Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 having trouble with my right leg all of a sudden. From my hip to my knee. When I take in a deep breath it hurts. I can t cross my leg to my knee to put on my sock. When I lay flat in the bed my leg feels like I got a rod in it. Finally my leg is weak and it bother me in the back of my knee. ### REPLY: Hello, Sudden pain in the leg may be due to sciatica or hip osteoarthritis or lumbar spondylosis with radiculopathy. Until examination is done, it is difficult to say what it is. Use tablet. Attract twice a day for five days. Use tablet Pregabalin once daily for five days.  Please get it done X-ray of lumbar spine and hip joint, then consult your orthopedic/neurophysician they will examine and treat you accordingly. 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: my husband s sperm motility is 40% instead of the 50% WHO standard. What can we do to increase his sperm motility? He has a big stomach and is lazy about exercises though he has stayed off alcohol and quit smoking for over 10years. could this be the reason and honestly how can this be solved? We have been trying for almost a year. ### REPLY: Hi, welcome to . Forum, you have to visit a fertility clinic for this purpose. 40% is not a big problem. Fault may be in either of you, for that screening of both of you should be done. For stomach he should avoid fatty foods, junk foods, fleshy fruits. Minimise the sleeping time, avoid afternoon sleep. He should eat protein rich food, green leafy vegetables, juicy fruits and juices. 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: Hello, I have been trying to conceive a child for seven years with my husband. My infertility (and/or my husbands) is unexplained - All tests performed have been normal. I have undergone IUI treatments, but have taken this month off due to residual cysts on my ovaries after my last IUI round with GonalF. The doctor said it was okay to try timed intercourse this month. I am currently 12 days past my LH surge and have received a positive pregnancy test this morning, and again in the evening. I have read online that corpus luteum cysts may cause false positives on pregnancy tests . I am not sure if a residual cyst is the same thing as a corpus luteum cyst. Are they one and the same? Also, what are the chances of the false-positive from the cyst? I am not sure if it is worth making an appointment, or if it is likely that this is a false positive caused by the cysts. ### REPLY: Hello thanks for your query. Residual cysts are not the same as corpus luteum cyst. After stimulation with gonadotropin like Goal F, there is multimolecular stimulation of the ovaries - that is instead of one egg, many eggs (follicles) mature simultaneously. All of them do not rupture at ovulation, and some follicles give rise to residual cysts. However, corpus luteum is the structure that supports a growing pregnancy. False positives with urine pregnancy tests are common, not just with corpus luteal cuts, but also various other causes. As you have been trying to conceive for seven years now, this is a precious pregnancy for you. Please do not waste time, and consult a gynecologist, as if it is an early pregnancy, you definitely need proper guidance and medications. I think it is definitely worthwhile, since residual cysts do not give false positive test, and with a positive test, you definitely need confirmation and ultrasound at the earliest. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father is currently 72 had a quad by-pass in 03.  Last week had a heart attach, one stent was put it by way of angiogram.  He is currently recovering at home at home but can only stay away for maybe 20 minutes a day.  My brother is taking care of him.  My father is only on blood thinner medication and pain killers when needed.  Can you tell me why hes sleeping so much?  He has a follow-up appointment on Thursday and we will know by then but I thought I would get some input before then. ### REPLY: Hi Charts a pleasure to answer to your question, I have read the details provided by you, as your father has already been through a major cardiac bypass having multiple grafts and after that he again got another attack. It's important to know that heart looses muscle mass with every attack and Muscle means function (contracting power), and reduced cardiac function can also mean a patient .  After an attack patient usually remains  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ve done something to my mouth underneath my tongue, it feels as if it is my saliva gland but not sure, i have a huge lump underneath my chin now and an ulcer at the back my tongue. also in the centre of my tongue underneath at the front where it joints the bottom of your mouth has also swelled. it is difficult to eat and swallow, what can i do? ### REPLY: Hi, Dear , thanks for the query to . I studied your query in depth and I feel concerned about it. In my opinion-its the -Sublingual Amenities with infected sub-mental lymph node. It is due to the physical handling of the floor of mouth, which has caused obstruction of the sublingual gland duct, which cause huge lump below the tongue. Pls do -consult a Surgeon or Oral-surgeon. Tb NSAIDs, and antibiotic would resolve the infection and sub-mental lymphadenitis. Removal of the ductal obstruction / or sublingual-sialeadenectomy -would relieve the sublingual amenities forever. Hope This would solve your query. Wellcome again for any more query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am XXXXXXX. I have some problems regarding while urinating, some thing like feeling not fully urinated even if I have completed urination . Today, I had urine test to check the presence of infection. The result is there is presence of albumin , 30-35/hpf pus cells, and 8-10/hpf red blood cells. I just want to know what can be the cause of this problem? Is this situation called albuminuria and is there any danger or problem in the functioning of my kidneys? ### REPLY: Hi, Thanks for choosing ChatDoctoryes it is urinary tract infection(UTI)presence of albumin in urine is called luminaria...but if it is in traces, you need not worry because it stops when the infection subsides Do you get UTI frequently?because if it is so, urine might have gone up in the urinary tract towards the kidneys and damages its tissue leading to scars.... what is your age?any history or family history of diabetes and hypertension?please get these checked up and take proper treatment because in diabetes, proteinuria is seen and hypertension(BP) may also be due to kidney damage don't worry . That is wrong .........because though your symptoms subside some infection is still present which flares up after you stop taking medicine, and it also causes resistance so that the antibiotic will not be effective when you use the next time(even if you take a bigger dose) so take care, talk to the doctor and take up all tests needed get an ultrasound abdomen (scan)done if suggested. Take treatment depending on the pathology hope I answered your queries feel free to contact me for further queries 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: Dear Doctor, My son aged 21 (+) has been prescribed UBICAR tablet ( 1tab daily X 45 days ) for his problem of Postural hypotension with symptoms of occasional headache & reeling after X-ray of CS ( AP & Lateral) showing indications of primary spondylosis. He is 6 1 tall & has a habit of studying continuously in lying position on left side for hours together in front of his laptop.His body wt. is approx 88 kgs. Please advice whether to give him the UBICAR tablet . Regards. ### REPLY: Hello and thanks for using . I have read your question and understand your concerns. If the diagnosis of orthostatic hypotension is right, Vicar is not listed in . Vicar is a combination of coenzyme Q and Carnitine, that are normally produced by body. So, it is a supplement and should be prescribed in cases of low body levels. Treatment about orthostatic hypotension includes home remedies such being well HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 having a light abdominal pain since she took unwanted 72, 6days back. Is this of serious concern? Her age is 26, we had intercourse but i didnt got inside her bcoz of her worry she took unwanted 72. Her periods got over 2 days before we had intercourse. plz let me know any remedy. ### REPLY: Hi RahuanuvarWelcome to . Firstly, she should not have taken unwanted 72. She was in her safe period where pregnancy is not possible. Moreover, you did not ejaculate into her. There stand no chances of pregnancy. Then, pain is not normally seen after unwanted. I advise you to visit your Gynecologist for examination to evaluate the pain. Please lair the calendar method and follow it. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my name is Gary I was diagnoses and had colon cancer stage 4 and spread to liver. I had treatment 5 weeks for radiation, and  total 6 times chemo. It seem like first 3 times chemo therapy is not working so my doctor change to different chemo medicine, is seem like cancer wont spread and shrunk. by that time i met some one and he recommend me to change my diet, drink more water, no sugar, so when i went to draw blood my CEA went up from 24 to 30 and after i change my diet and last 3 chemo my CEA back down to 13 and my doctor told me i have to do one more chemo. And i decided not to do because a lot of people told me radiation and chemo kill people more than cancer kill people. So i went back to draw blood and check with my doctor my CEA go back up to 26.     I would like to know am i do the right thing? just only change my diet and not listen what my doctor tell me what to do??? right now i feel just like normal person, i can go to exercise, running, walking, but i lot some weight  because i eat only fish, vegetable, and fruit.would you please, answer me what am i suppose to do?? Thank you so muchGary ### REPLY: Hi, I went through your query. I am afraid changing your diet at this stage will not cure your cancer. Colon cancer mainly occurs due to a high fat diet. Dietary fiber as in fruits and vegetables has a protective role. However once you have the cancer it does not help much. It is true that chemotherapy and radiation have very serious side effects and can themselves cause cancer. But at stage 4 that is the best possible treatment available. I would advise you to continue with your treatment. But you can talk to your doctor if you do not wish it and ask him/her for some other palliative treatment. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump on the mastoid bone that was infamed and painful to touch, beginning three days ago. Also, had sore spot in back of throat on same side. I took aspirin, gargled salt water, and used nazal spray as home treatment. Now, thelump is smaller and throat is much improved,, but the lump is still painful to the touch. Cannot place that side of my head on pillow. Do you think I can wait a week or so before seeing a doctor. I have side effects to many drugs, and want to avoid an antibiotic. Thank you. Charlotte ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node or cyst in that area. Ideally you should take a course of antibiotics. If it doesn't respond to treatment then you should go for biopsy. Most probably it is reactive lymph node.  But biopsy diagnosis is advisable.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. my name is brenda brady aged 25 an i have been living with some condition my whole life its affecting my mental life at the minute. its start of from when i was a very young i could see a big massive ball witched moved very slow towards me at that time my mum thought i had a high temp but it wasnt i was fine some times now to this day i can feel it coming on an then it just stops. there is more. When i went to school i found it diffcult to learn or read a question if there was a small noise in a distence that no other would hear. I also feel pain if someone was to rub my arm but or anywere even tho they didnt do it hard i remember when i was a kid my mum put this cream on me an my sisters as we all had i rash i was the only one who found it very painfull an sobbed my heart out. iam sencetive to bright lights an some loud noises some times weird noises make my chest tighting an freak me out if i put a wash on a 40oc an upwards that to would make my chest tight. I find it hard to express my feelings its all up in my head but cant put it into words my doctors dont give me the time of day to look into to wat i have to tell them as i have other problems that needed to be sorted first as i have to kids an started school i have an underactive thrioed so i was tired alot and coudnt do much. when iam walking or going to shop i find it diffecult to start a conversation with a person who i see from time to time its awkward some times its even hard to say hello. also on that walk if i see some one my head would turn away an nat realise who they are then 2 seconds later my brain would tell me that was such an such its imbarressing cus these pepole think iam being rude. i also have a bad memory if i go up stairs to look for somthing my head would be blank or if you were talking to me an wanting me to replay i would have forgat wat they z my short term memory loss is very bad most my friend and family have noticed i also forget how to spell things an then ages later it just pops back into my head again that happens alot with most of me memorising things and convercetition there probley is more wrong with me but i cant think of any more at the minute. ### REPLY: Hello. As you yourself have rightly pointed out, you need to consult a doctor who can listen to you for all that you have to say. You have small problems in many spheres of life which need to be tackled one by one under supervision of a psychologist. For some problems few tests may have to be done like for example thyroid function testing. You probably need to look life in a whole new perspective and differently. Do consult a psychologist. 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 doctor,Last January I went to India where my dentists found out that my one half of last molar on left side is  fallen out.That empty space needs to be filled out.and he did.Now I see blood when I brush my teeth since last week..reason?I also feel slight pain. ### REPLY: Thanks for your query, I have gone through your query. The bleeding while brushing could be because of the gum infection secondary to the deposits. If there is a gap in between the natural teeth and the replaced artificial teeth then food can get accumulated and cause infection of the gum resulting in bleeding gums. Consult an oral physician and get yourself examined to rule out these conditions. If it is gum infection get the teeth cleaned once and maintain oral hygiene after that. You can use mouth wash. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i took the pill for the first time on day 6 of my period (last thursday) even though it is recommended to start taking it on day 1. I started taking it on thursday but yesterday (saturday) i had sex several times. Could i possibly get pregnant because i didnt start taking the pill on day 1 and only after 3 days of taking the pill i had sex with the pill being my only method of contraception? ### REPLY: Hello and thank you for asking , I understand your concern. You should have taken the pill on the first day because irregularly taking decreases the efficiency of the pills. My advice is to visit your gynecologist or make a pregnancy test to be sure if you are pregnant. You should take the test after you should ovulate normally because tests did to early can be false negative. I hope this answer was helpful to you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband was depressed after being exhausted by driving 3000 miles in 3 days. He went to the Dr and they prescribed Remeron. He attempted Suicide...and they increased the dosage of Remeron. He is 78. He was physically very active, fishing and camping and hiking before this happened. He was given Lorazepam with the remeron and He was having convulsions and dizziness. His depression has got increasingly worse. He wanted to quit the Remeron so I took him off cold turkey. He fell into a worse depression. Recently they prescribed Resperidal along with Paxil. He has been crawling on the floor..and dizzy and complaining of heart pounding. I am wondering if he should have taken any meds at all. ### REPLY: HI, thanks for using  Depression is a very serious illness that can require both medication and therapy. It can take 2 to 3 weeks to respond to most antidepressants. The Risperdal is an antis psychotic, this is used in depression when there is co-existing psychotic symptoms along with the depression. Medications are associated with potential side effects, if the effects he is noticing are intolerable, it would be best for him to speak to his doctor to see what can be done. It would be best for you not to alter his medication in any way before consulting his doctor because of the risk of complications. 