Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ate prawn and just after an hour of taking that...my whole body started itching........i took montemac-l (1 and half tablets).....and after a few hours my itching got over .....right now about after 1.5 days after that incident i dont have itching but i had 99-100 degree temperature (slight fever) about 12 hours before from now......i took nock-2 12 hours ago for reducing my body temperature......right now what should i do? ### REPLY: Hi Right now please try to control fever with mild antipyretic medicine and any suitable anti-allergic. Fever could be due to fatigue, exertion, infection or cold too. It has to be studied how the pattern of fever is, and your attending doctor should be reported who may give some blood tests. If everything is OK but allergy remains, safe herbal route may also be tried which is time tested to cure allergies. If I were your treating doctor I had advised you to cure this allergy through safe Ayurveda. Hope this has given you enough hint to take suitable steps. May I be of more help please. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi . I have been taking propranol for over two years now due to panic disorder. been a week that I feel kinda chest pain which I started to worry about it. I take 2 pills a day total 20mg. am 24 years old . what should I do now ? stop? or what? Thanks ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. There are two possibilities in your case.1. Worsening of anxiety and panic disorder. 2. Cardiac cause (this is less likely at your age of 24 years). So first get done ECG to rule out cardiac cause. If ECG is normal then no need to worry much for cardiac cause. Your anxiety and panic disorder is not properly controlled. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Don't stop .  Discuss all your problems with psychiatrist. Avoid stress and tension. Be relax and calm. Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im having pregnancy symptoms such as bloating nausea light headed lower back Ache growing breats tender hard 7 days after sexual intercourse and i doubt that I m pregnant but after sexual intercourse 2 day s later on the same day im experiencing heavy bloating and cramps right after sexual intercourse ### REPLY: Hello dairy understand your concerned the symptoms of you are the variable symptoms of the pregnancy. Definitive sign of the pregnancy is the missed period. So it is difficult to tell about the pregnancy. I would suggest to wait for the period to come. If your period will delay by the more than 7 days from the normal expected period date then go for the urine pregnancy test an or blood  to confirm the pregnancy. In absence of the pregnancy it could be due to hormonal imbalance, stomach infection.Meanwhile, avoid stress, take tablet gas x, tablet risperidone, tablet metal spas, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 this rush that is kind of spreading to almost my whole body, they are small red bumps except one in my right leg that is as big as a quarter dollar and is the only itchy one. The littles one dont bother me as much and Im wondering what I can do about it ?Thank you in advance ### REPLY: This is clear allergy to something ingested or external atmosphere etc. More internal. In allopatry only anti histamines are given. Temporary relief is given by these. My own patients are always happy when they follow my Ayurvedic guidelines and use turmeric + Need (Azadirachta indica) leaves powder and Sugar candy powder by mixing in equal qty and take 1/2 to 1 tsp thrice a day with water. Even Turmeric alone is helpful. Other two, if not available, may be skipped. Also, if diabetic, avoid Sugar candy. Report after 2-3 weeks. Hope it's useful. 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: My mother is 76 years old, and was recently hopitalized with congestive heart failure. In the past she has had 1 heart attack which resulted in a triple bypass, then a stroke, then another mild heart attack, could all of this be detromental to her health? ### REPLY: Hi, Thanks for writing to , I am . What your mother had been coronary artery disease which means blockage of arteries that supply blood to heart muscle. This led to her heart attack which damaged a portion of heart muscle leaving it unable to function. The pumping ability of heart was this reduced which led to lesser blood entering the heart being ejected out into the system. This leads to back pooling of this blood into lungs which is the main feature of a congestive heart failure. A stroke is a similar blockage in arteries, but it happens in those supplying the brain leading to damage to a part of brains for your question, both heart failure and stroke affect the quality of life significantly. She has to be on meds lifelong, will require restriction of salt, a restriction of water intake beyond 1.5 liters a day and may need to be hospitalized for destabilization of her condition if her body comes under any kind of physical stress or illness. You need to follow with her cardiologist and make sure she follows the advice to the letter so that she may live a healthier life without any further complicationsAlso if she is diabetic-it is extremely imperative to have a good control of her sugars hope this answered your question, if you have more feel free to ask. 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 am having severe pain in left side of my abdomen my all reports were normal i was also been hospitalized as there was infection in the blood the counts were more. But even after that the pain is the same. i am suffering from this pain since last 2 months and its so much that i cant even sit properly YYYY@YYYY ### REPLY: Hi welcome to  forum.  Thanks for calling . Forum.  You have got left sided pain abdomen since 2 months, and it is unbearable. If the pain is in left upper region, it could be of gastric irritation, or pancreatitis, in the middle may be of worms or stones in the upper urethra, or kidney. If in the lower may be of urinary tract infection, stones in the lower part of urethra, amoebic colitis, or if female pelvic inflammatory disease.  I advise you to consult a surgeon for diagnosis and treatment. You may need to go for M.R.I.besides other routine tests for confirmation. In the meanwhile you can use anti spasmodic for temporary relief of pain.  Wishing for a quick and complete relief of pain.  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: Hi, may I answeHELLOLAST WINTER I WAS DIAGNOSED WITH ACUTE PROSTATE INFECTIONS, SOME GETTING SO BAD I NEEDED A CATHADORE TO RELEASE AN EXCESIVE AMOUNT OF URINE TRAPPED IN MY BLADDER..EVER SINCE THEN I HAVENT BEEN THE SAME. I get anal and pelvic pains daily, especially after ejaculation and horrible shooting back pain. I urinate generally dark urine, and my inguinal glands are constantly swallon. NOW IN THE LAST 2 MONTHS MY WHOLE BODY FEELS TO BE SHUTTING DOWN...HARD TO BREATHE AT TIMES, WAT SEEMS TO BE A HEART MURMOR(ALMOST LIKE SKIPPING A BEAT) THEN AFTER THAT DIZZYNESS AND FATIGUE. I DONT LIKE GOING TO THE DOCTOR DUE TO A BAD EXPERIENCE HOWBER IT MAY BE TIME....WHAT DO YOU THINK ABOUT MY SYMTOMS?r your health queries right now ?  Please type your query here... ### REPLY: Thanks for contacting  with you health question describe having acute prostate infection last year and since then having continue pain in the rectum and after ejaculation. Prostatitis is frequently cause by a urinary tract infection that also infects the prostate. Even after treatment the prostate can become chronically infected. Your symptoms are consistent with a chronic prostate infection. In my practice I will treat men with chronic prostatitis for 4-12 weeks of antibiotics and then a low dose suppressive antibiotic. This usually takes the symptoms away. I recommend for you to seek medical attention with a urologist to be tested and treated. Hope this answers your question. Please contact us again with your medical questions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 swollen neck glands. I ate chillis yesterday and coughed a lot at the time. Within Two hours I noticed my neck glands are swollen and I am feeling like I am getting a head cold. Are the incidents linked? Am I having an allergic reaction to the chillis? Tim Holt. ### REPLY: Thanks for your question on . I can understand your concern. Yes, by your history and description, possibility of allergic reaction to chilies is more likely. So better to avoid excessive chilies in the future. Take combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) twice daily for 1 week. Do warm water gargles 5-6 times a day. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a married woman.I got pregnant within 4 months of my marriage.I am 20 years old.so i do not want a baby now.so i took medicine within the first month of pregnancy and then after some days i had my periods.After a month i went to a doctor and told him that i dont want a baby within 1 or 2 years.So he suggested me Duoluton L tablets.He told me to have this tablet from the day 5 of period and continue it. So i want to ask u is it ok for me?Is there any side affects of this tablet?I need a help.I will be very thankful to you if you kindly help me. ### REPLY: Hello, I can understand your concern. Solution L contains synthetic hormones that prevents pregnancy even if unprotected sexual course is practiced. They are usually pretty to take and women are known to continue it foray years as birth control pains. In addition to birth control, they also balance hormones making your ovulation and menstrual cycles regular. Some minor side effects may include minor gastric discomfort and weight changes. If you feel major effects or discomfort while on it, you should contact the gynecologist. I hope this information helps you. Thank you for choosing . Take care. 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 doctors, my 14-month year old has a bloated tummy, but I don t think he s in pain. I believe it s from sucking his organic homo cow s milk from the bottle with the nipple. I catch him many times just suking air because he s not tilting it up. I ve tried changing bottles to ones with a straw instead, but he prefers nipples now. Question #1. any tips on how to make him change bottles? Questions #2. Besides changing bottles, what can I do now to deflate his tummy? Thank you in advance! ### REPLY: Hi.... You are right. This happens when the baby sucks at the breast or nipple of bottle very fast and in eagerness to .  Unless the air comes out like burping or flatus this discomfort will be there - 1. Best is to stop the bottle abruptly and give the feeds by spoon or Canada. I know its difficult and the baby will initially struggle a lot, but it is needed as a permanent solution for the problem.2. To deflate his tummy you can turn him on to his tummy and tap his back lightly till his flatus comes out. Other option is after each feed, putting him on shoulder and burping him. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son has a fever of 101.5 after 250mg of acetaminophen. Before it was 101.3. Symptoms incl. fever, headache , sore neck, sore eyes in and out of light, over all aches, lethargy. No sore throat , runny nose or signs of flu like symptoms. Prone to ear infections but these symptoms do not match his normal course of ear infection. And he does not complain of earache. I m worried about meningitis . I hope I m just overreacting, but do the symptoms above seem similar to meningitis? Thanks... He is ten years old. ### REPLY: Hello and welcome to . High grade fever and the other symptoms you describe are not suggestive of meningitis. Only thing that you should check is neck stiffness. There will be pain in neck associated with usual fever cause. But in meningitis it will be very severe, so that the child will not be able to flex his neck. Which means that, in a sitting position, if you try to bend his head down to touch the chest, the child will scream with extreme pain.Additionally, the child will look very sick and vomiting may be present. Occassional seizures(fits) can also occur. If you see any of these signs, rush him to the nearest Pediatrician. 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 WEEKS I HAVE HAD A VERY SORE JOINT ON MY MIDDLE TOE WHERE IT MEETS THE BALL OF THE FOOT. IF I WEAR MORE SUPPORTING SHOES/BOOTS IT S BETTER FOR WALKING BUT WHEN I TAKE THEM OFF THE PAIN IS UNBEARABLE WHICH REDUCES ME TO TEARS. THE CLOSEST I CAN DESCRIBE, IS WHEN YOUR FINGERS ARE REALLY COLD AND THEY START TO HEAT UP AND THE PAIN SHOTS UP THE ARM IT IS A BIT LIKE THAT BUT A LOT WORSE AND IT CAN LAST FOR AGES AND PAIN KILLERS DO NOT HELP. HELP PLEASE I CAN T TAKE MUCH MORE. cHOP MY TOE OFF. ### REPLY: Hi, That is a very common inflammation of the toe joint. Change your footwear. Go for a softer sole. Soak your feet in a tub filled with warm water for about five minutes. Follow it up immediately dipping your feet in ice-cold water for about three minutes. Repeat, five minutes hot and three minutes cold. If you can visit a nearby physiotherapy center for ultrasonic treatment, it would work wonders. No need to chop your toe off! Hope I have answered your question. Let me know if I can assist you further. Shut Have, Physical Therapist or Physiotherapist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 3 yrs old and she has had abiut 10-20 uti since she has been born no matter what wr do or change it doesnt help I tool her to the er because she was having belly and back pain and she has a major kidney infection amd blood in her urin and high protein but her wbc count in her urine is 170 what could be wrong ### REPLY: Hi welcome to  forum. I suppose the infection must be of kidneys rather than UTI. I advise you to consult a nephrologist for diagnosis and treatment. He may need to get c/s of urine, besides other routine tests for confirmation of the condition.  Besides I advise you some diet recommendations for her as give her green leafy vegetables, pulses, sprouts, milk, egg, meat, seafoods, fruits, juices, and .  Some habits she must be taught, as washing after defecation from behind for such cases. And to pass urine as frequently as possible and not to hold for long time. Wishing for a quick recovery, and thanks for calling. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 husband for about a month now has been complaining about pressure in his chest and pain. He is a smoker and also has an abdominal aortic aneurysm, last time checked about 2 years was at 3.5. He refuses to see a doctor . I think he may be afraid. He is 60 now. Could it be lung cancer? ### REPLY: Hello Chest pain need proper evaluation. It is too early to conclude cancer. He should consult internal medicine specialist. It may be due to many reasons like cardiac, pulmonary,vascular reasons, acid reflux, musculoskeletal reasons etc. He needs clinical correlation and investigations. Investigations include routine hologram, random blood sugar, renal function test, liver function test, lipid profile, ECG in all leads, chest X-ray(PA view).ECHO can be done if needed. Contrast CT scan of thorax can be done if needed. It will rule out any aneurysm. Proper treatment depend upon findings. 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: My wife as dry mouth and really bad. She is at a point where they are thinking of removing all her teeth.She also as red finger tips and palms and for no reason when she wears socks her legs break into a rash.For the dry mouth she as tried everything sold in the drug store. ### REPLY: Hello Fairbanks for your query, I will be most happy if I could help you out. First be relaxed and make your wife relax and reassure her. I have thoroughly gone through your query and found that you have not mentioned few things, so it is difficult to reach on any diagnosis on the basis of these two signs(. If someone with same symptoms arrives in my clinic, I must ask few questions-Since how long time the problem is occurring??- Are you having any problem like  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 40 year old female and have have some mildly high blood pressure readings over the past couple years. I am not over weight and fairly physically active. My reading can vary quite a bit but my systolic is usually 120-135, my diastolic can be around 84 up to 95 at times. I read and have gotten some conflicting recommendations if I need BP meds, it seems that systolic is the number of more concern, is this correct or is that just for older adults? Since I am young I would rather not be on BP meds if I do not have to. Are any supplements recommended besides reducing salt, diet, exercise, all these things I have already done. Thank you for your answer! ### REPLY: Hello, After going through your medical query I understand your concern and would like to tell you that definitely lifestyle modification like low dietary salt, moderate exercise can keep your blood pressure healthy. Keep noticing your blood pressure, if after lifestyle modification your blood pressure is more than 140/90 then only you need medication otherwise continue with a healthy lifestyle. 