arm they did the intradermals, they did a good 15-20 injections , my arm.swelled up hours later and tender and red, warm. The swelling went down very little the next day but still alittle swollen, its very red and tender. it seems that the redness and swelling is spreading a bit...i m worried that I might have an infection or a severe reaction, my breathing is fine and I don t have a fever, should I be concerned?..what can I do...the sight is not itchy. ### REPLY: Hello, Intradermal test is a painful test and delayed reactions especially when tested against .  A delayed action to the IDT means you are allergic and therefore this must be noted in the medical records. You can call him and let him know if you cannot visit your doctor. Long acting antihistamines such as Allegra is recommended up to twice daily for 7 days. You obviously know of the severe symptoms to look out for (such as extensive reactions or breathing difficulty) in which case you must go to the nearest A&E or Emergency Dept and ensure that the doctor who did the test also gets informed. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I have two lumps under my right arm in my armpit area. The first lump has been there for about two years. The second lump just appeared in June. I have had two separate ultrasounds on the lumps and both times I have been told nothing is there. I am positive for the BRCA II genetic mutation, so I am at high risk for breast cancer. Sometimes the lumps are sore and today I noticed there is a bit of discoloration. They are palpable and visible to the eye. I am not sure what to do. It is very unsettling to be told nothing is there when I feel these lumps and know they are not going away. Thank you for your help. ### REPLY: It would have helped to have known your age. Anyway, first the lump that has been there for 2 years is less likely to be cancerous. However, we still need to be sure. Maybe you have dense breasts and that is the reason the ultrasound has not been able to pick up the lumps. I suggest you get an MRI of both breasts and maxilla done. That will definitely pick up any lumps that are there and also comment on the nature of the lumps. If the lumps are palpable, then you can ask your doctor to get a needle test done from the lumps (FNAC), after the MRI has been done. Both these investigations will definitely tell us the exact nature of these lumps. For your BRA gene mutation, you need to consider one of 3 options. First is a prophylactic bilateral mastectomy with reconstruction. This is the most definitive, although it does not decrease the risk of cancer to zero but to 5%. Second is close surveillance with 6 monthly clinical examination by an oncologist + six monthly mammogram/ultrasound + yearly MRI. This will pick up any cancer that may develop at an early stage. The third is taking a tablet called Tamoxifen. You need to seriously consider one of these options after discussing with your oncologist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MY FATHER 82 WAS JUST TOLD HE HAS 10 PERCENT HEART FUNCTION, 25 PERCENT LUNG FUNCTION, HIS BODY TEMP IS 34.2 AND BP AVERAGES AROUND 85/40  HE HAS A CATHEDAR AND SLEEPS MOST OF TIME, HE IS CONFUSED AND STRUGGLES TO BREATH.  WE ARE AFRAID TO LEAVE, INCASE HE DIES WITHOUT US.  DO THESE SYMPTOMS MEAN DEATH IS NEAR ### REPLY: Left ventricle ejection fraction less than 355 is considered as critical, your father has an EF of 10%,this means supposes if heart has to pump 100ml of blood your father heart is pumping only 10ml of bloods blood pumped outside is very low therefore it cannot maintain the blood pressure also as a consequence blood pressure is also very lows blood perfusion in every part of body is very important to maintain temperature of body his body temp is also low.....all these things are interconnected....as blood reaching the brain is less he is clumsy and confused you have not mentioned his age but left ventricular assisted device implantation followed by cardiac transplant is the only option left at such a low but it's a very costly procedure needs a brain-dead heart donor thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi My mother in law used tobeb a heavy drinker, she now lives with us and her potassium levels are really high. Since she has been with us she has had no alcohol at all. And eats 3 meals a day, versus nibbling at home. Could the stop pf drinking the alcohol raise her levels ? ### REPLY: Raised potassium levels may have many reasons. One of them could be medications such as potassium sparing diuretics such as spironolactone, chloride etc. The others are kidney problems, endocrine problems etc. High potassium levels are dangerous to the heart, and it is important to find out the cause of the raised level. I suggest the following tests: Serum sodium, serum cortisol, serum ACTH, Blood urea, serum creatinine and complete blood count. Please repeat the potassium level again. I presume that your mother-in-law is not on any medication. If she is and her potassium levels are high you should consult a doctor to find out if there is any medication that is causing high potassium levels. If it is so then that medicine has to be stopped. High potassium values affect the heart and cause problems in the rhythm leading to dangerous abnormal heart beats which can be life-threatening.  Since her potassium levels are high fruits, tender coconut water etc. should also be avoided as they are high in potassium. Alcohol consumption usually raises liver enzymes and are not directly related to potassium. For further advice please consult a physician ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, I had an ERCP done about 3 weeks ago... liver enzymes where in the 1000s... I am 27 years... I then got pancreatitis lipase was in the 1000s also, i had a pancrease stent put in and it made my levels drop down... and I am still having diarreha and pain, I also woke up last night with left side facial and hand swelling... could this be related?? ### REPLY: Hi thanks for asking question. If you have chronic or very severe liver disease then liver is affected, and it is unable to function properly. Liver cannot produce albumin which is necessary to maintain osmotic pressure in blood. So defective albumin production lead to decreased osmotic pressure and patient suffer edema. The effective blood volume decreased in cirrhosis, so compensatory increased ADH also lead to sodium and water retention to produce edema. In systemic vein pressure