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 son who is 21 has sever reactions to cold air that goes up his nose from air conditioners or even outside air in the winter. He doesnt know what to do about this. Natural air is fine in the summer, but air conditioning in his own words is like Kryptonite. What should he do? ### REPLY: HelloSudden increase or decrease in temperature, humidity, dust, mite pollen, fumes are certain predisposing factors responsible for allergy in few persons, your son may have these problems. One option is remain away form direct contact with air conditioner air. But outside, he can't remain away. This is usually due to allergens in air. When such patient visit I prescribe them to take montelukast+fexofenadine, combination (tablet) once or twice in day depending on severity of symptoms (however, the normal dose is once in the night). But this is a prescription medicine, so take a prescription from your doctor. Hot coffee and steam inhalation provide instant relief. Avoidance also help. Get in blood examination for allergy test. Hope this will be useful for you son. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HiI faced multiple boils on the back, just below my neck, doctor told that it is harpies and started the treatment. I want to know that if the treatment is permanent or I have to take medicine throughout the life. Right now i am 57 year old. ### REPLY: Hello, Thank you for posting your query to , Herpes is a viral infection. It is difficult to find medicines that treat it completely. The medicine you are taking helps reduce pain, prevent complications, and shorten the course of the disease, if taken before 72 hours that the disease started.  You will need to take the medicine for 10 days. The boils that you have will last 2-3 weeks, and heal in appearance. The virus will sleep in the nerve root, and when you will have a low immunity, it may appear again, and you will need to start over with the medicine you are taking for 10 days. So, my answer is no...you don't need to take the medicine all your life, but only when the infection appear again. Though, not necessarily it may reactivate again. Meanwhile, be careful to keep the area . Hope this helps, If you have other questions, I would be happy to answer. Take care, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 56 year old male with a lump in my right breast. I have a mammogram scheduled for December 1 and I m just starting to get scared. I already fight lupus which is most of the time women and now this. I am a manly man but starting to worry that God may have decided to play some tricks on my body! ### REPLY: Hello, thanks for asking on . Any lump or swelling on the body should be evaluated. Simple procedures are mammography in your case and a fine needle aspiration cytology. In FNAC a fine needle is passed into the swelling, some of its constituent cells are broken and aspirated. Then smears are prepared on slides of this aspirated material, stained and examined under a microscope. Mostly a diagnosis can be made benign or malignant on FNAC. Further course of action depends upon diagnosis. 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 name is Kimmkey and I have been diagnosed with many illnesses. I am 43 and have been a bakery manager for 20 years. I was put on 120mg of methadone ( it was way cheaper than oxycotin which they put me on first) and 150 oxycodone 5mg for breakthrough pain. My doctor read in a md journal it s not good to be on those pain meds. he s taking me off of all of them I m so scared I d rather die I am comfortable now and he said he thought I would be ok on them but they are no good. I feel suicidal and want to die. I will not suffer in life. please tell what I should do I am on medicare and medicade. I am also disabled I just received triple the care giving hours because of my pain. I m not lazy my quality of life is good because I m not suffering. Tell me me what to do ### REPLY: Long term painkillers might great another organ like liver disorders. Painkillers hide diseases rather than treat it. You are 43 years old, so you must go on for test for endocrine disorders like thyroid and ovary to rule out any pathology or insufficiency. Bone degeneration is common at this age so test for alkaline phosphatase and vitamin DE level should be checked.Accordingly, take medication for that. Till time, avoid painkiller as much as possible ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 m 24 year old,and i have a kidney problem.before 6 month there was extreme a pain in kidney.and i found 1 cm stone by ultrasound.after the treatment,i break the stone by homeopatChatDoctoredicine.But recently 3 day ago,i feel pain again,please suggest me,this pain is very difficult. ### REPLY: Hai, thanks for consulting . As you got a history of kidney stone kindly repeat an ultrasound to rule the cause and whether any new kidney stone developed. Visit an Emergency department/nephrologist to treat the pain depends upon the severity. Kindly rule out the cause for kidney stone formation. Poor intake of water, excess amount of oxalate, uric acid containing foods which causes stone. Ruling out which type of stone(oxalate, urate, phosphate) developing and avoiding those source of food may be helpful in restricting stone formation. Lifestyle management and proper diet will help you in keep away from developing kidney stone. Thank you hope I answered your query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Dr. LundiI am a 39 year old woman, 1.54 metres tall and weigh 52.5 kgs.I have been on Ginette oral contraceptive for a number of years. It was initially started for acne in my late twenties (when I first began to have breakouts) and I continued using it as a contraceptive. In 2010-11, my husband and I tried to conceive but was unsuccessful. I then resumed Ginette with frequent breaks ever since (usually resume when the acne starts again and it becomes unbearable). We both want to conceive dearly. My husband has just returned from a work related overseas trip and we began to discuss conception again. I have just stopped taking Ginette this morning (one week before my menstruation is due) and we have been having unprotected sex for approximately one week now.What are your recommendations for us? My husband is also 39 years old, 1.8 metres tall and weighs 79.9 kgs. We are both relatively healthy. My husband has mild eczema for which he takes Zyrtec from time to time. I exercise 5 days a week for approximately 50 minutes per day.I would really appreciate any advise that will assist us with conception and sustaining a healthy and safe pregnancy.Thank you.Antonia ### REPLY: Hi, Once you discontinue taking oral contraceptive pills, or even if you are irregular in taking these pills, there is always a possibility of pregnancy due of unprotected sexual intercourse if it is performed in the fertile window. Egg is released 14 days prior to the next expected menses. It has a life of 24 hours while the sperms are active for 3 days. Hence, a period of about one week around the day of ovulation is considered as a fertile window. This calculation is useful if you have regular menstrual cycles. Better way would be to submit yourself for ovulation monitoring by ultrasonography which will give you direct visual evidence of imminent ovulation. Planning the sexual relations on and around the day of ovulation definitely will increase the possibilities of pregnancy. Your husbands eczema and its treatment should not come in way of conception. 