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: Hi there- I am having a 5.6 centimeter benign cyst evaluated by my urologist. It is preceded by a serious kydney infection and is assessing whether he should use the long needle to deal with the cyst or less usual laproscopy. He thinks there may be a possibility it might me slightly pushing on the kydney. What are your thoughts. Victoria ### REPLY: Good Day, and thank you for being with  ! Renal cyst can be treated using a needle puncture or laparoscopy. Needle puncture is less invasive but has a high chance of recurrence, laparoscopy has more serious complications but a higher success rate and lower to almost 0 recurrence rate. It will all depend on the location of your cyst and how it looks like.  I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ .  Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. My husband has been acting differently lately. He has been moody, irratable and increasingly inappropriate with his actions and comments. He has been leaving for work late and has trouble getting organized. He has been using crude language of late and he never has before. 6 months ago he was in a car accident and hit his head on the rearview mirror x-rays showed there was no damage and his erratic behavior started 5 days ago so I do not know if that has anything to do with it. He has a lot of friends and we have a good marriage. He had a happy childhood and is otherwise healthy. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  I hope you did consult a neurologist after the accident to confirm that his skull is not damaged. The current behavior of your husband could probably mean that he is disappointed. Disappointment sometimes mimic depression. Anger, agitation, irritation, lethargy, lack of sleep and appetite could be the symptoms. You should talk to your husband regarding this and find out if there is anything deep within his mind. Should consult a physician if need be. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hy i am darmesh suffering from copd , my problem is regular cough , fatige and breathing conjetion. i am enable to work since last 6 months and have symtoms since last 12 years when i was 28 years old , i started smoking at early age at 14 year , i left smoking 5 year back but no improvmentplease advise ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, you are having uncontrolled COPD. COPD needs multidisciplinary approach. First get done PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will need long acting inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Enroll in Pulmonary rehabilitation center where chest physiotherapy and deep breathing exercises are done. Vaccinate yourself with pneumococcal and influenza vaccines to prevent recurrent respiratory tract infection. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, I have been having chest pain 3 weeks now. I march i had a ekg,echo and a nuclear stress test and the cardiologys said all test look good. now the reason for the test it was becuse I was having palpitations and my blood presure will go about 155/95 and will go back down after a while with out medication. now my blood presure does not go as high now but is chest pain that comes and goes. ### REPLY: Thanks for your question on . I can understand your concern. First, no need to worry about heart diseases as your all extensive heart related reports are normal. Sometimes uncontrolled stress and anxiety can also cause fluctuations in blood pressure and chest pain. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Today 24/06/15 I was playing rounders and the ball came down from a high distance going straight into my foot even though I was wearing trainers. I now have a massive lump on my foot and it is very swollen. My foot is going purple and red. I have been applying ice on and off since it happened but it has made it worse so I stopped putting it on and it s worse than it was before. What shall I do ### REPLY: Hi. Noted your history of severe swelling and redness of the foot due to fall of a ball from a very big height. The massive lump is suggestive that you definitely have fractures of the bone/s. I would advise you the following standard treatment format:-Rest. Elevate the foot in laying down position above the heat level. Applying tight crêpe bandage would have helped you more. Rush to the ER to get X-rays. Anti-inflammatory medicines. And POP cast later after the swelling has subsided. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Its been a month I got my braces... I am 23years... The problem is I have developed swollen gum in the inner areas of my upper jaw and outer areas of my lower jaw and also the right gap is swollen Please suggest anti biotics or other remedies... I use periex mouth wash and metrogly dg gel.... But have not noticed satisfying results... ### REPLY: Hi, Read your query, understand your concern as you are wearing braces what happened is during orthodontic treatment it slights difficult to maintain good oral hygiene, don't worry you swelling in gums can be due to deposition of food debris sublingual areas of gums or due to changes in periodontal ligaments leads to periodontal problem. Do warm saline gargle two - three times a day, You can apply ointment Gum paint on gums, use orthodontic brush to brush your teeth. Do chlorhexidine mouthwash twice daily. Consult your dentist for regular examination of oral cavity and treatment.  Hope it will help you.  If you have further queried I will be happy to help.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the past year I have been having a bunch of odd symptoms. I feel unsteady at times, I get a tremor in my left hand sometimes, I have an irregular heartbeat, I get ringing in the ears, my back is sore, my eyesight is blurrier sometimes moreso than others, I was diagnosed with acid reflux, I don t sleep well and was diagnosed with sleep apnea, I have ringing in my ears that comes and goes. I previously had a cardiac ablation and have had several ekgs that all came back normal. I was diagnosed with Lyme s Disease 20 years ago and treated, but I work outside near woods and wonder if I either got it again or if it never was totally cured. I am young and pretty healthy, and I need some ideas as to what this could be. I also have been to see a neurologist and had a brain mri that came back clean. Could it be Lyme s even though my last blood test came back negative? I know the blood test is not all that accurate. Should I ask for a Western Blot test to be taken? ### REPLY: Hello! Welcome on ! I passed carefully through your question and would explain that Lyme disease can mimic all this clinical scenario. A thyroid dysfunction can not be excluded either. Coming to this point, I would recommend repeat the blood lab tests for Lyme disease and perform a Western Blot test too. From the other hand, it is necessary also performing further tests to investigate for other possible causes: - a chest X-ray study-complete blood count, PCR, ESR for inflammation- a cardiac ultrasound- an ambulatory 24-48 hours ECG monitoring in order to examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia- thyroid hormone levels for possible dysfunction. You should discuss with your doctor on the above issues. Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i got all four of my wisdom teeth out almost a month ago and i still cant open my mouth all the way and ive been exercising it everyday. i get more pressure on my right side where it hurts and i feel like my jaw when i yawn goes more to the left side then to the normal up and down what do i do to make it open all the way? ### REPLY: Dear sir/ Madam, I understand your problem. Since you have removed all four teeth at the same time, you would have kept your mouth wide open for at least 45 minutes to one hour (both in local and general anesthesia) Resulting in jaw muscle fatigue. Normally we must start mouth opening exercise from the south day of extraction. Since you have restricted mouth opening after a month, take some analgesic with muscle relaxant and try forceful mouth opening. Your jaw deviation while yawning will also be corrected.Don't worry, restricted mouth opening is very common problem after wisdom tooth extraction. It is absolutely solvable. Hope your query is answered. For further queries please don't hesitate to contact back. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 disc problem a lower back disc separated in car accident . I am trying not to have surgery I have a lot of problems unbearable pain I had therapy, epidural,pain killers,muscle relaxers etc. nothing has helped could you please help me if you can give me some helpful advice I would appreciate it Thank you ### REPLY: Hello, Thank you for writing to  about your query, Brief Answer - Anti-inflammatory medication such as aspirin, Physical therapy, Steroid injections etc. Explained Answer - Conservative treatment of lower disc pain usually is successful over time. It includes:1. Pain medication or pain therapies such as ultrasound, massage or transcutaneous electrical nerve stimulation2. Anti-inflammatory medication such as aspirin, ibuprofen and acetaminophen3. Physical therapy4. Steroid injections5. Education in proper stretching and posture6. RestHowever, if your pain doesn't respond to conservative treatment in two to four weeks, your condition affects your bowel or bladder function, or if it threatens permanent nerve damage, your doctor may suggest surgery. The surgery usually includes removing the part of the disc that has squeezed outside its proper place, called a discectomy. The surgeon also may want to remove the back part of the vertebrae, called the lamina, In a laminectomy; or to surgically open the foramen, the holes on the side of the vertebrae through which the nerves exit, in a foramenotomy. Only about 10 percent of adult lumbar disc patients require surgery and even fewer child . Hope You will find it out helpful. Thanks And  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pain in the left side of my abdominal area near the waist but several inches above the hip.Applying pressure to relieve the pain causes chills and temporary relief but causes a numbness in my brain suddenly. The sensation is accompanied by mild headache type pain and is brief. I alsosmell a combination of urine and ammonia. The numbness is sensed close to the center of my brain gradually fades as the fragrance does. My side, Brain, and sinus are affected during this cycle. Do I have a common problem or internal injury. What should I do? ### REPLY: Hi, Welcome to  forum.  You have got pain in the left lumbar area. The cause may be due to the urinary tract infection, or a stone in the ureter. It may cause the .  The smell also can be due to the infection in the nose.  The renal colic will be associated with the fever, so may be associated with the headache.  You may need to have an M.R.I. for diagnosis. So I advise you to consult a urologist for diagnosis and treatment.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear sir, i am the patient of bipolar disorder. i used valprol 500mg six months back. doctor prescribed me cause i was facing bipolar disorder. as my disorder was improving so doctor advice me to use valprol 300 after 2 months and again after 2 months doctor prescribed me valprol 200. as i need another baby so doctor advice me not to use valprol as it may cause danger to baby. last month doctor advice me to use another medicine instead of valprol but it didn t work. so without consulting doctor i started to use valprol 200. so is there any solution for me. i want baby without using valprol. but by eating valprol is there any alternative medicine instead of valprol which may help in my disorder and cause no effect to baby. waiting for your quick reply. regards kabita ### REPLY: Hi dear. I understand your concern. I agree with your doctor that valeryl will affect you baby, and it will lead to neural tube defect. In 1st 3 months of pregnancy the safer . Usually bipolar disorder can be treated in pregnancy with atypical anti-psychotic which has mood stabilizer effect like olanzapine, Aquitaine etc. It is all about side effect and benefit ratio. Best will judge by your treating psychiatrist. Tell him an about all other options. But avoid valeryl if you are pregnant. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my boyfriend has this cough every so often that sends off a bad smell and I don t think he notices it but to me it s terrible. He smokes and has for years but he didn t seem to get this smell until this past winter so I don t know if it has to do with his smoking or something else. Also when he does cough he sometimes has big chunks of mucus come up. He thinks it s nothing but I m worried it s serious or could become something serious. ### REPLY: Thanks for your question on . I can understand your boyfriends situation and problem. Since he is a chronic smoker, possibility of either bronchitis or lung infection is high. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. He may need antibiotics, antihistamines, inhaled bronchodilators and inhaled corticosteroid (ICS). Smoking cessation is must for him. So consult pulmonologist and discuss all these. Hope I have solved your query. Wishing good health health to your boyfriend. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I suffer from chronic back pain and severe RA. I have had three back surgeries and four on my left foot. I was diagnosed with depression about 30 years ago and I take an SSRI and Xanax for sleep. My problem is that no one will treat my pain. Do they all think that people with depression don t feel pain. I know a few people with chronic pain and they all are given pain meds for when they are needed. If I wasn t depressed before then this would cause it. I really hate the way doctors treat me personally - it is humiliating. I am tired of suspicious looks and accusations of drug seeking. I have become afraid of doctors and will no longer raise this problem with them ### REPLY: Hi, as mentioned by you, it is sad to hear you have now bias against doctors. Well to help with your pain I will give you some tips. As mentioned by you that you have a severe chronic backache, and even you have RA. let us take one by one each of it.Backache - as you mentioned you had 3 surgeries of your back what was that and why they were performed. Also, before of after the surgery did you try physical therapy. As physical therapy will help you with therapeutic ultrasound therapy and TENS therapy for controlling of the pain symptomatically. Also, then you need to strengthen the muscles of the spine and the core. As one has to understand that the muscles are the support system of the joints and any weakness in the muscular system will lead to pain in the joints. As the body has to adapt and heal on its own, that is the greatest creation of the god, what Medication and physical therapy can do is to provide support till the body takes its role for action. RA - for RA, you need to do a regular exercises like - meditation, breathing exercises and general body exercises. Exercises should be focused on improving the muscle strength and maintaining the joint mobility As we need to understand that the body is a self healer and any external effort is symptomatic help till the body takes its own call to recover. Also, metabolism of the body varies from individual to individual, and only you can improve the metabolism of your body by performing the exercises. There is no external device which can help improve the metabolism. Self-induced effort is the only one which can regenerate the bodily functions and provides the optimum relief. 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: hi i have a general query regarding my moms health....for few days she feels nausea and itching on a skin....this same attacked just one year before...so  i just need a help...what exactly disease  is  that and what would be the general treatment? ### REPLY: Hi, Itching over body skin since long time could be due to subcutaneous candidiasis, a topic dermatitis, allergic reactions, urticaria or hives, or some medical disorders like DM, jaundice, uremia etc. Your mother must try antifungal oral medications once with the help of dermatologist with other supportive treatment.Also, you can take immunoglobulins with consultation of dermatologist. If still no diagnosis or cure then it would be advisable to consult physician to rule out any medical disorders. You can go for allergic testing of food and other substances, but they are not such reliable. 