also increased. If edema increasing with ascites diuretic can be given. For pancreatitis symptomatic management done. Rest your Gastrointestinal tract with not taking solid food for few days. So yes this swelling can be because of liver problem. I hope I have solved your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I HAVE A HARD LUMP BETWEEN MY VAGINA AND RIGHT THIGH ON THE FOLD THAT HAS GROWN IN SIZE AND IS QUITE PAINFUL. i PIERCED IT SEVERAL TIMES AND ONLY BLOOD CAME OUT. ALOT OF BLOOD, NO PUS, NO ODOR BUT IT HURTS! SIZE OF A NICKEL. HAD IT FOR 2 TO 3 WEEKS NOW AND IS NOT GOING AWAY DESPITE HOME TREATMENTS. ### REPLY: Hi, Dear. Good Morning from INDIA, Thanks for the query to . I studied and reviewed it in all the details put forth by you, and I am convinced of your genuine health concerns. My Impression Currently is-that you are having -Unripe Indicate d Boil of the Perineum ER on the current problem of Constipation has advised you to change to better effective laxative . Hope you have got your answer.-Hope this would take care of your problem. Wishing you fast recovery.-Please write your recommendations for new and old patients at My  clinic. Pass a word of recommendation for Me And  -to all concerned and contacts with you. Thanks again for the patient follow-up. Have a Good Day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have many puss pockets in the back of my throat. It is very difficult to swallow and eat, yesterday I had a high fever and the chills but now it is only the sore throat that remains. I chewed tabacco for 5 months then I quit. Do you think it is anything to worry about? ### REPLY: Hi, Thank you for asking in , You are most likely suffering from a throat infection, responsible for your sore throat and fever both. Fever occurs due to your bodies protective mechanism against the infection. You should start with antibiotics immediately and also ward saline gargles. Once you start antibiotics, the infection should subside in 5-6 days. If it doesn't, you may have to undergo further investigations. As far as tobacco chewing is concerned, tobacco is a cancer causing substance and the as such depends on a number of factors like the amount you consumed, the duration, the type. But the problem you are describing appears to me most likely as bacterial infection, which can be cured by antibiotics. Hope this solves your query. Feel free to ask for 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: ok I have an acht/sore gum section on the bottom left side inner of my mouth. You know how if you tKe your tounge from the base of your teeth and go toward the base if your tounge it curbs like a slope? Well on my left side its like  I can put my toung under me teeth and gums? ### REPLY: Hello, thank you for consulting with . There can be two reasons for this soreness of gum. First it can be possible that there might be an infection of gums called as gingivitis, which will be treated by cleaning of gums. Second it can be possible that you may be having an ulcer in that region called ad authors ulcer for it, you have to apply a topical anesthetic ointment on it. Hope it will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, the first 3 days of being on my period I get really sharp pains in my lower stomache when I try and have a vowel movement and my stomache feels very sore. I only normally go about once or twice a week anyway which is normal for me but it hurts that much that sometimes cry. I sometimes hold it in until my cycle has finished ### REPLY: Hi...this is not normal...you are constipated...the more you keep it inside the harder it will become as the body keeps on absorbing water from it...and so it will be more difficult for you to evacuate it leading to more pain, and eventually you will develop anal fissure... so start a laxative in the night and eat more fibers like oats and bananas... Now, about the pain during menses...the intensity of pain varies between people as is their sensitivity to pain...take an analgesic during that time... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI ,, I was diagnosed with stage 3b carcinoma of cervical cancer. I have completed all treatments of radio( 28) & internal radio (5)also I could only do2 treatments of chemo due to kidney failure , My tumor size at the time of diagnoses was 8cm , my last PET scan has the tumor at 4cm, 2 surrounding limp nodes are gone or back to normal size. There has been no talk of surgery to remove the existing tumor , I am waiting for my Pap smear to come back to see if there is new growth of cells ,,I guess my question is: will the tumor keep shrinking or stay the same or start to grow again and is there any alternative treatment  that I can do is surgery is not an option at this point , after reading  info on my cancer the prognoises is I only have about 30% survival rate with stage 3b cervical cancer. thanks ### REPLY: Thank you for sharing your problems you described you have cervical cancer and radiotherapy treatment given to you also. And you can not go for surgery.at this time I suggest you for homeopathic line of treatment. Homeopathy may be much helpful to you. So consult a homeopathic doctor nearer to you. homeopatChatDoctoredicines are given after proper casing that is case will be evaluated person as a whole, means many questions will be asked about life.I hope this answer will be much beneficial to you. For more queries please don't hesitate to ask. Get well soon dear friend... .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: So last night at about 11:00pm I had to pee kinda bad but I didn t want to wake my parents so I decided to hold it in, but then at about 4:30 I woke up and really had to go, so I went and afterwards I still had the sensation that I had to pee; so I tried going a few more times and about 10 minutes later a bit more came out and the sensation went away. Although, before then I looked up if I had a UTI and that was one of the symptoms. It s the next day and I feel normal and haven t had any problems and have had no other symptoms that I ready about online, but I have needed to pee a bit more but I also have been drinking a lot of water today, is it possible I have a UTI? ### REPLY: Hello. Symptoms of a UTI depend on what part of the urinary tract is infected. Lower tract Otis affect the urethra and bladder. Symptoms of a lower tract UTI include:burning with urination increased frequency of urination without passing much urine increased urgency of urination bloody urine cloudy urine urine that looks like cola or tea urine that has a strong odor pelvic pain in women rectal pain in upper tract Otis affect the kidneys. These can be potentially life-threatening if bacteria move from the infected kidney into the blood. This condition, called urosepsis, can cause dangerously low blood pressure, shock, and death. Symptoms of an upper tract UTI include:pain and tenderness in the upper back and sideschillsfevernauseavomitingregards- .