Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 age is 37 and i got conceived. Now iam in 8th week. Doctor suggested naturogest sr200 once in the night and i started bleeding for 1/2 day. scan says baby is ok. doc suggested to take naturogest twice. and it started bleeding whole day. Now its 1 week over but the bleeding didnt stop. Iam afraid if the baby is growing if all the blood is being discharged all through the day.Is it safe to use naturogest? How the bleeding can be controlled? Iam much worried. Please reply asap. ### REPLY: Hi there, I will suggest you the best possible treatment options. Please do not panic. I will suggest you to take rest. Be assured that Micronized natural progesterone tablet is actually a pregnancy support hormone tablet. It will not cause bleeding. It might be the bleeding that incidentally started at the same time you started the tablets. Please seek prescription support from your treating doctor for beta  injection 5000 IU twice a week till 9 weeks of pregnancy. Tablet Pause and vitamin C twice a day for 5 to 7 days. I will also suggest you to get USG done to know about the viability and gestational age of the pregnancy and to look for internal bleeding if any. I hope this answer helps you. Take cargo bless outranks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: bad pain the head and nose bleed when blow my nose my boyfriend has be geting bad pain the head and when bolws his nose blood comes out of it. ### REPLY: Hi, welcome to the  forum, nose have very minute blood vessels which under the influence of any forceful action like blowing of the nose cause rupturing of its ends and consecutive bleeding also your boyfriend might be having some kind of sinus infection which is aggravating during blowing of the nose and causing head pain, it's better to blow nose smoothly or clean it off gently and have a visit to ENT specialist. Take care and get well soon ! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my son is 6 yrs old and is a very picky eater, our Dr put him on ferro-liquid because is iron level is low. since he started the liquid he has wet his pants twice and told me that he couldn t make it to the toilet. is this a side effect from ferro-liquid? ### REPLY: Hi, Yes, it can cause diarrhea as a side effect. Commonly prescribed in the treatment of anemia due to iron deficiency, the most common side effects of Ferro-liquid include metallic taste, nausea, abdominal cramps, black colored stools and diarrhea. You need to consult his doctor for either dose reduction or an effective alternate but a safer medication to treat his anemia. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am allergic to Milk products like sour curd and I happened to eat a spoon of raita 3 days back. This has resulted in a sour paining throat andi m feeling feverish. Last time the same thing happened and my doctor had prescribed me - Tab Glemont F, Tab Allercet Dc. , Clavam XR 1000. Is the medication correct? ### REPLY: Cellophane You for contacting ." Tab Lemont F" is mast cell stabilizing .  Research has shown that it improves chronic allergy symptoms. "Tab Allergen Dc" is antihistamine, used to treat ongoing allergy symptoms. "CAVAM XR 1000" is an antibiotic. If you do not have an infection then there is no requirement of antibiotic at the moment. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I have chronic cough and mucus only in the morning and evening. Ive been hacking for more than a month now. I have taken cough syrup and antibiotics but the phlegm is still there, i feel like it is only coming from my throat and not from my lungs. ### REPLY: Thanks for your question on . I can understand your concern. You are having chronic cough (cough for more than 2 weeks). Common causes for chronic cough with expectoration are 1. Bronchitis 2. Lung infection. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray is needed to rule out lung infection. 3. PFT is must for the diagnosis of bronchitis. You may need inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, you will be alright. Better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello . I am on 8mg Warfarin approx. and yesterday had surgery on my arm .I had stopped the warfarin for two nights and reduced the two nights prior to this.I had severe post op pain and had 60mg of codiene 4 times in16 hours.I have had sharp upper abdominal pain felt nauseous and now have watery loose  moitions .Not black though .Is this just a coincidence or should I be worried .Thanks ### REPLY: Hi there ~I understand your concerns, and you have good reason to be concerned about your condition.  I think that you will do well with visiting with a doctor to get your INR checked.  I think that you may have had mesenteric infarction if you have been having sharp upper abdominal pain in the case of having reduced your warfarin usage and having despite using codeine. Furthermore, I hope you visit with a doctor as soon as possible to get an ultrasound scan to find out if all is well.  You might also need an MRA and other imaging studies.  I hope this works. Take care and have a lovely day! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother has colon cancer and stage iv liver cancer. He is on his last round of chemo. Yesterday he was yellowish and today he is gray. Does this indicate liver failure? We know that that his chances are bleak, he has already had pancreatitis but could the chemo itself be shutting down liver? ### REPLY: Hello, Thank you for your contact to . I understand your concern. If I am your doctor I suggest you that yellowish color after chemotherapy and liver cancer stage four is the result of dysfunction of liver. As it is spread to many organs the chances of good prognosis is very low. But it is necessary to start and continue the chemotherapy. I will be happy to answer your further concerned can contact me. . Infectious disease specialist. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had my blood calcium test, and it was 178 which I was told was high. My other calcium was 10.3 which I was told is normal. I am being sent to a surgeon to potentially have my parathyroid removed. Are there no medications I can take to lower blood calcium? ### REPLY: Hello, Thanks for your query. Now about the treatment of the hyperkalemia, it again depends on the cause of the high level of calcium, you need to consult your physician and get some investigations done so that you will get to a proper diagnosis of cause and accordingly treatment can be planned. There are several possible causes of hyperkalemia. The first thing to do is to look at your diet and see whether you eat so much food stuffs that are XXXIX in calcium. If this is the case, then you may want to control it. Also, calcium and Vito supplement. In mild stage the treatment can be done by administration of oral .  I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi First time i have asked on line.   I am 47 this last year i have the following problems 1.  Hair loss lost more than half2.  decreased eye sight vision 3.  very sore tounge pins and needles every day sore throat and blocked ears4.  pain in my back which eases during day under rib cage 5.  feel lack of enery and generally downthanks mariaSHould i get a body scan..... ### REPLY: Hello, You are recommended to have a thorough medical check-up. Hair loss is commonly due to thyroid dysfunction, stress disorder, gluten intolerance, generalized weakness, or food allergy. Pins and needles or paresthesia commonly occur due to allergy to some dental procedure, xerostomia, food allergy, the side effect of any .  Your treatment will depend upon the pathology detected.  In the meantime, stay away from addictions if any, do regular exercise, take homemade food rich in calcium, protein. Take Toluene or Naproxen for a backache. Take Probiotics.  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: 5 foot 10, 180 pounds, 31 yrs old, no previous med history.    I was having sex with women on top felt a slight pop in my penis, erection went down, didnt finish.  Woke up the next morning with pain on right side 2/3 of the way up.  