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 a tight pain in my lower left abdomen. GP thinks it s muscular but it seems more internal. It started about 9 months ago and has gotten worse. It s not a lot of pain but it s always there. It used to be relieved by laying down but that no longer makes a difference. Im worried and stumped. :( ### REPLY: Hi ! Good evening. I am  answering your query. If I were your doctor, I would advise you to avoid eating from outside if you do to avoid any intestinal infection creeping in from unhygienic-ally cooked food.Also, some component of the food you eat outside specially the fast food might cause some hyper-sensitivity reaction to your intestinal mucosa. In addition, I would advise you for a stool test for ova and cyst and treat them if positive. If nothing helps, I would refer you to a gastroenterologist for a possible endoscopic examination of your colon, and also a possible ultrasound of the whole abdomen. Further management would depend on the reports of investigations. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have severe pain in my left deltoid muscle.  This has been hurting for several months now, but the pain is becoming worse.  To my knowledge, I did not injure it.  If I run my hand over the muscle it feels like there is a lump.  I have great difficulty reaching toward my back, like to unsnap my bra and reaching high over my head.  If I roll over on my left side at night, the pain is bad enough that it wakes me up.  Otherwise, I am a healthy, white female, age 55. ### REPLY: Hi, A lot of causes may cause that pain but in my opinion the lump you feel may be the main reason especially if it is painful and wakes you up at night, so you need to visit your physician for physical examination to know exactly what is the lump type, consistency, tenderness, bony or flesh soft or hard. For now, you may use some topical analgesics, Advil tabs after meals in addition of Acetaminophen tab. Physiotherapy is very effective in such cases it may be some tendinitis.  Hope the above information helps you. Any further clarifications, feel free to ask.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my doc just called and is having me come in for more blood draw tomorrow  she would not talk over phone all she said was my liver is irritated?  i am concerned of hep c du to an intravenous drug problem.  could this have anything to do with my liver issue? ### REPLY: Hello and thanks you for your query. I am  and I will try to help you as much as I can with my answer. Viral hepatitis is always possible especially in iv .  But irritation may also mean fibrosis or cirrhosis or gallbladder stones. So you need to make viral markers and liver ultrasound. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am pregnant and i have 5 weeks left, i went to the doctors for thrush and they gave me this tablet that you insert, i pushed it into my urethra by accident, and it wouldnt come out, i tried to go to the toilet but nothing would come out, so i went in a hot bath to try and desolve it and then my urine passed, now when i go to the toilet it burns really bad and theres pink blood coming out of my urine, what do i do? thanks ### REPLY: Hello dear, I understand your concern. In my opinion the burning and pink discharge might be due to injury caused by the inserted tablet. During the insertion the urethra might have got abraded leading to burning and pink discharge.Don't worry. It will subside on its own. No treatment might be necessary. Take adequate fluids up to 3 liters per day to increase the urine output. Relax. The urethral insertion might not harm as it was done only once. Hope this helps. Best regards . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Thank you Dr. As you asked, yes the swelling does subside after sometime. Earlier it used to subside completely . Now a days it remains little. But yes it is not as much as it is just after you speak or you eat ### REPLY: Hi;welcome to  The problem is since 4 yrs, but please tell when you did Endoscopy. If the swelling is increasing while speaking or after eating you also see if it decreases after some time or if you press it. If there are the signs of increasing & decreasing then it can be a Diaphragmatic or a hiatus hernia. Get examined by a Surgeon & if required get a repeat Endoscopy done to find the illness & get treated.Don't wait. Take care. 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 iv resently been experiencing really sore bloating pains in my stomach and have had watery droppings , i have the contraceptive implant rod in but have been told its not always 100% iv had all the symptoms of possably being pregnant exept sore breasts iv done 4 pregnancy tests in the space of 3 months but all have come back negitive please help. ### REPLY: Hi ! From your history of having a contraceptive implant rod in and the four pregnancy tests done in last 3 months coming as negative, with watery .  This will also give rise to abdominal pains and also fever at times of which there no mention. For a confirmation on pregnancy, please go for a serum gonadotropin test, and an ultrasound of abdomen under guidance of your family doctor. However, please get a urine routine and culture sensitivity test to exclude a urinary tract infection. The ultrasound abdomen will also exclude any chance of having any other coexisting intro abdominal pathology like gall stones.Wishing you an early recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 14 and I ve got this spot on my ballsack paired with a lump that feels detached but always stays like floating around near my lefty testicle. It s about pea size and not squishy but not rock hard it causes me no pain what is the matter Ps my mates are always whacking me in the balls :) ### REPLY: Welcome to HMI understand your concern. If it causes pain or redness or increase in size then need to evaluate properly. It can only possible by examination and clinical palpation of that lump. Ultrasound also help to detect any underlying pathology. But for all this you have to consult surgeon or neurosurgeon nearby for further assistance. Thank you. Still have a query hen feel free to ask. Always here to help you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had one child after many attempts through IVF as I have no fellopian tubes due to 2 ectopic pregnancies I have been trying for the last 3 years to have a second child but no success. At harvest I have 7 to 8 embryos all very strong but when they are transfered I have problems & don t fall pregant. I am 40 years old, is there anything I need to be doing to strengthen my placenta , I lose them every time & I have had about 15 transfers, can you advise me. ### REPLY: Hi, Lena, you are lucky to have one child. You have had fertility treatments in the past & know very well that it takes time & patience & nothing in the world can guarantee a pregnancy. In addition with passing years, even in women with patent tubes fertility declines. So, be patient & compliant with your treatment. Don't take too much stress as it will also decrease your fertility potential & don't forget to spend quality time with your kid to make yourself relax and optimistic. Wish you 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 there, I have had period like pains with lower back pain also or kidneys not sure?  I finished my period four days ago, am not pregnant.  It is almost unbearable and I have not had this before.  Only during my labour 4 years ago.  Very similar to period pain or labour pain.  Could it be something serious with my kidneys thankyou ### REPLY: Dear patient As per your description its mostly colicky pain which occurs due to renal stone. When stone is passing through ureter it blocks it and violent muscular spasm leads to pain. So you need to be investigated with ultrasound of abdomen to confirm diagnosis.  Renal pain might be confused with back pain. So also X-ray of lumbosacral spine anteroposterior and lateral views is advised to rule out spine problem.  Take tab pastoral plus twice a day for pain relief.  If ultrasound report is abnormal consult expert urologist with report. 