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 po doc... i am weng from the Philippimnes. i hav a 6 mos old baby girl n starting to feed her with cerelac and i noticed rashes on her face n body...is it because of the weather or from cerelac baby food?hope to hear from u soon. thank u so much ### REPLY: Thanks for consulting in Healthcare, your daughter has allergic reaction, you should give to her antihistamine medicine. Pay attention when rash appear after Carla or other ? Then exclude it. Wash her face with boiled cooling water. If she has .  You also check analysis-blood test, see especially eosinophils, stool analysis, stool for disbacteriosis for bacteria and sensitivity, stool for ova and cyst Best regardsGrow quicker ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I m experiencing extreme breast tenderness and a heavy feeling in them. I am also having what I would consider extreme food cravings. Also some mild nausea but no vomiting. I had a tubal ligation almost 4 years ago. Is it possible that I could get pregnant anyway? ### REPLY: Hi, Thanks for the query.  Breast tenderness, nausea, food carvings are some signs suggestive of pregnancy, but need not always be pregnancy.  +ve pregnancy test/ USG pelvis after 5 weeks pregnancy are the confirmatory signs.  In your case, lobectomy being done, It's less likely to be pregnancy (however re canalization of tubes followed by conception is possible in few patients) If it is not pregnancy, it can be - gastritis, acid peptic diseases, ovarian, thyroid problems., POD . Which have similar symptoms... they need to be evaluated & treated with help of a gynecologist./ general physician.  Thanks.  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 a 18 years old male student my wight is 168lbs and my hight is 5 feet 8 inches... just suffering from pains its like pins and needle sensation all over my stomach and even sometimes in my back.. and i feel my stomach is kinda big like its bloating .. so worried.. i have onces poop and there is a blood on the tissue after i wipe this happened like 2 time to me just dont know if this is connected.. thank you ### REPLY: Welcome to  Good Daybook during defecation is no fearless situation. You need to get your stool checked for parasites. Do you have hemorrhoids and/or pain on defecation? I suggest you get examined by your Doctor and get the stool analyzed as well. Get your Hemoglobin assessed which can explain the pins and needles if you are anemic. Depending on the cause you will get the adequate 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: i recently slammed face first into a parked truck and had a cut above my eyebrow, a cut below my eye and bled out my nose, i am still numb on that side of my nose, top part of my mouth and teeth and a bit under my eye, should i get the feeling back or have a destroyed a nerve, it was worse and has gotten a bit better its been about 2 and a half weeks ago ### REPLY: Hello, I hope that I can help answer your question. I think you are correct in your assumption that you damaged a nerve. The branches of the fifth and seventh cranial nerves supply the face. These nerves can be damaged either directly (as in you crushed the nerve during the accident), or they can be compressed by swelling of the tissues of the face. Either way, the feeling will probably come back. Any Nerve, outside of brain/spinal cord, can regenerate, but it often does so quite slowly. For example, for nerves above the shoulders, they grow about 1/5-1/2 mm per day. As the sensation returns to your face, you should experience so increased tingling in the areas that may be quite annoying. But don't worry, this is part of the healing process. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ,3 week before i had recurrence inguinal hernia repair operation.After 1 week i felt some thing hard above testis , It was not paining but testis was slightly paining ,I went to doctor and he removed blood from hard part , saying it might get clot or pus , After 3 week ,Now i am feeling same thing hardness above testis . what should i do ? Please suggest ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have been operated for hernia repair 3 weeks back and had hematoma just above the testis which was . Now you have developed hardness above the testis, this could be due to either 1) Recurrent hematoma 2) Induration of the cord structures due to infection. Please consult the operating surgeon and get ultrasound scanning of the scrotum done to confirm the cause of this hardness. You need to take broad spectrum antibiotic like Čeferin along with anti-inflammatory  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 this squeezing/tighntess  feeling in my neck ,some times i feel my chest is also squeezing ,but i am not experiencing any pain They did my blood test it came normal , troponin level is and chest x ray is normal and ekg is also normal and i did take neck x ray they said that is also fine most of the time  it is a kind of squeezing/tightness but no pain at all ### REPLY: Thanks for your question on . I can understand your concern. Squeezing type of feeling in neck and chest are commonly due to bronchospasm. And bronchospasm is commonly seen with lung diseases like bronchitis and asthma. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose them, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilator and inhaled corticosteroids (ICS) on the basis of PFT report. Don't worry, you will be alright with all these. First diagnose yourself and then start appropriate treatment. 