Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Im 16 years old, and I have been receiving this pinching pain in my chest. It feel as if I have a needle in my chest. Whenever I move in a surtain direction it starts to pinch! Im wondering if its my ribs that are doing it or something such serious?Ps. Do I have to pay for an answer? ### REPLY: Thanks for your question on . I can understand your concern. You are having pin and needle sensation. It is common in anemia (low hemoglobin) and vitamin B 12 deficiencies. So better to get done blood reports like complete blood count and vitamin B 12 level. If any of these is deficient than you need supplements. Sometimes stress and anxiety can also cause similar kind of needle pricking sensation. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I had a coronary infarct about 38 years ago & am 63 now - Height 5ft 7in & weight about 75/78 kgs (about 170lbs) but over the last two years I have been getting short of breath if I sprint a bit on my walks or if i take the staircase quickly or walk fast. I am a-typical now & have been since losing a lot of wieght (about 20kgs) after my infarct. Went over from all medication to yoga, omega3/codliver caps & spirulina.Any advice ### REPLY: Hi shortness of great on climbing upstairs is medically termed as dyspnea n exertion, and you are in grade 2 right now. You have not mentioned that after infarction 38 years back were you scented or bypass was done, but as off now i would suggest you to go for a 2 d echo as soon as possible, 2d echo will help to rule out the functions of heart, in case of worsening of the heart functions, 2 d echo will be useful Dyspnea on exertion in a patient with history of m.I am highly suggestive of worsening of cardiac functionalize 2 d echo ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hey basically, im finding it quite difficult to move my toe, its not that bad some of the times , but when touched can cause a great amount of pain. I also found that when this problem began, my toe bone was actually grinding against the other bone when i tried to move it , some times i find that i cannot move it all! can you please help me with this problem? thanks ### REPLY: Hello, The soreness at your toe can be due to following- -Any recent or old injury-Sprain of ligament at toe:-Gout-Infection-Arthritis You should do following to have relief in this- -Take a mild analgesic like acetaminophen for relief-Avoid straining your foot.-Avoid shoes with narrow toe box.-Use strapping your toe to near toe for few days. 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: My daughter aged 38 years has just had a MI called a Anterior STEMI, she had a cardiac arrest in the ambulance and had a PCI put in her lad on immediate arrival at harefield hospital.  She has a significantly impaired apex with moderate overall contraction LVEF 43%. She no longer smokes.  What her life expectancy? ### REPLY: Hi, In her age if she takes her medications regularly, follows healthy lifestyle she has all chances for good life expectancy. So you should encourage her not to get disappointed, take her medications, eat healthy food, low in animal fat and salt, exercise regularly. It is very good, that she stopped smoking. Hope I could help nourishing you good health In case of further questions don't hesitate 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: Hi I saw my doctor about a lump on my ankle I had an ultra sound and he then told me it is just a fatty deposit, does this sound right and is there anything I can do to get rid of it? ### REPLY: Thank you for asking . My name is . You have mentioned that you have lump o your ankle and Doctor saw that, did Ultrasound and you have been told that its Fatty deposit ... Fatty deposits are known as Lipoma, and they are benign conditions, so you need not worry about those. If its giving discomfort, or you have some issue due it's regarding cosmetic then you can consult your physician for its removal which is via surgical procedures. Other conditions which cause lumps on Ankles includeTraumainfectionScar tissueBursitisCystsAbscessetcMost of such Lumps are treated via Surgical excision except few cases where Antibiotics and other  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 male of age 25 , i used to have sex since i was 20years old.. starting i used to have sex for once or twice a week, when ever i used to meet my girl i used to have sex for at least for 3 to 4 times in 6 hours. later from 2 years i just was meeting my girl for once a week and used to have sex just for 1 or 2 times . from last 6 months my penis size has gone small. i didn t even used to do hand work much.. very rarely i used to musbusat.. please suggest me what should i do... should i go for treatment of allopathy , homeopathy or aurwadic... ### REPLY: Hi;welcome to  The penis size remains constant & does not get smaller or bigger after complete development so don't worry. The main problem is the number of times you have sex & the duration is decreased which is probably bothering you. Please relax & think whether nowadays, the work is more or you are more tired or stressed ;and you don't get chance to meet your girl or have proper sex then this disturbance can lead to feel that your size is reduced. First relax ;take a break if required & see if things improve then no need for treatment;if the problem persists then consult a Urologist for opinion. Take care. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my name mani from chennai. my kid was suffer from cold and fever. he is taking the medicine specified by my doctor. after taking those medicine. he is frequently goes loose motion. When we checked with my doctor he specified due to antibiotic medicine loose motion might have caused. ### REPLY: Hi, I had gone through your question and understand your concerns child suffering from cold, and fever, presenting with lose motions after taking medicines, two reasons can be for this1. Disease itself which caused cough, fever can have additional symptom loose motions, although it was not present earlier.2. Antibiotics can also cause diarrhea as a side effect, more common with amoxicillin group of antibiotics. You have not mentioned what antibiotics your baby is taking. Now on treatment part :- pre-probiotics can be added, ORS to be given to prevent and treat deny . Decision may be taken to change antibiotics if diarrhea is severe enough, usually change of antibiotics not required. So keep 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: am a 23 week pregnant and latest ultra sonography detected a low lying placenta type - II. i am advised avoid travel and weight lifting. Till i never had bleeding. will this a big problem later? does placenta moves ? Can this problem create complications in delivery. ### REPLY: Hello dear, i understand your concern. In my opinion placenta Pravda in early pregnancy might not be worrying thing. Because the placenta moves upwards in 90% of cases. But till that time you need to be careful like avoid lifting weights, intercourse,physical strain etc. Take strict bed rest. Regular ultrasound help in knowing the position of placenta. Persistence of placenta Pravda might cause bleeding before delivery leading to anemia in mother and fetal distress in the fetus. With optimum care complications can be avoided. So relax. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My Child has 2.2 years old and he suffered with the Nephortic syndrom ( high proteins passing through urine). When we met with the doctor, he suggested to give the omnocortil syrup to my child.Once we started the medicine, He became fat , rounded face and very hungry. Now he has 2.6 years old and we stopped the medicine after decreasing the dosage. Now he is looks good. But I would like to know is there any problem for his future growth?. Kindly please provide you inputs on this and also please let me know the Pediatric Nephrologist doctors specifically for childrens in Guntur or nearest city. Thanks, Srinivasarao ### REPLY: HiT hanks for the query. Nephrotic syn . If it recurs, the child will need another course of steroids (omnacortil). Unfortunately omnacortil can cause multiple problems, some of which you have listed. If used for prolonged periods steroids can also impair the height.Thus, if there are frequent relapses the nephrologist may consider another medication and/or a kidney biopsy. Hope this helps 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 noticed a hard lump on my clavicle bone at the inside of the right side. It did not hurt but is noticeable. I m not sure if I m imagining some soreness in right shoulder and neck area because of thinking about it, but I do believe I have some minor soreness. What could be the cause of the knot and are the two related? ### REPLY: Hi! Good afternoon. I am  answering your query. If I were your doctor, I would examine the lump physically to see if it was originating from the clavicle itself, or it was a lump just adjacent to the clavicle. In the second case, it could be a lymph node swelling common in the cervical region and there has to be a primary focus of some infection or pathology for the lymph node to enlarge. So a detailed physical examination would be needed before deciding on the plan of management. Therefore, I would advise you to please take an appointment for a general surgeon in your area and get it assessed by him. Till then, you could go for an anti inflammatory . I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have had mirena for 7 months now no problems then last month i was nauseous and vomited a few times all the time very tired felt like i was hit by a bus no sex drive headaches emotional pressure on the left side of my uterus and little popping feelings so i called my then at the end of the month i has a real light spotting for like an hour and it stopped i called the obgyn the next day they told me to take a pregnancy test i did negative the next day very very bad cramping with black thick blood that is not normal for me its never happened before the symptoms are gone just a slight headache here and there with a little nausea they said i should be seen but wont tell me anything but they are kinda concerned but thats it... ? ### REPLY: Hi, Thanks for the query. Intrauterine contraceptive devices can present with symptoms like intermenstrual spotting, brownish discharge, abdominal pain etc. Usually these symptoms can be seen during the early weeks of insertion. But some women may have later also. And also women with Funds are more prone for pelvic infection. So when you consult your gynecologist this time, go for pelvic examination, vaginal swab culture and sensitivity and ultrasound. By examination and these investigations the possibility of pelvic infection can be identified. If there are signs of pelvic infection, you need to take course of antibiotics. If there are no signs, symptomatic treatment may sufficient. And possibly the symptoms will subside soon. If intermenstrual spotting recurs you may need additional dose of hormones for some time to correct it. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi im female nearlly 24 and for some time now i get pain in my chest, sometimes a quick sharp pain and sometimes a dull aching pain. i have it every day and its getting more regular. i have had this other symptom the odd time but it has been more noticeable today, it is pulsating in the middle of my stomach between the bottom of my ribs and belly button, its got more noticeable throughout the day. I understand this could have something to do with my aorta? Are both of my symptoms linked? im getting very worried. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should first rule out heart diseases for your symptoms. So get done ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. Aortic pulsations can be seen in lean and thin individuals. So nothing to worry about this. Your pain is more suggestive of musculoskeletal pain. So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas. Take painkiller and muscle relaxant . Avoid stress and tension, be relaxed and calm.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an c-section on 10-29-10, and two days later I was in severe pain. I was examined and informed that I have a blood clot on my bladder. I was given a lot of antibiotics and I am finish them. I still have alot of pain in my stomach not where I was cut. My incision healed nicely and I dont have any pain there. What else needs to be done to make sure the blood clot is not still there and what can help me with the pain? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Any surgery increase the risk of blood clot.  You should go for examination. Need proper treatment otherwise it can lead to embolism. If needed you can take blood thinner like warfarin. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, Im male, soon to be 20. After masturbating I got this underskin pimple and it hurts sometimes. I went to the Doctoer and he asked me if I had sex or masturbated. I didnt have sex but I have been masturbating like everyday, I was to shy to tell him so hes like its either from masturbating, having sex or you got cut on your toes so he gave me Augmentin. I had it twice and still have that pimple but its only on the right side now above my pubic are. What is it? should I be worried? I masturbated yesterday too. I weight 74, height 64 I guess ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. No, need to worry dear. Sometimes while masturbating you may pull the hair in the surrounding area which causes pimple. I advise you to continue the medication prescribed by the doctor. In worse case if it won't respond than you can go for Doxycycline 100 mg twice a day for a week. This will surely cure your problem. In future if you masturbate please wash your hand before you indulge in the act. Also shave the hair regularly this can help you in maintaining the cleanliness. Please wear cotton undergarments until you are clear of the situation. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a bulging disk at l4and degenerative disk at l5 and s1, also a little in my neck. Can this cau Se shoulder pain and my whole arm being painful? Also just to the right of my spine halfway down my spine to be so painful I had trouble breathing and was taken by ambulance to hospital. They gave me an injection of anti inflamitory a and ether which made me better for a while then I was put on to morphine patches. What are your thoughts? ### REPLY: Hi, first thing that your neck and arm pain not coming from your lower back or lumbar spine.a bulging disk at l4 and degenerative disk at l5 and s1 is degenerative process of your lower spine and same process is going on in your cervical or neck area. First you have to do a MRI of your cervical spine then we can go accordingly. Till then take hot water fomentation, ointment message, gentle exercise of neck and lower back. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 68 year-old male with a past history of 2 strokes, quintuple by-pass, and am taking an array of meds, including blood thinners. I have just noticed a very large egg-shaped lump and bruise on my inner thigh that gives be pain when I walk. Could it be from carrying wood for my wood stove? ### REPLY: Hi ! Good evening. I am  answering your query. From the history, it seems that you might have sustained some kind of trivial trauma while cutting woods resulting in oozing of blood in the tissue forming a collection of blood (hematoma). Usually, small collections of blood get absorbed of their own. However, this may not happen in cases where the blood clotting is hampered by the intake of blood thinners as is in your case and the same might also get infected causing more pain due to an abscess. If I were your doctor, I would consult your physician who started your blood thinning agent for consideration of discontinuing these medicines for some time till it heals up. If it does not even then, I would refer you to a general surgeon for a clinical examination and further management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . If I were your doctor, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, My brother was diagnosed with Maniac in January 2017. He took 3-4 different types of medicines for 6 months. Now today doctor stopped all his medicines except Dicorate ER500. Dr. advised that he has to take this medicine for 12 to 18 months as there are chances of re-occuring of this. Please advise how it reoccur again and is there any side effects of Dicorate ER500. Thank you so much, Shalini Bisht New Delhi India ### REPLY: Dear Ms Bight, Dicorate ER is extended release sodium valproate, one of the main mood stabilizers prescribed in Bipolar Disorder. Usually it is used even after the patient recovers completely so that neither mania(excitement) nor depression comes back. The duration of continuation of Decorate depends on various factors like number of previous attacks, severity of previous attacks, family history of psychiatric disorders etc. Like all other medicines Decorate also has side effects. The commonest among them are hair loss, reduced platelet count, pancreatitis, gastritis, nausea and vomiting and raised liver enzymes. Most of these are rapidly reversible and some of these are dose-dependant and very unlike to appear at a dose of 500 mg daily. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just had an ultra sound of my liver for elavated LFTs and I am trying to find ultra sound pictures of different livers. without trying to make a diagnosis i would just like to see if other livers look simular to mine.......black spots, bright whit spots (both of varying sizes) and then a large whute spot that had around one-one 1/2 inches of white steaking coming out of the bottom in straight lines of vareing lengths... thank you.    kassie gilmore ### REPLY: Hi there Cassie, There are a lot of black and white spots on ultrasound. In fact, everything in ultrasound is black and white. There are a lot of black and white spots in the liver, as the bile ducts, veins and arteries will likely show up as black, and the liver itself will have varying intensities of white.  I'd recommend you google normal liver ultrasound, or look at videos on YouTube, and this can give you a better idea of what a normal liver ultrasound looks like. If you'd like to send the pictures here, I'm happy to take a look and give my opinion (however this is limited as I won't be able to see the whole ultrasound exam). I hope I have answered your questions. Please feel free to contact me should you have any further questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: while grocery shopping today, I suddenly got a needle sharp pain in right side of back, It lasted only about 15 seconds. Later 5 hours while trying to sleep it started again. It is like sharp needles sticking in my back. I put ice pack on the spot and it seems to subside now. I also took 2 baby asperin. I had too much alchohol the day before and my liver counts are higher than they should be. What do you think? ### REPLY: Hello! Thank you for the query. Your symptoms can be caused by kidney stone, gallstones, pancreatitis or rib nerve neuralgia. Kidney stone usually gives sudden pain in the one side back which radiates to the lower abdomen and groin. Frequent urinating and pain while urinating appears. Gallstones or pancreatitis usually give abdominal pain which radiates to the back, nausea, vomiting associated with meals. Neuralgia gives sharp like needle pain which aggravates while moving the chest (breathing). It is advisable at your case to have abdominal ultrasound, full blood work, liver tests (AST, ALT,GTP), amylase, urine amylase, bilirubin, urinalysis. Hope this will help. 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 completely rip off a toe nail for no reason. I have been doing this since I was a teenager. I think it lets me concentrate on the pain of it, I am not sure. I had a bad life but have turned it around with help from many . I did this again the other day while away on vacation out of the blue and can t figure out why or how to stop. Any input is greatly appreciated . ### REPLY: Hello, glad to help you. Ripping off toenails is quite painful. As you mentioned you do this frequently without any obvious reason. Doing so help you concentrate. I believe that you seek pleasure while doing so. You might have this anomaly where people get pleasure by giving pain to themselves, torturing or hurting ones own body.I would suggest you to seek a consultation from a shrink (psychiatrist) asap, because if It's so, it's just the beginning and can be dealt easily. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 seem to get headaches that are severe but only last a minute and come and go, i also get chest pains that cause me to not want to breathe because of how bad it hurts and how tight it gets, also when I drink beer it somehow causes my chest to hurt as well, whats going on? ### REPLY: Hi thanks for contacting . According to history it seems you can have chest infection.... For detail work up it needs to be investigated with chest x-ray and spirometry .... Auscultation also done .... If bronchoconstriction present then bronchodilator can be given .... For infection suitable antibiotic given... If chest x-ray suspicious and if needed then sputum examination done for further work up... If chest pain constricting with sweating and radiating pain then blood pressure measurement and ECG done for rule out cardiac cause ... Take care. Consult physician for examination... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, My wife had a pain in the stomach and CT SCAN & ABDOMINAL SCAN revealed a CYST IN THE LEFT QUADRANT OF THE ABDOMEN OF SIZE: 7 CM X 6 CM. After that pain got reduced within one day and we do not have problem for 9 months. She again got a pain when she was 4 months pregnant and were told that cyst GOT INFECTED AND SIZE INCREASED TO 15 X 12 CM-and ABCESS HAS BEEN REMOVED and size came down to 7 cm x 6cm. As per the suggestion of the doctors we have continued the pregnancy with frequent chek up on the size of the cyst. It remained constant for the for the next 5 months and we had a baby now. We were told by the doctors that surgery is must and cyst to be removed. Please suggest can it be cured with medicines and how long we can continue without operating the cyst. Please suggest. regards, hari 0000 ### REPLY: Hither are many cysts in the abdomen. You did not mention the full name of the cyst and the exact location of it in the abdomen. If the cyst is still present after . No role of medicines in this case. You can go for Laparoscopic method(keyhole). If she is not having complaint of pain abdomen in that area, it can be postponed till symptoms appear. So, decide as per her symptoms. Wish her good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 eating supper and thought I had a piece of food stuck to the inside of my cheek, but it s actually a big red pump about the size of a pea. I didn t bite the inside of my cheek, but it kinda looks like a big blood blister the side of a pea. It formed almost instatly. Do you think it s anything I should be concerned about? ### REPLY: Dear friend. Thanks for sharing your concern. The big bump developed inside your cheek could be the result of food impingement on gum tissue.it could also be due to traumatic injury to the surrounding tissue. You can gently brush and rinse with antiseptic mouth wash. This will relieve any food particles struck up there. If you have chronic cheek biting habit then please try and avoid. Stress does this. Hope this helps. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter has bee sting in finger from 4:30pm today and is still in pain. I gave her Benadryl, tylenol, ibuprophen. She used ice. She is still crying in pain. She feels anything cold hurts more. If I touch her arm she feels like it vibrates down iinto her finger causing more pain. She really is in a lot of pain. There is no swelling beyond her finger being a little swolen. I see no stinger. Is there anything else I can do? I feel like the swelling might be affecting a nerve in her finger. ### REPLY: Hi, From what you said, your daughter has an insect bite reaction. Usually this will respond to analgesics and antihistamines, which you have already given. In cases not responding, I used to give an injectable antihistamine like Pheniramine and sometime steroids. Kindly see your doctor as these medicines can't be prescribed online. Meanwhile, continue Ibuprofen and keep the limb elevated. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son is 9 years old. He had a tonsilectomy, adenoids reduction, and inferior turbinate reduction 4 weeks ago. Now he is complaining of headaches for the past 4 days. He also gets seasonal allergies and has asthma. What can be the cause of his headaches? ### REPLY: Tonsillectomy done before 4 weeks with adenoid and inferior turbinate reduction have nothing to do with headache specially after 4 weeks, allergy and asthma is completely different problem. For headache, there may be plenty of reasons. If your son is taking simultaneous treatment with asthma then headache might occur BCU of vasodilation.u can go for palliative treatment and nothing to worry about it. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 s baby tooth was struck when she was 2 and it darkened ever so slightly. Her pediatric dentist said not to worry about it, and it might fall out prematurely. Our pediatric dentist is no longer practicing, and our new dentist wanted to extract the tooth. She has since developed a small painless lump above the tooth - not complaining of any soreness or other signs of infection, like a fever. What do you suggest - could we try antibiotics in case there is infection, or does the tooth have to come out? ### REPLY: Hi Cory, You haven't mentioned the age of the child. Milk tooth will fall eventually but if it retains for a longer time it creates problem in the eruption of permanent tooth of that region. The small painless lump may be the gingival overgrowth or pulp polyp. The best thing you can do is take opinion of one more dentist and go for extraction of that tooth or the required procedure as suggested by your dentist. Your dentist might suggest you for the dental radiography of the tooth also which helps a lot in the diagnosis of the problem. Don't ignore the problem as it may get infected and become worse. Antibiotics and other medication will be prescribed by your dentist depending on the condition. Hope this will be helpful. May the joy be with you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi.. I am 28 years old & I was asked to come on saturday for my first IUI . I had a scan on wendsday(11th) day of my cycle & had two follicals on each right & left side. Right 2.02cm & left 1.81cm. I was asked to have ovidac egg releasing injection of 0000 yestday 8pm. What my question is, by tomorrow morning 8.00 ,will the both follicals release it s eggs? And how likely to conceive both eggs? What is the percentage of being pregnet with first IUI? I am really excited for tommorow.. ### REPLY: Hi, The chances of a follicular rupture are more if the size of the follicle is about 18 mm. Larger sizes may go on to form cysts. The percentage of conception in the first cycle of GUI is 10-20% and higher in those below 35 years of age than those above 35 years of age. If both the follicles happen to release ova at the same time, it is possible that both could be fertilized. Hope your query is answered. 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: What is your opinion of taking  Vicodin for lower back pain.  I have pain on the lower right side at the base of my back.have used many pain medications and shots for help.  They work for awhile and then quit.   I am 89 years old and its getting me down. ### REPLY: Sir as far as Vicodin is concerned, considering your age it's not recommended because it inhabit forming, liver and kidney toxic, leading to constipation. first one should try to find out the cause of your suffering. Then you should look for safe alternatives like paracetamol witChatDoctorbination of muscle relaxant, which your nearby doctor can easily suggest. From my side do regular back strengthening exercise beside taking it. D(1000 unit) and 500 mg calcium citrate male ate supplement daily. Please let me know about your health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir,my 5 years old girl has been vomitting through her mouth and noustril since she was 4 month.the sight is really scary for us as parent because she gasps and bulges her eyes finding it difficult to breath during vomit.what can we do to stop the vomit through her noustril.pls help ### REPLY: HI, thanks for using  Since there is connection between the mouth and the nasal passages, vomits can sometimes be expelled via the nostrils. It does not mean that she has any abnormality. Vomit may be expelled in this way particularly if there are copious amounts. There is no treatment. If she has a history of frequent vomiting then she would need to be assessed for this. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last evening had sudden inability to breathe. Could not move air for about a minute then had to struggle. Once over and breathing, I felt like needed to vomit and had dry heaves. Vomited a small amount. I have been having shortness of breath with little activity like a flight of stairs. Swelling of ankles. Have been tested in past year and no asthma. Slight occasional dry cough. Left ear hurts deep. Not an ache ### REPLY: Hello Thereafter going through your medical details I understand your concern for your health and would like to tell you that your symptoms of shortness of breath with cough and ankles swelling indicate towards underlying heart disease which needs further evaluation. Kindly get an ECG, Echocardiography, Chest X-ray, Serum Electrolytes and Renal function test and personally consult with a Physician or a Cardiologist for further management. Hopefully this information will answer your query. 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 friend sent me a list of the following symptoms that she has: fever shaking cause im cold hurts to move cause im frozen puking headache stuffed up nose throat hurts ribs hurt belly hurts i have electric shocks trough my body eyes hurt hurts everywhere. even my feetshe said she also has yellow saliva.Any idea what this is? ### REPLY: Hi thanks for asking question. Here mostly your friend suffering from acute infection. Mostly acute sore throat. Yellow saliva can be due to exhaled cough that might give yellow color. Here better to do investigation for CBC and X RAY CHEST first for preliminary work up. If in CBC total count high with necrophilia acute bacterial infection most likely, for that antibiotic has to be taken. It is better to start antibiotic prophylactically even though it comes viral infection by elevated lymphocytes in CBC. Possibilities of pneumonia less, but x-ray will rule out it whether any consolidation or pleural effusion present or not.Meanwhile, maintain your immunity with more water, fruits and healthy diet. I hope my suggestion will help you. If still problem then further investigation is done. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 20 year old grand daughter has had 3 episodes of rapid heart beat and breathlessness. She  said shes had it before but only periodically and not in a cluster. What could cause this. She says shes not under undue stress right now.e mail  YYYY@YYYY ### REPLY: Hello and thanks for writing. I can understand your concern and would try to help you in the best possible way. Yes, stress, anxiety or panic attacks could be a cause of these symptoms especially in young patients. However, if the problem is recurrent then other conditions like hyperthyroidism may be considered. I suggest you consult a doctor who would inquire for her full medical history and perform relevant investigations to rule out secondary causes.In the meantime try to engage her in physical activity, yoga and other relaxation techniques and have family talk sessions to reduce any stress she may have. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 66 yr. old female. Dx: extensive small lung ca, 74lbs, enteral feedings started recently. Was diagnosed in May 2014 with limited small cell lung Ca, d/t lack of insurance tx did not begin, now it is extensive, paraneoplastic syndrome from time of dx. Plan is to get her stronger and begin chemo. What do you think chance of any quality of life at this point, tx vs hospice? ### REPLY: Thanks for your question on . Small cell lung carcinoma is very notorious in spread as well as behavior.  