Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, I am trying to conceive for my 2nd child and my age is 26. For my first child, since I had PCOD my Ob Gyn prescribed Clomid and got pregnant in the first month itself. But now, I m with a different doctor and she prescribed duphaston for the past 3 months. I did not conceive and this month she asked me to take anasom tab and continue to take duphaston. Will I get pregnant this time. Also please let me know why clomid for first time and anasom this time. Which has more success rate in pregnancy. Thanks ### REPLY: Hi, closed and analog both are .  There is no major difference between the two.  So, you can take analog also. You can track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months.  Hope I have answered your question. Regards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have Hep C. I am treating it with the triple therapy peg-interferon alpha 2b, ribavirin and Victrelis. I have had four undetectable blood tests come back, and only 7 weeks left of treatment! Thats very exciting news for me, now I am so worried about my 13 year old son. Should I get him tested for the virus. What is the percentage of children born to a mother with hep c actually getting it and the virus becoming chronic? Please help, I am really in need of a correct answer. Thank you. ### REPLY: Hi, Thank for choosing , I really understand your worry, as matter of fact you should go for testing of your son, as the chances of infection of hepatitis virus from mother to son is more likely, I said more likely but not always, it is all depend on the immune system of mother if she has good immune system then the chances of infection is minimal, so it is better to test your son, take care of your family, Have good day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son is two yr old nnow m pregnent,he only take mother feed n some other food by choice n only 10 kg in weight he z v week his appetite z poor tell how to increas his weight n convince for bottle feed nt mother feed n he dont speak clear words except mama papa just ### REPLY: Hi... Thank you for consulting in . I take this opportunity to tell you certain scientific facts and relieve your distress -1. An active is a well kid even if she/ he is not eating well.2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause . 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 diagnosed with typhoid with titer of 1:80. I completed 14 days of cefixime 400 mg twice daily and ofloxacin 300 mg along with antimalarial arthimeter. As I completed the course use to get fever upto 99 degree Fahrenheit til the 10 days no fever during last 2 days of antibiotics. But again after 2 days after antibiotic started 2 get fever once a day upto 100 degree Fahreinheit. (The titer was 1:160 on the 14th day). why I am getting fever again and what is the further treatment. ### REPLY: Hi welcome to the  You have been diagnosed with typhoid You have not recovered fully after antibiotic treatment Hence here antibiotic resistance should be ruled out Culture study will be beneficial for that If definite resistance than azithromycin can be prescribed Avoid heavy fatty meals and fried foods Fruits juices will be beneficial Avoid excess spicy foods... Small meal taken with frequent interval Take care Consult physician for examination with keeping all this in mind 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: My 2 year old woke up screaming last night. I changed her bum (because she had pooed) and noticed that her bum cheeks were bright red raw and looked very sore. It obviously hurt her while I was wiping her bum. I put cream on her but the problem is still the same today. It doesn t look any better. She has not had this before and wondered what could have caused it and what I can do to fix it. I m not sure whether this is relevant but she ate peanuts yesterday at a party which she doesn t normally eat. ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid 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: Good night earlier around 5 I checked my grandfather glucose and it was 435 but he had just ate and right now 10:35 I check it again and its 360 but he drinked a little coffe at 7 what should I do his has normally been elevated since his last Doctor visit so they took him of his glemiperide since his been doing good .but what do you recommend for me should I  give him 1/2 a pill or rush him to the hospital he said he feel fine no pain and his breathing fine and everything else looks fine. Thanks in advance ### REPLY: Hello, With the blood glucose levels you mentioned, he needs to take antidiabetic .  I would recommend getting HbA1C blood test done to see the diabetes control over the last 3 months. What is the weight of your grandfather? If he is overweight or obese, I would recommend starting him on metformin (and only if his liver function tests are normal). The dose I would start my patient on with similar blood glucose readings will be 500 mg three times a day with meals. If his weight is normal then I'd recommend resuming Glemiperide and the dose I would prescribe to my patient of the same age group would be 1 mg per day. After a week of regular use of medicine and with continuation of medications, he can get his blood glucose level checked 6 times by a glucometer, before the three meals as well as 2 hours after the three meals and according to the recorded blood glucose levels the medicine dose can be adjusted. Please do meet the treating physician of your grandfather for further evaluation. 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: Have lumbar stenosis that is getting worse and seeing the doc Thursday but, wondering how often should I rest to take the pain away per day. I mean, I can t walk 30 minutes without wanting to sit and really don t like to stand. I know they (docs) want me to keep moving but, some days all I want to do is sit. So can you give me a rule of thumb to follow? Sometimes if I elevate my feet for awhile I am much better other times not. ### REPLY: Hello! Welcome and thank you for asking on ! I can understand your situation. Difficulty walking for long distances is a typical feature of lumbar stenosis. For this reason, I would recommend consulting a neurosurgeon and discuss on possible spinal surgery to improve your situation. Meanwhile, it would be recommendable to avoid standing up or walking for a long time. 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: Hi, may I answer your health queries right now ?  Please type your query here... my patient had buccal mucosa cancer and ealrly detection done. size was 1.5 cm*0.8 cm*0.4cm depth. undergone surgery. now what we should know? weather this is a life threating ? ### REPLY: Thanks for your question on . I can understand your concern. Buccal mucosa cancer if localized and not metastatic than unblock resection with negative margins is the treatment of choice for it. So get done surgery for this. Usually post-operative chemotherapy and radiotherapy is not needed for small size tumor. So in your patient s case, only surgery is required. And prognosis is very good in buccal mucosa cancer. Usual life expectancy is more than 10 years. So no need to worry much for this. This is not life-threatening cancer. Ask patient to avoid hot and spicy food. Avoid hard to chew food. Avoid habit of tobacco chewing if he has this habit. Start multivitamin and antioxidants tablet. Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. 