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: I am a 17-year-old female who has recently began experiencing some mild, but worrying cardiac symptoms. My heart is oversensitive to physical activity (not from being out of shape, as this started quite suddenly) and beats slightly faster than normal at rest. I get out of breath very easily and have palpitations when I lay down. Also, I sometimes get very dizzy. In other words, I just haven t been feeling right . After two months of these symptoms and a long-anticipated visit to the doctor, I had an ECG done and it came out completely normal, as did my blood tests. The doctor listened to my heart and said he heard nothing abnormal, except for a skipped beat when he had me perform the Valsalva maneuver which brought up the slight possibility of mitral valve prolapse. Although I was deemed completely healthy, I still want a second opinion and I want to know if it would be safe to go on roller coasters because I m going on a trip to Cedar Point soon. I know people with heart conditions should avoid rides. ### REPLY: Hi, yes its perfectly safe to go on a roller criteria ride at your age and the probabilities of different cardiac conditions you may have, so enjoy your vacation and don't be apprehensive, as anxiety itself will push your heart beats to higher side because of a .  Now At your age the most common possibility to cause the symptoms, if at all its cardiac in origin, is mitral valve prolapse, which may cause extra beats, cause some breathlessness and anxiety attacks.  However, because cardiac examination was normal, no murmur or click heard so in all probability it must be very mild and hence no treatment is needed as it's completely a benign condition and 1 in every 4 human will have some form of prolapse.  Now to confirm this does get a 2d echo done at convenience and a 24 hour holder to know the frequency of missed beats if your symptoms persist.  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: 8yr old daughter with flu like symptoms, fever of 103.1 and is now complaining of lower back pain. Has had several headaches but no complaints of neck pain. Is recovering from having bronchitis, currently taking 1 puff BID Fluticasone Prop. Slight crackle sounds when listening to her lower left lobe and is producing large amounts of mucous when coughing. Is this just a very bad flu or is something else making its way through my daughter? ### REPLY: Thanks for your question on . I can understand your daughter s situation and problem. In my opinion, you should get done chest x-ray of her to rule out lower respiratory tract infection (LETI). LETI (pneumonia) is common after bronchitis and cold. She is also having high grade fever, plenty of mucus expectoration, crackling sound from chest and lower back pain. All these favor possibility of pneumonia more. So consult pediatrician and get done 1. Clinical examination of respiratory system 2. Chest x-ray. And start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. 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 am lily, i often get mscule pain in my leg i do running& jogging often i don t know what case could be? i always strach befor &after running and my shoes are very fit and comfortabel, i dont know why i suffer alots of time,sorry for my english am not english speaking person, thanx. ### REPLY: Hi, As the pain in leg can be due to hard footwear. Also, if there is less calcium and vitamin D it also plays a role. I will advise to take the oral supplement of calcium through diet and sunbath for vitamin D. Try changing your shoes and stick to exercise like jumping jacks for as much duration as you can which will help improve the endurance levels and also avoid the fatigue to set in faster. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir, my wife age 35 year has moving pain in her head. After CT scan and MRI it is found that there is subacute subdural hematome of 5 mm in right and 3 mm in left side. what kind of treatment is required ? is any medicine is available to dilute the clotting of blood ? ### REPLY: Hello, There isn't any medicine to make that blood go away. When there is a larger quantity of blood surgery may be done, but doesn't seem to be necessary for that size of the hematoma.  The blood will eventually be broken down and absorbed with time, the issue is whether there will be any more bleeding, for that purpose neurological evaluation and repeat imaging is usually required.  Also in preventing more bleeding the cause of the hematoma must be clarified, has there been any trauma to explain the bleeding?  If not tests to search for coagulation disorders must be done, spontaneous bleed in a 35-year-old is very exceptional in the absence of trauma, an underlying cause must be investigated. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I developed an infection after surgery approximately ten years ago. I was readmitted to the hospital and had to be infused with last line antibiotics. I continued to have outbreaks of bacterial or fungus type infections. These occur on the abdomen (where I inject antibiotics) and legs. Breakouts appear around small wounds. Treatment is limited to Phisoderm soap. The breakout sites are very large and don not go away. I ve been to infectious disease physicians and my internist and pain clinic anesthiologist. Since I m workers Compensation I can not afford a whole lot. Can I send a picture(s) for your benefit? ### REPLY: HIT hanks for posting your query to .  Frequent infections on abdomen (or on any site) indicates that either your infection is not treated properly or your immunity level is going done.  A proper treatment for any infection is to do a test called Culture Sensitivity test. This test will tell which antibiotic / Anti-fungal is the right one to cure the infection. Has this test been done ? If so kindly upload the reports.  If you have been treated according to the culture sensitivity report and still it is recurring then it means your Immunity level may be low. In that case I advise you to get tested for Diabetes, Immunoglobulin deficiency.  Yes it would be better if you can upload the picture for a better diagnosis. You can contact me directly at the link. http://doctor.ChatDoctor .com/doctors/ .  