It secrets hormones and cause paraneoplastic syn .  So we need to treat it as soon as diagnosed otherwise it will be rapidly spreading. The same happened to her case. In my opinion you should give her palliative chemotherapy trial after nutritional stability. Life expectancy will be very low. Less than 8-9 months. So nutritional support is must with multivitamins, proteins and hepatitis. Palliative chemotherapy should be given if tolerated well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband is 51 yrs old he has been an air conditioning tec for 30 yrs he has been prone to broncitis and now has a breathing problem when he eats sleeps and looses his voice after doing an attic job we do not know if this is sinus or lung for months he had a terrible mucas problem always had a cough but ut has gotten worse ### REPLY: Hi welcome to ... Here your father is suffering from chronic obstructive pulmonary disease ... So for that pulmonary function test by spirometry needs to be done .... It will diagnose case as well as detect severity which guides in treatment. You might need bronchodilator therapy ... Your voice getting affected. So larynx has to be examined by indirect laryngoscopy examination.... If growth seen biopsy taken. If seems inflamed short course steroid and antibiotic given.... Avoid smoking and excess dust exposure. Consult pulmonologist with keeping this in mind. Take care ... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father had 2 massive heart attacks in one year! The second one caused him to pass away and he was brought back after 45 minutes of recessitation. He has 15% capacity left in his heart as well as having diabetes! He smokes 2 packs of cigarettes.a day and doesnt eat properly! He is constantly sick and sleeps the days away! He has shut himself off from everyone but recently I ran into him and his face was puffy almost swollen looking. I remember his face looking similar after the second heart attack! Could this be a sign of arising issues? ### REPLY: Hello I have gone through your question and appreciate Your concern. You’re father may be suffering from heart failure. Which is causing Accumulation of fluid in body. Is there any swelling over abdomen and legs. It is Better to get examined by cardiologist And echo done. His dose of diuretics may need to be increased.Don't ignore it and get consultation done as early As possible. Thanks. U can write me back for any query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 5 days ago I got hit with a softball. It is on my inner right leg up above my ankle. It welted right away but I didn t put ice on it. It hurts to walk and driving with it, the bone itself hurts. The color of it is yellow with purple. It is a little warm to the touch but if something brushes against it hurts so bad. And Im not quite sure if I should go get an ex-ray for it. ### REPLY: Hi hope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have strained some sort of soft tissues in that region that might be causing pain and inflammation. If its warm and painful start analgesic and anti-inflammatory tablets. Ice packs. Restget a X-ray done to rule out any other cause. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime. Thanks Take care god bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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....... do you know if there is a treatment or even a surgery that can be done, when one is told by a physician that she has one artery in the neck that is completely disappeared, (however formed other little veins in order to let blood flow up to the brain).....and the other artery is blocked at 98%! This is supposedly not curable..... ### REPLY: Hello, There is no treatment for the totally occluded artery. Regarding the other carotid artery, it is necessary to perform surgery (endarterectomy) or put a stent, in order to prevent possible stroke, which would be devastating with this situation. For this reason, I recommend consulting with a vascular surgeon as soon as possible.  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: I went to the clinic today and the nurse checked my blood pressure. It was 137/95 and my pulse was 126. The last few times I have had my blood pressure checked it has been high. I am overweight and do suffer from frequent headaches. At what point is my blood pressure worrisome? ### REPLY: Hello and welcome to ChatDoctorI have read query your query hope this will helping blood pressure is defined as blood pressure of more than 140/100 MMH. You haven't mentioned your age but the BP reading that you have told is perfectly normal for me. You shouldn't worry much at the moment. I will advise you to have a regular blood pressure check same time each day for 7 days. Make a table and consult your GP again for further advise. Take tab paracetamol or aspirin for headache. Try to reduce your weight and do regular exercise. I hope everything will turn out to be normal. 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 mother is suffering from Tb..she is having  Tb in her chest as well as in her spine which is causing lot of trouble for her..treatment is going on for almost last three months still no sign of relief could b seen..doctors have preferred her to tak complete bed rest for another two months..plz suggest what to do?? ### REPLY: Thanks for posting your question on ! I appreciate your concern towards your mothers' illness. Tuberculosis is a chronic contagious disease caused by a slowly multiplying organism and having ability to develop resistance to commonly used antibiotics. So, to overcome these problems the treatment involves the use of four or more antibiotics given in two phases. For TB affecting the spine the following regimen is used by most of the centers:In the initial phase Isoniazid, Rifampicin, Pyrazinamide and Ethambutol are given once daily for two months and in the continuation phase Isoniazid and Rifampicin are administered once daily for a period of 12-18 months depending upon the severity of the infection involving the spine. Vitamin pyridoxine is supplemented along with Isoniazid to prevent its side effect involving the nerves. A regular followup is required to see whether the patient is taking the medication or not, improvement in the general condition, appetite, weight gain, fever etc. Lab investigations done include ESR, Chest X-ray sputum analysis to check the response to the treatment. Since your mother is having TB of spine and the fact that treatment is a bit longer, therefore it takes time to show the improvement. However, you are advised to consult your physician. Wishing your mother a speedy recovery from the illness. 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: IAM  26 YEARS  OLD  GETTING PAIN  RIGHT KIDNEY SIDE  FROM PAST 3 DAYS ONWARDS      WHILE IAM GOING TO BATHROOM   AND SITING, SLEEPING  AND WAKING  TWO DAYS BACK  I CONSULTED DOCTOR HE GAVEN ME  TWO TABLETS IT IS  DIAZOX AND RABIMAC DSR    BUT PAIN WAS NOT REDUCED ### REPLY: HelloThanks for query. The pain in Right side loin can be mostly due to stone in the kidney or ureter. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis.In the meanwhile take broad spectrum antibiotic like Definite along with anti-inflammatory . Get the prescription of medicines from your family Physician. Ensure to  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes my dad is 74 with past kidney problems and they just did 2 procedures on him with dye . it is 4 days after any procedure and his creat level is still 2.6 . he has a kidney infection also. he has been drinking water and cranberry juice and they have been using antibiotics on him. question is there any thing else that can be done to bring the level down? ### REPLY: Thank you for using  Your question does not indicate what his pre-existing kidney function was, and I am making the presumption that the dye used was an Dominated radio contrast such as used for a heart catheterization or CAT scan and not a nuclear isotope or MRI contrast. There are a few things which can be done prior to the procedure to augment some potential kidney toxicity however once this has occurred, there is not much that can be done other than the following: -Avoid potentially kidney toxic medications including over-the-counter medications such as ibuprofen or naproxen-Avoid changes in volume status such as with diuretics-Avoid overaggressive .  