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: hi my name is andrea and my right kiddny is smaller then the left one. the right one is 9.8 cm and the left one is 12.1 cm. i just want to know if this is something i should worry about and if this coud cause my higy blood pressure? i also have itp could it be because of that? i was an prednison for 1 year. than you for your time. ### REPLY: Hi and welcome to . Thank you for your query. I understand your concerns and I will try to help you as much as I can. No, this is not something that you should worry about since this is normal variation of kidneys size and two kidneys are never the same size. Only if this is larger than 14 cm or smaller than 6 cm it may indicate some disorders. Also, it will not affect your blood pressure unless there is some parenchymal kidneys disorder and for that to evaluate, the size itself would not be sufficient. You should do additional:1. Doppler's ultrasound and blood flow measuremnet2. Blood urea and creatining3. Holder blood pressure measurement. These tests will show if blood pressure is determined by kidneys or heart function and then you'll have more info about how to treat it. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have 2 sons that have Candida and have had this for the last 2 yrs. and have tried all different supplements for this condition and have had no luck. What treatment can they seek and a Doctor that will help them. This has interfered with their lives and work ect. This is coming from a worried mother. ### REPLY: Hello, Welcome to , The presence of fungal infection should be confirmed by the lab investigation like KOH mount of the skin scrapings of the affected area. The symptoms and the lab investigations should correlate in making the diagnosis, if both of your son is having the fungal infection it should be treated by proper medications. I would suggest them to follow1. Keep that area clean and . Topical application of griseoflavin3. Oral antifungal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi dr samuel,i just wanna ask bout mild hypokenisia is that a dangerous?coz i have been experienced mild hypokenisia ive seen that on the result of my 2d echo..if im tired my stomache is pain and also my jaw.i feel hot and my stomache hurts..please advice me what should i do? ### REPLY: You should find the cause of hypo kinesis and early treatment may completely reverse it.  Your may be due to heart condition, and you should meet your cardiologist and get necessary work up done.  If you can send me the exact echo report and other detail history about your co-morbidity especially diabetic, hypertension, obesity, smoking and the meds you are on, I can suggest the next plan of action.  Per se hypokinesis is not life-threatening, but our aim is to prevent its progression.  For further assistance you may contact me through  Http://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: I had surgery for kidney cancer 8 years ago. They removed part of my right kidney. I am also diabetic. For the last week I have been having pain in my right leg where it is hard to lift my leg and it feels like it will give out some times when I am walking. Can this be related to my kidneys? ### REPLY: Hi, As post surgery there might be weakness of the spinal muscles leading to nerve root entrapment and due to which there is weakness in the legs and abnormal motor control. Also, you being diabetic will make the nerve functions to reduce as well.  I will advise simple low intensity exercises which will help you to reduce the symptoms. Exercises include - breathing exercises, core stability exercise, spinal muscle strengthening exercises, hip muscle strengthening exercises, static hamstring, static qua .  This should help the muscle strength and muscle physiology to regain its normal functions and help to have normalcy of life. Hope I have answered your query. Let me know if I can assist you further. Jay In ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have query regarding colon problem she is having pain at her abdomen , her motion is irregular for long time,, now she is having body pain, and feverish tendency.doctor said she is having colon related problem. is it serious ### REPLY: Hello, looks like she is having an infection of the colon.it can be from bacterial to protozoal.I would advise you to get certain tests done like stool examination, to find out the organism causing it. Body pain can be due to the infection and fever.I would advise you to continue the treatment prescribed to you.in case the symptoms worsen meet the physician immediately.I hope I have answered your query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m experiencing sharp burning pain all over my body, fingers, toes, buttock, legs and even in my face and scalp. Condition is worst at night. I live in a small town and the closest neurologist cant see me until after three weeks. do I need to go to the ER? ### REPLY: Thank you very much for contacting . You have problem of burning sensation all over The body that may be because of peripheral neuropathy. Vitamin B12 deficiency may cause burning sensation problem. Check your blood sugar level. Diabetic neuropathy may cause burning sensation all over body. Consent a physician for further diagnosis. Proper physical examination and history give exact idea. I hope my guidance is helpful to you. . Take care. 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: Hii...I want baby, all reports like amh, prolactin, thyroid, sperm count are normal...but I noticed continues spotting for a week,...then my doc prescribed me progyanova 2 mg 30 tab then decide 10 mg 10 tab once in a day...I very confused...so help me to conceive fast...can I get pregnant during this medication..we tried since 5 months but nothing happened...what is going with me... ### REPLY: Hi there, I have understood your concern and I will suggest you the best possible treatment options.First do not panic. I will suggest you to get post menstrual HSG done-Hysterosalpingography, it will help to know about the patency of the Fallopian tubes. Secondly, please seek prescription support from your treating doctor for ovulation induction medicines like Camphene citrate 50 mg once a day for 5 days from day 2 of the cycle. Ovulation study from day 10 of the cycle will help to know about the exact day of ovulation. You can opt for GUI - Intrauterine insemination on the day of ovulation or can have unprotected sex activity on and around the day of ovulation. This helps to get pregnant in most of the cases. Also, opt for a healthy diet and regular exercise regimen. Start on Folic acid and vitamin B 12 supplements regularly, this helps you to prevent various complications during conception, pregnancy and delivery. I hope this answer helps you. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello dr my name is sara i am 19 years old i have many healthy problems i have a problem with Inflammation of the lymphatic glands its fester every two weeks i removed my Pharynx because of it but it still fester not like the past its better but still and my My temperature gets high sometimes i am using suprax 400mg every 8 hours and panadol extra every six hours as a treatment but how can i get rid of this ... and i have a problems with my stomach all the things i eat i through it when i am upset or crying the first min i cry i through everything and i have Colon nervousi am so tired all the year i am sick and all the people get upset becasue i am always sick i dont know what to do i dont want to be sick anymore and i dont want my healthy relate to My mentalmy Weight is 40 kg and sometimes 39 kg and my hight is 154 cin thank you dr ### REPLY: Hello Sarah read your question and know about your concerning my opinion you ere having chronic tonsillitis and your tonsils have been removed after surgery not your pharynx ! And you are having problem with your stomach as you have frequent vomiting as well and also you are not gaining weight so I would suggest that better to go to doctor and have you H.PYLORI test done and also your complete blood count test.to know your problem exactly and for stomach upset and vomiting you can take cap Maximum 20 mg daily before food for 5 days hope my answer will satisfy you good luck & TC ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 develope a Salivary Glad Problem over night it is very painful had it 2 other time in the past 5 years but was able to get to a doctor immediately which gave me prescribed pills?  my face is swollen boy did I start the new year offwith tears please advise me!  YYYY@YYYY ### REPLY: Hi! Welcome to . I read your query. You have not mentioned the location of swollen glands like lower jaw, behind the ear, etc. Swollen salivary glands can be due to various causes like Bacterial or viral infection, stones, cysts, autoimmune, etc. I suggest you visit a dentist for check up. You need to provide history like recent infection, medication history, any radiation exposure, etc. Get blood test done for infection. X-ray of salivary gland or Sialograpgy can be done if needed. Meanwhile, you can start with the antibiotic course on prescription. Tylenol or Ibuprofen will ease pain. Maintain good HY .  