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 a 66 year old man.i have had 2 episodes of blood in my semen,first time I masturbated,not vigourously and the semen was pinkish.i waited ten days and today it was darker in color.i had a psa and a digital rectal exam and both were normal on December 19 2013.today I called my primary and my urologist and no response yet.i am thinking of going to the ER if ican not see ,my primary.any sugggestions?lanskey ### REPLY: Hi I understand your concern, blood in semen is not normal. It such cases the probability of a cancer prostate should be ruled out. When negative other conditions such as vasculitis which is inflammation of the seminal vesicles(the part of the testes which produce most of the fluid of your ejaculate) can cause blood in semen. Other conditions such as any abnormalities in bleeding or any anticoagulant may cause a similar picture. An S.T.D screen could be taken to be on the safe side. Hypertension rarely causes such a complaint. You could discuss on ruling out the above causes with your physician, if no cause is found.an ultrasound of the bladder is beneficial to see if there is any early growth that is causing your symptoms.  Thank you 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: I was taking 3-4 Zyrtec per day with nasal decongestant spray. I have hypertension could this increase my BP further. I have stopping taking these meds. But I do wonder could have affected my BP. MY BPreached 194/113 ,now on anti hypertensives med and my Bo is on its way down. Thank you. Nick ### REPLY: Hello, I would explain that Zyrtec does not usually cause high blood pressure as an adverse effect.  For this reason, I would recommend consulting with your attending physician for a physical exam and some tests in order to investigate the possible causes underlying high blood pressure values: - complete blood count, PCR, ESR for inflammation- thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance-kidney and liver function tests-fasting glucose.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 15 months old. She fell about an hour ago on her fisher price house and hit right at her cheek bone and ear. She cried for about a minute, we put ice on it and watched her. There is just a little swelling where she hit. Her balance seems to be fine and she is acting normal. She didn t drink all of her milk before bed, but not sure if this is related. Is her fall cause for concern? ### REPLY: Holloway to look for in a head injury:Call the doctor if your child is an infant; has lost consciousness, even momentarily; or if a child of any age has any of these symptoms:~won't stop crying~complains of head and neck pain~vomits repeatedly~difficult to awaken~becomes difficult to console~isn't walking normally in your case its seems to be an external head in jury not internal. So i don't think there is a reason to panic. Just watch your child for any symptoms. Hope this answer helps. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i am tushar age 23 , every mornin i get up i sneeze 4 to 5 times ... sometimes sneezing doesnt stop & eyes start watering and its even worst .. i avoid taking medicine but when i cant control the sneezing i take allegra & after that then its fine ...please suggest what is wrong with me ... ### REPLY: Hello Pusher, Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. From your history, I would first think of allergic rhinitis. I usually prescribe my such patients' combination of montelukast and an antihistamine like fexofenadine (Allegra that you are taking).2. It is important to mention here that above medicines can only "control" your symptoms, they basically do not "cure" allergies.3. I would suggest you allergy testing which will help you identify the substances you may be allergic to and also to know the measures to avoid them. Based on your allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to improve your allergy symptoms on a long term basis.4. I would especially think of allergy to house dust mites or indoor molds as you have early morning symptoms.5. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.6. I would also suggest you to take a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc.) which will improve your immunity and will be helpful in a long run. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health. Thank you & 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: what is meant by gross dilatation of pelvicalyceal system noted in the left kidney?Right kidney measured 12.3cm,Left kidney measured 12,7cm,Renal outline are normal,Perinipheric space are normal.bladder is normal in outline No evidience of intraluminial pathology seen.Post void resude -Nil. ### REPLY: Hello Gross dilatation of pelvicalyceal system in left kidney may indicate gross HY . It may be due to many causes like calculus, PUJ obstruction etc. As calculus is not mentioned in the report, it may be due to PUB obstruction, reflux etc. You may need CT biography. It is very helpful in assessing exact cause and management. Proper management depend upon findings. Get well soon. Take Care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I am 70 year old. I have finding problem inside the tonge.Always two wound comes twin side of tonge. I hd checked so many times.It will correct for some time. after some day it will automatically started with pain.for that I am not able to eat.Plz suggest me what I will do ### REPLY: Hi. Welcome to  . As per your complaint recurring episodes of eruption of ulcers on either side of tongue points towards a condition Recurring Authors Dermatitis or Recurring Authors Ulcers. It can occur due to a few common conditions like tongue injury caused by sharp teeth, Nutritional Deficiency iron, Vitamin B12 and folic acid, stress, immune deficiency conditions like Diabetes, acid reflux etc. You should consult an Oral Physician so that a thorough clinical evaluation can be done to rule out the exact cause and treatment can be planned accordingly. Aa of now for relieving the pain you can apply a numbing gel containing Lidocaine or Choline Salicylate over the sores for relief. Gargle with 1:1solution of milk of magnesia and Ben . . Soda bicarb solution in water can also be used for gargles. Sucking ice pops and gargle with cold water can also relieve by reducing Inflammation and pain. Hope this information helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, is Lympodema hereditary. My mother had it. Ive now developed unusual lumps in my arms, groin, and kidney area. Ive seen a consultant today who is organising surgery to have the lump in my arm removed and a biopsy done. He has also checked the lymph nodes in my armpit. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Many lymphoma has some hereditary causes.  Not all lymphomas are hereditary. It is just one of the cause. Multiple causes play role in that. You should go for biopsy of your lump. Go for histopathological examination.  It will give you exact diagnosis. Then you should 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: Good evening, my daughter has been having trouble to concentrate in school, tuition, home is difficult for her to carry out a task. For example, it takes her 1 hour to eat a regular meal, require constant reminders for her to focus and have her swallow her food. She is eight years old. Pleases advise in some of the way I can help her boost her concentration without using drugs. ### REPLY: Hello, You can help your daughter by doing the things together with her. You should create a daily agenda for her with a lot of things but in short terms example 30 min music, 30 min reading, 30 min eating, 30 min cooking. But you must be present in most time in these activities. About the food, you can try to ask her to make a menu what she wants to eat during a week. Let her choose. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi just want to know if Im pregnant or not, yesterday I do a home pregnancy test thist the result was - but after about a hour and a half it was + ( it was fade but 100% positive) I do some more tests but they were -. This morning I repeat the test and it was - again. My last menses was 30 July 2010. Could I be pregnant, Is there any hope that I can be pregnant ThanksSarina ### REPLY: Hi dear ! I have read your question carefully and understand your concern. If you delay periods and have both positive and negative results of pregnancy tests than you should make a blood BChatDoctor test to confirm /rule out pregnancy. If it will be positiver than you should contact with your gynecologist. If it will be negative than there are other many reasons than can cause delay periods. Hope I have been 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: Hello Dr. My child is 23 months old and he has high fever and has got ceasers attach twice. Once in nov. 2009 and again last week. Dr. in Chennai have given Mental P but i heard giving Meftal P for long time is very bad for kidney. Is it true and if yes what are the side effects? ### REPLY: Hello, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day.  