Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 kinda confused if im pregnant or not. I had a great time with my fiancee from May17-29th coz we are trying to conceived a baby On June 3rd I got my period 4 days early than my schedule but its weird coz heavy period lasted for 1 day then 3 days light. I still feel symptoms of pregnancy. I took a HPT 2 days ago but its neg. Is there a chance that I can be pregnant? ### REPLY: Hallow Dear, The very fact you had menses after the sexual relations indicates that you are mostly not pregnant. Moreover, you urine pregnancy tests performed twice are also negative. So it is unlikely that you are pregnant. First day of the menses were heavy, hence the remaining days were with light bleeding. Nothing to worry about it. Please forget about pregnancy due to this sexual relation and try again a fresh for pregnancy. Wish you the 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: Hi i am 31 yr old male , i was diagnosed with Miliary TB some time back and i am under medication. my last X ray did not show signs of the disease, but wanted to ask if still TB can spread if i have sexual intercourse with my spouse as i plan to start a family. ### REPLY: Hi & Welcome. I can understand your concern regarding the mode of transmission of TB infection. Tuberculosis DOES NOT spread through sexual intercourse. Tuberculosis is a disease caused by bacteria that spread through the air .  Although tuberculosis is contagious, it generally takes a few weeks of treatment with TB medications before you're not contagious anymore. Following preventive measures are recommended to prevent the spread of infection to household contacts (family members):1. Ventilate the room. Tuberculosis germs spread more easily in small closed spaces where air doesn't move. If It's not too cold outdoors, open the windows and use a fan to blow indoor air outside.2. Cover your mouth. Use a tissue to cover your mouth anytime you laugh, sneeze or cough. Put the dirty tissue in a bag, seal it and throw it away.3. Wear a mask. Wearing a surgical mask when you're around other people during the first 3 weeks of treatment may help lessen the risk of transmission.4. And all the family members should be given the medication Isoniazid (INH) daily for 3 months if the Manitou test shows POSITIVE reaction. Hope the suggestions given above could be useful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Dr.Grief I had a large meningioma located in the left frontotemporal area of my brain 11/2010. I suffer from daily nausea, vomiting, have severe h/a s that will incapacitate me for several days. I also have trouble with my short-term memory, focusing, and when I try to communicate my thoughts, the best way I can describe them is is like coming out backwards . I have tremors in my rt hand and some difficulty with balance (recent). I feel depressed and almost apathetic. My question is can I recover from this and who is the correct medical professional to see me so that I can be evaluated for disability? I can t keep a job - I m an RN with 18 + yrs experience. Since my surgery was done, I ve lost my job, and have been discharged from 2 others due to performance issues which really distresses me as I was a really great nurse with way above the average performance reviews before . Thanks for your thoughts. ### REPLY: Hi, Thank you for posting your query. Left hemisphere of brain is the important part of brain, as it controls memory and language functions. In addition, the motor and sensory functions on the right half of body are also controlled by the left side of brain. It is possible that the left hemisphere of brain has suffered some damage due to the tumor and the surgery. This can be confirmed by seeing the post-operative MRI scan. I would request you to upload the MRI report. The symptoms you have now would partly improve with medications and physiotherapy, however, the recovery may not be complete. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a 17 year old teen daughterShe was born with dark brown hairShe decided to dye it bleach blondeIn fact she dyed it weekly just so the roots would not even show a shade of brownShe went to high end salons who had me sign waiversThen after about a year of this process she was given an accidental short haircutShe opted then for hair extensions - dyed them blonde to match her blonde hairFinally her own real hair started breaking apartShe has now cut her real hair into a pixie and it will not grow backShe has been on Loestrin Fe Birth Control for over two yearsLots of blogs talk about how this medication causes Hair Thinning and Hair LossCan it also be contributing to her Real Hair Not Growing BackShe has really thick hair - just really short - nowAny thoughts, please - we are desperate for advice ### REPLY: There is no need to worry. It is so common for some people after dying-becoz it may cause some effect on hair follicles. First avoid any type of dyes for hair for a year-To regain your thickness and quality of hair. Then use vitae capsules oral and mixed with coconut hair oil (its must) in order to regain your old hair as it rejuvenates your hair follicles. Birth control pills don't have such huge hairless, so don't panic in that aspect. Avoid hair sprays, . Definitely your daughter will be having normal hair as before. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, I am in serious need of a dentist. I have no insurance, I have 18 teeth that are broken, cracked, u name it. They all are going to come out and replaced with dentures. I could make payments, if they were not just unreal expensive. Please help if you can, Im in severe pain and eating is a terrible ordeal. ### REPLY: Hi. Welcome to . I read your query. You did not mention your age. By broken teeth do you mean cavity or fracture? I suggest you to visit a dentist and get your teeth checked. After x-ray and examination only, the treatment can be planned. There may be few teeth which can be saved by RCT and crown. Get extraction of required teeth. Then depending upon remaining teeth you can go for removable or fixed denture. Nicely made and maintained dentures works really well. Hope the answer helps you. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am of age 38 and my wife age is 36. We are married since 2003. We still dont have any child. My medical tests are found OK, and my wifes medical test has also been found OK except cyst was found. This test is done in June 2009. Please suggest the way forward for treatment. ### REPLY: Hello, Welcome to . Thanks for writing. I am .  I have read you question completely, I understand your concern and will try to help you in the best way possible. If your tests were done before and every thing was ok than it must be god will, but there is always a silver lining to every cloud and medical science is advance NW sting which was NT possible in 2009 is possible NW so i will advise you to take all the tests again and find out what's the cause and treat the cause and you will have child ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 rolled my left foot playing basketball I jumped and landed on someones foot and rolled mine its been a couple of days the swelling has gone down alot but I still can t bend it the way I filled it I can walk on it but I can t make any cuts or moves on the foot there is a spot on the left foot that is buldging out it was bruised at first ### REPLY: Hello, As you have a foot injury and now difficulty in making any kind of normal movements like - plantar flexion, dorsiflexion, version and inversion I would advise you to take up an x-ray first or an MRI.  MRI is far better than x-ray to rule out any ligament injury. Usually, ankle ligament injuries are common in sports and get unnoticed at times which may, later on, shows its reaction. Take up and MRI and following the ankle rehabilitation program - like balance board training should correct the muscle imbalance and improve the overall functions of the ankle joint.  Balance board training have an effective outcome score for most sports injury of the ankle. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been getting very snap pain in my knee and also feeling like its going to pop out of its unstable, I also feel like there is a air bubble in my knee that just won t pop. What do you think is wrong? I have torn my meniscus in this knee once already ### REPLY: Hello, Thanks for your query and welcome to . I am . You have mentioned meniscal injury in your knee. Meniscus is like a shock absorber in the knee and helps in even distribution of the weight. Any injury to this anatomical structure is bound to produce an Instability in your knee and recurrent s/s of knee effusion and difficulty in waling, locking etc. Normally we advise our patients for intensive knee exercises and other conservative management protocol in case of small tears but if the meniscal tear is a large one, then Arthroscopic Meniscal balancing procedure as advised to avoid these issues and later degenerative changes developing in the joint. I would be able to answer you in a better manner if I have your clinical details, duration of your symptoms and relevant investigations like MRI scan etc. Do not hesitate to get back to me should you need any further information/Thanks & 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 ve had a sore throat the past two days. My head hurts and i have mild body chills. I went a week without taking allergy medicine, but im back on it. I was in the shower and started hacking up mucus. Just when i thought i was done, I softly coughed and a massive something popped out out. It looks like a fatty piece of raw meat, and has the same consistency. When i pull on it, it doesnt rip. Half an inch long. ### REPLY: Hi, thanks for using  The discharge seen on coughing would be mucus that was present in the respiratory system as a result of your infection. Because it is mucoid, it would not rip or tear, just as your described. Fever does not usually occur in allergies, so the presence of fever indicates that you have an infection. Likely an upper respiratory tract viral infection. Since the cough is productive, in addition to your normally cough and cold meds, you may also want to use a bucolic. This is a medication to help break up mucus so that it can be expelled easier. They would be available over the counter. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife is 21 years old. I had my first sex with her about one week ago. It was 9th day from the period. We had a unprotected sex. So she took a Unwanted 72( emergency contraceptive pill) tablet after 46 hours. Now she feel some pain at lower abdomen for more than 8 hours. What is the cause for the pain? Is there any chance of pregnancy? We dont want any child. Please answer me as soon as possible. I am very worried. Thank you. ### REPLY: Hello welcome to  forum, There are so many causes of pain in lower abdomen. Rupture of Graffias follicle can cause pain in the mid-cycle. But in your case you must rule out some sort of infection, which is quite common known as Honey moon infection. As she has taken emergency contraceptive pills with in the 46 hours of unprotected sex. So chances of pregnancy are very remote & it is too early to say she is pregnant. There is no test which can detect pregnancy at such an early phase. Disclaimer ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a vegetarian for over 25 years, and have previous blood tests have indicated that my B12 was a bit low, but within the normal range.  However, i recently had a test that showed my B12 as over 1000.  I dont supplement this (except for a multi vitamin).  Also, my white blood cell count was a bit low, and urea was low.  Can you please tell me the possible causes?Regards!Leah ### REPLY: Hello and welcome to , Vegetarians are prone to have vitamin B 12 deficiencies. Vitamin B 12 supplements can be taken regularly. It will keep the B12 levels within normal range. A fall in white blood cell is most commonly caused by infections. A differentiation leukocyte count (DLC) will determine the component which is low. Further management will depend on the result of the investigations. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was having a root canal and during the procedure my dentist had to stop to give me another shot of novicaine. My tooth was thobbing and my head was aching, in addidtion to my ear. After the shot took effect, I could not feel any more pain.A couple of hours after being home my ear really started to ache. I rubbed it and there was blood coming from the inside. There was not a lot, but my ear still aches, even after taking ibuprofen and a vicidin.Should I be worried?Katrina ### REPLY: Hello Katrina, The pain is due to the infected vital pulp remaining within the canals. Usually during root canal procedures, such difficulties are common. The ear pain has stopped for a while due to the action of analgesic you had taken in. Once the action of medicine has completed, the pain reappears. Please do visit your dentist and get the entire pulp removed. Take complete course of antibiotics too. Maintain oral hygiene well. Use soft interdental toothbrush to clean your teeth. Use chlorhexidine mouth rinse to gargle. Avoid stressful jobs. Take complete rest. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi! i just had my apico xray for second diagnostic for my right upper lung fibrosis result..and it was still the same findings...but the remarks shows that i onbly have minimal fibrotic infiltrates..i just want to know if i still need to undergo the 6months prophylaxis treatment? ### REPLY: Thanks for your question on . I can understand your concern. No need to worry about this fibrotic lesions. And no treatment required for this. You are having fibrotic lesions. These lesions are suggestive of old, healed, inactive scar tissue. They are not active infectious lesions. And hence no treatment is required. But if you have cough, fever, weight loss etc. than consult pulmonologist and get done sputum examination for AFB (acid fast bacilli-bacteria causing tuberculosis) to rule out active tuberculosis. If you are asymptomatic than no treatment is required at present. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have been having a dull pain in my lower right abdominal, four inches away from my hipbone pointing to the left side. So, diagonal from my bellybutton to right hip bone. I have had many pulled muscles, but none that have lasted 2 days. Any thoughts? It could also be likely to have an Ovarian Cyst? I would describe my pain as moderate/dull/aching/pain. Thank you. ### REPLY: Hi ! Good morning. I am  answering your query. Yes - ovarian cyst if you have a history of one might be the cause. However, before diagnosing it with certainty, if I were your doctor, I would go for a physical examination of your abdomen, followed by some routine examination like a complete blood count, a urine routine and microscopic test, a vaginal swab for culture and sensitivity test, and an ultrasound abdomen which would help in pointing towards the most probable diagnosis. Further management would depend on the results of clinical examination and investigation reports. 