Hope this information was useful to you. Any clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 nine year old son is always pale has dark circles under his eyes complains that he feels nasues alot especially after eating breakfast he says his head hurts alot and body aches alot almost everyday his spine hurts when he wakes up dr says he has allergies he takes singular he complains of throat hurting alot maybe he is anemic or has celiac disease my mother has celiac disease too i have never been tested for it he also has trouble with constipation and pain when urinating and after like a 5 pain level what should i do ? dr says he is fine urine is fine I have been giving him a little prune juice i worry alot about him and he gets sick alot ### REPLY: thanks for your query can feel your concerns if he is pale with frequent pain and gastrointestinal upsets then celiac could be a possibility. U can rule out by doing certain tests and biopsy after consulting your doctor.is he having diarrhea ?I advise you to check his hemoglobin level and if found low, then give him iron supplements after consulting your doctorDeworm him improve his diet. Add meat, fresh green leafy vegetables and fruit to his diet wishing him good health regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, i am a  female,25 indian... mostly i feel heavy at my chest.. feel like i need to struggle a lot to breathe.. was to doctor and they took all possible tests and told me that everything was normal and it is only  my thinking.. probably because i am over stressed...  for the past two days i am feeling the same thing.. can you please suggest me what to do..... ### REPLY: Thanks for your question on . I can understand your concern. Since all your reports are normal, no need to worry about major heart and lung diseases. Sometimes undiagnosed stress and anxiety can also cause similar symptoms especially in young individuals. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic . Don't worry, you will be alright with counseling and anxiolytic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son has frequent nosebleeds varying from minor to severe. He has had cauterization on both sides and they continue to happen. We do have wood heat and of course the usuall winter dry air. I know dry air is a common cause for nosebleeds. My question is, can dehydration cause nosebleeds? He is an athlete and works out before school and has practice after school. I don t believe he s drinking enough water. ### REPLY: Hi, There are many reasons for node bleed. The causes vary from simple upper respiratory tract infection to severe hypertension. Since you say cauterization was done, the concerned doctor would certainly have evaluated the cause. You should discuss with him regarding this. Deny .  Since practices athletics post school which should be in the noon in scorching sun, the sun Stoke might have caused. Even nose picking can cause this. Use can use lubricating saline  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had some depression . I am not normally a depressed person but i had a job change and the stress of getting to where i am now was tough. i asked my doctor for some Zoloft which i took for 30 days. i started feeling like my insides were fluttering like a nervous shake. there was no visible shaking but i felt it internally. i stopped taking the zoloft but still have a light sensation of flutters. ### REPLY: Hi, Your above symptoms indicate presence of anxiety and depression. This problem may occur due to following reasons:-Psychological issues: need treatment from psychiatrist. Antianxiety treatment will help you greatly.-Biochemical and hormonal imbalance: need evaluation specially for thyroid gland.-Vitamin deficiency: as you have unusual inner sensations-Excessive work stress In my opinion you should continue treatment with Zoloft as advised by your physician. Some time dose need to increase for improvement. Apart from that aerobic exercise, effective time management, breathing exercise, healthy diet and yoga will help you.  I hope this information has been both informative and helpful for you. Wish you Good Health.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, my 2 year old daughter has a rash at her private parts, took her to the doctors last week and prescribed some canastan which i have been using. the rash seems to be spreading tho down the inside of her legs. bright red spots which she says are sore. ### REPLY: Hi, Welcome to , Poor girl must be having trouble pain. It's although hard to diagnose such lesions without having a look at it. I however get a feeling it could be a fungal infection especially because its spreading. I suggest you to keep that area as .  But if she has pain due to friction can apply smoothening agent like coconut oil or moisturizer. For a proper diagnosis, better she is seen by a dermatologist. Wish your child a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been really clumsy in the last 6 weeks. Falling down on the ice, tripping, bumping in to things, dropping things. I am not usually like this...No headaches, other problems with balance or anything, just full of bruises from clumsiness. I am 55. ### REPLY: Hello! Thank you for asking on ! I carefully passed through your question and would explain that your symptoms could be related to different causes: - a central nervous system disorder, causing damage to the motorways- a cerebellar disorder causing gait disturbances- a peripheral nerve damage, which causes loss of sensory inputs. Coming to this point, I would recommend consulting with a neurologist for a careful physical exam. Some tests may be needed (brain and cervical spine MRI, nerve conduction study, etc.), to determine the possible cases.  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 have notice very slight traces of blood on the toilet paper after my 4 yr old son has a BM. It is not every time and it is slight. It has been inconsistent over the last month. Stool does appear pretty hard. No trace of blood in or on the stool. I plan to speak to our pediatrician next week when we are there for a flu shot. Should I be worried? ### REPLY: Thanks so much for consulting in . Your son has usual problem because his stool is very solid, don't worry, but pay attention to his anus, it seems he has fissure there, it looks like as scratch in red color, you can give him call suppositories 1 CBPP before night per rectum 5 days for healing, also you can do oil enema- 10-15 ml usual sunflower or olive oil after bowel movement, but he should lay in the bed 15 min for resorption. Please start to give him boiled blended beet roots with a little salt, garlic or onion and sunflower or olive oil for laxative effect. In addition, you can give him carrot and beet roots, orange fresh juice, apples, more fiber food and raw vegetables-tomato, cucumber, he should .