Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 back pops when I walk. It is not painful, just annoying. Like something rubbing together. Seems to be mostly mid to lower back, not always in the same spot, but will pop with every step sometimes. Will stop if I adjust my posture, but not always. ### REPLY: Dear; you might have degenerative disc disease in your back. However, it is not normal to have this noise in your back every time you move, I recommend you to have a back X-ray to a basic evaluation of your back. Good posture will help and a back support too, but you need to find out why is doing this. Decrease space between the vertebrae can cause this problem. I hope my advice has been helpful. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having issues with high blood pressure. Lately I am getting light headed and almost feel like i walk through the day high or in a trance. I am fully functional and no one notices, but I don t feel right and need to know what the problem may be. ### REPLY: Hypoglycemia, postural hypotension and some other causes may be reason behind lightheadedness. Cervical disc problem may also cause it and many other causes resulting in less blood supply to brain. High blood pressure treatment can't be prescribed without knowing little medical history, lab test reports of blood etc. Clinical evaluation is better than seeking blind online opinion until you have something to show in the form of reports etc ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 having stent in ureter for removal of stone. Even i am having problem of UTI . LAst time when i took allopatic medicine, i got its side effect and got suffered from fever. Even this time doctor has prescribed me allopatChatDoctoredicine . I want to take cystone for UTI. Can I take cystone for treating UTI and kidney stone instead of allopatChatDoctoredicine(Portrate MB6 and Niftas) ### REPLY: Hi, many thanks for the query! Stent in ureter harbors bacteria causing UTI, so you have to take antibiotics. Fever can not be a side effect of your medicines, but it is because of the infection in urinary tract. Cystone need not be taken as you are going to get your stone removed surgically & you are taking antibiotics. . If diabetic, blood sugar levels must be in good control. Wish you a good health. Take care. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A few months ago i was on a trip to Montreal and went to a erotic massage parlor. Might have been the biggest mistake of my life now that I look at it. im so depressed about this any way. the woman gave me a hand job and nothing more. It was a fully naked one so her naked body was on my body but not in a super sexual way but more sensual. she rubbed her breast on my but her vagina never touched my skin from what i remembered. After my session I had a tingle on my penis that wudnt go away. I figure it was due to the warmed oil that she used. A month or so later I had a few little bumps show up near the shaft of my penis. I was scared and went to the clinic immediately. The doctor instantly told me that this was Herpes and I would have it for life and i could infect a woman and destroy her ability to have kids and that I needed to take some pills for a week and then buy more later on. I left the clinic feeling like committing suicide because of this doctor . It felt like he was reading from a play book or something. Any way the bumps turned to scab and went away. Also my anus began to hurt at times as well. the tingly feeling in my penis never went away.. it stayed there for a few weeks and might have went down a bit but always came back. I began changing my eating habits and did a full body cleanse. I did not take the medicine that the doctor ordered me too. I just didn t feel comfortable doing so after his horror story. after a month and a half everything went away and the tingle went away for a bit. but wud sometimes happen again after i masturbated or had sex with a condom. i went back to eating the same and smoking and not working out as i did. and after maybe 2 months now I have the bumps again. I wish i could say that this is just sum fungus from my lotion or from something else. I still haven t got a official test which I will be getting next week. can you help me to understand why i have the tingle constantly and is that something normal with herpes cases. Also why is it that right after the massage i had this tingle. i m really depressed and I am somewhat of a well known figure in my community so i dont know what to do with my life at the moment. ### REPLY: Hitching or tingling on genitals or around anus is a symptom of herpes. There is no cure for genital herpes. But the symptoms can be lessened and prevented with treatment. Treatment can also reduce the risk of infecting others. Antiviral . You can get a remission by treatment.  When symptoms recur, they usually come on during times of emotional stress or illness. That's because, during these times, your bodies immune system may be less able to suppress the virus and keep it from becoming active. There are also things you can do to avoid passing the virus to other parts of your body, as well as to other people. Take these steps:Don't kiss when you or your partner has cold sores. Avoid oral sex when either partner has oral or genital sores.Don't have genital or anal contact when any sores are present. Wash your hands with soap and water after touching infected areas.Don't wet your contact lenses with saliva. There are things you can do to relieve the discomfort and severity of the symptoms during an outbreak. Home treatments include:Take painkillers such as aspirin, acetaminophen, or ibuprofen. Bathe sore areas with a warm salt-water solution twice a day (1/2 teaspoon salt with 1/2 pint warm water). Let air circulate around the sores by wearing