If this is your situation then at this point he would have to wait and see where things stand about a month from now.  If contrast exposure included a catheter or guide wire, there is the added risk of atheroembolic renal insult (small debris from the wall of the blood vessel dislodged by the wire injuring the kidney).  Renal function recovery may or may not ensue. Again re-evaluation is required in about a months time Take care and be well ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have been having this sharp pain on the right side of my abdominal area, I guess its where the uterus on that side would be...? I am also have slight stomach pains/upsets....I have been tired quite often, my period should start any time, but its a little late. I have also felt like throwing up, but have not... I am not sure what is going on. I am going to see a doctor tomorrow for a normal check-up and to ask questions, but I was hoping to get other opinions...and its kind of hard to explain whats going on...and sometimes I have to have people ask the right questions to figure it out as well...any help would be grateful. ### REPLY: Hi ! Good evening. I am  answering your query. If I were your doctor, after a personal physical examination, I would advise you for an ultrasound abdomen to rule out pathology in any of the organs inside the abdomen, like a gall stone disease with pain on the right side, or if there is any pathology related to pelvic adnexa as suspected by you. Apart from this, I would also do some blood tests like a CBC (complete blood count), a serum amylase, and a serum lipase and LFT. Till this was done, I would advise you for an anti-spasmodic, and a proton pump inhibitor . I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir,my mom sometimes feel some pain in her chest, for which we have been in regular consulation with a psychaitrist, as well as a complete body check-up had been done.. but the doctors said everything was fine, and the problem might be due to tension.. what should be done?? ### REPLY: Thanks for your question on . I can understand your concern. Yes, stress, tension and anxiety can cause HERD (gastroesophageal reflux disease) and this causes chest pain. Since her routine reports are normal, no need to worry about major heart and lung diseases. HERD causes hyperactivity and Chest pain. So control of stress and anxiety is must. Better to consult another psychiatrist and get done counselling sessions. Try to identify stressor in her life and start working on its solution. She should start anxiolytic .  Along with  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell over at work 3 weeks ago and hit the bottom of my back on a wooden floor and I have been in so much pain since, I was signed off work for 2 weeks by a doctor and just got back into work and it has made it worse, I can barely walk now and my back keeps seizing up. what should I do? ### REPLY: HiT hank you for asking ChatDoctorIf you having pain after 3 weeks of fall an injury like fracture should be ruled out. A x-ray should be taken according to the point of tenderness. If wide pain is there I recommend taking a pelvis and Lumbosacral spine x-ray. If no fracture is then it can be due to strain or sprain. In such case I advise muscle relaxants like thiocolchicoside NSAIDs like diclofenac and neurotrophic . I also recommend doing warm compress on back. Hope this may help you. Let me know if you have any further query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HiRespected sir                      my queri is during my granny(48 years old) routine health checkup it is confirmed in ultrsonics that her liver is enlarged with size 16.5 cm with some echotexture what are the reasons behind this enlargement and is their any life threatining issue with this enlarged liver give me the complete details of my queries.                           Thanking u sir ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist (DM). Enlarged liver with increased echo texture may be due to following causes:1. Non-alcoholic fatty liver disease2. Alcohol intake3. Initial stages of Hepatitis B and C4. Autoimmune liver disease5. May be .  Enlarged liver is very initial stage of this disease as c.f. and is reversible most of the time. However, if it persists for a longer period of time it may lead to hepatitis and then cirrhosis. So I will advise you to get evaluated for the same. I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 59 year old male. For the past two and a half weeks I have had pain in my lower right hip/buttocks and leg. It isnt constant, but can be severe. I have taken over-the-counter ibuprofen and naproxen. I recently took prednisone (in decreasing doses for five days) that seemed to help. Now that the prescription has run out, the pain has returned. Its more severe in the morning when bending down. ### REPLY: Hi, The pain you are telling about is Sciatica pain, which occurs due to compression of sciatica nerve. There are many causes of sciatic pain. Anyways, You must take precaution along with treatment like avoid heavy weight lifting, forward bending, squatting and cross legging. You can take cold/heat therapy which can relieve the pain. What ever you are comfortable with either therapy proceed at only for 20 mins then repeat it after 2 hrs. Do isometric back exercises with some stretching. Take medicines like ibuprofen or naproxen with low dose of steroid which reduces the pain or inflammation. You can take message. Physiotherapy is very helpful to reduce the pain of sciatica. But to rule out the exact cause of pain get some investigation like X-ray, MRI. 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: Hello my name is Bob. A couple of days ago I had blood work done to check again my high potassium level. My previous blood draw was because I was concerned about urinating so often in a day. The potassium level was high and a week later still high. I had been taking Lisinopril so my doctor said to discontinue for three weeks then have another blood draw. My question is I have noticed today (more so today) and yesterday dizziness. Is this an effect from high potassium levels? Should this be a concern? I have been dehydrated from not drinking enough water which I am working at trying to take in more. ### REPLY: Hi, dear. I have gone through your question. I can understand your concern.  But if you feel dizziness then you should consult your doctor urgently.  Because you have history of high potassium, and it is very sensitive.  Hyper or hypokalemia can lead ti life-threatening complications or arrhythmia. So consult your doctor and check your potassium level and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor..my father is suffering from severe dizziness , head spinning, imbalance,sudden increase of bp etc from a prolonged period of time..initially he was under medication for seizure..but unfortunetly it did not work and his problems continued and he had to abstain from driving..recently he is diagnosed with cervical spondalyties..our family is in a dillema as to what is happening..we are suspicious about the fact wether he has been diagnosed properly or not..he is having high blood pressure from the past 10 years and he is 53 years old.. ### REPLY: HelloWelcome to  Your father is having complaints of severe dizziness, head spinning, imbalance. He was on medicines of seizure. With available information I fail to understand why his seizure medicines were stopped? Recently he has been diagnosed with cervical spondylitis. From this information there is possibility of two things behind his problem. First is Spondylosis itself. As dizziness, imbalance are main features in spondylitis along with neck pain and headache. Medicines like Vermin (Betahistine) or linearizing are given for relief in dizziness. Secondly he is also hypertensive. Hypertension is also a risk for dizziness and imbalance. Visit a doctor and take opinion regarding his high BP and spondylitis. He will improve in no time. 