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my son 6 months ago and a month later had the IUD placed. For the past month I had been having pain in my abdomin and gained weight. So at my doctors appointment on 7/20/10 I had my doctor switch me to the shot. Now I started my period a week early and it is very heavy and there are a lot of clots and Im having very bad pains now (not like menstrual cramps but worse). I know it is almost impossible to get pregnant on merena but I also got pregnant with my son while I was on birth control. Should I take a pregnancy test or what? If you have any advice I would appreciate it. Thank you. ### REPLY: Hi. Thanks for your query. Yes the IUD can cause pain in the abdomen. There is no need to go for a pregnancy tests as you already have the heavy bleeding, clots and pain, I would advise you to undergo an ultrasonography to see the position of the interior of the uterus. If the products are seen, you have to undergo curating. IF no such things medicines under the guidance of a Gynecologist will help you to get a control. Continue with the treatment as already must have been advised. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 small movable lump on the tongue side on the very back of my lower jaw.  It started about 3 days ago, after eating a staek that was a bit tough.  The lump started below by 1 & 2 molars, almost midway between the teeth and the floor of my mouth.  Today it is literally right above where I had wisdom teeth removed severl years ago.  It is pariful to the touch and at time radiates out to the jaw and closest molar ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query movable lumps on tongue and molar teeth is mainly due to tongue bite which leads to proliferation of blood vessels in that area and leads to formation of hematoma. Another possible reason is inflamed periodontal flap of tooth or abscess in particular concerned tooth area due to carious lesion. I would suggest you to visit dentist once and get it examined. Go for removable partial denture to prevent tongue bite in empty socket area. Go for surgical removal of flap if it is only a soft tissue growth. Maintain proper oral hygiene. Take proper antibiotic course to prevent inflammation in that area. Do warm saline gargles. Go for scaling and cleanliness in particular qua . Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has a swollen right ball, it stings to urinate and he is having thigh joint pain, lower back and lower abdomen pain. His leg and knee are vey achy.  He also has an achy groin.  It has been going on for about a week now.  What could this be? ### REPLY: Good day!  Thank you for asking. Pain full scrotum, with foul smell urine and itchy groin and associated thigh pain makes the odds for UTI and epididymitis and orchids more likely.  It needs a clinical examination to assess the situation and sort OT for sure what it is. So seek a doctor and let your husband be examined for this trouble.Meanwhile, taking good hygiene measures and coital and toilet habits would help. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m not sure if the pain is due to my gall bladder. At any rate, I have had this nagging pain on the right side of my lower front abdomen. I have had this dull, piercing, or gnawing pain for almost three weeks on and off. I usually have it after eating and even when I am in bed. I just don t know what is the cause. Thanks, Irene ### REPLY: Hi Irene, I have gone through your medical history carefully and understood your concerns. Having pain on the right side of your lower front abdomen for almost three weeks on and off might be due to:- appendicitis - urogenital infections- colitis highly recommend consulting with your doctor as you need immediate lab tests to determine the right cause to your actual pain:- complete blood count- urine analysis-abdominal ultrasound you cannot consult with your doctor immediately, then, you can go to ER and get the tests done there. Hope it was of help! .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have just got MRI done for my Spine. and got the following report. Help me understand this plsDisc desiccation at L3/L4 levelMild diffuse posterior bulge at L3/l4 causing indentation of spinal theca, mild lateral recess compromise, mild impingement of traversing nerve rootsDiffuse posterior bulge at L4/5 causing indentation of spinal theca, mild lateral recess compromise, mild impingement of traversing & exiting nerve roots, minimal narrowing of both neural foramenMild diffuse posterior bulge at l5/S1 causing indentation of spinal theca, mild lateral recess compromise, mimimal impingement of traversing nerve roots ### REPLY: Hi, thanks for writing to . All the above-mentioned MRI findings are suggestive of degenerative process in your lumbar spine (lower back) with intervertebral disc bulges causing compression over the adjacent nerve roots that supply the entire leg. Due to these problems, you might experience low back pain along with occasional shooting pain down the leg with tingling and numbness. Nothing to panic about these findings and the problem as such, as it is treatable. The initial management of this condition is by conservative methods as follows -- Change your daily activities so that you avoid movements that can cause further pain, especially bending forward and lifting as it will worsen the disc protrusion. - Use a lumbosacral back support to stabilize your spinal muscles-Avoid lifting heavy weights as it imparts more strain on your back and worsens the disc bulges-Maintain optimum body weight, if you are obese-After the initial pain has subsided, remedial exercises to strengthen the spine are very important to restore normal spinal movements and muscle strength. - Use muscle relaxants and analgesic medications as needed. If you fail to improve with the above measures, consult an orthopedic surgeon for further management. Hope this information is helpful. Good day ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I seem to have lung pain that won t fully go away. I ve had no issues in the past, just this year. Also note that the 2 areas I ve been in this year many people have had breathing problems only this year. I ve had it off and on since April, but worse when allergies are all round, but its November and I m still having it. I got checked by a doctor in July, and I was fine as in nothing damaged or some serious illness like TB or Bronchitis. I got some medicine that could take out a possible infection, which was doubtfully there. I ve cleaned my house as well as I can and my room more so, which is where its the worst. I feel better in different areas too, unless they have heavy pollen or mold, etc.I guess I want to know if I have something other then allergies and what is the best I can do to feel better, OR if only time and winter will stop whatever. ### REPLY: Hello! It seems to be an allergic response at your lungs that is causing your problem. Most likely you seem to have Bronchial Asthma in which the chest feels tight as a result of the airways temporarily getting narrowed.  