loose-fitting clothes. Put an ice pack on the affected area. Wrap the ice pack in a towel or piece of cloth. Get plenty of rest. Hope this may help you thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am Alice, My child is 4 years old. he is having cough since last month. I have given him acefyl, sancos and britanyl even i have do ne 15 days courses of singular twice. Doctor has adviced me to give him cefiget ( antibiotic ) but still no improvement. I am really worried. Please suggest what to do. Is he suffering from dust allergy or what? SHould i do the course of myteka or singular for 3 months? will that be cured? ### REPLY: Hello welcome to ChatDoctoras per the symptoms you told the boy is suffering form URI (upper respiratory tract infection), but even after trying with antibiotic, there is no relief. So I suggest you to take the child to a pediatrician to check the complete blood picture, and the chest x-ray, become we should rule out the hidden infection if any... after physical examination and going through the reports, doctor can come to conclusion. So don't wait with trying all those medicine stake care bye ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, so I have this weirdly shaped bump on the outter lateral side of my right foot. Its not an obvious big bump. But its slightly obvious when I palpate it or when I turn my foot to the side. I acquired this last year while I was on vacation. I rode a boat and hopped down a bit fast from a high surface and ended up landing hard on the side of my foot on the wooden surface of the boat. It hurt, but because we were on vacation and it wasnt bleeding nor swelling, I thought nothing of it.After the vacation, i noticed the slight deformity or bump days later. It only hurts when I walk for a long time in slippers. I know it has something to do with the bump because I never used to get foot pains on the side of my foot until the incident.What should I do? Is this bump permanent? Is my foot bone deformed? Do I need surgery for this? Can massaging the side of my foot help or worsen the situation?:O? Thank you sincerely! ### REPLY: No your bone has no deformity,,, so be relaxed, but yes the bump may remain for a longer time, go for a foot x-ray to confirm whether there's an old fracture, first palpate whether the bump is soft or it appears bony n hard, if its soft and tender it represents ligament tear if its bony and hard it may be a bone damage, check it. If its soft it will heal with time and immobilization, if its hard and bony you may need surgery, if ligaments do not heal within 7 months and pain doesn't subsides you may need surgery for that too. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 began taking Microgynon 30 a week and a half ago after being on the depo for 6 years. Since I began the pill I have had multiple mouth ulcers that do not seem to be calming down and the sides of my face feel very bruised. Could Microgynon be the cause of this? ### REPLY: Microgynon 30 contains levonorgesterel, it is not known for it to cause mouth ulcers directly.However, certain . It warrants thorough local examination of lesion for assessment of the severity and differentiation form other rash lesions. It is advisable to immediately consult the GAEC doctor who had prescribed the pills. As any abrupt discontinuation may precipitate heavy bleeding. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have missed 2 periods. I am irregular but I have never missed a period entirely. When I was supposed to have my period I have spotting and light cramping. My boyfriend and I use protection only right before he climaxes. Should I take a pregnancy test? ### REPLY: Hello dear, I understand your concern. In my opinion there are various causes for irregular periods:-1)Thyroid abnormalities.2)Polycystic ovarian disease(POD).3)Anemia.4)Overweight or obesity.5)Stress.etc. So I suggest you to consult doctor and get the necessary investigations like ultrasound, thyroid profile done to rule out the above abnormalities. Weight reduction in case of overweight or obesity is most important and helps in regularization of cycles. As you have spotting during the time of expected period and as you are sexually active definitely the pregnancy should be excluded. So I suggest you to consider doing a urine pregnancy test. At the same time cause of irregular periods should be evaluated. Nothing to worry. Hope this helps. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am paranoide,  that everyone is talking about me,  i see glowing sometimes and feel strange,  my thoughts are blured and racing,  i suffer terrible night traumers due to life traumers,  i have many thoughts of why am i on this planet,  i have withdrawn every type of social communication. ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. The symptoms that you are stating suggest that you could be having a depressive episode. Patients of depression do have symptoms such as the ones that you have described. You will need medications such as fluoxetine or Escitalopram or sertraline for the management of depression. If you are averse to taking .  