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,a few years ago i had to take lots of antibiotics beacause i kept getting tonsilitis,i then kept getting thrush,i went g,u,m clinic and they told to just was with salt water,i did this quite a few times and ever since then my foreskin has been quite tight and when i now ave sex it can be uncomfortable because the skin wont go any further than the gland and there is slight scarring on the outer skin,,,what should i do ### REPLY: Thank you for query.it is due to balanoposthitis now it is causing you fibrosis by the description given. Please consult surgeon immediately for examination and confirmation. It may require simple procedure like slitting or circumcision. Clean the area with warm water twice daily.it may trouble you during intercourse as it progresses. You can get back to me for any clarifications with the photos. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 think I might have swallowed a piece of nail. I went to see on interne but I get really different answers. Most say it isn t dangerous to swallow fingernails as it is made of keratin and it will go away thanks to the acides in my stomach. But there are also some that say that it is really dangerous. I don t know what to do. I m not even sure if I swallowed it or not! It just that I have a weird sensation in my stomach and under so I don t know. ### REPLY: Please get a check chest X-ray and erect X-ray abdomen to localize foreign body. Any foreign body is dangerous if it gets stucked. There are three normal anatomical constrictions in our digestive tract. A.Rico pharynx.lower esophageal sphincters.killed cecal junction foreign body will be excreted in stools only if it passes though all these constrictions. If stacked in any part of digestive tract it might cause perforation. So please consult a doctor immediately. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 no question for you. Just an attitude as to how pain management is being, or should I say not being done. Because of a handful of people who CHOOSE TO Abuse drugs, who really gets punished? Spinal Stenosis and 2 back surgeries, the last the titanium rods, plates, and screws were inserted from L2 thru L5. Stopped the pain for about 2 years, or at least at a tolerable level. Then Lortabs helped. Sent to pain clinic for epidurals. Epidurals on me were extremely painful. Scale of 1-10 they were a 20. (Not Kidding) Quality of life was going fast. couldn t do or go because the pain had grown to the point that I couldn t eat or sleep. Pain was 24 hours a day. Told by the pain Dr. to stay on the Lortab and come to the pain clinic every 4 or 5 weeks for epidurals. Epidurals were not only painful but I got very little relief if any from them. Finally PCP started me on oxycontin and Fentynal patch. I was much better for awile. I was taught that in so called pain management you would gradually increase dose until you knew the patient was experiencing some quality of life. I reached rock bottom after telling PCP my quality of life was slipping away. Finally I asked for an increase in pain med as pain was now 24 hours a day. I could not function. I was told no, and referred to pain clinic for more epidurals and Narcotics. The day I went in to office for routine followup and new perscriptions I was ask for a urine specimen. After all I d been thru over the last 8 to 10 years, all the operations and all the pain. The loss of any quality of life. I am in my 70 s and lost all those Golden years, 10 of them. Asking for a urine specimen. I felt made ME the criminal. I decided right then I asked to be titrated off the narcotic meds. I will die with all the pain before I will let anyone treat me like a criminal. So you go on breaking your solom oath by hurting patients . Doctors swore to do no harm. A large % of those being hurt and are suffuring are the geriatric population. I feel Obama has been behind a lot of this but you know I believe a lot of the fault falls on every Doctor, Nurse, and everyone working in health care. STAND UP FOR YOUR PATIENTS. yOU ALL ARE JUST LIKE THE POLITICIANS. tO SAVE THEIR OWN HIDES THEY JUST CLOSE THEIR EYES TO WHAT IS HAPPINING TO MEDICINE IN THIS COUNTRY AND SAY NOTHING. tHE PUBLIC CAN T EVEN GET TOGETHER AND STAND UP FOR WHAT IS RIGHT. The old time Doctor s predicted It would be like this. They said if the HMO went through it would be the death of our wonderful medical care in this country. Many have passed but they were right on. They realized that there would not be anymore decent medical care. The patient is really obsolete. No more real check ups. no more time to explain your problem. No more real examinations Oh, there is on paper or in the computer so health care workers, even Doctors just make sure they cover their butts, to the point of out right lying!!! Make it look like things were done just to collect the fees. The lawyers are partially to blame also with their ambulance chasing and advertising for frivolous malpractice suits. Rep. and Dems. just sit on their hands. Political correctness has run amuck. I thoroughly loved working in the medical world at one time. Now I want nothing to do with it Extreme pain is killing me literally but I will die with it. Think back of all the pain meds that really did relieve pain. Where are they now. Listed as a narcotic, now even lortab now and it is only hurting those who really need it. The really sick. But their pain med prescription has to be picked up at dr s. office no matter if they can hardly get out of bed. No husband or designated relative or person can pick it up. Can t even be called into the pharmacy anymore. What do they think they are doing. I am done with a medical world that has turned into nothing but a money making machine. Worst of all the money flows to the very few at the top while staffs are cut to the bone. Doctors are told what they can and can t do, how many patients they have to see in a day. no wonder there is no examining going on, No time to get to know their patients. On top of that not enougChatDoctorpensation for what they are trying to do. Trying to do the impossible. The patient is only needed for a name and insurance number. The old days were Heaven when working in the medical field if your heart was in it. Today s medical world is Hell in my eyes after all my personal experiences. A lot of us feel like we are on our own and no matter what doctor you go to we are not being treated, just pushed thru the system as fast as possible. Many, many mistakes are being made. No one, including doctors and nurses seem to know what they are doing. It is not their fault. They are not being properly taught and trained, just shoved thru school and paying exorbitant rates to do it. Something I use to love so very much has become something very ugly and I hate it. I have been on both ends. Suffering terribly and hanging out here on my own but so grateful to God for giving me the privilege of working in the world of medicine during the years before it fell. ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Question : What causes spinal stenosis? Answer : It is mostly congenital or Genetic. Sometimes Facet Joint Hypertrophy may reduce the space for neural elements Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in  at http://bit.ly/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: I am dealing with low back pain for six months, I haven t been able to get an appointment with my local physician. Last time I saw him he prescribed mehydrocodone. But it s not seem to be working. My question is should I go to the emergency room or wait until morning to see if I go to a local urgent care. I don t think I m gonna be able to sleep it s pretty bad. ### REPLY: Welcome to  After going through your query I think You are suffering from acute backache. Treatment of it is rest and analgesics. Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE before meals prevent acidity caused by analgesics. You can visit emergency as you have sever pain. You can discuss with your Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask . 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: Working out 3 weeks ago doing dead lift dropped bar and got a hit of pain on right side, kept working out, when I got home and bent down had shortness of breath and pain, went to Chiro and got therapy, got deep tissue massage and finally a muscle relaxer took it away, now 5 days later it is back and have done nothing? ### REPLY: Thanks for your question on . I can understand your situation and problem. You are having blunt chest trauma due falling of exercise bar. Blunt chest trauma can cause rib fracture, pneumothorax, Pulmonary contusions, musculoskeletal injury etc. And all these give rise to chest pain and shortness of breath. You are also not fully recovered with local treatment. So better to get done chest x-ray to rule out above-mentioned complications. If chest x-ray is normal than no need to worry much. You are mostly having musculoskeletal injury. For this start painkiller and muscle relaxant .  Apply warm water pad on affected site. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. You can wear rib belt to avoid mobilization. You will mostly improve in 1-2 weeks. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good Evening. I got my tongue pierced and a couple of days after the piercing i noticed a lump under my chin and a bit towards the left side of it. Do not think it was there beforehand. Its been more than 2 months now, and the lump is still there. Is it possible to take such a long time for a glen to return back to normal? Could it be something more serious that needs to be checked out, such as a malignancy? Thank you in advance. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query painful lump on the chin after tongue piercing is mainly due to foreign body or infection. It could be due to insufficient saliva in mouth.  The most probable reason for the lump under the chin is sialolithiasis. It occurs due to collection of much in connective tissue from salivary gland duct of which get blocked by small calculi. I would suggest you to consult oral pathologist for proper diagnosis and to rule out causes like infection or lymph node swelling. In case of infection antibiotic treatment along with painkillers and incision and .  Doctor may prescribe anti-inflammatory  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with Bronchietasis (spelling?) and I am told my bronchial tubes are permanently damage and this cannot be reversed but it is treatable. I ve had 3 episodes of pneumonia. I also have a skip in my heart beat which was become worse in the past week or two. I am using a nebulizer........does the skip in my heart beat have anything to do with the treatment of the nebulizer? ### REPLY: Thanks for your question on . I can understand your concern.  .  Heart block and arrhythmia can be the cause for this. So better to consult cardiologist and get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I was forced into a sex act a few days ago on Tuesday and two hours later took the take action pill. The man did not get off in me but there may have been some on his hands not sure. I took it just in case. Now I have been having cramps and some nausea. And most recently white discharge with a sour odor. Please help me! What are the chances of MW getting pregnant because these are all pregnant like symptoms. ### REPLY: Hello dairy understand your concerned took action pill with in 2 hours. It is highly effective in preventing the pregnancy. It has 95-98% success rate to prevent the pregnancy. So failure rate is just 0-5%. Your symptoms of cramps and nausea could be due to hormonal imbalance caused by the pill. White vaginal discharge with odor could be due to the vaginal infection. Pill increases the risk of the infection. I would suggest consulting the gynecologist and undergo vaginal swab test to confirm the infection. Infection requires antifungal/antibiotic suppository. Maintain proper pelvic hygiene by using V vaginal plus wash, wear pure cotton loose inner. . Tablet metal spas for camphor next period can be earlier/delayed (1-2 week), with excessive bleeding. Hope this may help you Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...Hello Sir . I am facing a drastic decrease in hair density . hair is very thin too . What could be the possible cause ? is masturbating affecting it ? How do u suggest should i maintain my hair ? ### REPLY: My DearWelcome to  ! I have noted your details and concerns and hope that following measures will help you1 first, I want to assure you that masturbation is in no way related to your hair fall. It is a fairly natural activity with no concerns whatsoever.2 Your hair fall seems to be due to either poor diet or due to male pattern alopecia. If you are below 25 or so, then most likely it is related to your diet, overall health status or faulty hair care3 The following measures will help you Please do OT brush your hair hen they are wet ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a grade 3 ankle sprain for seven months now. I just changed to a new orthopedic and they finally are doing something for me. They put me in a walking boot on Monday. When I am walking I have this clicking bone popping moving in my ankle. You can litteraly hear popping sounds in my ankle with every step it is very painful. What is causing this ### REPLY: Painful clicking around the ankle most commonly is caused by subluxation of the perineal tendons. It can occur after an ankle sprain, due to injury to the envelope holding it in place. The pain and clicking is mostly at the lateral aspect of the ankle. Other causes can be due to a cartilage tear around the ankle, which can impinge causing the clicking and pain. A thorough examination and ultrasound can help to achieve the diagnosis.in cases of tendon subluxation, a trial of immobilization can help to allow the envelope of retinaculum to heal. If it does heal then your symptoms will resolve. However, as your symptoms have been present for 7 months, I suspect that you might need surgical repair or reconstruction of the retinaculum. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 six year has been burning when going to the bathroom. After ruling out a uti they did a calcium test and found her levels to be mildly elevated. We are doing a 24 hr collection now but what does that mean? Everything online says this is a serious matter but my pedestrian says its not a matter to be concerned about. ### REPLY: Hi, Thanks and welcome to . If your baby is having burning urination and the UTI is ruled out you need not worry. Give plenty of fluids orally to increase urination. This may occur during high fever, extreme heat outside or any local injury or infection. You may rule out the above conditions or treat if present. Hope this reply is OK for you. Please feel free to ask further queries if any. . V. Subrahmanyam. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 nephew is 6yrs old. one year ago Feb 4 2012 he suffered a massive brain aneursym. No speech, breaths on his own, no responsiveness to speak of, open eyes looks around, no smile, only cries. Was shown a ct scan yesterday, basil ganglia, and frontal lobe and ventricles are now scar tissue. Is there any hope or is he gone forever? april Marshall ### REPLY: Hi, A child 6 years of age can be taught with the help of euro rehabilitation techniques. The basal ganglia and frontal lobes are important areas of the brain. The amount of scarred brain tissue is not clear from your query. However, by starting early rehabilitation, you can try to make his life better. He may not be able to perform like a normal child his age, but then you never know if techniques like brain stem cell transplant hold a promising future for child .