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: Hi Doctor. I have seen very good answers that you have given to other parents/guardians with regard to edenoids. My son is 3 yrs and 4 months and for the last about 3 months, we have been in and out of hospital because of multiple problems; colds, flu, cough, tonsilitis, pharyngitis and fever. I decided to consult an ENT specialist who requested for a PNS x-ray. The X-ray has shown adenoid hypertropy and the ENT specialist has recommended for the removal of the adenoids. Of course I m jittery about this especially when I think of General anethesia. Do you think the surgery is important? Thank you. Esther from Tulaga, Kenya ### REPLY: Hi. Sorry to hear about the problems of little kid. As far as your question is concerned, if the diagnosis of adenoids has been confirmed by an ENT doctor and surgical removal has been advised by a specialist then it's better to go with that. In the other scenario, the kid may have these problems repeatedly. Secondly you have concerns about general anesthesia in a kid. Let me tell you that nowadays due to advancement in medical sciences, general anesthesia in kids is a common practice and routinely given by qualified anesthetists. So I would suggest you to stay assured and go for the surgical option. It would be better for the health of kid. Wishing you and your family the best of health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got home from a vacation yesterday and found about 50 raised red bumps on my sidesaddle back. Noticed today I have a few more on my torso, and upper thigh. They are slightly itchy, but more just sensitive. Is there a way to tell if it is bed bug bites (stayed in 3 hotels), a rash from a hot tub, or something else? Had sore axillary unilateral lymph nodes yesterday too. Thinking its not bed bugs because my husband slept in the same bed, my daughter in the bed next to us and not a single bite. No fever ... ### REPLY: Hi Welcome to  Froufrou your clinical picture, it looks like you are having scabies. Scabies is a mite infestation presenting with itching popular lesions all over the body, mainly over abdomen, finger webspaces, thigh and genitalia. It usually causes more itching at night. It is a contagious condition, so proper treatment of the patient and the contacts has to be done need to apply 5 percent permethrin cream all over your body. Single application of this cream all over the body below the neck is to be done. Apply it at night, leave it overnight, take bath the next morning. Use rotation cream from the next day twice a day over the affected areas. Take antihistamines for itching. You have to take care also to disinfect all your clothes and weddings by washing them in warm water and . And also find out, if anybody else from your family has similar lesions or itching, then they should also be treated. Wishing you speedy recovery ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my teeth removed now i want to fill it because when the food gets in the space i feel uncomfortable.How do i go about it?Again,i have 3 teeth which are hurting and i do want to lose them.What am i supposed to do?And again what you recommend me to do is it safe now that am 23weeks pregnant? ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have mentioned that you have undergone extraction, now you have space between tooth don't worry After Pregnancy as you said you are 23 weeks pregnant After Delivery consult Dentist and go for Replacement of tooth by Fixed partial denture or by Removable partial denture depending on Oral examination, As you have mentioned that you have mobility in some teeth then for that you should go for scaling or Splinting of teeth, Hope this will help you.  Wishing you good health, Regards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: doctor i am experiencing uneasy feeling on the left chest always. recently i had a checkups regarding this. including threadmill stress test also. that time according to the result my BP response was normal. but still i am getting pressurised occationally ### REPLY: Thanks for your question on . I can understand your concern. First no need to worry about heart diseases as your treadmill test is normal. Left sided constant chest pressure is also seen with stress and anxiety. So better to 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 all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My alkaline phosphate level is 208. I ve had a liver biopsy.nothing showed up besides minimal liver damage. My levels are continuing to rise.my doctor says we ll monitor your levels recheck in 3 months.my question is should I be concerned about something? Do I need a second opinion? ### REPLY: Hi. The normal range of ALP goes till 150 so until now I don't see a significant rising. The second thing I'd like to mention is that ALP only (without other functional liver tests like: transaminase ALT and AST, GGT) is not such a faithful liver test, because it can be increased in other system diseases like bones i.e. So after three months (I totally agree with my colleague for the next time examination) you should perform a broader biochemical examination for your liver. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 khan from ubu dhabi.sir i am very depress because of my sex broblem.sir a hvave erectile edyfunction and prematurte ejeculation.sir please advcice me some madicine for this.i treated from some non qualified hakeems my problem now much bigger.sir please help me my age is 29y now i want go to pakistan i am marriege sir please help me ### REPLY: HelloThanks for query. You have problem of erectile dysfunction and early ejaculation. In absence of any major health issue cause of Ed is mind related and due to performance anxiety. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Taking Sildenafil (Viagra)as on demand will help to get good hard sustainable erection and to have enjoyable sex. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 am a 32-year-old female who is 5 ft 10 inches. I have a history of Chlamydia, small fibroid, bulky retroverted uterus and an enlarged ovary. I have also had an induced abortion and a spontaneous abortion both just at about 2 months to 3 months after conception.Over the last year I have been trying to conceive without any success. My OB/GYN basically told me I have nothing to worry about , God decides when the time is right  and that I have too much time on my hand. Could you give me some advice on ways to improve my chances of conceiving?Also I developed a yeast infection after being treated with antibiotics for a dental problem. I went to my OB/GYN last Saturday and was sent to do a repeat chlamydia test and a urine analysis - see suspects UTI. I am waiting for my results. She prescribed Gynotran Vaginal cream and dicoflenac tabs to help with the pain. Last night (day 5) I had sex after applying the treatment which I know I should not have been having sex until after the seven days. I would like to know what happens now, what should I expect and should I restart the treatment? My husband woke up this morning with his penis shaft burning. Thanks in advance. ### REPLY: When were these abortions? How long ago? Why did u induce it? If u had conceived already then everything-the tubes, the ovaries and the uterus are all working. So I think most probably the previous abortions were sporadic. You could test for anti phospholipid antibodies and do basic screening of your sugars to rule out diabetes as you complain of repeated infections and abortions. Hope it helped. Waiting to hear. 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 got hit fairly hard in my chest where my heart is. I couldnt breathe when it happened. Its been a week now and the pain im my chest has increased severely. It hurts to breathe, lift things, turn my steering wheel. Then i attempted to run on the treadmill today like i normally do, it hadnt even been a minute and i couldnt breathe and the pain made me so sick i threw up. What did I do? ### REPLY: Thanks for your question on . I can understand your concern. Possibility of musculoskeletal pain is more likely because your pain is associated with movements and lifting things. But better to rule out heart diseases first because your pain is on left sided of chest. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid sudden jerky movements of chest. Take simple painkiller like paracetamol or ibuprofen. Apply warm water pad on affected areas of chest. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my five year old son complains of his penis being itchy. Only the tip itches. No sign of rash or redness and no pain. He is circumcised. He has been to the pediatricians office but after seeing no signs of irritation; she advised us to come back in a few weeks if it hasnt gone away. Any ideas? Thanks ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. If your pediatrician could not find any problem about this, I too suggest you not to worry. Itching sensation could be an obsession. I suggest you to help him wash the inner parts of the penis with warm water and keep the area . 