This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 28 year old sexually active male, I have been very itchy down there and thought it best to shave off my pubic hair while doing so i noticed a film the covered the hair. Since i shaved the itch has gone away, but im courious to know if this is omething I should get treatment for. ### REPLY: Hello, The most common causes of itchy testicles are irritation and fungal infections from poor hygiene or excess sweating. Regularly bathing and applying lotion and powder can prevent most cases. The itchiness can also be caused by STDs like genital herpes, gonorrhea, and chlamydia. Therefore, I suggest consulting a skin specialist for physical examination, diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi on Saturday morning I was awaken with pain in my left upper chest area and left arm with some dizziness. I have tendonitis of the left elbow anyway. My pulse was regular. Once the dizziness slowed I took a baby Asa and was able to fall back asleep. During the day on Saturday I experienced some chest discomfort, left arm pain and started having pain in my left side. This morning I continue to have discomfort in left shoulder arm area and left side. Some indigestion. Also my pulse has remained regular throughout this problem. My BP 130 s/80 s. I take BP meds which keep my BP WNL. ### REPLY: Thanks for your question on . As a rule in chest pain, we have to first rule out cardiac cause. So please get done ECG to rule out heart disease. If this is normal than get done chest x-ray to rule out pulmonary cause. If this is also normal than you must have anxiety associated symptoms. So better to avoid stress and anxiety.  Be relax and calm. For indigestion try to follow this.1. Avoid oily and spicy food.2. Avoid large meals, instead take small meals.3. Go for walk after meals.4. Take proton pump inhibitors. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, i had a 2 year old boy, his problem is that , when i am giving food to him he is keeping in mouth only,not swallow and also he didnt chewing. He had no interest in taking food, milk or anything. How can i change the condition of my baby Pleas reply doctor ### REPLY: Hi... Thank you for consulting in . I take this opportunity to tell you certain scientific facts and relieve your distress - 1. An active is a well kid even if she/ he is not eating well. 2. Development of a kid is as important as, or I would say even more important than growth alone.3. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents, we need to be more patient and feed than less quantity but more liquors per day.4. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it.5. I suggest you not to use appetite stimulants on long run as they may cause . PLEASE DO NOT GIVE ANY SO-CALLED APPETITE STIMULANTS AS THEY ARE NOT VERY SCIENTIFICALLY PROVEN AND THEY HAVE THE SIDE EFFECT OF EXCESSIVE  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 symptoms are (as diagnosed by my doctor) degenerative arthritis, sinusitis, forgetfulness, sleep apnea. steroids do not help, and inflamation does not happen. my doctor has all this in my records, i am wondering if they have overlooked a link between all of it. always being tested, but no diagnosis for cause. i am in constant pain i all my joints, and have muscle spasms. i weight train 1 to 2 times a week trying to keep blood flowing, but it takes alot of those nitric oxide pills to motivate me. i will answer any question. i used to be an athlete, now i am on temporary disability and about to lose my welding job. insurance is about to run out and i have no diagnosis. ### REPLY: Hello, Your symptoms could be related to arthritis and depression caused by chronic disease. The forgetfulness could be related to depression or the sleep apnea. Coming to this point, I would recommend using a CPAP device during sleeping if the diagnosis of sleep apnea is confirmed by polysomnogram. If this does not help improve your forgetfulness, I would recommend starting an antidepressant like amitriptyline or duloxetine, which can help improve your mental situation and also against the pain. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my age is 33 years old n i m married from last 1 month.i had my periods on 30th of june n not yet got d periods back.me n my husband stayed together for 8days startin from 30th june includin my periods days.my period cycle is usually of of 38 to 40 days n once or twice in a year i skip my periods for 1 or 2 months.will i be able to concieve easily?is it possible that i m pregnant now? ### REPLY: Hi, you can do a urine pregnancy test at home.  It will clear the doubt that you are pregnant or not.  But as you are having irregular periods, go for an evaluation first.  Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries.  If everything is fine, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for 2 to 3 days after injection.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months.  Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father is 58yrs old. His TMT was mildly positive for reversible ischaemia. He exercised for 8 mins 21 sec of the  Bruce protocol and achieved a workload pf 10.1 mets. Peak heart beat of 146 beats/min. Ther was no S3 and S4 gallop in the recovery period. At peak exercise there was 1.4-1.5 mm ST segment depression in keas 2,3aVF. Changes reverse  within one minute post exercise.He is diabetic with fastic sugar 155 and PP 244. He is smoker and with High BP. kindly advise. ### REPLY: Hi, changes of ischemia present. To prevent further ischemia and heart damage antihypertensive has to be started (enalapril or amlodipine).sugar level should get controlled. For that take low sugar diet. If still not controlled start metformin. Strictly avoid smoke to prevent heart attack. Avoid high lipid diet and fast foods. Take more water. Low salt diet should be taken. Here damage to heart can't be reverted now. But further ischemic attack can be prevented. Take aspirin tablet regularly. If lipid high atorvastatin started ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: When having a blood test performed a few months ago, I felt a severe tingling in my arm and down to my wrist when the nurse was inserting the needle. She immediately pulled the needle out. My arm was sensitive to the touch for several days. I still notice after more than three months that my arm has a tingling sensation whenever I touch the inside of my forearm. What do you think this can be? Is it a permanent situation? Is there