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 mother had suffered from tuberculosis nd the infection was in spine where the pus cells has been formed .she is in much pain nd completely bed ridden.though medicines are going on bt still no recovery.Kindly suggest.Thanks Dr.Samuel for ur help.Kindly advice. ### REPLY: Thanks for your question on . I can understand your concern. Your mother is having Koch's spine. Honestly speaking, it is not having good prognosis. Paraplegia (lower limbs' paralysis) is common complication of it. And hence physiotherapy has key role in management of Koch spine. Physiotherapy is also beneficial for pain relief. Application of warm water pad is also helpful. Transdermal patch of fentanyl is also useful in pain relief. Make sure that her tb treatment contains streptomycin injections. Because streptomycin is must for spinal tuberculosis. Oral steroids are also useful for symptomatic pain relief. So discuss these options with your doctor and start them accordingly. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. 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 a bruise to my that bulges (almost like the point of a corn) in the center of my wrist, which resulted from risistance training. There has not been any swelling except in this one corn-size area, which stick out about 1/4 + of an inch and hurts when touched. Also there is a little loss of feeling sometimes in the center of my hand. I injured my write last weekend and am not sure if it is getting any better. Did I pull or pinch a nerve the wrong way? I have tried icing it, with little relief. There is no black or blue marking of any kind, yet it is painful to push on corn-shaped area protruding from the center of my wrist. Please help... Mark ### REPLY: Hello, Your symptoms seem to be related to the injury. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using ice compresses for local applications. Furthermore, I recommend maintaining a splint to prevent further damage and don't overuse the wrist for some days. 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: Male, age 84, with present temp of 100.4, but his avg temp is BELOW 98.6. He got some type of respiratory something from me (I still have a lingering cough, going on 12 days). He has the worst sounding cough I ve ever heard out of him and am wondering if this could be developing in to pneumonia. ### REPLY: Thanks for your question on . I can understand your concern. Yes, we should definitely rule out pneumonia and bronchitis in his case. Elder people usually gets infection very easily. And his loud cough is commonly seen with pneumonia and bronchitis. So better to take him to pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out pneumonia and PFT is must for the diagnosis of bronchitis. He may need antibiotics, inhaled bronchodilators and inhaled corticosteroid (ICS) on the basis of diagnosis. Hope I have solved your query. I will be happy to help you further. Wishing him 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: Dear Dr. I strongly suspect my daughter may have a titanium allergy. She is 17 and had her gall bladder out 1 year ago February and has titanium clips. Looooong story, countless tests, procedures, different therapies with no results, many doctors, including a specialist at Children s, and titanium allergy is the one possibility that no one has looked at and when I finally brought it up with the last specialist we saw, it was dismissed. The good news is that the doctors believe her, they see that her pain and symptoms are real, (just thought I d mention this). Now for the question: what do I need to do to get a MELISA test for her? At this point I just feel we are on our own. If doctors are reluctant to entertain this idea then how can I get this test so as to know whether or not to eliminate it? We live in southeast Idaho. Thank you for your time. ### REPLY: Hello have gone through your question and understand your concern. MELISA medical foundation aimed to work for patients benefit have option to send blood test sample of patient direct to the test center of organization either by approaching the test center of the nearest area or contact them to collect sample all by yourself with the help of sample collecting kit sent by them via post. Go the official site of MELISA.org and select your preferences regarding taking the test at laboratory or clinic authorized by the organisation or request them a test kit. Once the allergy is ruled out a better understanding of cause of symptoms will be established along with patients trust and few other approaches to diagnose the relevant cause will surely help with treatment. Hope your concern is answered. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m not sure what s going on with my leg.. I can barley walk on it at times it s really painful. It s always acing! I ve been to many doctors they have no idea what it is. It started in my lower back then went to my mid-back then went straight to down my leg. It s most painful when I m going to bed or waking up. I found that Motrin it the only thing that works. It doesn t get rid of all the pain, but most of it. I know it s not muscle pains, it s not a herniated disc, I have no clue what it is and now recently I m getting stomach pain and pooping out blood. I don t know what else to do. ### REPLY: Hello, Welcome to the magical world of health care, I went through your query, and It's hard for me to believe that no doctor have been able to help you. Your symptoms are from the spine, with pain in leg, and that means involvement of nerve roots, what prompts you to say it's not disc, have you been investigated, because if its truer than its even worst, you may have secondaries of any primary cancer in your spine which can cause severe pain mainly at night and may radiate to the leg if pressure on nerves occur. Now have you got an MRI done. Who is the doctor you consulted. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. Actually i had sex with my bf on the last day of my period and he did it inside, but to be on a safer side i took the pill. And got my periods again after 4 days but don t knw i feel hungry a lot and a lil bit tummy pain and it s almost 15 days now. So should i get my tests done? ### REPLY: Hello, and I hope I can help you today.First, it is extremely uncommon to be fertile during your menstrual cycle. The hormonal . The morning after pill is extremely effective in preventing pregnancy if taken within the first 72 hours after an unprotected encounter.  The morning-after pill works by thickening the mucus of the cervix and uterus to help to prevent fertilization. If the medication works, it usually triggers a small amount of bleeding like a period 3-7 days later. Therefore, the fact that you already have bleeding is a sign that the medication worked and that you did not conceive. Pregnancy symptoms vary widely between women, and many of the symptoms we commonly associate with pregnancy such as nausea, appetite changes, bloating, abdominal pain, mood changes and breast tenderness can occur as side effects of taking hormones or of an irregular menstrual cycle as well as pregnancy. Therefore, there really is no reason to worry at this point that you are pregnant.  Is normal to have your period be late after you've taken the morning-after pill, as you already had some bleeding this cycle, however taking a pregnancy test at that time (when you are late) would not be unreasonable. If that test is negative, then you can be re-sure that you are not pregnant and do not need to retest even if that menstrual cycle comes late. I hope I was able to adequately answer your question today, and that this information was reassuring. 