If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once the viral fever comes it will there for 4-7 days.  So do not worry about the duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F.  I suggest not using combination medicines for fever, especially with Paracetamol. Metal contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my mom just had a surgery about a week ago. today she had went to the er because she was bleeding from the vaginal area. they said she was an acute infection of female upper reproductive tract and postoperative vaginal bleeding. can this be cause by a dog? ### REPLY: HIT hanks for posting your query.  Actually your question is not clear. Are you asking whether you moms genital infection be caused by a dog ?  Where is the relation between genital infection and a dog ?  Your ER doctor is right, its post-operative infection, and she requires an antibiotic for that. Kindly consult her operating surgeon and request for antibiotic prescription. Hope this information was useful to you. Any clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 33 years old. I have been sporadic muscle and nerve pain, throughout my body for a couple of years. Yesterday afternoon, my right wrist began to bother me. It was out of the blue, there was no injury. I found it difficult to flex, or even rotate my wrist. When I woke up this morning, I had the same pain in a ddition to severe pain in the palm of my hand. It is painful to make a fist, and it is a very relaxed fist. I also began to feel as though I had sciatica. I do not know if the two are related, but the pain is becoming unbearable. ### REPLY: Hi, Sometimes, we injure ourselves not only by trauma but also by unknowingly overexerting or doing abnormal movements or just by keeping the part in abnormal position. Your symptoms doesn't points towards a pathology. Treat your pain conservatively by warm saline fomentation and over the counter painkillers. If the pain persists for more than 3-5 days than get an X-ray and blood investigations done. 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 Doctor, I am facing a problem. I masturbate daily. I wake up I masturbate. I come from ofc I masturbate. If I dont then there is some sensation in genitals which make me masturbate and then I feel good. Masturbation is not affecting my ofc work but it does affecting my work at home. I think it has affected my memory. I read some sexual stuff on net and this eats my 2 hrs daily. I almost daily watch porn pics though i have stopped watching videos. I tried stopping masturbation but i think i am low on will power. After 2 days i again start doing. I even tried to decrease frequency but again after some day i do it daily. I had a good memory once but now it takes a lot of effort to study anything. Even while studying I masturbate. Please tell me the solution for this. ### REPLY: HIT hank for asking to ChatDoctorI can understand your problem, this is real situation this is kind of addiction, but you can come out of this all you have to do is control your thoughts try to be with your best friend share the talk, read nice books, take interest in nature, if this does not help you then in my opinion you may need psychiatrist help, but you have to try it on your own first, hope this information helps you, take a good care and have nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am on Olmatec and Atenalol and have been for some years for high blood pressure problems.  I had it checked a few weeks ago with my doctor and he was concerned it was 167/83 however I had missed a few days medication.  I checked it today and it is 134/76 is this okay considering I am on medication still?  thanks for your help. ### REPLY: Hi There I understand your concern for your health and I would like to suggest that your Blood pressure is well under control (134/76) with these two medicines. So its advisable that you should continue with them and don't skip them in between as it can cause an increase in your BP. Rest general precautions you should take like avoiding high dietary salt, avoid smoking and excessive coffee intake. 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: My son is 5 years old Sunday he complained of a belly ache he has severe constipation I gave him an enema and he went of course after that then he was fine. around 8 o clock that night he started to run a very high temp. early Monday morning he vomited several times. fever has continued and now he is complaining both sides of his neck hurts. What could be going on with him? Thanks ### REPLY: HI... This looks like a viral illness. Fever and neck pain is not related to constipation. But vomiting could be due to constipation. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. I suggest you give Paracetamol at the appropriate dose and plenty of fluids to . Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 47 year old wife just got a stress test back that said it was negative for Ischemia. She performed very well on the test, going 13 METS, 10 minutes on the treadmill with no pain and was able to reach 105% of her predicted max heart rate (I think it was 183). Blood pressure went to 184/72. However, the test also said that she had horizontal st depression in several of the leads (about 6 of them) at peak stress. The test report said that the st depression resolved by 2 minutes into recovery. The test also said her DUKE score was 3 (although I calculate it at 2.5, based on 10 minutes of exercise and 1.5 mm st depression). And the test report said that it was negative for ischemia with an intermediate chance of CAD and a 1% per year cardiac death rate predicted. I have found information about false positives, particularly in women and my wife is on 2 mg estradiol per day and has had a hysterectomy. Does any of this seem out of norm to you? ### REPLY: The test you described is normal.  During any exercise even in normal people the blood pressure has to do up, because a healthy heart has to pump blood to the exercising muscle, which is a normal requirement.  The St segment depression you described are secondary to tachycardia (increase in pulse rate), which normally occurs with exercise, so be rest assured.  The risk you mentioned is for any person of that age group Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am 21 years old and have been with my boyfriend for three years and this whole time I been trying to get pregnant we have inter course everyday with no protection and I dont get my period every month what is a way to get pregnant ? Please help thank u ### REPLY: Hi, There could be several reasons. You may not be ovulating regularly, local factors like a introverted uterus, anti-sperm antibodies or tubal factors may be working against or there could be a male factor. All these need proper investigation and treatment if any needed. You may need a complete hormonal profile, tubal patency tests, trans-vaginal sonogram, blood counts and urinalysis apart from a complete physical examination. Your partner also needs to get assessed. Hope your query is clarified. 