anything I can do to remedy the situation? Thank you for your time and response. ### REPLY: Hi from your information I understand that a small nerve(medial ante-brachial cutaneous nerve) might have been pinched during the procedure. This nerve can be quite close to most vessels used for blood taking around the elbow or just above it. I have heard of a case like this and usually the nerve recovers. The needle used for blood taking is quite small, and the damage is never major. The sensitivity is quite disturbing because it is sensitive small nerves that are accidentally injured. This is just because of the location of these nerves very close to vein used and not an error from the nurse. It could have happened to anyone doing the procedure. The nerve should recover, and the sensitivity will get better ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 40yrs old and blessed with 3 children. my husband is 50 yrs old.he is not having interest in sexual life,but i am much interested. he is not giving importance to my feeling and often avoiding me. i am much worried.sir please sir help me what shall i do to get sexual interest to my husband ### REPLY: Hi, Decreasing sex libido is common at this age due to low testosterone level., Remember that sex is an art and not merely mechanical action. So it requires preparing him for sex by,1, exciting sex talks, verbal, fantasy.2, have kissing, pushing,3, wear sex exciting clothes or your husband likes clothes more exciting,4, create quite and exciting atmosphere.5, see sex videos and porn sites.6, go for changing sex positions, This will give him sexual excitement, and you will enjoy sex. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a pain in right kidney since 10 days, taking UROCIT-K 10(Potassium Citrate) with Pain Killers. The problem is neither doctor found stone in X-Ray nor in Ultrasound what should i do ? how do i get rid of this unbearable pain ? plzzzzzzzzzzzz help me....The only water is helpful for this pain otherwise i have no words. ### REPLY: Hello and welcome to ,The Majority of kidney stones are radio-opaque and can be detected on imaging studies. However, during acute stage, the stone may not be detected due to soft tissue swelling. In that case, the diagnosis of kidney stones is made on the basis of characteristic history. Small stones (few millimeters in diameter) do not require immediate surgery. They have to be followed up and one needs to . The pain is experienced when the stone passes down the ureter. The pain is indeed very severe and painkiller like Tuscan, metal is required to control the pain. Get painkiller prescribed from your doctor for the acute attacks and continue the treatment which you are being prescribed. Thanks and 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: why should normet should be taking,i mean what does it work the phymacies told me to give it to my daugther why she have malaria, and she is just 7 months, and it was also presbribe for a friend of me for an infeaction proplem, thoes it work for this things ### REPLY: Hi there, Normet consists of a mix of Ofloxacin and Ornidazole, which is an antibiotic and antiprotozoal.  It is usually given for infective diarrhea, where the specific cause of it is uncertain.  I am sorry, but I have not heard of it being given for malaria before.  Was it prescribed after a visit to the doctor, or did the pharmacist give it to you on their own?  Does your daughter have diarrhea? If it was prescribed by a doctor for diarrhea, then go ahead.  It takes at least three days for the results of stool investigations to be available, and if the child is ill, we sometimes start broad treatment first without waiting for the full results, because it might take too long. Hope this helps, and please let us know if you have 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: I keep getting an electric shock type pain in my left shoulder radiates up to my neck and down to my elbow sometimes. I have Osteo arthritis generally could this be the cause. It isn;t constant but when it happens it is excruciating for about 2 seconds ( I am guessing) ### REPLY: Hello, I read carefully your query and understand your concern. Yes, the symptoms can be related to osteoarthritis. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest using Voltaren gel for local application and ice compresses for relieve. Hope my answer was helpful. If you have further queries feel free to contact me again. 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: Two weeks ago I had to get two stitches in my ring toe on my right foot. My foot just now started swelling and the toe with the stitches goes numb and tingly. Is that normal? Also I should of gotten them out four days ago but couldn t find a DR. Should I be worried??? ### REPLY: Hi! I read carefully your query and understand your concern. If your foot is swollen, tender,red and hot when you touch it, these are all signs of inflammation and I think the wound in your toe might be infected. Well, I can tell this is not normal because after two weeks your foot should have been healed and this signs I described you above are happening in you foot it is definitely an infection. You should see a doctor, he will prescribe you an antibiotic. Hope I was able to help you. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 64 yeas old on home peritoneal dialysis. Im on the kidney transplant list. Because of my age Im getting older kidney, which i will get the kidney faster. At the moment my energy is low and the faster i get it the better for me i was told. The kidney will be from a dead person. Is there any chance that this people died from censer. Should I go on the internet and ask if anyone is interested donating a kidney. I heard some people have done this. Is this wise to do. Thanks ### REPLY: Hello, Thanks for choosing . Don't worry about that of course you can have a cadaver kidney of old age person. If there is anything that wrong about the patient then even doctors won't transplant that kidney they will have the complete history of the dead person so rather going for other option you please carrion with the cadaver kidney and mostly you won't have any other issues except the acceptance of your body to take that kidney. Thanks .