Warm compresses of swollen area will help. Chew sugarless gums for stimulating saliva. Sialadenitis, i.e. infection of salivary glands starts regressing after 48 hrs with antibiotics. But stones or cyst or other complications need further treatment. 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: hi I am a 47 yr old mother of 2 ages 18 and 11, I have gull stones and they need to come out. befor that I need camera to investigate other issues such as ulcers. I also have low iron and on b12 injections every 4 wks, and also suffer from underactive tyroid and take 250mg of tyroxine for that too., I am arthritic too and waiting for a bone density scan. but my main worry is my bowls I can go 3 wks with no movements and on times I can see white chalky deposits or blood in it, and other times it can be normal. can you help please, I am on iron tablets too ### REPLY: Hello You should go for definitive treatment of gall bladder calculus. Definitive treatment of gall bladder calculus is surgical removal of gall bladder(Cholecystectomy). Medicines are usually not helpful in gall badder calculus. Gall bladder calculus is prone to infection and obstruction, so it is advised to get rid of calculus early. You should take the lot of fibers in your diet and . You should continue other medicines. Get well soon. 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 often feel very lethargic and unmotivated. I try to study but my mind feels constantly blank and all I have enough attention span for is laying in bed with the tv on. Ive tried changing my environment and drinking coffee to wake me up but I just dont feel well. I feel lethargic enough to just lay in bed and watch the ceiling fan spin all day, even though I have so much to do. Whats going on with me? ### REPLY: Hello, welcome to . Lack of interest in subject may be the reason of your problem. It will be better to structure your routine. Following steps will help you:-Daily morning brisk walk for 30 min.-Stop substance use (if present). Substance like cannabis lead to motivation.-Try to study with colleagues. You can also plan to study in nearby library.-Take healthy diet: Milk, eggs and fruits.-Involve yourself in some sport. Wish you good health and all the best. . 99doctor.com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 wonder the hyperthyroidism can be changed to the cancer Hello. I have had the hyperthyroidism since 14and Im 19 now. Im taking a hormon drug until nowbut my hormon dgree is going to be normal,and a dosage is decreased.  umm... my disease is transmitted from the mothers family recently, I have proded my thyroid and suffer(not so hard pain) I was heard the hyperthyroidism can be changed to the cancerSo I wonder it is true and what is proper care for my disease ### REPLY: Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that it is not necessary that because you have hyperthyroidism you got cancer. There is chance that this cancer runs in the family, so if your mother or father has cancer you also got cancer. Right now For your hyperthyroidism it is necessary that it will be treated with hormone replacement only. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at . . Infectious Disease. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fighting a cold for about four weeks now. My throat is swollen. I feel like I have a lump in my throat. I am on Doxycycline for a week now and no change. It bothers me every time a swallow. Not sure what is really going on with me. I do not have a fever and my throat is not sore. I am getting sinus headaches but the antibiotic is not helping. ### REPLY: Hello dear, warm welcome to .come have evaluated your query thoroughly.* This seems in relation with adenoid enlargement following respiratory infection most likely.* Need to get another group of antibiotic (as Caroline or cephalosporin with your doctor for better coverage.* Additionally gargles with salted lukewarm water added peppermint oil 3 times a day will improve faster. Hope this clears your query. 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: Two weeks ago I was stung by a young yellow jacket on my left inner forearm 2 inches above my wrist. After 10 days of pain and itching, rash and swelling, it finally went away. Two days ago it began aching in the same spot, and it hurts even more when I touch it from the outside but it s not on the skin surface. Tonight it s slightly raised from under-the-skin swelling and the raised surface is about the size of a small egg. ### REPLY: Hello dearWelcome to  family. I have evaluated your query in depth.@ This seems to be post-traumatic hematoma formation.@ Recommendations for better recovery $ Ice pack applications 3 times a day.  $ Keep the part clean with antiseptic liquids.  $ Ben .  $ Consultation further with a high resolution photograph of it would be of great help to comment for the need of antibiotic or further check up with doctor. Hope this will help you. Welcome anytime for any type of doubts. Regards dear 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 get migraines from pressure changes (I live in Calgary which is close to the Rockies) I have been getting nosebleeds and vomiting today. I have been on many different migraine medications but the side effects are bad. I have also had acupuncture, chiropractic care and deep tissue massages. I cant control them and miss lots of work. Sometimes they last 2-3 days. I dont know what to do anymore. ### REPLY: **1. Nose bleed and vomiting suggests pressure changes probably due to high blood pressure, so prior opting for any alternate system of medicine, check with your Doctor regarding Blood pressure measurements.2. Avoid factors which precipitate the attacks. e.g. sleeping late, tension, starvation, chocolates, cheese, alcohol, . 3.  During acute attack: lie down in a dark and quiet room and give ice bag over the head.  4. Ayurveda medicines for Migraine i.e. "ARDHAVBHEDAK" contains plasma and Ra's [mercury] but in purified form, some safe and result oriented medicine which can be given/practiced in Migraine are:. Rub onion paste to opposite feet. . Put 2-3  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 1 year 3 month old  baby girl , she is teething , for the last 2 nights and days she has had  fever with cold chills , I have been giving her Iburopen Fever meds for kids , which breaks the fever , however I only give it on the onset of the fever and chills ,  please advise ### REPLY: Hello, I can understand your concern. It is right that she might be teething at this age and might be little cranky and annoyed due to sore gums. However, teething process is not associated with fever and chills. The symptoms she is presenting indicates that she might be having infection which is not related to oral cavity, and she should be seen by a pediatrician. Thus, my advice to you is to do not rely just on Ibuprofen as it might control the symptoms for the time being while not treating the underlying infection or disorder. You should consult a pediatrician for the clinical examination of your daughter and further investigations, if needed. I hope this information helps you. Thank you for choosing . I wish your daughter feels better soon. 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: I have severe pain in my lower right molar and sensitivity in my upper right teeth I had a cold a few days ago with runny nose and dry cough I took over the counter sachets with cold/flue tea and paracetamol Now I have a very mild dry cough and no runny nose and no fever I am worry about the pain in my teeth because it hurts even when taking paracetamol. The pain only decreases when I put something between my lower and upper molars and bite for a few seconds Very strange. I need advice ### REPLY: Hello good morning at first u have to avoid cold thing and cold food u should take other painkiller and antibiotic medicine also. Or its best if u consult yr dentist he will check position of yr teeth and advise u to take medicine do gargles of salt with hot water three time s a day. U should do medicinal toothpaste and take advise from yr dentist about care of yr teeth u should avoid smoking and tobacco if u habitual of it. 