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 an 89 year old neighbor, female, who is experiencing (sp?) numbness in the fingers of her left hand all morning. They are very white compared to her other hand. I don t notice any other symptoms (like facial deformity, or slurred speech), Is there other symptoms to look for? Or is there a remedy besides soaking in warm water? Or do I try to get a family member take her to a doctor ### REPLY: Hi, as you mentioned that you didn't notice slurred speech, facial deformity it should be ruled as a major issue. Thanks for the quick assessment made by you. As you said she is feeling numbness in her hand you should see if she has placed her arm in a resting position where it is compressed. Like resting on a edge of the chair etc. Also, she might have pinch nerve which may be leading symptoms of numbness for her. Taking a help of a physical therapist for this will help her. Also, as she is aged, there will be a lot of weakness which can be corrected by doing some simple active physical exercises. Neck exercises are also important to keep the muscles stronger and avoid the symptoms. With the grace of God I wish your neighbor a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a very large distended stomach with pain n upper left quadrant n lower abdominal pain . I hat a CT scan out of town said my uterus has falling out of place layoffs on my small bowel n the fluid in my abdomen where the pain is in the upper left quadrant where my colon descends seems to be kinked I was also told my cervix was already down on my vagina. I cannot use the bathroom only having 3 bowel movements in almost a month which were so painful I broke out n a sweat I ve taken stool softeners fleets n several other things just causes mote pain bloating n cramps I take take gas pills n no relief either and do not pass a lot of gas or feel the need to. I can t eat much very small amours n mostly liquid or soft foods. I often lose control of my bladder n sometimes feel I need to go so badly bit just trickles out or none at all. I was told I had a hiatal hernia a few weeks ago and last night I got the hiccups so very bad n couldn t stop the pain increased my husband said o kinda slumped over on the couch n was unresponsive for about 30 to 60 seconds. Do I need to go yo the emergency room or can I wait to schedule an appointment and with which h Dr do o need t ### REPLY: Dear madam, you need to go to ER if you feel constant pain, fever, breathless, vomit blood or feel fatigue but your symptoms definitely means something and detailed work up should be done. You obviously have some kind of intestinal passage disorder caused by either mechanical or non-mechanical causes. YOUR GYNECOLOGICAL PATHOLOGY U VE DESCRIBED COULD affect your intestinal motility and if there is a certain cause then pills won't be helpful. The best way to rule this out is to the colonoscopy, barium swallow or diagnostic laparoscopy and everything should be clear. Wish you good health,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, the other day i was doing splits on a wall and i didn t warm up before-hand and i hear a pop because my leg slipped and it got pushed a little further than what i can usually do the splits for. Should i see a doctor? I cant do ballet exercices or raise my leg above 90 degrees without crying with pain. My knee also hurts and when i sit it bothers me and when i m about to bend down i m always scared of feeling the pain. What to do..? My mom is complaining about how expensive it is to go to a doctor so that is why i m wondering how necesary it actually is... ### REPLY: Based on your history you probably have an adductor strain (straddle injury or also known as charlie horse injury)and hamstring strain raising your leg above 90deg specifically stretches these over pulled muscles even more thus producing the pa intake anti-inflammatory medications such as celecoxib to decrease the inflammatory response of the muscle and the pain as well pain might persist for a while since the muscles take a while to recover (2 to 3 weeks minimum) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor i cant control my eyes. when im talking with persons my eyes moves to areas that makes me anxious. and when im on school i cant control my eyes. my eyes goes to some of the students in the class. and im unable to take away from there. its like my eyes get locked on that area.please help.what is this.when i consulted doctor. doctor gave me oleanz 2.5 and Zosert.. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  But in psychology, we broadly call it obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it and close your eyes. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. 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: I have been feeling extremely tired lately, lightheaded here and their and sick to my stomach. I have been feeling heat on the back of my neck which makes me feel like Im having a hot spell but its cold to the touch. I have a bad back to begin with but lately my lower back has been hurting more then normal. ### REPLY: Hi, Back pain and body weakness are generally signs of symptoms of a wide arena of diseases, Associated signs and symptoms, specific medical context are very important to orient diagnosis and further testing. Low blood cell levels, inflammation, autoimmune disease, tumors are conditions that could excite all of these symptoms. At times, they might be well related. I suggest you consult your primary care doctor. 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: my age is 38yrs, my serum creatinine is 1.28, how to control, i ih BP, currently i m taking Telmisartan+HCTZ and it controlled 120/80.Last April 2014 it was 0.866. What is the reason for increase in creatinin. Is there any medicine in Homeopathy to control cure this, ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that raising creatinine level is always suggestive of kidney affection. Since you are hypertensive it has most probably affected your kidney, also there are chances of diuretic induced rise in creatinine. But whole history is necessary to diagnose the condition accurately. Kindly visit the nearby doctor and discuss with them the above-mentioned description. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 21 year old female. I have been smoking for 4 years and I have never had any respiratory issues until this week. Everytime I take a deep breath, it feels as though I am gasping for air. I went to my Doctor and my O2 level came back at 100%. My blood pressure was normal for my age and weight. I have been having slight discomfort on the left side of my chest which did worry me but it is not unbareable. I have not been smoking for the past 2 days because my sister (who works in a respiratory department in a hospital) said I could have something they call a "cloudy lung" because of the smoking. How long would a cloudy lung take to clear? And is that what it could be? ### REPLY: Hello dear, welcome to .come have gone through your concern in depth.* The cloudy lung indicates different types of conditions as - lung emphysema - effusion or pneumonia - severe pulmonary congestion - tumor - tuberculosis - others.* Needs x-ray of chest to find out the diagnosis and get management in accordance with that rather than getting panic.* And just stick to the decision of not to smoke now in future for your better health aspects. Wishing you fine health ahead. Welcome for any further guidance. 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: What does it mean when your heart starts beating really fast(over 160bpm), short of breath like someone is pushing on my chest, and dizzy?  This was while I was at home, not doing any activities just walking around the house, bent down to pet the dog and it started when I stood up. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should first rule out arrhythmia (rhythm disturbances in heart) like atrial fibrillation (AF), atrial flutter, supra ventricular tachycardia (SVT) etc. All these can cause rapid heart rate, dizziness, chest tightness and discomfort. So get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG) to rule out arrhythmia. On the basis of reports, you may need anti arrhythmia .  Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have costochondritis. I have not had any pains since I became pregnant and my daughter is now five months old. About four days ago it came on suddenly at night and has been bothering me since. Its the worst at night and my heart is racing. What should I do to get it to stop? ### REPLY: See if you are lactating you might be depleted of essential vitamins and minerals like calcium magnesium potassium required for proper muscle function and might be one factor to trigger sharp pains in run muscles due to spasms take proper nutrition and multivitamin supplements needed for lactation(feeding Baby) and continue to take them well over 1 year after you stop lactation for body to recover. If you continue to experience pains and if you are feeding baby better take Physiotherapy and topical pain creams to apply rather than taking pain meds orally. Hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am currently 18 weeks pregnant. I undergone ultrasound scan and the results said that my foetal had small choroid plexus cyst with in the right lateral ventricle measures 5 x 5 mm. I consulted with my doctor and she asked me to take triple marker test. I am restless regarding this. I can t to control my emotions. Please help me to get rid of this. Guide me regarding this issue. What I do next? I am waiting for your reply. ### REPLY: Hi Welcome to  ! Ma'am sorry to hear that your baby has choroid plexus cysts. You should consult a neurologist or neurosurgeon for this cyst, but before that please undergo triple marker test as it is done to detect congenital abnormalities. If you have any further query then you can come back to . I will definitely help you and guide you appropriately. With Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i got mild chest pain in left side 2 days before. now i feel little difficulty while sollowing food, drinking water, even while sneezing. I have acidity problem only while morining brush [vomit feeling] from last 6 months and have takesn no treatment for the same. Would like to get your opition for the same. ### REPLY: Hello, you mentioned you have difficulty swallowing solids and liquids. Is it really only for past 2 days or u had difficulty even before that ? Do u really feel that your food gets stuck when it finds its way down your throat or food pipe and isn't going down properly as it used to ? Is it like initially you had difficulty swallowing solids, and then it progressed to difficulty in swallowing liquids as well, or it happened for both solids and liquids at once ? Did you have any episodes of vomiting ? Is there pain during swallowing or only difficulty ? What's your age? Any addiction to smoking or alcohol ? Do you have any other respiratory complaint apart from the chest pain you mentioned ? Your symptoms need detailed evaluation. Difficulty in swallowing can be due to issues with your throat or food pipe or something compressing on your food pipe from outside (example - enlargement of lymph nodes around your food pipe or any other growth) or it can be due to motility disorders of your food pipe (Andalusia cardiac). There are many possibilities, so I would suggest you consult a physician in person. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m a 44 yr. old female, 5 4 , 140 lbs. In Sept. 11, I had an abdominal hernia repaired. Prior to the surgery, and for more than 1 year, I suffered constant fatigue , general nausea, vomiting, bouts of constipation / diarrhea . I saw both my GP and OBGYN , but neither found a cause / solution. The quality of my daily life was in the toilet (pardon the pun). One day, I pushed my chair back from the table, stood up, and a peach sized globe popped out of my navel. I pushed it back in, went to a different GP (in the same office as my original one), and he confirmed the abdominal hernia. I had surgery 2 days later. My symptoms improved, but have never disappeared. Ever since surgery, the scar has been some combination of red, inflamed, irritated, itchy, and doesn t seem to want to heal. Sometimes part of it splits open, scabs over, but always stays red. I went back to the office for post-op visits & expressed some concerns; something just didn t seem right. A nurse told me I was over-reacting and just need to relax about it. Needless to say, I haven t been back to that office for any further follow-ups. In Dec 11 I saw my dermatologist (for dyshidrotic eczema ) and, on a whim, asked about the scar. She was very concerned, mentioned keloid tissue, the need to manage the formation, care for surrounding tissue / organs, etc., and she injected quite a bit of hyaluronic acid into the scar, in different parts of my navel, & into the skin surrounding the scar (the scar is just over 1 long, just below my navel). It didn t take long to notice the hard tissue under my skin disappearing. Now, the hard tissue is back, the scar is red and itchy, and I m suffering bouts of fatigue and diarrhea. Are these occurrences related to the mesh? What should be my next step? Visit my Dr. (that confirmed the hernia) and ask for a CT or MRI? How are culprits to abdominal distress discovered and treated? Thanks in advance for your insight and advice. ### REPLY: Hi. As per your question, any injury/incision over your body leads to keloid formation. It can't be prevented. It should be managed only with Intro keloid injections. Regarding red scar, it may be due to underlying mesh. But diarrhea may not be due to mesh, as the mesh will be fixed to surrounding structures with Non-absorbable sutures. As mesh is a foreign body, it may lead to infection. So, Clinical examination should be done first.CT/MRI are not needed now. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello i had the new implant put in my arm end of may and did not have a period till september and then i have only had a couple and its been very light for a couple of days. but i have a interest in new foods and i am slowely putting on weight but i am trying to lose it. i get a sick feeling every day but have not been sick. do u think i am pregant or is it just the implant? thank u ### REPLY: Hello what, and I hope I can help you today. The contraceptive implant is actually one of the most effective birth control methods available, and has a lower failure rate than even sterilization.  Unfortunately, it is also very common to have irregular bleeding, mood changes, food cravings, and weight gain as a side effect of the hormones in the implant. So just in case, I would perform a urine pregnancy test to make sure that you are not pregnant, however the most likely explanation for your symptoms is general side effects from the hormones in the implant. Most people eventually stop menstruating completely with the implant and have minimal hormonal changes, but this may take 6 to 9 months to develop. I hope I was able to adequately answer your question today, and that my advice was helpful. 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: Hi, I found a dime size lump on the side of my three year old sons jaw. Its movable and doesnt seem to bother him?  What can it be, Im completely freaked out and it the weekend so I have to wait till Monday to get him in to the pediatricians office. ### REPLY: Thanks for your query, I have gone through your query. The lump over the side of the jaw can be an enlarged lymph node secondary to any tooth or gum infection. The other possible cause can be a fibrous or lipoma. Consult an oral physician and get it evaluated. Meanwhile you can start with a course of antibiotics like amoxicillin(if you are not allergic). Nothing to be panic. 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: HELLO MY FATHER IN LAW HAS UNDERWENT BY PASS SURGERY.HE LASO HAVE DIABETES.ALTHOUGH HE IS TAKING REGULAR MEDINES,FROM LAST ONE MONTH SUDDELY HE GETS ABNORMAL MARKS WITH SWALLOWING ON HIS FACE AND EYES.WE DONT KNOW WHY THESE MARKS COMES UP SUDDENLY.WE WANT TO CONSULT.OUR MOB 0000,0000 ### REPLY: Hello, I understand your concern and would explain that these signs are indicative of increase fluid retention.  