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Three times in the past two days Ive had immediate upper abdominal pain coinciding with dizziness bordering on fainting and perspiration. Its not a cold sweat. I just start perspiring like Im working in 100 degree weather even though Im standing still in 50 degree weather. ### REPLY: Hi. Thank you for your question. As per your history, the causes can be several like Thyrotoxicosis, Angina,Bowel perforation, Acute pancreatitis, etc. The symptoms can even worsen if proper treatment and care is not taken in few days time. So, i will advise you to consult your Medicine specialist for physical examination and necessary investigations. I will advise you to:1)Take adequate rest.2)Avoid Heavy exercises3)Take analgesics for Abdominal pain. Hope I answered your question. Wish you a healthy life. Thanking 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 mother in law has really been showing a lot of change. She is 44yrs and has been responding to situations inappropriately by crying, laughing, she has been very hostile, and has been hiding things like toilet paper and tissues. Do you have any recommendations she refuses to get hep. ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. It could be a starting of dementia or any similar cognitive illness. She may require detailed assessment. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been sick all day, with stomach issues that include vomiting. I also have muscle aches in my back and legs. What I am more concerned with is that my hands and forearms are tingling and stiffeningup, making it difficult to use them. What might be causing this, and how can I address it? ### REPLY: Hello Thank you for trusting  Dear since when you're suffering from this problem?? Are you male or female?? What is the reason for vomiting?? Most possible causes are simple viral fever with myalgic, other possibilities like fibromyalgia, severe anemia, rheumatoid arthritis, chronic fatigue syn . . Use tab attract twice a day for 5 days. Dear you need to consult rheumatologist, he will examine and treat you accordingly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 low sed rate now after 8 weeks of antibiotics to treat Staph Aures that was in the T9-T10 area. The MRI shows that there is still something going on there but no one can tell me if its infection or inflamation. How can I find out before doing an operation? ### REPLY: Hi thanks for asking question. Here staph infection should be resolved with use of antibiotic. But still to confirm about infection or inflammation do your CRP estimation. If it is elevated then suspect inflammation or infection. In infective case your CBC report might reveal high count with necrophilia. If infection is ruled out then inflammation might because for which anti-inflammatory . I think before operation according to report and physical examination decision has to be taken by doctor to whether operate or not. I hope my suggestion will helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Please tell me about Causes of kidney disease? ### REPLY: Hi DhanshreeThere are several causes of Kidney diseases. It would be easier if you can tell me the exact problem.However, the main causes are according to age group, heredity, etc. These are:1. Congenital causes Since birth2. Immunological3. Infectious4. Secondary to some disease like Diabetes mellitus,etc5. Due to Obstruction by stones, etc.6. Due to Vascular causes like Hypertension. Are only a few causes. 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: yea i started feeling really weak and feverish yesterday around afternoon. i have become very nautious, feverish, a slight cough and then lower left abdomen started with discomfort like a sharp pain but was very fatique and has become more freaquent and very uncomfortable. took temp. and it was 98.1 and upset stomach diarea last night and feel like i could throw up...I just had a period and have a essure device which is a permanent birth control since 2006. ### REPLY: Hi, I understand your concern. Your symptoms of feverish, weak, cautious, slight cough and lower abdominal pain are acute viral illness with gastroenteritis. I advise to:- increase fluids intake (tea, water, juice, chicken soup)- have light meals (yogurt, soup)- BRAT diet can help (banana, rice, apple sauce, toast)- take Tibetan or pesto Bishop for diarrhea, probiotics to stabilize intestinal flora; paracetamol or ibuprofen for fever and pain still no improvement or if symptoms getting worse, should consult further with your physician. Wish fast recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have lower back pain and the pain streches to hips and sometimes my right leg too . X-ray shows Straightening of Lumbosacral curvature nd I.V disc spaces are preserved. Doctors told me their is no cure and just do exercise and avoid lifting weights or forward bending. Its been a year now and my pain is only increasing. I am 22 and i want to know whether my cervical curve can come back to its original curve and if yes then what should i do for it.?? ### REPLY: Your symptom indicate arthritis of lumbosacral spine with lumber radiculopathy, x-ray LS spine shows only the bony pathology and gives some clue regarding intervertebral disc and as it is showing straightening of spine, so you need to undergo MRI LS spine which will show the status of disc and neural foramina. Regarding the curvature if something comes like disc prolapse or ligaments hypertrophy which can be operated then doing physiotherapy can restore your curvature. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 blood pressure is staying in the 130 range even though I am eating a healthy diet with mostly fruits and veggies, not out of shape, dont smoke, dont drink a ton or take in a lot of sodium.  If I stay at this range (which is prehypertension), will i be OK, or do I need to find some way to bring it down? ### REPLY: Hello after reading your question I feel that you are more conscious about your health. Your systolic blood pressure is 130 mmHg. This is around normal rang. So don't worry. If you control blood pressure below 130 it avoids heart trouble. Continue with low salt diet. Avoid smoking. Take healthy food. Less fatty food you have to take. Do exercise regularly. Take green vegetables. And measure your blood pressure. I hope this answer help you. Thanks.  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: Yes, I have chest pain on my left side. It is a stabbing pain. Its been going on for about two months. Also I been having heart flutters for two years. About two months ago I was drinking and threw up and then that morning I had a jaw pain that felt like it was in the nerves of my back teeth in my lower jaw. ### REPLY: Hello! Welcome and thank you for asking on ! I understand your concern and would explain that it is important to perform a careful differential diagnosis of your symptomatology. A articular disorder, related to a service thoracic disc disorder could mimic this clinical scenario. From the other hand a gastroesophageal reflux or any other gastroesophageal disorders (esophageal spasms, etc.) could explain the pain after throwing up. Besides, the symptoms related to your heart (flutters), raise the suspicions of a possible cardiac disorder (cardiac arrhythmia and ischemia). What is your age? What about your past medical history? I recommend consulting with your GP for a careful physical examination, a resting ECG and cardiac ultrasound, a chest X-ray study and some blood lab tests : -complete blood count-PCR, sedimentation rate-fasting glucose-blood electrolytes-kidney and liver function tests, etc. A cervical spine X-ray followed by a possible CT scan may be needed if suspicions of a possible cervical column disorder are raised. I recommend discussing with your doctor on the above issues. Hope to have been helpful! Feel free to ask any other questions, whenever you need! Greeting! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 2 1/2 yr. old fell off the bed and hit his head.  He cried, and then vomited.  He was also sleepy, but I did not let him sleep.  He seems alert now, and talks coherently.  Should I do anything....should I take him to a Dr.?     