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: Hey I ve recently been hit by a car going 50 mph and was knocked out for 30 minutes and had a brain bleed and a cracked skull note that I m only 14 we ll ever since this event I cannot sleep I get very panic in the car and sweaty and just so scared. I m scared doing about anything around cars what so ever. The sleep and the nightmares are the big issues. I don t know if it s PTSD but I m only 14 ### REPLY: Hi, I can understand your concern regarding your symptoms. From what you have mentioned, you seem to have developed symptoms suggestive of post-traumatic stress disorder (PTSD). It is a condition in which a person becomes anxious in presence of anything that reminds him of the trauma and avoids it. He also has nightmares or flashbacks of the incident. I would suggest that you talk to your parents regarding your symptoms and then seek a psychiatric consultation. Adequate treatment with selective serotonin reuptake inhibitors will help control your PTSD symptoms. I do hope that I was able to answer your query. Wishing you a speedy recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, looking for some advice.I have since moved jobs, moving to the top floor of a 5-storey building.  On a daily basis I have been using the lift roughly 8 times per day due to heavy carrying and I am now suffering from dizziness, feeling like I am bobbing in the sea.  Help, I just dont feel too good. Kerry ### REPLY: Hello and welcome to . Your description is suggestive of a balance disorder called BPPV (benign paroxysmal positional vertigo) Our ear plays a vital role in maintaining the balance. It's done through the change in position of small calcium crystals inside the ear which occurs in accordance with the change in position of head. Sometimes the position of these calcium crystals (called monoliths) may change following a sudden fall or head trauma and this causes disturbance in balance and vertigo like feeling especially when we use lifts or in flights. My advice is to visit an ENT specialist and let him have a look at your symptoms. He will prescribe anti vertigo .  Hope this discussion will be helpful to you. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: How long would it take for someone dipping tobacco to see a difference in gum or teeth color or quality? Or, how long does it take for these things to develop? Also, what would be the safest way to enjoy dip tobacco? (besides not doing it at all) Say once every other day? Would that give the gums sufficient time to heal and protect themselves from the adverse affects? I would like an unbiased factual answer. Opinions are not appreciated, although suggestions are welcome. ### REPLY: With your query, STRICTLY CONSUMING TOBACCO IN ANY FORM IS INJURIOUS TO HEALTH. I assume you mean dip tobacco is chewing tobacco or Gurkha, these forms of tobacco are utmost dangerous than smoking to the gingival tissues where the nicotine is directly absorbed by the soft tissues leading to cause pre cancerous lesions ultimately resulting in oral cancer.Nowadays nicotine patches or lozenges are available and also tablets are available to quit smoking too. So decide yourself and take wise decision ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had the flu and then pneumonia and was in hospital. I have had a lot of coughing and diagnosed with coughing pneumonia. I have now been back at work with only a little bit of cough using an inhalor with albuterol. Today I started getting ichy ears and a little bit of a sore throat. I am coughing up green yellow phelgm. lol i meant coughing asthma. sorry ### REPLY: Thanks for your question completely understand your question actually cough with yellow green sputum means bacterial infection. You need to see a pulmonologist who can request for a sputum myogenic culture and sensitivity and prescribe you some broad spectrum antibiotics like lifetime for a week.continue with the inhalers asthma can be diagnosed by spirometry, and your symptoms might be infective exacerbation of bronchial asthma / APA if sputum is golden brown. Thanks feel free to ask more questions may god bless you with 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 husband has Hep C.  He went and had a tattoo done Sunday on his arm.  He had about 4 shots of Southern Comfort to help relax him and had taken 2 asprin.  He came home and got sick and there was blood in it.  He has gone to the bathroom and he seen blood in his stool.  It was red and today it is tarry color.  He is not yellow and his eyes are white no yellow there either.  He says his stomach hurts.  Should he see a Dr. or will this pass?  He is stage 4 with his liver! ### REPLY: Thank you for posting your query at . What is age of your husband?liver cirrhosis may lead to esophageal varices which may cause Upper GI bleed. Blood in stool has differentials like - hemorrhoids - inflammatory bowel disease - colonic polyps' malignancy - infection (bloody diarrhea)if age>50, Blood in stool usually reflects a lower Gastrointestinal tract pathology. Your husband should visit a gastroenterologist at the earliest to undergo endoscopy. If bloody diarrhea with acute history and age wish your husband good health. Further queries are welcomed. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my wife has been diagnosed with a low grade glioma. its located in the cerebellum area of brain. near brain stem. she has received radiation treatment and is currently taking VIMPAT. she is experiencing a tremendous amount of vertigo and vomiting. the dizziness and vomiting is daily. ### REPLY: Hi, Thank you for posting your query. It is unfortunate that your wife has been diagnosed with low grade glioma, a cancer of brain. Moreover, a vital part of brain, near the brain stem is affected. I am glad that she is receiving radiation and IMPACT. I hope that she shows good recovery. Dizziness and vomiting are related to the tumor, as well as radiation and medications. Dizziness can be relieved with betahistine tablets and vomiting can be prevented with ondansetron tablets. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi. my name is angela and im 15 years old. I have hair on  my upper lip and ive been shaving it with just a razor blade without any creams. it grows back not so thick but it turns out that my upper lip darkens a little and i want those hair to be gone for good. could waxing be a good process to do? ### REPLY: Hi, Thanks for writing to us. If the hair growth is fine, you may go with threading, waxing or bleaching. The wax that is used for face is different, so always check whether your salon professional is using correct wax. However, if the hair growth is thick, go with laser hair reduction. Shaving is not advised as friction due to shaving and also sometimes due to threading may leave pigmentation. Hope this helped. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 1 year, 2 months baby is on Isomil 3 and the doctor has advised that I need to change her to Pelagon ? She had reflux (she has since bben operated and seems fine although she doesn t eat as normal kids do) . I ve started her on parmalat cow s milk for infants (1-3 yrs), however I only give this to in the morning as well as during bedtime. Whicj is the best formulae as I ve never tried Lactogen ? I ve tried Pelagon and Nan and she refuses to drink it ### REPLY: Dear parent, Your baby is now one year and 2 months old. You can give her normal boiled milk(packet or local). There is no need for formula milk. If you are not convenient with local milk, formulae I would recommend is lactose stage 3 /similar stage 3/enamel stage 3. Give her milk three times a day around 500 to 650ml per day. Other 3 feeds should be solids like rice, dal, vegetables,fruits. As u told your baby had reflux problem, reflux would decrease spontaneously in infants after starting solids. For proper growth of the baby, she should be provided with balanced diet not only milk. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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...Hi, my brother-in-law, age 55 is now in stage 4 of colon cancer. Now his body is full of water. doctors even cant release out the water as all his body protein is coming out. At this stage what to do? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He has colon cancer. It is stage 4 cancer. Surgery is not useful in this stage. So treatment options are chemotherapy and radiotherapy. But it will not cure the disease. It just works as palliative therapy. Despite all treatment prognosis remains poor. Life expectancy is not good. Sorry to say but it is fact. Consult your oncologist and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END