This could be related to heart failure or antihypertensive .  Coming to this point, I would recommend consulting with his doctor for a physical exam and some tests: - a cardiac ultrasound and NT pro BNP values for heart failure-kidney and liver function tests-blood electrolytes- a urinalysis.  A diuretic (Las ix) may help to improve his situation. In case he is taking any calcium channel blockers (amlodipine, lercanidipine, etc.) I would recommend stopping them and switching to other antihypertensive  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hit a wall earlier. My hand was really swollen and bruised. My knuckles are still swollen. My pinky is very bruised with swelling still.. I put ice on my hand for a while and now it still hurts should I go see a doctor? It hurts really bad to move it. I can make a fist though... the middle part of my finger are swollen too.. what should I do? ### REPLY: Hi, thank-you for providing the brief history of you. As you have hit the wall earlier I will first advise you to not do it again as major injuries might occur. Also, as you are able to make a fist I think there will be not a major injury to your hand. Maybe some small soft tissue injury will be there leading to swelling and pain. Continuing icing will help to reduce pain and inflammation. In my clinical practice most cases recover well within 5-7 days of time. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: GREETIS DOCTOR. IM ON ORALCON FOR 3DAYS. THE THING IS I WANT TO GT PREGNANT AND I WAS ON INJECTION SO IM NT FALIN PREGNANT. I HAV MY PERIOD REGULAR BUT NOTHIN HAPENIN. NURSE TOLD ME TO TAKE ORALCON FOR 3MTHS DURIN WHICH I MUST HAVE INTERCOURSE N MISS THE PILL ON THE DAY I HAV INTERCOURSE. WILL I GT PREGNANT ### REPLY: Hi, You have to stop Oralcon as it is oral contraceptive pill and prevent pregnancy. Your period is regular. I would suggest consulting gynecologist and undergo reproductive hormone analysis, USG scan and ovarian follicle study for better management. Following treatment will help you to become pregnant. Progesterone pill in second half of period: it makes uterine environment favorable for implantation and support pregnancy. Tablet Ova care will also help to become pregnant. Other . Also go for Semen analysis of your partner to confirm no any issue in male reproductive system. Avoid stress, take healthy diet,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 9 month old baby is very active. No fever, cold, crankiness. Feeds on solid from 6th month onwards regularly. But from past 8 days she is passing stools about 4-5 times aday. Her stools are normal sometimes and sometime its loose and creamy. What is the reason for passing stools so many times?? ### REPLY: Thank you for posting your question. Increased stool frequency may occur normally in a lot of babies and may depend on the type of diet consumed. Also since you mentioned that the stools are mostly of normal consistency, it is most likely to be a normal occurrence. However, considering the age, it could also be a mild viral infection of the intestine. In any case, all that needs to be done is keeping the child HY .  You may breastfeed more frequently, use oral rely ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a female, 56 age and diagnosed as having mild AR or aortic regurgitation. in recent years i suddenly suffer from breathing trouble particularly during night and this occurs 2-3 times in a year. I am non-diabete, 5ft-2 inch with 64 kg body weight and normal blood pressure. I have also trivial MR. ejection fraction is 66%. Is my problem due to mild MR causing congestive heart failure. ### REPLY: Hi, The complaints you're experiencing doesn't seem due to AR. AR for having complains of breathlessness needs to be severe which doesn't seem to be, in your case, specially when your BP is normal.you're not a diabetic patient, however at your age, coronary artery disease is a more common cause for breathlessness. I would suggest you to get a check-up with a cardiologist as having breathlessness and that too at night is not a good symptom and maybe an early sign of heart failure. (normal LVEF on 2d echo don't rule out heart failure). Hope you get well soon and let me know if you need any further help.in this matter. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 feel like I have air bubbles in my chest...  I find relief when I switch positions, but it comes back.  Ive also felt discomfort in my left arm and Im feeling very sluggish...  Im 36 years and im a little worried it could be my heart.  could it?  ive checked my pulse and its been normal... ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should first rule out cardiac diseases for your symptoms. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes gaseous distention can also give air bubbles sensations in chest. So take pantoprazole and levosulperide combination twice daily on empty stomach.Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 11 year old girl has the following symptoms:headache, stomach ache, cold - these are kind of the usual, no fever - but a few things have happened in the last 24 hours that concern me. She fainted - flat out yesterday and has been lethargic for the last 36 hours. She also has a strange rash on the sides of her nose - little red dots. I did call her pediatrician and she said that if she faints again, obviously get her in but wanted to get some thoughts from you Thanks ### REPLY: Thanks for consulting in . I wanted to ask you, did she eat before loss consciousness, it can be hungry fainting, the second thing,"What is her hemoglobin?" She may be had anemia, please do blood test and let me know. The third thing, she has some infection, which can give to her intoxication and weakness, her vessels are weak, she has some hemorrhagic rash on the nose, which I suggest appear after fainting. What we should do more-check her BP, if she has hypotonia, we should give to her some chocolate, black tea, in addition, you can do EEG at neurologist for exception to high intracranial pressure or epilepsy attacks or other. Do you know prophylaxis is the best?  For headache, you can give to her usual paracetamol, for stomach ache-give charcoal 3 tabs, if no effect then Alcatel 1 tablespoon 3 times after 1 hour before meal during 10 daysRecovery soon, take Carell the best .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My child is 2.5 years old, and she is having very watery stools since yesterday. A total of 4 times today. The last time there are some redness which I am not sure if its blood as I applied quite a lot of drapolean on her for her rash due to the liquid motion. She also just vomited once today and had fever of about 38 since Friday, when her liquid motion started. Should I be alarmed? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query your child have symptoms of fever and loose motion which is due to viral infection of body leading to acute gastroenteritis. It could be due to poor digestion, poor absorption or rapid movement through the intestines and all this leads to watery diarrhea. Need not worry. I would suggest you to take zinc supplements along with oral rely .  You should maintain the HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi There, I just had a health test and in my urine the results showed "protein albuminuria". I have done some research on what that is, and I think I get the gist of it, but it is still pretty complex. I am worried because I am in a foreign country teaching English and just arrived about 2-weeks ago. Is this something that I should take very seriously?? (Also when I took the urine test I was very dehydrated and jetlagged from the flight - could this facilitate these factors?) Any help would be greatly appreciated!Thanks,Greg ### REPLY: Hi Greg, I would advise you repeat the test after a week and just to confirm also do a urine microalbuminuria test. Yes it could be a temporary phenomenon. But if it persists----If you are not a Diabetic or hypertensive then we have to look for a condition called nephrotic syn .  