Pleasse tell me....why dont doctors hellp a desperate mother free? ### REPLY: There are certain ominous signs of head injury that we need to look out for. They are:* Vomiting* Loss of consciousness or altered consciousness* Severe headache* ConvulsionsThese signs could indicate something serious. The vomiting and the feeling sleepy after that raise the doubt and signify the requirement of a CT scan of the brain. You should definitely take him to a doctor and get him evaluated. If the reports are relieving, doctors would definitely be able to reassure 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 have a really bad tooth ache on the left side of my jaw but cant seem to pin point a specific tooth. What hurts is the last 4 teeth on the top and the bottom, like all of them. The pain is like a constant ache that comes and goes and when I clench my teeth reasonably hard, it isnt excruciating but it does hurt those teeth more. It kind of feels like Ive tried to untwist the cap off of a bottle with my teeth but I know that I havent. This has never happened before. I dont have outstanding oral hygeine, my gums are red in some places but Im working on brushing twice a day and getting habits up to standard. On my right side, up the top one of the corners of my wisdom tooth has just broken the skin and although the others havent I can feel them through the gum on my left side, top and bottom. There isnt much room at the back of my gums and I fear I may have an infection or it could be my wisdom not having enough room to come through. I am 20 years old. ### REPLY: Hello pt-Dental Caries (Teeth Cavities) Cause Toothache and Jaw Pain tooth cavity occurs as a result of a combination of factors. Food particles get trapped on and between the teeth after eating. Along with mucus, dead epithelial cells (from the mouth lining) and bacteria, a thin soft film, known as plaque coats the teeth. This provides the ideal medium for oral bacteria to feed upon food debris. Bacteria like Mutant streptococci and related groups, break down food particles and produce lactic acid as a byproduct. It is this lactic acid that is responsible for eroding tooth enamel and causing tooth cavities. Food + Mucus + Dead Cells + Bacteria = Soft Plaque (within 24 hours after brushing)Soft Plaque + Calcium +Phosphates + Other Compounds = Hard Plaque (within 72 hours of soft plaque formation)Left untreated, the lactic acid will continue to erode the enamel and dentin and cause irritation of the nerve which is experienced as a toothache. A toothache (painful and tender tooth) is a late symptom of an untreated tooth cavity. Toothaches may also be caused by an infection, injury or the absence of a tooth. Jaw pain may also occur as a result of a dental cavity as the nerve supply of a tooth follows a path around or near the jaw. However, jaw pain should not always be mistaken for a dental cavity as there can be other causes like TMJ dysfunction (temporomandibular joint syn . Jaw pain may precede, be accompanied by or follow after a toothache and this jaw pain may often radiate around the side of the affected tooth. This jaw pain can vary from dull pain in the early stages to severe throbbing pain with tenderness around the affected tooth. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 kept on feeling ike somethings goin on and i just reently had sex..i havent had morning sickness for like 4 weeks now but everytime before i go to bed, i kept getting weird feeling inside my stomach. I couldnt get home pregancy test or go to any doctors for it, what can i do and how do i know if im pregnant or not? ### REPLY: Hallow Dear, I would have appreciated knowing when did you have your last menses and whether you have missed your period. Missing a period is the first cardinal symptom of pregnancy. The other symptoms like nausea & vomiting, frequent urination and breast changes like engorgement and tenderness, dark discoloration of nipples & areola with increase in the size of areola and secretions through the nipples appear later - may be about 8-15 days after missing a period. From your history, I could not get the information about whether you are having any of these symptoms. Only weird feeling in the abdomen cannot be attributed to pregnancy. Nausea and weird feeling in the abdomen without missing a period could be due to the stress of (?unwanted) pregnancy! Well, if you have missed your period, 8-10 days after that, please do pregnancy test on your overnight first morning urine examined; earlier, these tests may give false negative results. Alternatively you may get Beta  test done which is reliable even few days before the missed period. If you do not have facility of undergoing either of this test, you can go for ultrasonography about 10-15 days after missing a period which will give you direct visual evidence of your pregnancy status. Clinical examination from Obstetrician about 10 days after missing period also can give you clue about your pregnancy status. Somehow, you have to opt for one of the diagnostic measures mentioned above for diagnosing your pregnancy. Of course, if you have not missed your period as yet, please wait for the period to appear. If you get the period, no dilemma about pregnancy. I hope this helps you.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was in the emergency room with severe sudden back pain.  I was given Toridol and an Xray.  The results will be reviewed by the Radiologist on Monday.  I was given Percocet as well.  Neither medications have helped with the pain.  The ER Doctor said it looks to be lipping in my spine.  What will the course of action be should this be the result? ### REPLY: Thanks for writing to us. Sudden onset back pain may be due to disc rupture. Lipping of the vertebral body indicates degenerative changes and called osteophyte formation. X-rays not of not much help in disc prolapse, and you may need to get MRI spine to diagnose the problem. Please consult a spine specialist and get thorough exam. It is important to know the pain pattern, any leg pain, previous episode if any. Till that period continue percent with muscle relaxant and physical therapy if possible. Take some rest which is crucial. 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 doctor it s zish I m confused I I missed my depo injection on April 17th 2015 on may I missed my period on June I was having that blood discharge ones minutes a day for 3 after I go period for 4 day But I buy 5 pregnant test says negative I have breast pain I feel like I m pregnant ### REPLY: Hello, You were on demo injection and missed your injection in April, missed period in May and had spotting for several days followed by regular bleeding for 4 days in June. Meanwhile, you had 3 to 4 pregnancy tests all positive. Still you have breast pain and feeling like being pregnant and are worried. Depot contraceptives are long acting hormones and take about 4 to 6 months to with . All the irregularities of menses, breast pain, and nauseating feeling are side effects of with ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dad has been in hospital for the last six weeks.   He had bowel cancer  two years ago which was removed.  The chemotherapy and medication resulted him having liver psorosis.  He now has encapolothophy in a very bad way.  He has very few lucid moments and then does strange things like washing his hands whilst his eyes are shut.  He is refusing medication, food and generally gets very aggressive. Please tell me how long he will suffer like this.  He has been refused a liver transplant as he has also being a heart patient and is 70 years old.  Please help. ### 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. Unfortunately this is very serious diagnosis and life expectancy is very short and can be counted in months. So no one can predict exactly, but this is terminal stage of the disease. 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: hello. i may be over reacting, but I would like to know if my behavoir is normal. Im always overly excited and happy. Its like Im always high. Then I randomly get really sad and irratable. I have problems sleeping at night, some nights I dont get any sleep at all. I go through periods where I get really depressed for no reason, and hystericaly happy for no reason. Is there something wrong with me? ### REPLY: Hi, Thank you for using . I can understand your concern about your mood swings. Many people have tendency for mood swings. As long as your judgment, your behavior remain intact your life will remain mostly unaffected. Is there any family member (in blood relation) have similar mood swings? If yes then better you consult psychiatrist. If not then not much to worry, remain aware of your thought, behavior, let your near ones know about the symptoms of bipolar mood disorder. I hope this will help you. Thanks and regards. ### END