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: Hello, A few years ago i began getting these episodes of being very short of breath where i just couldnt get a deep breath. Ever since they started i have not been the same. Its not athsma. And lately i have been having these weird heart flutters and last for only a second but when it happens i get a quick tunnel vision and feel very odd for a sec or 2. It is very hard for me to do anything physical cause i get out of breath and my heart starts to beat hard. what could this be? ### REPLY: Hello, It is in relation to the psychosomatic manifestation of underlying stress or anxiety disorder. Recommendations for better recovery-Deep breathing exercises, meditations, and YOGA are the cornerstone of management.- Avoid stress, anxiety.- No smoking, alcohol, abuse substances.- Proper rest hours mandatory sleep of sound pattern eight hours daily.- Keep ambulatory with walking in the fresh air.- Engage more in likelihood activities.- Once get basic workup of laboratory, x-ray, EKG with your doctor. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had dry painful nose. I constantly have to blow my nose. Frequent nose bleeds is this serious ### REPLY: Welcome to  Frequently .  You could be having allergy as a possible co-existing condition. You can do steam inhalation. Avoid blowing your nose hard or inserting anything inside the nose. Get your blood pressure checked. Get a thorough checkup by your ENT Doctor and get required treatment. Avoid exposure to smoke, dust, pollution, use handkerchief if unavoidable. Eat healthy.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, i ve been ttc for exactly one year now. Last month i started taking pregnacare conception . i m wondering if i can also take evening primrose oil together with pregnacare. if yes, is there a particular time in my cycle to take epo? Please advice. ### REPLY: Hello. Thanks for writing to us. You can take evening primrose oil supplements with pregnancies. But since you have been trying to conceive for last one year, it is best to consult an infertility specialist for proper guidance and investigations. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had mastectomy done in May 2010 for a stage 1 invasive carcinoma. I did not have any chemo done except for tamoxiphen now I was told it returned in the same site of mastectomy sitting on the chest wall muscle grade III was are my options for treatment chemotherapy or radiation ### REPLY: Mastectomy scar recurrences involving underlying muscle are difficult to treat. You need to have complete staging workup to be sure there is no evidence of metastasis elsewhere in the body, and it is a localized disease. For a localized disease I would suggest neoadjuvant chemotherapy to shrink (downsize) the tumor followed by surgical resection and radiation therapy. Have the estrogen receptor, progesterone receptor and Her2 new receptor status checked on the biopsy sample. It will help in guiding further treatment. I hope it helps. Please discuss it with your treating 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: hello, im 36yrs old, white female, ive been havin severe lower back pain, in the last 2mths it has gottin to the point were I can barely walj a blk. without my back lockin up with extreme pain, even standin to long also, now my feet have been swelling up like 3x their size, but ive noticed that from my calves all the down to the arches in my feet stay swollen and have began to hard, please help me, im scared. ### REPLY: Hello, Thanks for the query to . Forum. I would come up with these possibilities for this severe pain in the back from last 2 months, This includes.1 Lumbar-sacrum degenerative disease (L S spine disease) . Diagnosis can be confirmed by M R I and X-ray L S region. 2 Pelvic inflammatory disease, diagnosis can be confirmed by physical as well clinical examination. As sometimes this produces excruciating pain.3 Osteoporosis may be the nest reason. Diagnosis can be confirmed by estimation of calcium level in blood. In my opinion consult an orthopedic surgeon and get his opinion. Good luck.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here...yes just wanted to know i have a 3 year old daughter, she hit her head today in day care and has a lump on her head and then a little bit later she was throwing up, would u think i should take her to the hospital. ### REPLY: Hello, If she vomits more than one time, then yes you ought to have her evaluated by a physician. However, if she seems to be acting normally-no abnormal eye movements, stands without falling over, walks and runs without tilting to the side and complains of no pain(other than where she hit her head), and not sleepy, it will be safe for you to observe her at home. Throwing up after head injury is probably due to the temporary movement of the vomiting center in the brain. 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: Good day! Im only 13 years old. last week I felt like vomiting, and I felt weak and had difficulty breathing. When I vomited, thats the only time when I felt good. I went to the doctor and told me that I might have acidity. So she gave me antacids, to be taken 4 times a day, before meals.The problem is, Im not really sure if the antacids work, and if my case is acidity, but sometimes I think like its acid reflux. Sometimes I also felt panic attacks. Sometimes I have difficulty breathing and nausea. and it all happens at NIGHT. please help me! Im worried about my health. Thank you soooo much! ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Acidity, acid reflux, indigestion, breathing difficulty, vomiting and nausea, panic, all these are related and these symptoms come when you have acidity problems at the extreme. You have nothing to worry and trust your doctor and do not worry about your health. Your doctor is qualified and he/she knows what she/he deals with. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am seventeen year old i jus had appendix operation in april and since then i have been having problem with my stomach. since three to four days i have sever gas and i burb alot along with that i feel dizzy and have weekness after taking food. ### REPLY: Hello, After some operation it requires some time to normalize your peristalsis - digestion. From your complaint scenario looks like this. Don't worry have regular food timings with regular intake of food which are easy to digest like Moog deal chichi. Applying coconut oil on abdomen once a day may get some help.  If symptom remains still 4-5 day get help from your specialist. We hope to get well soon, 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 serious perodontal disease and receding gums and pockets, I have recent started having very bad breath and my body odour is always bad. Also get a lot of infections downstairs. Im brushing and flossing regulary but still smoking due to the stress. I cant afford the gum grafting..whats the best way to go about fixing myself? ### REPLY: Hello, Thanks for consulting , Read your query, as you have bad breath and periodontal problem first I will suggest you to don't take stress, and quit your habit of smoking which will help you more in recovering of periodontal problem. I will suggest you to consult Periodontist and go for oral examination and treatment. In meantime, I will suggest you to maintain proper oral hygiene, Do mouthwash chlorhexidine regularly, Do warm saline rinses, consult dentist and go for oral prophylaxis in 6 months. Hope this will help nourishing 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, may I answer your health queries right now ?  Please type your query here...I believe I have acid reflux which is affecting my gums and teeth.  I am scheduled to have eight teeth and toris removed this wednesday.  