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello madam/sir, i am feeling mild chest pain in the left side of my chest area and also sometimes spreads to left arm.. thsi is happening since last 10 -12 days .. though it is not continuosly bt happnes after soem time interval .. could u plz suggest me something ### REPLY: Thanks for your question on . I can understand your concern. Left sided chest pain is commonly seen with heart diseases. So we should first rule out heart related pain in your case. So get done 1. Blood pressure monitoring 2. ECG 3. 2d echo. If all these are normal then no need to worry about heart diseases. Sometimes muscular pain can also cause similar symptoms. So take painkiller and muscle relaxant .  Apply warm water pad on affected areas. Avoid heavyweight lifting and strenuous exercise. Don't worry, you will be alright, but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I m having typhoid , taking cifron 500 for 9 days..getting pain in my legs and back, when I sleep, causing sleep disorders... Also I am taking Saaz - DS tablet as I m having Ankliospondilitis, can I take Saaz-DS along with Cifran-500 which I am currently takng.. ### REPLY: Dear Friend. Welcome to . I am . I have read your query in detail. Furthermore, I understand your concern.First you have to be sure that are you really suffering from Typhoid or not. Widal test that must have been done is not sensitive. So, tell me since when are you having fever and of what grade. As far as your query is concerned, you can take Iran with Mathis is my best opinion for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my husband has been having red itchy skin bumps all over his body for about 2-3 years now.  H has seen family Doctor , several Dermatologists, an Allergist, etc.  We do not believe they are bug bites.  We do NOT have bedbugs...had house treatment x2, and our 2 dogs do not have fleas.  I sleep in the same bed, and have never had these ( and my skin usually reacts very easily to any skin problem).  He has been tested for bug bites, had numerous allergies testing (patches), herpes, etc. I am an RN, and keep feeling he has some sort of infection, or autoimmune reaction.I would appreciate any ideas, suggestions, assistance with his problem.Sincerely, Sandi W. ### REPLY: Hello, Red itchy skin rash for almost three years. When an allergy is this lost it turns it a state call chronic eczema. There it may be erythematous(Red) and itching. It is difficult to complete cure at this stage. We can only prevent another severe exacerbation. If it is so the steroids will be use. If you're thinking in the line of infection and autoimmune disease then consult you doctor for more information and help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I m writing to inquire about a lump that appeared on my daughter s forhead a week after her birth - twin, c-section birth (her brother has no lumps). The lump started as a small red fleck and grew quickly - now is M&M sized, mushy with a red birthmark. She is 10 months old now and acts normal and falling into place with all the milestones - laughs, smiles and doesn t seem to have any pain. I was told not to worry - it would grow and then shrink around age 2 - my pediatrician seems confident as she said it was a collection of vessels. Should I be worried, what should I watch for, and/or are these lumps common with twin births / C-section? Thanks ### REPLY: Hello, I appreciate your concern. From what you've described, your pediatrician was absolutely right in saying that it is a collection of vessels, called a hematoma, and is not rare (seen in 5 to 10% of babies). She was also right in saying it shrinks around two to five years of age (50% disappear by 5 years of age and 90% by 9 years). Answers to your questions:1. You need not be worried as complications are very, very rare.2. Watch out for bleeding from the swelling(if she bumps her head), any ulcer-like lesion, and hoarseness of voice or difficulty breathing (which may indicate a hematoma in her airway)3. These lumps are more common with preterm births, and twins, but have nothing to do with C-section. Hope this helps! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pains in my lower back and also on my left buttock there is a swelling, i have had this for the past 5 years, It does go easier and then it will flare up again. ### REPLY: Dear friend your low back pain and buttock swelling seems related muscular pain. Get examined by your family doctor if severe.is all reports are normal then physiotherapy and exercise will help you a lot on long term basis. Presently if you have severe pain then take muscle relaxant medicine like combination of diclofenac+paracetamol+chlorzoxazon and consult physiotherapist.-exercise for low back pain-raise your leg straight from hip joint without bending from knee after sleeping on back and then put down slowly. Same exercise for another leg and then raise both leg simultaneously. Sleep on abdomen and raise your head and chest backward. Do all these exercise 40-50 times per day by increasing slowly daily. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon dear friend .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 got out of hozpital went by ambulance because of extreme pain they found out my liver enzyme was 1017 where norma is 107.  I dont have hepatits a-c; nor do I have chirrosis.  