Its sensitive to the touch, no problems urinating.  Havent had sex or mastrubated since.  Happened last night. ### REPLY: HelloThanks for query. Based on the facts that you have posted it seems that you have sustained trivial injury to Tunica Albania during sex which is very common in woman on top position. I would rather say that you are lucky not to get fracture of penis. You need to consult qualified Urologist for clinical examination and get ultrasound scanning of penis done to assess the extent of injury. Take anti-inflammatory medication like Diclofenac twice daily for 2-3 weeks. It takes 2-3 weeks for complete healing till then ensure not to have any sexual encounter. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my wife is taking cyclacur to start to manage her period cycle. Since she swtiched from the white tablets to the brown tablets in the box, she seems to have started getting headaches in the morning after waking up ? is this being caused by cyclacur ? she is 42 years old ### REPLY: Hi, Yes, headaches are a common side effect of taking oral contraceptives pills like cyclic which usually improve over time. The white tablets contain hormone estradiol and the brown tablets contain a combination of estradiol and norgestrel (progestin). In case if headaches do not subside your doctor would prescribe a different type of pill with a different dose of estradiol and/or a different type of progestin. Take care. Hope I have answered your question. 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, im a 33 year old femal. Over the last month ive been having on and off chest pain accompanied by what feels like heart burn, dizziness, shortness of breath, pain on left side of my neck, irregular heart rate ranging from 72-187bpm, ice cold feeling on the left side of my entire body, tingling in my head and am extremely exausted. EKG, xray and eco cardio gram came back normal. Blood tests had elevated enzimes but they did not find a blood clot in my chest with the CT scan. Should i be worried? I dont drink, im not over weight, im very active and dont take any medication. I have always been very healthy till now. Please help ### REPLY: Hello. Thank you for your question and welcome to . I carefully read your concern. Well, I can see that, adding your age to the normal CT scan, echocardiogram, EKG, then we can rule out, with high probability, the coronary artery disease. What is concerning to me, actually, are the figures of heart rate that you provided. This may be a sign of an arrhythmia that can happen in those moments that you have a heart rate of 187 beats per minute. I would recommend you to be tested for thyroid function (blood TSH, T3, T4), also to be put on a 24-hour Holder rhythm monitor, to observe the heart rate throughout a day. I hope I was helpful. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name tomy sometime I feel dizziness . when I start dizziness im feel slow and confuse want to go bed and sleep relax when I sleep wake up I feel better but every day I feel and start the same . im cant remember much i meant like i understand people say short cut and can talk to someone that can you give me example im the one who slow talk cant remember much so can you help me ? every day i suppose to drink medicine but just help me control little bit i meant like my illness start i just know that i suppose to go bed but i embarres to hang out with friend cuz i know my illness easy to start anytime how can you help me stop this illness 100% ### REPLY: Hi thank you for a brief history of you. As you mentioned with dizziness and medicine part. let's come to the last line you mentioned - 100% cure of the illness. Well, there is a saying as you know - prevention is better than cure. So let's begin. It looks like your dizziness is troubling you a lot. For which I will advise you to meet a neurologist and get self checked. As neurologist will go through examination and come to a closer provisional diagnosis on basis of which the symptomatic treatment can be initiated. Also you may be asked to take MRI of neck and brain which will even get closer to diagnosis and accuracy of treatment will still improve. Along with this, I want you to try doing regular physical exercises. As EXERCISES improve the metabolism and the brain tissue becomes healthier. Exercises will even boost your cardiorespiratory endurance. You will also have a sound sleep and energetic mornings. With the grace of God I 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: RESPECTED SIR, I AM 85 YEARS OLD. BLOCK SPOOTS IS FOUND AT THE ANCLE OF MY LEFT LEG AND IT IS SPREADING NOW. DOCTOR SAID THAT THERE IS NO BLOOD CIRCULATION AT THE END OF LEFT LEG.THEY GAVE MEDICINES LIKE STILOZ 100 MG ,ECOSPRIN150 MG.NO CHANGE THE MEDICINES ARE BEING TAKEN FROM THE LAST 3 MONTHES. BUT IT IS OF NO  USE. PLEASE KINDLY SUGGEST THE CORRECT MEDICINES FOR THEE DISEASE. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have peripheral vascular disease or dome other problem.  You should go for Doppler study of both leg. Furthermore, you may have some deep vein problems also.  Treatment depends on site of block and stage of disease.  Go for the testing and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Lately Ive been having a hard time breathing out of now where.Its not that I cant breathe, its that I cant get a full deep breathe, which in turn leads to me feeling very dizzy like Im going to pass out. Im 25 yr old female..I do not smoke and I just had a baby 6 months ago. My husband is currently deployed and I do not know what I wrong. ### REPLY: HI I can understand your concern. Noted you are complaining you can't take full breath... Here you have some social issue also. So if you are taking excess stress then by panic attack such dyspnea can occur. So if you are taking stress try to avoid it. Regular exercise and yoga good for that. You can take behavioral therapy for it... Second if it is not stress related then I would suggest you to first get your respiratory examination from nose to larynx by rhinos copy and laryngoscopy ... Sometime this can be psychogenic cause. So for that psychiatric consultation done. Even if still cause not clear, to rule out restrictive disease pulmonary function test done... Hope your concern solved.... .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 upper and lower dentures held in place by wires attached to adjacent teeth, those teeth are loose and painful even when i remove dentures at night .am on steroid therapy for rheumatoid arthritis. is it the steroids or the dentures causing the loosening ### REPLY: Thanks for your query, I have gone through your query. The loose teeth could be because of the gum infection that results in bone loss. There in increased risk of gum infection and bone loss because the steroid causes decrease in immune response. Consult an oral physician and get a radiograph like OPG done to check the bone level and get your teeth cleaned. The denture stabilizes the other teeth. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I HAVE BEEN COUGHING UNCONTROLLABLY AT NIGHT AND AT TIMES DURING THE DY, IT CHOCKS ME AND I CANNOT SLEEP BECAUSE EVERY TIME I lay down I start coughing again what can I do to stop this. I happens at work and other places and people think I am sick but I m not. what can I do? ### REPLY: Thanks for your question on . Coughing especially in night can be seen in many causes but most commonly seen in 1. Cardiac diseases like left ventricular failure2. Asthma3. Lung infection. So I advise you to consult pulmonologist first and get done chest x-ray and PFT (Pulmonary Function Test) to rule out asthma and lung infection. Also get done ECG and 2D ECHO to rule out cardiac failure and other valvular heart diseases. Start antihistamines and get done these tests. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is manish. my doctors suggested my wife for follicular study. LMP 27-jily-2014. On 9th ro-(two-12.5mm & 12.8 mm) LO none, ET 5.o33 POD clear. On 11 th day Dominant follicle -15.4 mm second regressing (11.8 mm) ET 7.9mm . She has taken tab clomipure. is she fine. chances of pfregencnt ?? ### REPLY: Hi welcome to . I have gone through your question. Your wife s follicular study is absolutely normal and fine. On 11th day larger follicle is 15.4 mm and end is 7.9 mm is good. Generally follicles rupture at 18/19 mm size usually on 14/15 day if cycle completes in 29/30 days. Closure prescribed to stimulate follicles. So you have greater chances to conceive as far as these reports concern. 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 finger was hurting me so i thought i had something in my finger so i used nail clippers to try and remove the skin to see all i found was a small round area that hurt so i picked at it with a razor blade and eventually pulled a small white bulb looking sack out of my finger what was it? ### REPLY: Hello I have studied your case There is possibility of pulp space infection leading to swelling and pain on touch. So we can start antibiotic regime and look for results. You may need to investigate in form of complete blood count, ESR, CRP, Fungal infection can lead to pain at tip of nail. So I will advise you to consult an orthopedic/surgeon specialist and do require investigation. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i was bit on my finger by a dog. the bite punctured my skin, it has been bleeding on and off. i cleaned with peroxide immediately, but i noticed the peroxide says to not treat animal bites with it. my finger is starting to swell, i have not had a tetanus shot in about 11 years.  should i go to the emergency room ### REPLY: Dear Friend. Welcome to . I am . I have read your query in detail. Furthermore, I understand your concern. Yes, you should do following:1. To take Tetanus shot immediately2. To take Anti rabies vaccination - complete course3. If bite is very severe you might require ImmunoglobulinsThis is my best opinion for you based on available details. If you have any further query please. Stay Healthy. ChatDoctor, MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 15 yrs. Old and I am 6 ft. With a weight of 136 lbs. I have ADD and I take straterra and dexilant I hady appendix removed at the age of 4 or 5. My question is what should I do with the stomach pains after I masterbate I would love for them to stop but I also dont want my parents to find out about my stomach hurting after I masterbate bcse theyll think that every time I get a stomach pain, it would be because I masterbated. And is this also a medical condition bcse when I drink water the pain lessons..... ### REPLY: HI. The reason of pain on masturbation is prostatitis. You have to discuss this with your Parents if possible or in private with your treating Doctor so that an ultrasonography, Per-rectal physical examination and relevant blood, urine and semen examination can be done to get an appropriate diagnosis and treatment. Take plenty of water orally as before. Stop masturbation till diagnosis and treatment are complete. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had a drug eluted stent on sunday night and out of hospital tuesday afternoon.  in hospital i felt fine but now at home i feel drained and terrified something will happen to me.  the doctors said i was  fine to leave hospital but i am now worried i might need to have restenosis.  how would i know when/if i did need this?  Thanks. ### REPLY: Hello, You shouldn't be worried at all. You will have some chest heaviness for some days. If you are taking medicine regular then chance of acute stent blockages are less than 3 % so you should not be worried. One will have very severe Chest pain associated with profuse sweating, giddiness and symptoms similar to heart attack.  You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Greetings, i have baby girl she is 13 month and as i know she is struggling and cry every time she go for toilet, her stool is very hard some times i can see blood too. She is having this problem since she was 4 month and now she don t wanna go toilet 2-3 days. I need some help for my baby. Thank you. ### REPLY: Hi welcome to ChatDoctorIf I were your treating pediatrician I would like to know height and weight of your child and dietary history of your child. Most common cause of constipation in a baby is due to less dietary fibers, in that case giving a balanced diet will help. A thyroid profile is advisable if constipation persists. You need a history and examination by pediatrician to guide you regarding required tests if any. Lactulose or Filofax plus can be taken after obtaining a prescription from pediatrician. For pain during defecation Xylocaine jelly can be used to reduce pain locally. Hope I answered your query.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 have been having a whooshing sound during exercise only. Specifically when I am on the eliptical I hear it and it just started a few weeks ago. I never hear it in a quiet room to myself. I am worried because I have been doing the eliptical for some time now, although recently I increased my speed greatly, but I never heard the sound before. The sound is heard off and on through out the exercise. I am female, 19, 225 pounds. I used to weigh 278. I also have premature ventricular contractions and tachycardia. Please help me!!! ### REPLY: Hi Therefor concern is genuine, as you are telling that you are able to hear choosing sound during exercise which could be produced due to some incompetency of some valve of the heart which is a matter of concern. So keeping that in mind its advisable that you should consult a cardiologist personally to get a proper physically examination done and also an ECHOCARDIOGRAPHY to find out whether any valve is leaking. I wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have con in my small finger in the foot , i operated once a time in ksa before 15 years. now it has occurred again. and too much paining now. i have also problem of walking. so what do now. kindly give me advise thanks regards samuel bhatti. dubai. camp boss ### REPLY: Hithank-you for providing the brief history of you. As you have corn the pain is because of that. Looks like your feet muscles are weak and leading to corns frequently. I will advise you to undergo physical therapy and learn some exercises of the feet to make the muscles stronger. Also therapeutic ultrasound therapy should help reduce the inflammation and pain. In my clinical practice most cases with corns are treated with physical therapy, and they respond wellheads Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: How to get the periods immediately. Im supposed to get my next periods on th of december. Since ive irregular cycles im not sure whether i will be getting it on time. Since im getting married on 18th of decemeber im worried if i get periods during that time.So wanted to get th periods on time. could you please suggest me some homw remedies for it. ### REPLY: Increase physical activity by walking briskly daily for 30 minutes. This helps to improve blood circulation. Have warm foods like Jagger which are also a source of iron. If non-vegetarian, have meat and chicken preferably with lots of black pepper which makes it spicy and increases body heat. Keep yourself warm and sleep well at night. Disturbed night sleep also causes irregular cycles. Stay active throughout the day and avoid worrying too much as it will increase stress. Hope this works for you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I feel shortness of breath, combined with pains in my upper back. I don t know what is causing this. I went to cardiologist, had a thallium stress test plus an echocardiogram. I have also been to two different pulmonary doctors. None can determine what I have, except for a slight case of athsma. ### REPLY: Hello Rearward welcome to  I have evaluated your query thoroughly. 1) Here are the primary working tips with this narration for better outcome: *Deep breathing exercises *Walking in fresh air *YOGA *Balanced nutritious diet*Avoid stress and anxiety *No smoking or alcohol consumption *Continue medicines as per doctor's advise Hope this clears your doubt. Wishing you fine recovery. Welcome for any further assistance. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, didn t expect to get a real person, but since your are here, I will tell you about symptoms I have been having. I think they are panic or anxiety attacks, but who knows. I get a tight feeling in the back of my head that moves to my temples then down into my throat and eventually down the middle of my chest. I get very emotional when this happens and after all that, I can t catch my breath and my heart beats really fast. It usually goes away in 2 or 3 minutes, if I can sit down and concentrate on my breathing. I recently had an MRI and my heart was found to be OK......any ideas???? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  You are mistaken. We are human beings and are here to answer your queries. You can expect answer from a real person here. In anxiety attacks, obsession with a thought brings anxiety symptoms and then comes emotions. Before the symptoms comes, there is always apprehension. Anxiety attack or panic attack is always an after effect of anxiety. What is your reason for anxiety? Any fear, stress, molestation, health related worries? Find out and you shall get the answer. The answer shall help cure your condition. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: semen in urine i am 20 years old male medical student studing in pakistan medical history is good execpt recurrent tonsilitis family history of hypertension diabetes high cholestorl. never had sexual intercourse (virgin) i am experiencing semen in urine since 2 years. when i masturbate semen doesnt come in urine till one week after that it comes in urine sometime i feel burning sensation at the tip of urethara ### REPLY: Degree understand your concerns went through your details. You said "when I masturbate semen doesn't come in urine till one week after that it comes in urine". That is natural. Semen is produced whenever you are sexually excited. Produced semen is stored inside your body. Stored semen is a waste product now and body needs to throw it out if it is in excess. When you masturbate, naturally, the stored semen is removed. If you do not masturbate for long, body needs to throw the stored semen. Therefore, body find its own way either through urine or through nocturnal emission. Nothing to worry. Burning sensation could be different issue. Burning happens because of inflammation or infection.  .  If burning persists, consult a doctor. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. 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: If I have had two chest xrays in the past four months that were normal, and two complete blood counts, including metabolic panel...and my organs ultrasounded...but still have a pain when I move a certain way on the back upper right side of my back....where my liver would be....that I have had for two years...doctors keep saying it is muscular...but it never goes away and I am a ballet dancer...I know my body well...should I see a doctor? ### REPLY: Hello, Thanks for your query. The fact that your pain is occurring with movements indicates a muscle strain. Any strained muscle when stretched gives severe pain. Now after 4 months if pain is severe, I would suggest getting this evaluated by an orthopedic for an accurate diagnosis and appropriate management. You may get the MRI of the area affected under his/her guidance do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother has had a flu for three days with a very high fever . He is a 25 year old very healthy and in great shape, eats healthy and works out regularly. His fever was 39 C consistently. Yesterday morning he attempted to go use the washroom and he fainted for a few seconds. We called 911 and he was taken to emergency room. After running the first blood test the doctor said his platelets count was shockingly low 112. He said it could be caused due to the flu virus but could be bone marrow or liver . He performed another blood test and found that INR was high 2.03. He never mentioned anything about bone marrow again. I should mention his white blood cells and the rest of his blood work was perfect. The doctor said he ran further liver tests and they all came back perfectly normal. He will be going to see a specialist in the next few days but does this sound like it could be due to a flu? Thank you. ### REPLY: Thank you. Only low platelet count with normal other hematological test should be evaluated thoroughly. Low platelet count may be occurred after some viral fever particularly dengue and other viral hemorrhagic fever.ITP may be considered though this is common in female. Liver function is normal, and no abnormal cells is found in blood film. You can repeat platelet count after fever subsided. Wait for the specialists' opinion. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 want to get pregnant i am 36 yrs old an i have stopped the depro shot in feb this year but i have not seen ant signs of ovulation. although my last period was at begining of april and only light and went for bout 10 days i normally go for bout 3 to 4 and have not had period since ### REPLY: Hallow Dear, You seem to be in dilemma. You have missed period or have light period and hence are not sure whether you are pregnant or not. Secondly, you want to be pregnant. Let us discuss your issues one by one. If you have not got periods after April episode, by now ultrasonography will definitely detect the pregnancy if it is there. Now it is 4 months since you got your last period. So even you can feel the growing uterus manually over the abdomen below the naval. Please try to get the possibility of pregnancy detected scientifically, by urine pregnancy test and/or ultrasonography. As I mentioned earlier, physical examination by Obstetrician also will be sufficient to diagnose the pregnancy. If you are not pregnant, and want to be pregnant, you have to follow certain ordeal. First get your partners' semen examined to assess his sperm count and normalcy of the sperms. Also try to locate the day of your egg release (ovulation). Serial ultrasonography from 9th day of cycle is the best way for this. When the ovulation takes place, utilize that day for your marital relations. Give it a fair trial. If you do not see ovulation, you will have to report to Gynecologist for its management. In spite of ovulation and fair trial, if you fail to become pregnant, get proper assessment of the patency of your tubes done by laparoscopy or hysterosalpingography. This is a broad outline for you. Hope you will take Gynecologist opinion for the details. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently started developing small red bumps on my arms and it s spreading to my shoulder blades. They are about the size of a mm and have yellow or white liquid in them. They are a little painful. I am sensitive to allergies and I m wondering if they are an allergic reaction or bug bites ### REPLY: Thank you for your query. The bumps seem to be vesicles Would you please clarify a few things for me? 1)have you had chicken pox /varicella? 2)do you see any bite marks on the affected arm? 3)have you been outdoors, camping for instance? Was there any contact or exposure to poison ivy or oak? 4)are you on any medications? 5)did you have any pain., itching or tingling on the affected area before the vesicles appeared? 