Do you see a problem having the oral surgery done? ### REPLY: Thanks for your query, I have gone through your query. In acid reflux the teeth will get damaged secondary to the acid attack on the teeth resulting in erosion of the teeth. If sufficient tooth structure is there, then we can save the teeth by doing RCT. If the tooth structure is not there then it has to be removed. The teeth can be removed and Tori can also be removed but the antibiotics and analgesics should be of lower dose since this will cause gastric irritation and may cause vomiting and heart burn or gastric pain. Even the painkillers prescribed after the surgical procedure can worsen the acid reflux. So be careful and take precautions like antacids at regular intervals before the medications prescribed after surgery. 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: hi i have a question i have a 4 month old and breastfeeding and i had a pep test done and he asked me if i was pregnant cause the lining of my uterus was blue and i did a pee test and it was nagetive but i having been feeling really off latley could the pregnancy test at the doctors be wrong ### REPLY: Hallow Dear, If the urine pregnancy test is showing both the lines blue, you are pregnant. If you do not want this pregnancy because your child is very young, you may go for termination of pregnancy by Tab. Mifepristone and Tab. Bisoprolol. These medicines are not over the counter medicines. They should be taken by an Obstetricians prescription and advice only. They are very safe and effective medicines to terminate the pregnancy up to 9 weeks of gestation. These medicines are known cause developmental abnormalities in the baby. Hence, once these medicines are taken, you should not change the decision to continue the pregnancy. In the future, to avoid such situations, please practice reliable birth control method like birth control pills, condom or intrauterine contraceptive device. Hope this helps you,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a bad pain in my left hand, a couple days later I noticed a tender lump on my middle finger in between the knuckle and middle joint.  I also have bad bouts of pain in my back, tennis elbow, and have had tendonitis in my shoulder and other elbow. Is this all related? ### REPLY: Hi. I would like to clarify that these injuries what you have like back...shoulder elbow and hand may not be related directly to each other while they might cause due to overuse and get compensation, leading to injuries if one joint is not working as or its range and capacity.... I suggest you to kindly get it treated at the earliest to avoid any long term complications. As we need to ascertain these issues are mechanical problems or due to some hormonal or abnormal metabolism... I suggest you to kindly ice up your joints frequently.Don't strain your joints too much. Support your back to maintain posture... Kindly fix up your appointments with an orthopedic doctor for a check-up. Hope this is helpful for you... Kindly revert in case you need any further clarification... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Spermogram: 48h of restVolume 4.5mlCount: 60million/mlPH: 8Morphology: normal 40%Motility: active 60%Viable after 3h: active (40%); sluggish (5%); nonmotile (55%)Semen still unliquified after 180 minutes70% head; 20%neck, 10% tailIm 30 years old with varicocele on my left testicle should i do the surgery?Regards ### REPLY: HIT hank for asking to  I really appreciate your concern if you have a varicocele and your does not have marked abnormality then you can think about the surgery later than seen in your case, here your case can be considered subfertility category, non-surgical method are also available and for that you need to discuss with the neurosurgeon, hope this information helps you, have a nice 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: My son was diagnosed with ASD when he was 2 years old (4 years ago). We recently have started the discussion of a ADHD diagnosis as well, with meds used to treat (they want to use vyvanse.) What are the general thoughts on a multiple diagnosis like this? ### REPLY: Welcome to the ChatDoctorI understand your concerns. Child .  Periodic developmental surveillance, screening, evaluation, and reevaluation throughout childhood may enhance identification of significant deficits, allowing for appropriate therapies and education to enhance later academic, behavioral, psychosocial, and adaptive functioning. As such, the prognosis of atrial septal defect is excellent. Hopefully this will help you. I would be happy to help you in any further questions. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The veins under both sides of my tongue have dark purple dots, about 30 or so on each side, eminating from the larger veins. I noticed it today when I was holding a mirror in a dentists office while he was working on a crown 9he was checking the color). I m not sure how long they ve been there, but when I asked the dentist, he said check with your doctor , which made me concerned because if it were not an indication of a serious condition, I would have expected him to say no problem, etc. Thanks! ### REPLY: Hello, Does it appear to be related to trauma or an allergic type of irritation? Think of any new products or changes in food made recently. Monitor the area for additional changes now that you have noticed this condition. If there seems to be small hematomas or blood filled areas, your doctor may suggest basic blood tests. This will check function of blood cells and clotting ability. I suggest scheduling a routine physical exam based on your dentists' recommendation. Without more clinical information, I can't provide many suggestions. I hope this gives you some guidance. Thank you for your inquiry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have several Mosquitos bites with this I have been experiencing, swelling of my left ankle and blistering of the bites there. Blistering and pus coming out of many of my bites all over my body. Tightness and tenderness in my skin, been nauseous and also have pins and needles in my left arm. What could this be? ### REPLY: Thanks for contacting ChatDoctorYou are concerned about getting an infection in the area of prior mosquito bites. This is actually a common occurrence. When the mosquito bites, and you start scratching the area you cause small cuts to occur on the skin and that introduces bacteria into the wound. This progresses to infection and small abscess. I recommend that you seek medical attention where they can give you oral antibiotics. I also recommend1. Elevating the leg2. Using warm compresses3. Tylenol for that pain and burning Hope I answered your medical question. Please contact us again with your medical questions and concerns ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I stood up heard pulse, or swishing sound in my right ear. Headache in back of right side and down the base of my head and neck. I am a healthy 31 year old female. Is there a possibility that this is something serious? I am a nurse and maybe I just know too much scary stuff but not enough to really know. ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, I would explain that your symptoms could be related to an inner ear disorder. Low blood pressure could also mimic this clinical situation. For this reason, I would first recommend you to closely monitor your blood pressure values. If your blood pressure values are within the normal ranges, I would recommend consulting with an ENT specialist for a careful physical exam. Hope you will find this answer helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with anxiety disorder for last 6months. I am overweight and started exercising since 6months and lost 20 kgs in 6months.i am experiencing rib popping and discomfort in the left side of my chest for last 5 months.i have done my tests related to heart and all seems normal.apart from rib popping/snapping I get left side chest pains and occasionally jaw pain.i have irritation on my right shoulder blade which burns on touching and gives sharp pains at times which last for a minute .i have food in small quantities and eat on time specially at night.i even take antacid tablets at times after meals fearing of acid reflux.my life is not the same I have done CBT sessions as well but that didnt help me much except the breathing exercises which i still do.i am fed up of this. The mentioned pains occur when there is no anxiety at all its when I am doing normal things and suddenly it hits. Now i constantly fear of having a heart attack anytime.Dr please help me to get back the real me.i request you to keep this confidential and not make my query public.thanks. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. You cannot say that you do not have anxiety symptoms because "constant fear of having a heart attack anytime" is an anxiety symptom. From simple anxiety disorder, I think you had developed somatoform disorder. You can get back to normal life if you do not ignore the advices given by your psychiatrist and CBT therapist. CBT is well known as a cure for every anxiety disorder. Take it as a challenge and do not tire. All the pains you are mentioning are related to somatoform disorder. I think you also have eating disorder. Get yourself tested by a clinical psychologist. OR Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am experiencing minor discomfort under my left breast, almost like heartburn but different. It comes and goes, often worse in the evening after I have eaten. We have GERD history in our family as well as high blood pressure, though I am only 31 and dont think I would be affected by that yet? Also over the past 2-3 years, my abdomen has grown so much. Regardless how much or little I eat, I cannot lose weight. I look almost 7 months pregnant!! I get abdominal pain quite regulary and lately can barely eat much at all, never hungry. Also there is an inconsistency with my bowel movements. What can you recommend? ### REPLY: Hi thanks for using . Your history suggests gastric acidity problem. Recommend? Proper timings of food, avoid spicy food, avoid heavy meals, walk for some time after food, plenty of water, Consult dietician for proper diet, weight reduction, regular exercises and Tab H₂ blocker or proton pump inhibitor like pantoprazole with risperidone every evening one. Hope I answered your query. Wish you good health. Take care. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there,I have had many test for arrhythmia including a 7 day ECG but so far nothing has been found. Should I keep pushing my doctor for more tests as i still get the arrhythmia, but only every now and then, i can go weeks without having one. Many thanks ### REPLY: Hello! Thank you for asking on ! Regarding your concern, I would explain that sometimes it is difficult to catch a cardiac arrhythmia on a Holder monitoring. Another option would be the implantation of a loop monitoring, which can be held for a longer time, and you can switch it on, when you feel the palpitations. Other tests to consider in order to investigate for the possible underlying causes would be: - complete blood count for anemia-thyroid hormone levels for thyroid dysfunction- blood electrolytes for possible imbalance. Hope you will find this answer helpful! Wishing good health,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My body is itching very much ,it stops itching when i use "LEVOCETRIWAL" but after 3 days it starts itching again. It gets red when i itch, but after sometime it gets fine. the itching place gets pimples in it.I have got acne problem inmy face as well as in my body. ### REPLY: Hello, Thanks for your query.  It needs to be evaluated as to why you develop these symptoms. It can occur with some clothing you use or with some variety of foods or dust. You need to also say If any of your family members have similar symptoms, In that case It could be genetic. So kindly consult a dermatologist. Hope I have answered your query I will be available for your follow-up queries If any. Wishing you good health.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I started Chateal (birth control) roughly 3 months ago. Last month I had a period lasting about 2 days which is abnormal. But about a week ago I had unprotected sex and started spotting the day after, I continued to spot for a few days and started my period. But I m only on the first week of this months pills, making my period 3 weeks early. Could I be pregnant? Should I be worried? ### REPLY: Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. . .(MBBS, MS,MCH) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ive had a cough for about a week now. It would hurt whenever i swallowed. Then the cough went from dry to having phlegmn. Now my sinus hurts and i have a runny nose & MAJOR headache (i think its a sinus infection). But my runny nose & phelgm go from white/yellow (from nose) and lime to dark green and hard when i cough them up. Whats worse is i lost my voice and i get lowgrade fever every now and then. What can this be? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query cough, sore throat, fever and headache is due to upper respiratory tract infection. Need not worry. I would suggest you to take antihistamine Levocetrizine along with antibiotic Levofloxacin. Avoid intake of cold carbonated beverages. Visit ENT specialist once and get it examined. You should go for blood tests. Get X-ray chest done along with pulmonary function tests done to check extent of infection and start treatment. You should do warm saline gargles. You should take nasal sprays as well. Use mist humidifiers in room. Hope your concern has been resolved. Get Well Soon. Best Wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have just been prescribed actonel for osteoporosis and after reading comments from those who have taken it I am afraid to take it. I have psoriatic arthiritis and am 84 years old. Can I just not take it? I have enough trouble as it is I have no return appointment with the doctor who is new to me and is 2 hours away. Please advise, Thank you ### REPLY: Dear Ma thanks for posting your query on . I appreciate your concern for the safety profile for Acton. Actonel on long term use can cause ulcer or inflammation in the food pipe (esophagus) producing severe heart burn, difficulty in swallowing, abdominal pain, it is also associated with bone loss (osteoporosis) in the jaw. If you have any acidity related stomach upset it is better to avoid it. Wait for your next appointment.Meanwhile, you can take it D with calcium supplements which are available over the counter. Hope this information helps you. Wishing you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently started a new job that is very physical and ive noticed a very tender, sort of lump IN my belly button... there is no discoloration, no swelling, just tender to the touch and if I were to bend. If you were to put a finger in your belly button and pinch the top of it with your fingers, thats where its located. Any clue what it could be? ### REPLY: Welcome to . 1. The possible cause could be inflammation in the umbilical region and next possible cause will be small anterior abdominal wall defect - umbilical hernia.2. In any case I would recommend to at an ultrasound examination done.3. Ultrasiund will help to find any inflammatory changes in subcutaneous plane, any collection, and presence of any defection in the anterior abdominal wall.4.depending on finding in case of inflammatory changes an antibiotic course will be enough.5. In case of hernia / defect you may need to control weight-bearing job, if larger needs correction. 6. Suggest get evaluated before it gets complicated. Good luck. Hope I have answered your query.Anything to ask do not hesitatehttp://doctor. ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For about five years I have experienced heavy palpitations and squeezing in my chest which is a result of sudden movement eg getting up very quickly from a sitting position. The symptoms are random as this doesnt happen every time. I have a history of stomach problems and experience a lot of bloating. Recently, these episodes which take about one minute to subside have become more frequent, sometimes being accompanied by pain in my calves which is a new addition to the symptoms. Can you please enlighten me as to the possible causes? ### REPLY: Hi and thank you so much for this query. Palpitations always result from the heart, but they do not necessarily represent a disease of the heart. It could also be caused by other illnesses not related to the heart especially stomach problems like gastritis, gastroesophageal reflux disease, etc. It is difficult to tell what the cause of this is without a proper exam. Also, because the frequency is increasing and additional new symptoms showing up, I would suggest that you get consulted and be evaluated fully to identify the cause and ad .  