Firstly let us confirm after a week. Secondly let us see the level by doing urine microalbuminuria, and then we can decide further action--regards and wish you the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lot of muscle movement and pressure in lower right side of my body, I just ,had a hip implant Jan/1/2013 one doctor told me it might be my Kidneys. Another told me he see another bone growing out of my hip were i had the implant, i am going to have another hip surgery to remove the bone. i just want to know what you think about all this pressure and muscle movement...Thank You Ms. Dorsey ### REPLY: Hi, dear I fail to understand what exactly you mean by muscle movement, are they involuntary (happening by itself without you doing anything) or on movement, where exactly do you feel the pressure, what hip implant do you have and what surgery you are about to go through, In my opinion if the symptoms are not voluntary, possibility of parkinsonism, or any other neural disorder is high. If voluntary, do you have implant loosening, or anything or clue you want to provide us with that your doctor would have written. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 40 year old female. Average weight/petite. I have a walnut-sized lump on the front of my neck that is getting bigger over the last year. I have had two ultrasounds of my thyroid and all is normal. Food gets caught in my throat and cbc was normal. Should I see an ENT even if ultrasounds showed nothing? Everyone sees the bump, it is protruding farther out than my Adam s apple to the left and above it. It is hard to the touch and the dr. said it is not a lipoma. My other symptoms are muscle weakness, upper back pain (having physical therapy for pain between my shoulder blades and daily headache) worse when I wake up in the morning, and severe fatigue (weakness, constant napping on weekends, going to bed at 7-7:30 at night..progrssively getting worse). I am taking B12 and vitamin D and synthroid. My thyroid levels were within range. Bad cholesterol a little high. I also have a uterine fibroid(1.5-2 cm), and ovarian cyst(3cm)as of ultrasound last August (probably unrelated, but thought I would add). Otherwise I am healthy. Hardly ever sick with colds or flu! ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You have hard enlarged lump in neck.  It may be due to some enlarged cervical lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma.  Or it may be some soft tissue tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I was elbowed on my right upper chest about a week ago in a basketball game and my right chest hurts when I sneezed or coughed. The pain is concentrated on that upper region of the chest, just at the point where one can start feeling the rib bones with his fingers. Slight pain can also be felt when rubbing in between the rib bones. The pain has been there until today (12/29/11) and I am wondering whether I should go and get an X-ray to check for cracked rib(s) or dont go get an X-ray as it may be internal bruising? ### REPLY: HAI, u had got a blunt trauma to your chest without external injury injuriesInjuries to the chest especially the ribs are very painful duet rich innervation of the nerves. U cam go ahead for a Chester app (anteroposterior view) to rule out any bony injuriesTake good painkillers like diclofenac or tramadol added with antacids at least fora week. These pains take at least 2 to3 weeks to subside. Follow deep breathing exercises with chest physiotherapy to prevent atelectasis. Local application of pain gel forms will be of good help. Take care .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: Today I began experiencing a vibration sensation (like a cell phone) in my lower left abdomen.  Ive looked online and there are hundreds of posts about this symptom but no answers as to what it might be.  They are intermittent but feel exactly like a cell phone is going off and laying on your stomach.  No pain but extremely bizarre symptom.  What could be causing this?  Thank you. ### REPLY: Hi, Thanks for using . Your symptom of vibration could be due to abdominal muscle contraction causing vibration like feeling could be due to exposure to cold or stress. Or could be due increased intestinal movements, Get USG abdomen done. Consult your doctor for examination and management. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I talked to a doctor and my doc said I had a miscarage because Ihad my period a week later I started spotting and then I had a burning feeling at the end of the week and a good size meaty clot came out and then my period stopped that day the next day my period started for a full week and ever since then I ve had a period twice a montgh and when I got pregnant with my first I had a miscarrage a week prior and then the next week I found out I was two months along what does this mean I know twins run in my family I m getting nausiated anfd I don t know if u can have a period twice a month and be pregnant ### REPLY: Hello would like to say ask if the pregnancy was confirmed by-1. A doctors' examination of the clot you passed, preferably by histopathological examination.2. A blood pregnancy test. OR3. An ultrasound that clearly showed a pregnancy in the uterus. If any of the above was positive, then yes, you did have a miscarriage, and it is best to go back to the doctor to see why you are still bleeding. The cause can only be ascertained by a clinical examination and blood tests and an ultrasound scan. However, if none of the above was done, the possibility of pregnancy in the first place itself is questionable, and you may just be having irregular periods. In any case, go and see your doctor, and hopefully you will find an answer. The possibility of twins and miscarriage of one twin can is there, but till you see your doctor and have a scan, these are all merely speculations. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother, age 41, avid runner and extremely fit was diagnosed yesterday with prostate cancer.  Our father, age 74, passed away 6 months ago from prostate cancer that went to bone cancer.  My brothers Dr. has ordered a sodium chloride bone scan to be done this Thursday morning.  What can you tell me about this type of scan and what if any are the reasons for its use as opposed to the conventional scan. ### REPLY: Hi, Thanks for writing in. Cancer is a difficult condition to treat and complete staging is required before starting treatment. This is because the treatment for each stage of cancer differs and for better recovery and cure a detailed test is required. Prostate cancer is known to spread to the bones of the skeleton. As you are aware, your father also had the same problem and his prostate cancer had affected his bones. Sodium chloride scan is a technique by which radioactive chemical will be injected in to the system and images acquired after a short duration. This scan will tell any cancer areas in the bones and this is recommended to know if your brother has a prostate cancer that has involved the bones. In the conventional scan, it takes time to visualize cancer in the bones. In the sodium chloride scan the bone involvement is visible many months before it can be seen in the conventional scan. Therefore, the doctor has taken the right decision in recommending a sodium chloride scan for your brother who has prostate cancer. This is to provide accurate staging of disease and give the required treatment. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I HAVE A LUMP AT THE LUMBAR REGION OF SPINE FOR 6 YEARS, NOW I HAVE PAIN AT THE AREA, AND ALL MY JOINTS HURT, MY ARMS AND LEGS FEEL HEAVY AND PAINFUL IN MUSCLES AND JOINTS, THE ACTUAL BONES FEEL COLD INSIDE WHEN HURTING THE MOST AND FIND IT HARD TO WARM THEM UP. SEEMS TO EASE A LITTLE WITH PAINKILLERS AND WARMTH BUT FEEL PRESSURE/PAIN AT ALL TIMES. CAN ONLY WALK FOR A SHORT AMOUNT OF TIME BEFORE TOO PAINFUL AND EXHAUSTED. NO REAL APPETITE, MAINLY LAYING DOWN. BEEN DIAGNOSED WITH PALLINDROMIC RHUEMATISM 10 YEARS AGO, ALSO RECENTLY HAD BLOOD TEST AND MY RED BLOOD CELLS ARE VERY HIGH AND MY DOCTOR SUSPECTS POLYCYTHEMIA. SINCE CHRISTMAS I HAVE HAD BOWEL PROBLEMS, DIARRHEA, VERY PASTY STOOLS, CONSTIPATION, MUCUS IN STOOLS AND A SMALL AMOUNT OF RED BLOOD ON THE OUTSIDE OF A MUCUS STOOL (ONCE). CURRENTLY TAKING SERTRALINE, CERAZETTE AND HAVE B12 INJECTIONS EVERY 10 WEEKS DUE TO A DEFICIENCY. ### REPLY: Hello, thank you for your question. I was thinking about your condition for a while. I want to talk about the lump first. It is important to know what is the structure of the lump, is it soft or solid, does it feel photogenic, or it is more heterogeneity and can it be moved around, or it is anchored at place. I suggest physical examination preferably by a general surgeon and probably excision and histopathology. If the skin around it is reddish and swollen it is probably infected. It is suggestive that the joint problems are due to the rheumatism you are diagnosed with. If you were my patient, I would suggest you to consult a vascular surgeon due to the pain after short amount of time. It is called claudication intermittent and is suggestive of arterial disease. I want to alert you about the mucus in the stools. I strongly suggest you to undergo colonoscopy. Mucus is secreted by a certain type of large Bowell polyp. Wish you a good health. 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: My child is 5.5 years old and since her early childhood she shows signs of being scared/shy from new guests/strangers etc. even when I am around.At first I was glad she doesn t mingle with strangers but I encouraged her a lot to go for kids reading sessions that takes place weekly and she begins crying and asking me to be around her. Once I forcibly took her to the session and I was still present but she left it within 5 minutes and was crying bitterly. Last week I went for a dinner there were around 400 people, there were also many kids young and elder to her, she began to cry bitterly as soon as she lost my sight for a while. Worried and concerned mother ### REPLY: Hi, What you are describing is called stranger anxiety which is very common in kids. The best way to deal with it is to try to convince the kid that it is not only her but many kids of her age have this problem, and they yet have to do what they have to do. Keep the child with you but try to be more interactive socially with others when the child is still on your lap so that she will learn to socialize and to be near strangers. Distract the child through play activities or with toys and music. Observe the child without her noticing and see how she behaves. 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: When I was 22 I had 3 wisdom teeth pulled.They said I only had 3. Well I am almost 40, is it possible to have that 4th wisdom tootChatDoctoring in now? Or is this pain with a white spot that is hard and hurts when touched, also ear and neck pain something else. Thank you! ### REPLY: Thanks for your query, I have gone through your query. The pain over the white spot could be because of the erupting wisdom tooth, or it can be because of the trauma from the opposing tooth. Nothing worry, consult an oral physician and get a radiograph done to rule out any wisdom tooth. If there is a wisdom tooth, get it removed. If there is pressure from the opposing tooth, get it rounded off. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 32 yrs maile, a software developer by profession and I have slightly high level of BP 100-140., My USG for abdomen reads mild hepatomegaly showing grade 1 fatty infilteration, LFT & Lipid profile correlattion needed. Lipid profile and LFT within range. Please suggest. ### REPLY: Hello. Thank you for your question and welcome to . I understand your concern. Normal blood pressure standardized in the world population is: systolic 100-139 mmHg, diastolic 60-89 mmHg. According to your age, it is uncommon, although not impossible, to have high blood pressure (hypertension). The blood pressure can go up and down during one day, because a myriad of reasons. It is recommended that you check your blood pressure after being 15 minutes in relaxing state and sitting. You could also be put on a 24-hour blood pressure monitor, to check your BP throughout a day, and decide whether this is a some-times a day thing, or it is a constant finding. You must remember that various .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi the last cycle of my started at 22july she supposed to be get cycle by today, we did the urine test and it shows positive . we are confused the pregnancy line is very fade.. is she pregnant, and what should we do if do want to go with this pregnancy ??? ### REPLY: Hello dairy understand your concernPregnancy test will give true positive result 8-10 days after the missed period. Fade line could be due to improper use of test, evaporation line, early pregnancy, I would suggest going for repeat the pregnancy test 8-10 days after the delayed period. You can also go for blood  test, as it is very accurate and give positive result even 10 days after the unprotected sexual intercourse. If you will be pregnant then you can still terminate the intrauterine pregnancy by the abortion pill under the supervision of the gynecologist. Avoid stress, take healthy diet, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diagnosed with severe hydronephrosis of the left kidney in July. I had a stent put in on August 19th. My surgeon found a congenital stricture of the ureter. I am having an MRI in 2 weeks to role out a crossed vein/artery which could be constricting the uteter. I feel inclined to opt for pyeloplasty since the success rate is near 100%. My surgeon does open pyeloplasty. But having had laproscopic colorectal surgery last year, I would prefer to get robotics assisted laproscopic pyeloplasty. What are the major advantages and disadvantages of each type? Hypothetically, if it was you, your wife, or daughter who needed surgery, which would you choose/recommend and why? Also, I work full-time (40 hours/wk) as a graduate assistant in a university. I am also pursing my Master s degree concurrently. So, I can only do any surgery after the semester ends (after Dec. 8th and before Jan. 2nd). EeeWhich requires less healing time? Thank you for all of your help and advice. ### REPLY: HelloThanks for query. You have been diagnosed to have congenital PUB obstruction which needs surgery of Pyeloplasty. As regards your query about the modality of surgery .if you were to be my close relative I would go for Laparoscopic Pyeloplasty which is done routinely all over the world. Technically Robotic pyeloplasty and Laparoscopic Pyeloplasty are similar except that one is performed by a laparoscopic surgeon himself while Robotic procedure is a Robot assisted laparoscopic surgery. Results of both the methods are similar However Robotic surgery is costlier than conventional laparoscopic surgery . .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: DEAR SIR, EARLIER I HAD SOME SORT OF ALLERGY OVER MY BODY WHICH CREATED RASHES ALL OVER MY BODY....THEN DOCTOR PRESCRIBED A MEDICINE {PRESENTLY I DONT REMEMBER ITS NAME}... AFTER WHICH I FELT WHEEZING{I M NOT SURE WHETHER ITS CAUSED BY THOSE TABS OR NOT!!!!!!} ...AFTR WHICH DOC PRESCRIBED MONDESLOR FOR 20 DAYS...ON STOPPING THOSE MEDICINE I FEEL MORE WHEEZING AND BREATHING DIFFICULTY........SHOULD I CONTINUE IT...OR DO IT HAVE ANY SIDEEFFECT ON ME....OR SHOULD I CONSULT SOME OTHER SPECIALIST...........!!!! PLZ DO HELP ME.... ### REPLY: Hello, I think you should make an appointment with allergologist to do some examination to find the cause of allergy. Prick test, for example, thoracic radiography or spirometry. Confessor sometimes can cause side effects like shortness of breath, chest tightness etc. Do not worry about the right prescription you will be better. Just make an appointment with the doctor.  Hope I have answered your query. Let me know if I can assist you further.  ### END