6)are they limited to one side of the body? Herpes zoster /Shingles start out as altered sensation on the skin (pain/itching/tingling)with redness, usually on side of the body and limited to a specific area. It occurs in those individuals who already had chicken pox, by the reactivation of the virus that remains dormant in the nervous system. This then progress to form vesicles which appear in cluster and is filled with clear fluid which may become infected (pustules). The pain is usually severe. This resolves. In a couple of weeks although the scabs on the healing vesicles may take longer to disappear. Poison ivy or oak may cause this lesion. Intense pruritic (itching), pain and redness of underlying skin occurs. Allergic reaction will usually have a trigger (known allergens like insect venom, certain food items, medications for instance) and will result in a generalized (all over the body) rash (without fluid), unless it is contact dermatitis (in which case it will be localized to the area of contact with the allergen). Bug bites can be identified by bite marks and may resemble an allergic reaction (if you were already allergic to it) or it may have a reaction limited to area immediately surrounding the bite. Certain systemic infections may cause cutaneous manifestation. I recommend you see your physician/dermatologist who could assess, diagnose and treat it. Do not apply any OTC medications without consulting your doctor. Some of these contains corticosteroids that will worsen the rash if it is an infection. Keep the area clean and .  If the rash or pain is too severe, fever more than 102F occurs, or any worrying symptom like lethargy, severe headache, giddiness is present, go to the ER right away. Hope this helps. Please feel free to contact us if you have any questions. Wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have epilepsy - have had it for 15 years. It is under control  taking Epitol. I am looking to lose a large sum of weight over next 7 weeks. I want to lose at least 20 lbs. Ive already lost over 60 in last 6 months with training and diet. Now looking to us some form of supplement to enhance results. Can I use Apidexin safely? What are the risks? If not, any other supplements I can use safely to get results I want? ### REPLY: Hello, Thank you for trusting . Good job on the weight loss progress you have already achieved. I don't recommend using any of the weight loss pills on the market for healthy individuals, and for sure not for epileptic patients. So don't use it or any other weight reduction pill. I would recommend green tea 3 cups a day, as simple as it sounds, but it was shown to help with fat loss, and it is natural at the end of the day. Keep up the good work. Best regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a bruise on the base of my spine. It has been there for many years. I suffer from extreme back pain and went or a massage the other day. The masseuse asked if i had a spinal tap or epidural as the mark is consistant with that. I know that i havent. What ould it be? ### REPLY: HI THANKS FOR POSTING YOUR QUERY ON . I WOULD LIKE TO TELL YOU THAT FEW SPINAL INJURIES CAN PRESENT LATE, MAY BE AFTER FEW YEARS AFTER THE INITIAL INSULT.THE THING TROUBLING YOU CURRENTLY COULD BE MOST LIKELY A "MISSED/PROLAPSED INTER VERTEBRAL DISC".THIS CAN IMPINGE ON YOUR SPINAL CORD AND PRODUCE SYMPTOMS LIKE LOW SEVERE BACKACHE, TINGLING,NUMBNESS, PARESTHESIAS DOWN THE LIMB.YEARS LATER THEY CAN ALSO PRESENT WITH BOWEL AND BLADDER DISTURBANCES. I SUGGEST YOU AT ONCE THAT YOU UNDERGO AN EARLY MRI(MAGNETIC RESONANCE IMAGING)OF LOWER-LUMBAR SPINE TO ASSESS ANY TRAUMATIC CONTUSION TO THE CORD/HEMATOMAS/SLIPPED DISC/VERTEBRAE.IF FOUND THEY HAVE TO BE TREATED SURGICALLY.MEANWHILE I PRESCRIBE PAINKILLERS LIKE TRAMADOL TO REDUCE YOUR PAIN.CONSULT AN EXPERT NEUROSURGEON AT THE EARLIEST.THANK YouTube 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: II have been sick over a month. My right side hurts, my stomach hurts, if i get up and give around i feel like my stomach is lighting you and its hard for me to talk. Had ultrasound done yesterday waiting on the results. My head hurts alot and Im very tired. My muscle are achey and i just feel bad all over. Any ideas what could be wrong with me. ### REPLY: Hi! Good evening. I am  answering your query. From your history, it seems that you have got some kind of infection in your abdomen which is causing you pain and might be fever due to which you are feeling week and your muscle aches. However, it would not be possible without a clinical examination of your abdomen along with the ultrasound report to diagnose the problem. Therefore, I would advise you to see a general surgeon along with your ultrasound report for further management. Till then, you might go for a proton pump inhibitor and an anti-inflammatory . I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I got the mirena on may 15th, 6 weeks after having my baby, so about 6 weeks ago. Its down to minimal bleeding but a dark long string of blood comes out every now and then. I am also losing ALOT of weight and am hardly ever hungry. And have been having stomach pain(but I think that is from not eating) anyways is it normal to have really long dark strings of blood come out? ### REPLY: Hi, Thanks for the query. Usually some amount of spotting can be seen 4 to 6 weeks after delivery. But the dark blood you are seeing at present could be due to IRENA side effect. If the bleeding continues, better to consult gynecologist once and get examined. You may need one ultrasound also. Then you can take tablets to control the bleeding and possibly the menstrual flow will get regularized in next cycles. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my six year old son has been complaining of his heart hurting the past couple of months. He does have asthma but has not needed his inhaler for months. No shortness of breath. He started playing tball a few weeks ago (the pain started before) and a few hours after his game the other day was crying in pain. We figured a muscle strain but then thought about the fact that this isn t the first time he has said his heart hurts. He does not and has not been sick during these complaints. The morning after his complaint the other day after T-Ball he complained the back of his neck hurt. He slept 8 hours that night but an hour after being up was fatigued and fell asleep in the car. He woke up from napping screaming in pain that his arm hurt. After 5 or 10 minutes he was fine. We have another son with Congenital Heart Disease so we do have a family history of heart disease. Hoping it s nothing. Could be his asthma or possibly acid reflux maybe? Sleep Apnea also runs in the family as well as diabetes. ### REPLY: Hi dear, I had gone through your question and understand your concern. You should be worried, but not too much. Actually reflux can cause pain behind sternum and can because of asthma. I suggest:-Coastal syrup 6 ml 3 times a day,15 -30 min before meal for increasing bonus of sphincter of stomach, take during 1 month, repeat course 2 -3 times in a year.-Perform ultrasound of heart to exclude pathology of heart, control ECG and BP. Hope it is answered to your question. If you have more questions, then don't hesitate to call us, I always ready 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: what cause a shock down the left arm? i have been having a feeling like being shocked down my left arm and afterwards numb ness. Also i have the shock down myright leg into my gentials with no numbness. when i have the left arm numbness i have a lot of pressure on my chest. ### REPLY: Hello! Welcome on ! Your symptoms seem to be related to a pinched nerve or nerve compression. The fact that these symptoms occur in your left arm and also in your right light is a little confounding. Nevertheless, I would recommend performing a cervical spine X-Ray study and a nerve conduction study, in order to exclude a possible pinched nerve. An EEG may be also necessary to exclude possible partial seizures, which can lead to similar symptoms. Hope you will find this answer helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was in the pool and my friend got on my shoulders and he fell front ward and my neck got yanck under the water with him on top and it started hurting on the right side of my neck but not like excruciating pain. So the latter today I pick my brother up on my right side not remembering I hurt my neck and right away It felt like it craked so I throw him off my shoulders and it hurts really bad, do you think I just pulled a muscle, or should I see the doctor ### REPLY: Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you had a neck injury it is always recommended to have a clinical assessment and also an MRI if needed. Post the injury after 2 days if the pain is high then it could be a matter to look for. As most Injury respond with swelling if muscular but if it is pinched nerve than there will be only pain with no swelling. Taking an MRI will help us understand better the scene and allow the further course of actionUsually patients required physical therapy like therapeutic ultrasound therapy and TENS therapy along with neck and shoulder muscle Strengthening exercises. In my clinical practice such cases are of pinched nerve and respond well to physical therapy. With 7-10 days of physical therapy improvement is notice .