I will suggest that you get consulted first by a general physician who would recommend seeing a specialist if it so warrants from more clues that he would gather during the encounter and some basic tests like ECG. I hope this answers your query and provides guidance on how to go about ad ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son recently started daycare and has gotten sick.  He is 4 years old.  Last night his fever was 102.9.  Ive been giving him Motrin and he has a cold also, and trouble breathing, especially at night when he is quite loud and coughs a lot.  I just took his temperature again, and it was 96.7.  He is also really cold to the touch.  That seems low to me......should I take him to the hospital?Thank you, Lauren ### REPLY: Hi, Welcome to . I have read your question in detail and I know that you are very concerned about your child. By what you quote it seems that your child probably has got wheezing episode. Due to wheezing episode he has difficulty in breathing at night. Since, temperature is also low, you should take the child to emergency and get the child examined. I hope this will help you. Wishing your child good health. Take care. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have not been feeling right for quite a while now, feeling sick when eating, tired yet cant sleep and been feeling some twings and cramps in my stomach for a number of weeks now and over the past few weeks ive had some nasty pains in my chest area, these are not constant just every now and again. What coud be wrong? ### REPLY: Hi. Thanks for your query and an elucidated history. You have multiple problems-not alright for few weeks, feeling sick when eating, tired yet can not sleep, things and cramps in stomach, and nasty pains in the chest. I would advise you to get a physical test done by a Doctor to find out the clinical signs and get the blood, urine and stool tested accordingly for Typhoid, malaria and so on. This will give you the proper diagnosis. Till then get started on an antibiotic and supportive therapy, have nutritious diet, have strict bed rest, and if needed get admitted so that you can be under observation round the clock. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 approx. 9 years ago on my coccyx. I now have pain from coccyx area that radiates to both hips when I walk. It happens if I am up on my feet all day, but stops when I sit down. I have spoken to my doctor, but he thinks it may be weak stomach muscles. What is your opinion? Thank you. I am 62 years old. ### REPLY: Hello! Welcome on  ! Your symptoms could be related to a pinched nerve in this region (also called neuralgia), or a bulging disc in the vertebral column, probably due to the trauma. For this reason, I would recommend consulting with a neurologist and performing a CT scan of the lumbosacral spine, coupled with a nerve conduction study. You should discuss with your doctor on the above issues. 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 had protected sex 3 weeks ago... and don t really have symptoms...but I have been pooping a lot, really gassy, and have had some breast tenderness. I take my pill every day at the same time, and waited the 7 days before having sex (with a condom). Is there still a chance I could be pregnant? ### REPLY: Hello dear. Understand your concern. Birth control pills failure rate is 1-2 %, means 100 women's used it then 1-2 women he chance to be pregnant. If you take regularly pills then lesser than less chance to be pregnant, & you said that you are doing protected sex, so you doubly protected, so,according to me 99.99% you he no chance to be pregnant. Your symptoms are may be due to indigestion & Brest tenderness is due to side effects of contraceptive pills. So be calm, not worrying or being an anxious. Hope this will help you. Best regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 80 years of age and in good health. I am seeing a cardiologist because I recently developed HBP and will undergo testing because of its sudden onset. I am also scheduled for an IVUS and will need to obtain medical clearance for this procedure. I can see the cardiologist prescribing Echo and Carotid, but what about the stress test he is prescribing? Not happy with the stress test. Could I refuse to take it? Frankly, it s frightening me. ### REPLY: Testing is usually done to answer a question. None listed are done for high blood pressure. The question comes from a symptom or observation. In some instances, the tests are done to provide some idea as to how the heart might respond if a surgery or other procedure is done. If your doctor wants tests, ask why and what might be done with the finding. If you have no interest in pursuing a result, you may refuse the test but you and the doctor who is asking need to have common ground. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have had a swollen lump in my left wrist vein for about 4-5 days. Sometimes it throbs with a bit of pain. I have been working at computer long hours today, with breaks, and when I quit to night I got up and was feeling dizzy, the throbbing started in my wrist again, I drank a couple glasses of water. I am not having any sharp pains, but am feeling dizzy, anxious, and shaky. I almost felt like I was going to pass out. I am not getting worse, but still a bit shaky. I was feeling kind of weak, but I may be stabilizing now. I had not injured my wrist, and it is new that I can see a slight bluish coloring swelled spot on my vein, below the left thumb. I don t know whether me thinking it could be like an aneurism is getting me anxious or maybe I got dehydrated today...I don t know. I normally have a bit lower blood pressure. My breathing is good. ### REPLY: Hi. Thanks for your query. You have two different problems as per the history you have submitted.1. A swelling below the left thumb and 2. General weakness and related problems. To say about the first, that the bluish lump on the vein below the left thumb can be due to rupture of the vein at this spot due to excessive rubbing that comes on working on the computer so much. Consult a Surgeon and get a confirmed diagnosis just in case we should not miss anything big and get delayed diagnosis and treatment if at all it needs. About the general weakness, dizziness, feeling of almost passing out must be the continuous working or a flu or some general medical problems. I would advise you to consult your Family Physician to get vitals and physical examination and few blood tests done if required just to see that you are not suffering from something serious problem. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi..my name is sherry .my father is a facing cirrhosis and i dunt know exact diet should be given.kindly send me diet chart which food should be given.I have searched alot for the chart but couldnt find it. Thanks. ### REPLY: Hi, Thanks for posting your query. Cirrhosis is due to permanent damage to liver tissue. As such there in no need of any dietary restriction except salt. He should take only 2 gm of salt daily. This salt restriction helps in preventing formation of ascetic fluid. More than 2 gm salt increases formation of ascetic fluid and less than 2 gm may cause hyponatremia. He should avoid biscuits, bread and toast. He should also avoid non veg as non veg proteins are easily digested and may cause hepatic encephalopathy. He can take turmeric, oil and high veg protein diet very well. Take care, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello i have a 13 yr old son had gallbladder out end of sept full of stones recovered fine then middle of nov started having pain on right side like gallbladder attack had endoscopy all good does have acid reflux medicated for this than had ercp done and clipped a spyncter ode? billy rubin 3.5 at that time middle dec fine for few weeks missed 27 days of school back to pain on right side billy rubin 3.3 now missing school again gave him medicine ursidiol to see if that would help made him sick dizzy stopped takig on fri now yesterday and today sick to stomach and dizzy side hurts what can i do im waiting to hear from dr they are at a loss??? thank you Nicke ### REPLY: Hi Nice. Thanks for your query. Read the history about your son who is 13 years old and understood the problems. Hisotry gall bladder removal for multiple stones, reappearance of the similar pain with increased bilirubin more than 3 and ERCP and some procedure noted. This is must have been Sphicterotomy and removal of the common bile duct stones. Since the bilirubin is remaining high there is a chance of injury to the common bile duct or retained stones or cholangitis and so on. I would advise further investigations and getting to the final diagnosis. Full liver function tests along with kidney function tests, Amylase and Lipase. CT scan and MRCP of the abdomen to see in details the liver, bile ducts and most important to see any problem with the pancreas. Further treatment depends upon the final diagnosis and may be some surgical intervention if needed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: In the last few weeks my wife has developed what appears to be a fluid-filled cyst on her sturnum between her breasts. It is soft and seems to shift in shape and size, which is generally about four inches laterally, two or three vertically. She has had two heart surgeries for aortic aneurysms, one in 1990, replacing the aortic valve, and the second, to resect the aortic arch, in 2011. The cyst is located beneath the scars from those surgeries. What could it be and how should it be treated? ### REPLY: Usually treating a lump on the sternum by identifying and ad .  In some cases, lumps and bumps are considered normal. Based on your introduction it can be related to her surgical procedures on chest. Fulfilled cyst may form because of chemical imbalances or hormonal shifts. An chest X-ray should be done to evaluate this lump and other possible changes in ribs and lungs. If the X-ray will find a fluid-filled cyst, simple  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 15 months old he has a cough cold n fever doctor prescribed him prospan advent syrup nexpro junior sachets n rinifol he was not eat anything if I give him medicine he vomit .After giving him advent syrup he started with loose motions. What to do pls help me ### REPLY: Thanks for posting your query at . The cough and cold is an expression of respiratory tract infection. Most often it is caused due to certain viruses. Sometimes there is a super added bacterial infection for which antibiotics are prescribed. Antibiotics are ineffective against viruses. Fever generally indicates infection. In case of viral infections, the condition resolves spontaneously in 5-10 days. In any case when antibiotics are prescribed, they also kill the beneficial bacteria that reside in our intestines. As a result diarrhea results. The situation can be improved by giving curd/yogurt which contains Lactobacillus. Enterogermina sachets can also be given for the same. Advent is an antibiotic. Nero junior contains omeprazole to reduce acidity that may be caused by the medications. Pros pan is a cough syrup. At times certain medicines are not well tolerated. So vomiting may occur. Continue the medicines as prescribed by your doctor. Hope that would solve your queries. Feel free to communicate back in case of further queries if any. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What does white chunky discharge mean after sex?Im sexually active and Ive recently been tested for STDs. They came out negative. While having sex with my boyfriend, my discharge is white and chunky and it has no odor and there is no itching. He keeps asking me about and and if its normal. ### REPLY: Hi, Thanks for posting in . I understand your concern. The symptoms what you could be having is suggestive of mixed bacterial and yeast infection. Kindly maintain good hygiene by washing the area twice daily with warm water and mild antiseptic solution like Salon. Following this, you can also use pH balancing solution like V-wash. Kindly take a course of antifungal medication like fluconazole in the form of cream application or pessaries for 3 successive days. Along with this, take a course of metronidazole for associated bacterial infection. Wear loose fitting undergarments and maintain good personal hygiene. Hope the information provided would be helpful. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im a 22 year old male who has recently noticed that my nipples are tender. It feels like Im going through puberty. They have small hard lumps it them that are tender to the touch. Could this be hormonal or could it also be related to testicular cancer ? Please let me know ! ### REPLY: Thanks for your question on . In my opinion you are having infection mostly. As tenderness and swelling suggest inflammation.  So better to consult dermatologist and get done clinical examination. And no need to worry about prostate cancer as it is common in old age and not at your age. You are too young to have prostate cancer. So better to stop worrying about it. And hormonal imbalance can be another probability.  But infection appears more. Better to get done clinical examination. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 I carried some really heavy bags of groceries yesterday and now I have severe pain in that shoulder...about a 7/10 right above the AC joint I believe and along my clavicle. I took 1000 mg of aspirin and it didn t help at all and now it hurts to breathe. I ve been icing it....at what point should I see a doctor? ### REPLY: Hello, The history sounds as the ligament sprain at the shoulder joint and muscle spasm. Doing hot water fermentation to the shoulder and neck will be good.  Doing slow deep breathing exercises will be helpful to improve the healing process of the shoulder and also improve the strength in the muscles of the respiratory system like the pectoralis major and minor. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am BE student.my age is 23.I got ,recently,strage problem that fear of death, i am worried about aging ,death.it may be happened because of emotional behaviour,i came from financly weak family,i have very small family with not much family members and friends.whenever i think about aging,i feel suffocated.i not only worried about me but also about my family members.only thing that made me happy is that research is going on anti-aging.is it anti-aging possible or atleast postpon aging? i am still worried............, please will you advice me in this regard, THANK YOU VERY MUCH. ### REPLY: I am sure that something has happened in your life recently that has trig erred this phobia for death. It is very simple to solve if you can logically reason it out. Unfortunately you cannot do it since your unconscious mind refuses to accept it. If you can see a Hypnotherapist and explain this, he will solve it for you. Anyway, I am going to help you by the following message. Every one born in this world begins with birth and ends with death. The duration of the life is dependent on the lifestyle you live. A healthy environment will usually give you a long life. Aging is also a process which can be controlled to a certain extent by your habits and lifestyle. One who has healthy habits, does regular exercise. Eats healthy food, avoids all intoxicants like alcohol, smoking and chewing tobacco will be able to delay the process of aging but cannot avoid it. Someone in your family or friends must have died prematurely and that may be due to some common disease like diabetes, or heart attack or cancer and this must have affected you. So don't worry, you follow the instructions given by me, and you will live along and healthy life. ### END