This attack happens whenever there is exposure to some allergen / cold/dust. I feel it's the feeling of chest tightness that you are describing as pain. Can you please tell if you feel short of breath ? Do u wheeze ? Cough and phlegm ? Because if these associated symptoms are also there, and they increase on exposure to dust / cold/ allergens like pollen then it makes asthma the most likely diagnosis.  Also do you have symptoms suggestive of allergic response in your other parts of your body . Like allergic rhinitis or skin allergy ? Any family history of allergy or asthma ? Do let me know these details so that it can be more helpful at confirming my provisional diagnosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: If you have stage 3 brain cancer what is the timeframe you have for survival. Also what foods can beat the disease ? ### REPLY: Welcome to  .... The survival rate depends on -1) Stage of cancer - with stage 4 being the worst and survival may be as less than a year.2) Type of cancer - few brain cancers grow slow and remain localized so can be operated and prognosis is good. Just have a neurosurgeon consultation, he will be able to tell you what type of cancer it is and that will give us an n idea about the survival time. There are no food which can beat cancer, unfortunate but true!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I had chronic spasms in my back and chronic pain went to er could not stand up right had xrays done and MRI doneit showed trouble WITHTHEL4 AND L5 DISIC. and swelling put have pain in my neck and pressure in my ear on the right side and terrible headaches what is causing this ### REPLY: Hi, welcome to our site. I am , MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your query would have preferred if you had mentioned the report of MRI as it was stated. Then we could have probably interpreted better. Now all we know is that there i some problem in L4-5. I am assuming, looking at the symptom complex you have mentioned that there is some pathology in the cervical spine as well, probably of the same etiopathogenesis, as you lumbar spine. And this is causing you the symptoms. An MRI of the cervical spine can confirm this diagnosis. You may need physiotherapy of the neck with possibility of a prescription of pregabalin/methylcobal (depending on the report). I hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Be been having pains around my belly for like a week and a half, my last bleed was a few weeks ago but it had a brown discharge with little bleeding, but when I would put a tampon in the bleeding would get worse. That listed or like 3 days of light blood, to now Im having really really light blood, but before both bleedings Ive in having pain in between cycles and tingiling feeling with pain headaches and sleepiness, history with pregnancy in family, I didnt show up tell my mom was three months pregnant with me. I dont want to sound dumb Ive had a false positive before so idk whats going on. ### REPLY: HI ! Good morning. I am  answering your query. If I were your doctor, I would advise you against using a tampon inside the vagina unless pelvic infection has been excluded. I would have gone for a urine blood test like complete blood count, blood sugar, urine routine examination, a serum  test (to rule out chances of any UN suspected missed pregnancy), and if considered essential after a clinical examination, an ultrasound of the whole abdomen to rule out any other pathology in the abdomen and pelvis. Further management would depend on the clinical findings and reports of the investigations done. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell about 2 weeks ago, and my body has always been slow to show pain from an injury. It just started to hurt two days ago.I could walk fine and all until today. I noticed a 2-1/2 lump at the top of my right butt cheek and it was sore to the touch. I took 4 Advil, and I m using a heating pad so It feels a lot better but, I wanted some advice. ### REPLY: Hi, Dear,Good Morning. Thanks for the query to . I studied your query in details and understood your concerns.@My impression of your lump removal-is as follows--Its a bruised skin -post trauma 2 was back, which got infected now-Treatment -Continue Advil Tab, / and hot fomentation-If it increases in size add OTC antibiotics with your doctor advise. This would help you to plan treatment with your doctor.@Hope this would resolve your worrisome query. Welcome for any further query in this regard, and would love to help you to resolve this problem till it is solved to your satisfaction.@ One Small Request to you to Write strong recommendations promoting my services for the benefit of my new and old patients at  clinic. Wishing you fast recovery.!! Have a Good Day. With Regards, . N. Super-specialist in NCCD-Non-Curable Chronic Disorders and Rejuvenation therapies in tissue and organ failures. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doctors.my son is 4 years 10 months old.he is a normal child, do vomiting after food, if he cries.Two months back,i observed some strange with him two times,in morning he get up,looking only one  side,he is not talking for few minute,do vomit.his body parts not coordinating ,i have a doubt accidently two times he slept near to refrigirator.i did EEG and MRI scan docotor mentioned initially seizers and now the MRI report gives "bilateral occiptial gliosis",he is under medication taking two times a day Trioptal.doctor recommended for 2 years.please any dococtor explain this ### REPLY: Hi, I had gone through your question and understand your concerns. It seems he had complex partial seizures, occipital epilepsy. You can try calcium hopantenate 50 mg 1 tablet 2 times for 1 month. Gloss is a process of scar formation as a response of the immune system towards the trauma or injury incurred in the brain and in the spinal cord.  This process is generally triggered by several factors that cause trauma and injury to the brain and the spinal cord. There are not a lot of studies done about gloss. No specific treatment has been identified for gloss and the therapeutic approach is aimed towards minimizing the proliferation of the astrocytes in the central nervous system. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hairs on the scalp have started falling and thining a great deal..I worry them losingpermanently ..Hence, i have started using Tugain foam(5%) along with finast 5mg(i tab).Will this turn out to be effective to the problem faced...How long do i need to continue with above medication.. rgds sunill ### REPLY: Hi, It seems that you may be having an .  It is a hereditary disease. There may be hair loss from temporal areas and occipital area. The hair may be thin. You are taking finasteride 1 mg, continue it. You may apply 10% solution of minoxidil twice a day. Use shampoo of ketoconazole to cleanse the scalp. You may take biotin containing tablets like bit forte or alopecia forte. You consult dermatologist for firm diagnosis and perfect treatment. Have positive attitude and keep patience for the good result. I hope you got my answer. 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: what is a 1.2 cm heterogeneous calcific density projects at the left hemipelvis.  what is sclerosis at the sacroiliac joint.  they say the area is partially obscured by granular bowel content that confounded the evaluation.  I had a lumbar Xray that revealed straightening of the  the normal lordosis.  I dont understand any of this.  please explan. ### REPLY: Q heterogeneous calcific density projects at the left hemiplegia. Area is partially obscured by granular bowel content that confounded the evaluation. A. granular bowel contents is due to incomplete Clearance of fecal matter, and overlaps with bony/ calcification--- u need to repeat the x-ray after proper bowel preparation.  q. what is sclerosis at the sacroiliac joint. a. its like scar formation after some old damage due to infection else where in body q. they say the had a lumbar X-ray that revealed straightening of the normal lordosis.  a. there is normal anterior curvature its gets straightened with muscles pulling is back when they are spasm ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i had a opp last week as i broke my femor, I had a rod and four screws.My Question is. Since the opp i have noticed a small amount of blood in my flem it only happens about once a day should i be concerned???? Allso will i be able to Fly in a month??? Thanks Caleb ### REPLY: Hello Since after opp small amount of oozing of blood is very common, this is not a cause of concern. But if this blood is fresh then consult your orthopedic surgeon. Small amount of oozing is not a cause of concern. Since this is applied for 3 months in normal circumstance, so plate screw fitted, you can fly after one month, not a cause of concern. Within next 3-5 days this blood oozing will stop. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Doc,I am a male, 32 years, very fit, and not overweight. Yesterday I got  a cough and it got progressively worse.Now I can not stop this dry cough, I have a fever of 102.6F yet I am cold. My head is very hot though, I have a headache and rapid heart beat. I am extremely weak and thirsty Any suggestions? ### REPLY: Hellothank you for posting in our forum. You seem to be suffering from some respiratory tract infection on basis of your symptoms of cough, fever headache, deny .  Please do a chest x-ray, a complete blood count and ESR. You can have a short course of antibiotics tab augmenting 625 thrice a day for five days (if you are not allergic to penicillin), cough syrup and tab paracetamol up to three times a day for your fever. It is very necessary to do the investigations mentioned above. Thank you. Wishing u 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: For years, I periodically have some heart palpitations with tightness in the center of my chest. Heart test show not much going on, I just deal with them when I get them. Today however, I had a MRI for my lower back. I felt fine during the test but afterwards my chest ached. Similar to esophageal spasms, but I also had heart palpitations. My heart rate is about 120-134 bpm and I keep needing to deep sigh breathe every five minutes or so. I am 61 and was just sitting watching TV when I finally was concerned enough to check. I also have been hearing my heart pound below my ears on and off for the last month or so. I have a follow up with my Heart Dr. But not until Middle of July. Do I need to be concerned about this today? ### REPLY: Hi Welcome to . I understand your query and concern. Rapid heart rate and Dizzy spells can be a definite feature of heart rhythm disturbances. Irregular heartbeat is known to alter the blood supply to the brain leading to impaired function in a transient way. Few . I advise you to have a complete 24 hour holder ECG which can accurately determine the cardiac conduction abnormalities. Monitor your blood pressure and heart rate. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump on my elbow, it feels like maybe fluids under the skin. In the mornings it s small, but I have been up foe a while it gets a little larger. Do you think it might be fluid. It real soft and I can move it around I have had this for 3 days ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Soft lump in elbow may be sebaceous or Desmond cyst or lipoma.  You should go for fine needle aspiration cytology of lump to confirm the diagnosis.  Excision is the treatment of choice. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I want to ask does next choice delay the ovulation? If yes, how long for? Because I took next choice both pills 24 hours after having an unprotected sex it was about four days before my calculated ovulation date (we had un protected sex on 12/1/2013 and my expected ovulation date is 16/1/2013) . But now me and my husband changed our mind and we want to have baby. Is it possible to conceive if we have sex three days after taking next choice pills? ### REPLY: Hi, Thanks for the query. Yes, emergency contraceptive pill can alter the menstrual cycle and ovulation because of the high dose of hormones in it. After taking the tablets, they will act on the endometrium. And lead to with . So, if ovulation occurs also, implantation is difficult. And also if pregnancy occurs fetus can get affected with these hormones. So, better to avoid pregnancy in this month. You can plan the pregnancy in the next month. Track the ovulation with ovulation kit in the month and plan intercourse around that period. This will increase the possibility of pregnancy. Take care. ### END