What is causing this enzyme levels go up and down .  I am 49 and i weigh 215 at 57. I am insulin dependent diabetic with high cholesterol and asthma and heart disease with ivf filter ### REPLY: Hi thanks for contacting ... You have negative report for hepatitis virus. So viral hepatitis excluded here that's good..... Now you have high cholesterol level. So just get your USG abdomen ..... It might reveal .....-Fatty liver or -Gall stone -cholangitis etc..... For above condition less fatty diet needs with more fruits....Lose weight if overweight..... Junk food, butter, cheese and meat less. Exercise done. If still cholesterol high . Let me know you alcohol  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 has been collapsing due to his irregular heart and after a mini stroke and heart attack they said they are putting him on morfrin (not sure how to spell) they also say he needs to change his diet- where can we get ideas of what to eat as told not to eat tomany greens and cereal which he loves ### REPLY: Hi . Thanks for choosing us for your health query. Your father recovering from minor stroke. But if you had mentioned the co morbid conditions it should have helped us to guide you more accurately. Any way with an assumption that he has diabetes, hypertension and stroke I will guide for a healthy diet and lifestyle. You need to calculate the calories in your father food limit his calorie intake to 1800 because is a sedentary male. Of the calories you need to give 800 calories in morning and 500 for noon and night. If his kidneys are fine we need not restrict on the protein give 1gm/ kg body weight. Control his oil intake to 4 teaspoons per day because he had stroke high lipids are basic cause. Take care of hidden fat also that present in groundnut, coconut etc. If kidneys are fine we do not need to cut his veggie intake. If he is a diabetic and is under control you can give two portions of cut fruits 100gm each. Hope our suggestion helps. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, I have an odd question. I was a U. S. Marine and while in the service I suffered an injury to my lower back. A very long story shortened, I would like to know why sleeping in my recliner alleviates most of the pain I feel compared to when I sleep in my bed. I have tried all kinds of mattresses from expensive to cheap and sleeping on a bed always kills my lower back upon wakening. Can you give me an explanation on why a recliner helps alleviate my back pain and if there could be any issues in the long run (other than a mad wife) lol. Thank you for your time. V/r, Jay ### REPLY: Recliner are usually not ergonomically designed, they are mostly design specific rather than anatomical correct. Staying in recliner for long time can case back pain due to static wrong posture can put all the strain on your back muscle. The pain can be suppressed if you meet a good physical therapist who works more on movement disorder or spy muscle rehabilitation also you can adjust with .  But to gain permanent change its better you start your exercises and get ergonomically designed recliner ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 on Lo Loestrin birth control for a little over a year now and i ve had unprotected sex with my boyfriend but it was only for a short amount of time, and he pulled out. we ve recently started using condoms again but but im still worried. is there a high possibility i could get pregnant? ### REPLY: Hello dairy understand your concerned Holstein is low dose birth control pill. It is safe and highly effective in preventing the pregnancy. It has just failure rate of 0.5-1% after regular use. Use it regularly on specific time every day (at bedtime) and make it habit by putting reminder in the mobile. No need to use condom if you are regular on Lo Holstein pillaged stress, take healthy diet, do regular exercise, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my son is going to be 10 years old about 4 7 and about 95lbs. He has A.D.H.D and O.D.D he s had this for several years already. He s taking Concerta 36 and Abiliy 10 mg in the morning, and Ritalin 10 mg at 2pm, also takes Trazadone 50mg and was taking Depakote 3 pills (red) at night. But recently about 2 weeks now I quit giving him the Depakote because he broke out in hives and a rash. My question is, is there another pill he can take in place of the Depakote to help with his moods in the evening. He s been very defiant, the Depakote was working but he was miserable taking them with the hives and rash. Plus I know theres side effects with all meds but the past couple of days hes gone to school complaining of headaches and sometimes a stomach ache. He does eat in the morning, it only seems to be in the morning which is 2 hours after he takes his morning pills. Is there anything we can do to help prevent this. Would you suggest maybe giving himTylenol before he goes to school. Thank you Raina (a concerned mom) ### REPLY: Hi, Hives and rashes are side effect of trazodone. Stop trazodone, visit your doctor, tell him about side effects. Also ask about schedule for separate whether to take once in night or two/three times a day. Alternative medicine can't be discussed hare, as these medicines and their dosage are tittered according to clinical condition, tolerance of medicine, side effect. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend was just diagnosed with mono, but obviously up to this point I have been kissing him and sharing the same utensils. Will I get mono? I do not have the same symptoms but I do have extreme fatigue a severe headache, stomache ache and its hard to swallow. But my throat is bout red or scratchy. I have taken Tylenol to try and relieve symptoms but nothing has worked. should I go in for an appt. ### REPLY: Hi, The symptoms you described are consistent with mono. Mono is transmitted by kissing. Headache, difficulty swallowing, fatigue are all symptoms of mono. Since it is a viral disease our treatment is supportive by giving antipyretic and analgesics as antibiotics are not prescribed for viral diseases. If you have difficulty consuming food due to pain you should definitely get an appointment. Thank you for your query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my wife is short tempered, and myself being not so strong( could not control my wife ) I do not know how to treat her. she behaves exactly according to the definitions of how short tempered people behave, Even i could not explain, her that she is a short tempered. Please advise me and guide me ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Leading life with short-tempered people are not so easy. You should never say, when or for what purpose, they get angry. Therefore, you cannot act according to her behavior. You being strong is also futile. You can approach her differently. Furthermore, you should make her aware that she is short-tempered. Then take her to a behavioral therapist and get the therapists' suggestion. Then she shall take care of her own short temper. You do not have to worry about it. You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I laughed very hard and now my upper chest hurts. Though, the pain is dull when im not laughing. After a while it goes away, but then I laugh hard again and it hurts. It just started a few minutes ago when I was running and playing with my little niece. ### REPLY: Thanks for asking your question I completely understand your question laughing out loud may cause muscle stretch and cause problem.u may take an analgesic tablet for one or two days and if pain gets relieved then it is nothing to worry or if pain remains then consult a pulmonologist, he can have a chest X-ray and rule out any other cause. Do not panic it's going to be thanks/ regards 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: sir , my son 4 years old , he have cough and running nose and block nose , then we have take blood test , that time esr is 60 and total count is 18000 , and esino is 4 , then take medicine , after the take blood test esr is 2 , total count is 10500 , esnio is 12 , pls confirm wht is the symtoms the same ### REPLY: Hello, Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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/Madam,My wife get urinary infection 5 years ago. Ultrasound suggestd that her left kidney is shrinking and uretor not seen.  Though no solid ground was known but on the basis of 40 ESR, Doctor in PGI Chandigarh started Tuberculosis treatment for 18 month.  One year ago, treatment stoped. DTPA Scan showed Left kindney (shrink) is functioning only 10% while right kindly function is shown 90%.  In routine check up ultrasound not suggest that left kidnly is NOT SHRINK [mean it has grown to full] (bigger then right kidney)but function of kidney is less then 5%.  I am afraid, there may be some reason for its grow (may be cancer or any other thing).  I discussed the issue with Urologist who suggested kidney removal. Presently, Ceretine is 1.07 and urea is within limit.My question is :1. who is best nephrologist/ urologist to decide whether the kidney should be removed or not2. Is Urologist is competent to remove the kidney?2. Should I go to nephrology department for this operation. 3. Any other advise and 4. what is the cost involved in treatment. ### REPLY: Hello and welcome to . As a Urologist, I can understand your anxiety very well.1. Both are equally competent to decide on kidney removal. Kidney showing less than 10% function are always removed, due to potential infection, affecting the normal kidney(right).2. Urologists are the most competent and experienced surgeons for this.3. Delay in treatment is risky. 4. Cost of treatment varies in hospitals, but free in medical college hospital. You may send doubts, as a direct question to me, for an expert opinion. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 23yrs old, I have used many treatments(mintop, tugain, mx-5....) to regain my hair having no use, i have lost all my hopes. can i get any perfect solution by taking treatment (not by transplantation) in ur clinic??? If so, can u provide all details like cost, duration regarding treatment... ### REPLY: Hello. Thanks for writing to us at  Judging from the medicines that you have been prescribed by your doctor, I think you most likely have an . You have been prescribed topical minoxidil by your doctor. This is an approved medication for this type of hair loss. Most patients do notice improvements once the treatment is started, however, the response may vary from person to person. Treatment may take 2-3 months to produce noticeable improvement. Therefore, you have to be patient and follow up with your doctor regularly. However, if I was the treating doctor I would have also started you on oral Finasteride along with minoxidil. While minoxidil is a non-specific hair growth promoter, Finasteride is an inhibitor of 5 alpha reductase which is the main enzyme responsible for follicular miniaturization and hair fall. Finasteride acts by inhibiting this particular enzyme and is therefore specific for this type of hair loss. The goal of treatment is to arrest the progression of an ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diagnosed with copd my arterial blood test showed that I have a 98 o2 level . 5 months ago I had pneumonia and went into cardiac arrest in the er could that be the reason I went into cardiac arrest im 50 years old female and had 100% blockage of my rca ### REPLY: Hi, as what I understand we are dealing with two Co existing conditions, COPD affecting your lung and RCA block as you say affecting your heart, mostly pneumonia must have predicated a COPD elaboration which would have brought your oxygenation down temporarily leading to arrest, if as you that point of time arterial sample had normal oxygenation, we should think of some arrhythmia which can cause cardiac arrest because of ischemia heart, however in most possibility pneumonia may have precipitated arrhythmia.  