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 an upper respiratory infection that seems to be lingering. I have been taking amoxicillin, 500mg. for 4 days. I do feel better but still have a lot of congestion. The nasal mucus has gone from being quite thin and clear to much thicker and greenish/yellow. I am concerned I am not getting rid of the infection. What do you think? ### REPLY: Respected user, hi I evaluated your query thoroughly.* Usually upper respiratory tract infections are airborne through atmospheric bacteria / virus / pollen / tiny dust particles.* Recovery part depends upon the causative organisms, host immune response, type of treatment, associated comorbid conditions etc.* Better to get consulting with your doctor to get early rid of infection & congestion. Hope this clears your doubts. Thanks for using  & keeping trust in our medical services. Wishing you fast and speedy recovery. Welcome for any further issues. Regards dear take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 3yr old kid with high grade fever given meftal p thrice daily still fever coming 4hrly on 5ml high grade 101 and cepodoxime syp on day one with trixylix on 14aug 14 on 16 fever shot UPTO 104 INSPITE of treatment only new problem was mild cough so started on azithromycin syp stopped thrice daily administration of meftal p but 17th morning fever shot UPTO 105 admitted started on ceftriaxone nasal bleed with running nose started for 24hrs fever still 4/6hrly 102 max 18 cough increased nebulization started new issue vomited thrice on 18 August .two blood reports on 16aug showed WBC of 25thousand high neutrophils 17 August showed 17thousand decreased so did neutrophils . ### REPLY: Thanks for posting on . The fever is caused due to an infection and the blood counts indicate that the infection is of bacterial origin. The reduction of WBC count indicates that the child is responding to the antibiotics and the dose needs to be continued further. Please note that the dose of azithromycin is once daily and not thrice daily. Meftal P contains paracetamol and is meant to control the fever. The temperature needs to be controlled either with medicines or cold sponging or both. Else, high temperature can cause damage to the brain. So the medicines for control of fever need to be continued as required. Nebulisation helps in dilating the airway tracts and diluting the cough. So it provides relief and needs to be continued too. Overall the treatment is on the right lines, and you need not worry. Hope that helps. Feel free to revert in case of further queries if any. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have noticed a hard lump on inside of my lower right leg which appeared a few days ago - it feels about the size of a pea! It looks very darkish in colour. I do suffer with varicose veins and have had a two ops many years ago stripping the veins! I have no pain with the lump and no tenderness. ### REPLY: Hi, I can understand your concern for the recently noticed a hard and dark lump in lower leg and varicose veins. After reading your query it appears to be swelling related to varicose veins only. There is swelling of vein and formation of lump on chronic standing or due to more pressure in the veins. The vein can swell up and gives a lumpy appearance. Do not pinch, pop or scratch or even touch the area unnecessarily as it can cause aggravation of the rash. Do not even try to see the area and touch it again an again in anxiety. I further suggest you to meet a surgeon at the earliest possible so that it should be managed best. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...how long does a person usually have with stage four and it has alreadyspread to lymph nodes.chemo and radiation he cant take because his body reacts to it.told him to get affairs in order ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Life expectancy and prognosis depends on site and type of cancer.  However, it is stage 4 cancer, so prognosis remains poor irrespective of type of cancer.  Chemotherapy and radiotherapy is only palliative treatment.  It can not cure the disease.  Overall life expectancy is very low. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 16 years old. I hurt my knee 3 weeks ago playing soccer and the doctor just said it was a small sprain. It still hurts today and I feel like my knee is going to give out while walking up and down steps. It also hurts when I stand up or when I m bending my knee while laying down. It s my right knee in the central left side of the knee. any idea what this could be? ### REPLY: Hi, You have an internal injury of the knee caused by a twist injury while playing soccer. In addition to the ligament on the sides of the knee, there are cartilaginous discs inside called menisci and a ligament which connects the two bones of the knee. As you are having a giving way of the knee, its possible you have an injury of this main ligament. An MRI is necessary to study the internal aspects of the knee and physical exam of the knee. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 16 year old son is feeling a strange sensation on the right side of the top of his head....sort of a pulsating feeling....he is very worried that something is wrong...he has no pain, he says it just feels abnormal....I told him he needs to be able to explain it better if he is going to go to the doctor....have you ever heard of this? should I take him to the doctor? ### REPLY: Hi, This feeling of pulsation in the head can be due to various reasons. It may simply be due to stress, anxiety or fear or sometimes lack of proper sleep. Even anemia (reduced hemoglobin), prolonged fasting or low blood sugar can cause such symptoms. Sometimes it can be related to other medical conditions like thyroid or heart or arthritis (blood vessels). I feel first let him have a good diet and a good nights sleep. Let him relax a bit esp if he is too much into studies. You can even talk to him about any kind of anxiety or stress he is facing at school or with friends. If still the symptoms persist then do go some investigations like complete blood count, TSH, sugar levels, electrolytes and ECG. Then we can have exact diagnosis. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MY MOM IS 64 YRS. SHE HAD LEG PAIN AND SLIGHT SWELLING REDNESS PAIN AND temperature around 100.2F. swelling & redness decreased though. she has 7000 COUNT FOR WBC which is normal and 9.6 for CRP which is supposed to be only 6.0. she has ESR 92.because she has normal WBC and high ESR & HIGH CRP does this mean she has cancer? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She has very high ESR and slightly high CRP. Both other are suggestive of some inflammatory disease. High ESR can also be seen in tuberculosis, anemia, autoimmune disease, paraprotienemia, malignancies etc. However, chances of malignancy are low.  She should search for the cause of high ESR and then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve been having some dull achy pain on my right side under my ribs. It comes and goes. I stopped alcohol and smoking over 2 weeks ago. I ve got insomnia and have been taking one Tylenol PM every night for sleep. My stool was yellowish, not very solid this morning. What should I do? ### REPLY: Hello, As mentioned in history about the old habits of alcohol and smoking which is stopped past two weeks and now the symptoms of pain on the right side of the upper abdominal region I would advise you to first get few things done.  