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: for the last 3 or 4 days I have had pain on my left side of my abdomen. It only hurts when I cough, sneeze or press on the location. the location of the pain is equal distance below my rib cage and above my hip on in the middle of the left side of my abdomen. I have no digestive problems. I do not remember injuring myself during any activity. ### REPLY: Hi, The pain at lateral side of left mid-abdomen can arise from- - Muscle pain, due to heavy work-outs/exertion.  -The underlying organs - Enlarged spleen, intestinal colic, left kidney problem, left sided spinal problem.  You need to consult your doctor for physical assessment to judge & have investigations as per need, for diagnosis & treatment.  Avoid massage/fomentation. NSAIDs will help in case of muscle pain. Other conditions to be treated under doctors guidance only.  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: How to cure allergy rash ? ### REPLY: Hello, It depends on the allergic i.e. what has caused the allergy, Firstly wash the part thoroughly with clean running water and calendula lotion will help in smoothening the rash. You may take anti histamine tablet like cetirizine to start with, if it won't respond then steroids may be needed, or you can go for ayurvedic treatment where you have very good medicines to boost the immunity. Home remedy: 4 leaves of basil, diaspora Cordelia stem juice 1tsp along with 1tsp turmeric will be efficient for this. 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: Hello, I am concerned about an dull aching right side, that moves more towards my back, but not low back. Will sometimes move from right hip inward. This does leave for a few days but returns. I have had an ultra sound and cat scan done, with results showing nothing of concern. Have wondered if it could be the start of an appendix or ovarian issue, but the symptoms I have leave and come back. Would appreciate some educated info as what I should do. Thank you ### REPLY: Hi, thanks for posting your concern in the . Dull aching pain in the back may be due to several reasons, which need to be excluded by further evaluation. This may be due to1. Mechanical back pain. This may be due to faulty posture or injury to para spinal muscles due to any reason. The former cause seems to be more likely because the pain is on and off.2. Any liver or pancreatic pathology. This seems to be less likely, taking into consideration that your imaging reports came out to be normal. Furthermore, they more commonly cause pain over both abdomen and back.3. Functional bowel disease. If you have irregular bowel habit and / or bloating, the pain may arise from the same. This is more common with constipation predominantly irritable bowel syn . 4. Renal or ureteric pathology, stone or urinary tract infection may be associated with this. Usually, the pain is associated with dysuria, fever with chills etc. in these cases. However, renal pain may present with this alone. I think your imaging should have ruled out this also.5. Ovarian pathology e.g. SOL, infected cyst or torsion may produce back pain. Even genital infection or PID may present with this. Appendicitis usually don't present with back pain as a sole complaint. I think except for mechanical back pain and IBS or FBD all others can be ruled out by imaging (USG or CAT scan). Therefore, you should consult your local physician for further evaluation. For the time being1. Maintain good oral HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: helo doctor.......I Married  2.6months back now iam 28 yrs of age my huband  31yrs ....v hav lot of stress in our routine work....10 mnths back v undergone for checkup for fertility found no abnormality.....but one haemoragic cyst was there in my right ovary....as per the gynaecologist advice i underwent lap cystectomy since the doctor said me it may be endometriosis....after lap it was a simple cyst but adhesions were there .....the cause for the adhesions was unknown......even endometrium biopsy was done it was normal.....doctor suggested to do yoga....can you suggest some medicines which helps to conceive.... ### REPLY: Hello mentioned that there was a hemorrhagic cyst 10 months back, beside adhesion and also endometriosis. You did not mention detail about the menstrual cycle, you are having. This is the most important step no 1 in pregnancy.2nd important point is study of ovulation and its date of release. Semen analysis report of your husband. You are having cyst, so this is very common in young child bearing female. In my opinion need not worry. Consult another gynecologist and get his opinion as in my opinion this would be the best thing for you. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi well im a teenager and last night i hit my head really hard on my dads trunk door. it didnt hurt as much as i thought it would and i slept fine but im pretty sure my head has a bump on it and it hurts. i also have a throbbing feeling. and im dizzy and VERY worried. should i go to the ER? ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern you said here that you had accident that hurt your head, in case of any head injury the 48 to 72 hours of observation is necessary because anything could happen during this period if nothing is happened during this period then no need to worry about this, if nothing have happened immediately the also nothing to worry, hope this information helps you, have 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: Greetings in Trinitian Spirit!    Last 2000 , I had rt breast mastectomy , it was stage 2-3 adeno carcinomma and I had chemotheraphy for 6 sessions.I was free from cancer  up to 2008.  Had remission last July 2009 , it  metastasized to the lungs and bones. This is my latest   bone scintigraphy , it revealed  mild increase in osteoblastic activity in the posterior 6th right rib, T8-T9 and both hips. Stable osteoblastic activity in the anterior 5th right rib, T10. L2 and L 4 vertebrae.  What does it mean Sir?  Thank you for your time in aswering my inquiry. ### REPLY: Hi and thanks s much for using our panel to get answers to your medical questions. I am so sorry to hear about this battle with breast cancer and the recent scan and all the unanswered question this has raised in your mind. This report shows that there is synthesis of new bone in these areas. This is highly suggestive of breast cancers metastasizes. I am sorry about this. But then we solve our problems by identifying them and not shying away. So, we can now tackle this problem. You will most likely get some more testing eventually another round of chemotherapy, hormonatherapy and a be radiotherapy to ad .  I think meeting and talking with your oncologist at this time is the best way to go. I know you must be devastated by this, but I am advising that you stay even stronger in the face of adversity if you must win and I know you can win. I wish you a complete resolution of symptoms. Chobufo, MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last night I had a panic attack, this isn t my first one and I know in a few days I ll feel back to myself. But I was also diagnosed with cold induced urticaria today and started taking a CVS brand of zyrtec which left me feeling a little out of it, with senses hightened and muscles tense. I also get a pain in the back right of my head sometimes, almost every day, it doesn t last long but it scares me to think it may be a symptom of an underlying problem for my panick attacks and cold urticaria. Please let me know if I should be worried and what it could be because I don t have the money or insurance to keep visiting doctors and emergency rooms. Thank you ### REPLY: Hello! I carefully passed through your question and would explain that cold induced urticaria is a known disorder in allergic diseases. Regarding your headache, it could be related to tension type headache, which is caused by anxiety and physical stress. Cervical column chronic degeneration scan lead to headaches in this region. From the other hand, Zyrtec can cause similar adverse effects (headaches, .  