Get an ultrasound abdomen done along with an x-ray chest, a blood routine and a urine routine. Since there shouldn't be any major stuff to understand by the exterior view.  It is always good that a proper examination is done with some diagnostic procedure to rule out the pathology related to the liver or some other organ. Rest assured, once you follow the steps of advice things shouldn't go bad. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 8 months postpartum, I got my first postpartum period on July 6, and then another period 2 weeks later, and then again 2 weeks after that. My CNM switched my birth control 2 weeks ago from the mini pill to regular birth control since I am no longer nursing. For the past month I have had brown mucus-like discharge. Not heavy, and not constant. Sometimes it will skip a day. What could this be due to? ### REPLY: Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. . .(MBBS, MS,MCH) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 90 year old aunt complains of being very itchy all over and she scratches herself raw. Weve used Vaseline Intensive Care, but its not very effective. Weve moved on to Aveeno for itch relief, and its better, but not great. I was thinking about Calamine Lotion but dont know if it can be used daily? She doesnt have allergies to the ingredients. And I also wondered whether the Calamine can be mixed with another lotion for daily use. Thank you. ### REPLY: Hi, welcome to  forum.  The causes for itching in the old age may be scabies, eczema, psoriasis, or lichen plans or urticaria.  I advise you to consult a dermatologist for diagnosis and treatment.  I usually prescribe to my patient with such symptoms levocitrizine, montelukast, grisofulvin, and penicillin V, and permethrin soap, and ointment for local use.  Furthermore, I also advise you to avoid the things which are allergic to her, they may be fish, prawns, clothes, wool etc. 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: i am 42 years old and suffering with OSMF problem in my left side of cheek and paid in tmj in the same side and also pain in ear.  i am not able to open my mouth less than 20 mm and day by day my mouth opening is reducing and when i am trying to open my mouth pain is comming in below ears neck .  please suggest me good doctor in hyderabad to solve and give treatment for this problem and also suggest me medication for this problem and any further tests have to undergone for this severity.  -  V.Murthy ### REPLY: Hello and welcome. Thanks for sharing concern. Oral sub mucous fibrosis can be treated by giving intraluminal steroid injections and continuous follow up is required. You can meet any oral and maxillofacial surgeon in your city of choice, as it is curable.Also, please discontinue habits like tobacco chewing or smoking(if you have).for pain in TMJ you can take Coquitlam SOS. Also an x-ray can give you the exact picture of your TMJ.Therefore, it requires visit to oral surgeon for evaluation of present state, and accordingly it can be treated. This should help, for further doubts please let me know. ThanksTake care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I have had a sort of period thing.. for the past 6 weeks. it happens every two weeks and for half a day. its brown light and hardly there. I called someone who said i could be pregnant. and i took a digital clear blue test and it came out positive. but then i took 3 other simple ones and it came out negative. im not too sure? ### REPLY: Hello dear, I understand your concern. In my opinion in case of pregnancy any test should show positive. I suggest you to repeat the urine pregnancy test. This time under doctor supervision. If the test is positive there is likelihood of pregnancy. And the brown spotting can be due to hormonal abnormalities like progesterone insufficiency, thyroid abnormalities, abnormal pregnancy etc. If the test is negative there might be hormonal imbalance which is causing the symptoms. So avoid stress. Relax. Trying the urine pregnancy test first morning urine sample might be helpful.Also, serum BChatDoctor test might be done. And to confirm ultrasound is needed. Hope this helps. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello i am ridhi, i want to ask about my mother disease, my mother is suffering from calcified focus granuloma (Brain) disease. she is taking medicines since many years but no improvement found. Recently in CT scan report again small calcified focus is seen. Should we worried about it ? Please take your advice & what treatment should be necessary for removing this serious disease as soon as possible ? ### REPLY: Dear patient. Greetings from  !!!  I am  and shall be answering your question. I can understand your concerns about your mothers' granuloma in the brain. Furthermore, I will try my best to answer your question and guide you through it. Calcified granuloma could be from CNS tuberculosis. This needs to be treated with anti tuberculosis medicines for 1 year. The granuloma usually shrinks in size, but it may not resolve completely. Another possibility is of a neurocysticersosis. This is treated with albendazole and steroids for a period of 14 to 21 days. The calcified lesion should shrink in size with treatment. An ideal way would be to do a brain biopsy. However if the granuloma is located deep inside or around the vital centers, this is not feasible. I would like to know more details of your mothers MRI brain, history of treatment given, symptoms currently if any. I hope this helps you out. If you have any more questions, please do not hesitate to write back to me. Yours sincerely, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Doc! I have since the last year have been experiencing slower blood rate. Which is If i raise my hand, within 10-15 second, I get a prickly feeling. Also if i sit cross legged for 3-5 mins, legs go numb. Also have notice my memory is become very weak? cannot remember things that I heard 3-5 seconds ago. Are these related, and what do you reckon is the problem. I am a 37 year old male, above average weight, not obese. ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. It appears you are showing possible early neuropathic changes. Possible calcium or potassium deficiencies can also cause this. 2. Conduction studies along with serum calcium and potassium is necessary. A thyroid hormone profile is necessary to rule out hypothyroidism.3. Take food rich in calcium like reign and calcium supplements. For potassium, avocado, fish, pulses, banana should help. 4. If nerve conduction studies are abnormal, It B12 supplements is necessary. Initially an infusion might be necessary to correct at the earliest followed later on by oral medication. Avoid alcohol.5. Have a nutritional diet and maintain an active life with moderate exercises. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my pet dog licked my wound on 1 st April 2012 around 10 : 30 pm i have  taken 1st dose of Rabipur on 2 nd April 9:00 pm 2nd dose on  3 rd day and 3rd dose on 7th day and 4 th dose on 14 day due to miss calculation  i had taken my 5th dose on 21 st day not in 28 th day.. is there any problem with vaccination ...  my pet is healthy having no change in behavior.... one more thing last week on 30 th April 2012  again i was encounter with street dog whom i accidently i walked on his tail  dog ran away i am not sure whether he bite or licked me  . do i need to get rabipur vaccination once again . Please help i am very much worried ### REPLY: Hello and thank you for your question. You are probably not at much risk. If you are concerned there are two things you can do. You can ask your doctor to get a rabies tier. This is to make sure that you still have antibodies against rabies in your system from the last set of vaccinations. You could also get a booster of the rabies vaccine. You would not need to whole series, just a one shot booster. People who are at high risk of contacting rabies will get a booster vaccine about every two years. Thank you for using  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter 13 started complaining of an itchy patch below her lower lip 2 days ago. The next morning her lip was swollen and there was a pimple with a white head in the same place. She applied heat and popped the pimple to releive the pain as it felt very tight and painful. She took ibuprofen to ease pain and swelling. This morning her lip was really swollen again and pimple is yellow, applied warm cloth to it again and now it seems to be weeping, and red. What is this? ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have itchy patch and swollen lip don't worry it can be due to infection in tooth there can be formation of periapical pathology sinus opening. Consult dentist and go for investigations IOPAXray if there is periapical infection then go for Root canal, restoration of tooth.  Do warm saline gargle two - three times a day. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: mam i am a 20 years old boy and i want to discuss with you about my behaviouras i am too confuse in taking even small decisionsi also loose my temper and turn aggresiveand also irritate soon i also consult to neurologist and he tells me that about a conditioncalled brain atoropy as iand he told that i think like avery intellegent 40 year old person and my brain runs fastbut i just dont know about how to control my aggresive behaviouras it turns so aggressive that my heart beat and my blood pressure rise certainlykindly diagnose me the cure ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Please forget about brain atrophy. That has nothing to do with your problem. And no neurologist will tell you like that. You are youngster. You have vibrant brain. Your brain is so creative at this age that it cannot sit idle. If the brain (or you) are unable to find challenging activities suitable for its creativity and vibrancy, brain becomes lazy and stagnant. Such a stagnancy leads to dissatisfaction. This leads to aggressive behavior and anger. SIMPLE. Therefore, change you way of living. You are 20, and you have a lot of life in front of you. Do something so that your future becomes bright. Be active, vibrant and creative. YOUR PROBLEM IS SOLVED. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, about 5 months ago I started getting terrible pain in the arch of my left foot where the heel meets, now the top of my right foot and the same area as my left is having horrible pain as well. I am a medical assistant, on my feet regularly, I have gained an unusual amount of weight in the last year due to another medical issue, could this be due to the weight gain or have I acquired flat foot? :( ### REPLY: Both possibility are considered yet if you are seeking treatment I suggest a quick test stand on your heels toes up in Doris flexion while leaning forwards for 1 min, if pain improves then u need to wear an arch and lose weight along with professional physical therapy to shift weight from heels to toes again if that test does not help then you should consider the possibilities of stress fracture or trauma from long periods if standing Hope I could be if help Good Luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had quintuple bypass surgery May 12, 2014. My echocardiogram on July 8 shows no change - my heart is still pumping 35% as it was prior to the bypass. My blood pressure is also still elevated and medication is not controlling it yet. I realize I have coronary artery disease and while still in the hospital congestive heart failure was discussed. I am wondering what the typical life expectancy is as I do not know if I should elect to file for disability and retire. I am 60. ### REPLY: Hello, I have gone through your question. Let me tell you 35% ejection fraction is moderate dysfunction, and you should not worry too much about it. But you must control Blood pressure properly .your BP must remain below 140/90.as you have not mentioned your present medication I can't guide further. For your coronary artery disease you already have bypass. So continue all medicines and control BP as suggested. I would be happy to guide you further if you furnish all the details. My 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: Bleeding&painsim a 20yr old lady. Ive been having this pains in the lower left part of my belly. It started a week ago with stomach ache&stooling after which i used flagil tablets to stop the stooling. It got worse&i started bleeding. I was given buscopan&drugamol injection in the hospital alongside primolut tablets. Ive been using the drugs&felt better not until yesterday that the pains &bleeding started again. I need your help ### REPLY: Hello, thank you for your query. You seem to be suffering from acid peptic disorder(maybe with amoebic colitis). Get your stool tested for the same, and whatever the result, treatment would be according to that. If that doesn't help either, you should go for colonoscopy & gastrostomy. Also are you suffering from constipation?Meanwhile, take pantoprazole daily once empty stomach, and if constipated, add a mild laxative. If the pain is severe, then you can take an anti-spasmodic +antacids SOS. Try not to be empty stomach for long. Include lots of fiber in your diet along with plenty of oral fluids. Take small frequent meals instead of three major ones. Hope this was 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: Hi My name is Noel, I had surgery on my right side rotator cuff in 2012 . It healed O.K. and my shoulder got back to normal. In April of 2013 I feel down my stair case and crushed the same rotator cuff and the Dr. had use anchors, screws and skin on the tear. I just found out last week that I have torn it again but the screws were still in place. Will the DR. have to make a large incision again, or might he be able to do the small ones. I was also told that I would need a nerve block prior to surgery. May I ask what that is. I have M.S. and my right side is affected the most with it and Im right handed ### REPLY: Hi, as you had a history of survey in the past for RCI, meeting the same person for the same reason will be advisable. Taking a scan to check which muscles need attention will be easy to plan further. Also certain times there are chances to regain the strength and mobility back without surgery too. I had a patient with RCT with two muscles. She was advised surgery at 67. But we worked out well and she don't need surgery. She can lie 20-30 KGS of weight. No pain and full mobility. You should try a physical therapist who can help you with your complaints. You can discuss the same with the surgeon. With the grace of God I wish you a speedy recovery ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, Few days before, i started having severe pain on my left side of my lower abdomen and i consulted a dr. He did all kinds of checkup and gave the tablet colospa retard. After having this tablet for 3 days, iam ok. Why did he give me this tablet? ami suffering from ibs? i have googled around a lot and understood that this tablet is for people with ibs. Can this medicine cure muscular congetion?? pls help me thanks dee ### REPLY: Hello! Thank you for the query. IBS is not any specific disease. It is more a group of symptoms which reason can not be found (as present medicine still does not have many answers). So in other words IBS means "We do not exactly know what is causing your symptoms". Colo spa (Mebeverine) is a medicine which affect smooth muscles of gastrointestinal tract relaxing them without impeding bowels movements. Most of the abdominal pains are caused by muscles spasm, so you may find it effective with severe pain what does not mean that you have an IBS. Lower left abdominal pains is very often caused by diverticulitis (especially if you do have chronic constipation). It can also appear due to urinary tract infection, left ovarian cyst or infection, inguinal hernia.  If all these diseases has been ruled out (with colonoscopy, abdominal ultrasound, transvaginal ultrasound, urinalysis and blood work) you may be suffering from IBS. IBS in some part of cases is caused by chronic bacterial infection, therefore Rifaximine treatment can be very helpful. Hope this will help. Regards. ### END