In my opinion you have nothing to worry about. I would recommend performing some additional tests:- complete blood count for anemia-thyroid hormone levels- a cervical column X-ray studio should also try to manage better your anxiety. I would advise you to consult with a specialist of this field. 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 saw a report on the danger they are finding in taking Calcium and Vit D supplements, in terms of heart disease. What is your feeling on this subject? I was put on Calcium/Vit D, as my mom had severe osteoperosis. My email is YYYY@YYYY . Thank you ### REPLY: Hello, Supplementation of vitamin D and so forth calcium has beneficial effects on the heart and not vice versa as you read, if you have deficiency of vitamin D. However over supplementation of vitamin D (normal range 30-75 NG/ml can cause increased calcium levels which may increase the blood pressure, cause unfavorable remodeling of heart and kidney damage.  So its just important that you supplement vitamin D only if deficient and not otherwise or just keep on monitoring the levels every 6 months. 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 doctor i have a chill fever weakness and and lot of headache... i i took disprin in the morning but no help at all.....i have been lying down all day and its not helping at all....please suggest some tablets for relief on priority basis...i ve not eaten anything all day ### REPLY: Hello. Welcome to . The symptoms are suggestive of some infection in the body, there are various conditions which can produce these symptoms, it can be viral infection, UTI or upper respiratory tract infection. You require physical examination to find out the cause for your symptoms. I would suggest you to follow1. . Steam inhalation with vapocaps3. Tab Ivory for 3 days4. Tab Citizen for 5 days. The symptoms will improve with the aforementioned  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffering from a pinched nerve in the left side of my neck,it have affected my left shoulder and arm. I was prescribed one Norco every 4-6hrs. And one 10 mg of flexaril 3 xs a day. I mostly sleep sitting up, How can I get the doctor to understand that I am hurting profusely!!! I am in excruciating pain? ### REPLY: Hi, thank-you for providing the brief history of you thorough neuromuscular assessment is advised followed by an MRI. As you have a pinched nerve which is leading to symptoms of cervical Radiculopathy you need a thorough neuromuscular assessment and MRI to assess the nerve root getting pinch. Also, pain has different intensity to travel to brain. So I will recommend undergoing physical therapy as by the use of TENS therapy the frequency of the pain will be altered, and the instant relief will be achieved. Also, using a hard neck collar to provide the traction to the cervical spine will help relieve the pressure from the nerve root. Using therapeutic ultrasound therapy will help reduce the nerve and muscle inflammation which in terms will reduce pain too. Also, performing proper neck muscle Strengthening exercises will help muscle stronger and make it possible to hold the cervical spine bones in alignment. In my clinical practice patients with similar issues responds well to physical therapy and reaches close to near normal functionality. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Dr.Venkatachalam: My wife is taken Diclomax 50 (Diclofenac Sodium BP 5mg) for years for killing the pain of ankylosing spondylitis and Hip & Joint bone problem. Now she is getting Sediment in her kidney. what is the reasons and other pain killer she can take. ### REPLY: Hilong term painkillers & NSAIDs can cause chronic kidney diseases with alteration in the urea, creatinine, electrolyte levels which are really dangerous please stop diclofenac can start her on tab tramadol which has very mild opioid effect but very safe on the kidneys.pregabalin & gabapentin in lower doses are also very good at controlling the pain of ankylosing spondylitis safe on the kidney stake 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: thank you for your help my dad had chest x ray and showed cloudiness lower left lung seen the doctor because had a cough for few days while on a trip to Florida also slept on couch for few hours which found out there was mold on lower part of wall doctor said could be an ammonia but not sure what is your opinion ### REPLY: Thanks for your question on . In my opinion your father is having left lower zone pneumonia (infection). Travelling history and chest x-ray is favoring the diagnosis of pneumonia. So consult pulmonologist and get done sputum culture and sensitivity to guide antibiotics therapy. If sputum is not available than get done bronchoscopy and BAD (Bronchoalveolar lavage) analysis and start antibiotics accordingly. He needs antibiotics, antihistamines and anti-inflammatory . So consult pulmonologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir, I have back pain and my and my left knee having pain..some times i feel stiff ness..and my kamar is becomes thinner from last 8 months...i am 33 yr old..some times neck pain...what should i do..in my x ray doctor say ..nothing is there..but i have vitamin D deficiency..is it arthrites..plz help me.i am tensed. Regards Santosh mahakud 0000 ### REPLY: Hi Santosh, Thanks for asking. Based on your query, my opinion is as follows.1. It D deficiency can present with bony pains at multiple location.2. Improve your diet with fish oil, egg yolk, it D fortified food and It D supplements. Get adequate sun exposure. 3. Once It D levels are improved, pains should disappear. In the meantime, do back and neck exercises to strengthen muscles. X-ray has showed no arthritis, so not to worry. It's all bony pain. Once It D gets corrected, all pains will disappear. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having severe pain on the left side of my face, around the ear and inside my mouth (in and around my jaw) for about three months now. Doctors have prescribed pt, thinking it was TMJ, but I am not getting better and am starting to wonder if I could have a fracture or something in my jaw. The skin around my mouth and cheek (near the L ear) hurt to the touch. The headache I get after chewing or talking (every day) usually centers around my jaw/ear, but will radiate up to the top of my head... ### REPLY: Looks like you have got a weak temporomandibular joint. I suggest to check whether you have got any hit on your affected side any time recently. For treatment do visit an or tho he will check with x-ray and suggest surgical fixation If joint is too weak or again will keep you on conservative treatment like medicine and physiotherapy if its only inflammation with any sort of infection. You can also use cold pack, hot pack frequently to the affected area to have more of anti-inflammatory and soothing effects. But in any case since its long time you need to visit or tho doctor too. 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: difference between homeopthy and ayurveda ,what is more modern and syentific difference between homeopthy and ayurveda ,what is more modern and syentific ### REPLY: Hi, welcome to the  forum, a good question, considering this we can say homeopathy is far more scientific and modern way of treatment since Ayurveda is regarded as the ancient medicinal way, homeopatChatDoctoredicines are scientifically potentized to increase the power of medicines as like we have the generations in antibiotic (allopatChatDoctoredicines) whereas the Ayurveda are mostly used in its crud form. Irrespective of its form, both the sciences or ways of treatment has its limitations and advantages. Hope you got a clear idea b! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Ive had problems with chest for 2 years, feeling of something stuck in my throat, coughing phlem. Treated for reflux but nothing. Then develop chest infections and cannot breathe, require steroids, antibiotics, inhalers which dont seem to work. Then improve but still get tightness feeling in chest, voice comes and goes, pains in front and rear of back near lungs ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of post infectious bronchitis is more in your case. You were having chest infections. Some infection may cause prolonged inflammatory reaction. So bronchitis is common after lung infection. It can cause chest pain, tightness, heaviness. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END