I do suggest heart check up and appropriate meds for heart and COPD to be taken religiously, also lifestyle precautions, immunization to prevent recurrence of another infection should be top priority 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: good evening sir,my  typhoid report is showingsalmonella typhi   o   antigen paratyphi.  what is the condition of typhoid and please advise me. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have typhoid fever. It is caused by salmonella type. It is type of bacteria that cause typhoid fever. Fever with abdominal pain is the most common symptoms. You should go for tube tidal test to know exact tier. Treatment of choice is ciprofloxacin. You should take a complete course of ciprofloxacin. Take bland diet and rest.  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


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Today I began to get a very bad stomach ache and I tired using the restroom but nothing happened. After a while I tried again and when I went to wipe I saw blood in the toilet and on the toilet paper. I proceeded to continuously check for more blood but now it only seems to be coming from my vagina. There has been no spotting on my underwear just in toilet paper and my stomach ache is also still present, it is a very low pelvic region ache, ### REPLY: Thank you for your Q. If you are experiencing pelvic area pain & spotting associated with it - it may be due to pelvic infection, but one also needs to make sure that it is not related to any complications associated with pregnancy (of course it depends on your age, last period & if any contraception is used currently)I suggest get pregnancy test if in doubt & also you must get urine checked to make sure it is not due to urinary infection. Other reasons why pain associated with spotting on toilet paper (if coming from back passage area) - is piles/ fissure (pain will be more around anus) & constipation related. Obviously it is important you get appointment 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 had a colposcopy done yesterday after finding out that I have HPV type 16. After the biopsy, he told me I would possibly feel some cramping, which I did. But when I got home after having supper, I threw it all up. I just got to work this morning, and Ive been in the bathroom twice with dry heaves. Whats going on? ### REPLY: Hello, Welcoome to the . Brief answer.HPV 16 either causes no symptoms or genital warts, throwing up could be because of gastritis or anxiety. Detailed answer. Mostly it does not cause symptoms, but silently it can be precancerous, and also causes genital and anal warts. So regular check up is necessary. Throwing up could be because of Gastric infection or anxiety or stress. For that take a light food, and you may have tabbed.omeprazole 20 mg before meal. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got operated for Ingunal Hernia on 23rd Dec 2010. From 12 PM to 21.30PM my legs were uncontious. Post Op there was swelling on the left buttock noticed at 23.00PM. The pain was un bearable. In the morning oc sugg Ice cap & Linospoan. USG was done for left buttock. Report showed Subcontaneous edema. Now on 4th Jan 10 still there is lot of redness with less pain. Hernia stiches are also not in good shape, there is a GAP between skin. Linospan 600MG is continued since then along with Dynapar & tramazac ### REPLY: This feeling of legs are unconscious for 8hrs or so will be there if surgery is done on spinal anesthesia. sometimes infection occurs in mesh used in hernia repair that will result in subcutaneous edema. Lino span is an antibiotic used in serious infections. Ice cap will help in reducing inflammation and swelling and pain. Other two medications are given for pain. Once the edema of skin subsides the stitches will come into proper shape.it is better you point out the same with your treating . You need to maintain diet and other medications if any you are taking properly to maintain health and immunity and avoiding smoking will improve your recovery. Weight lifting should not be done to prevent recurrence of hernia, maintaining body weight suitable for age and height strengthening abdominal muscles through regular exercise under expert guidance, reducing abdominal pressure by avoiding constipation and the build-up of excess body fluids, achieved by adopting a high-fiber, low-salt diet, lifting heavy objects in a safe, low-stress way, using arm and leg muscles are some measures to prevent recurrence of hernia. Read more: http://www.syyyyyyyyyyyyyyy.com/Fi-La/Inguinal-Hernia-Repair.html#ixzz4CJUxWNdC ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doctori took deviry 10mg tablets for 5 days and 3 days later i had unprotected sex. till now(on the 4th day) i did not have any periods. thinking that i will be safe as withdrawal bleeding is going to happen in a day or two i had unprotected sex. i have polycystic ovaries FYI. what are the chances of getting pregnant. should i take emergency contraceptive pills? plz advice. ### REPLY: Hi, I guess your concern is about chances of getting pregnant after unprotected sex in spite of taking Deary. Firstly, my straight forward answer is YES. There are chances of getting pregnant. Because deary is given for the with .  So I want to tell you not to worry as every problem have solutions. As you told that you have Polycystic ovary. It also causes delay in menses. With the above discussion, you can try out my suggestions:1. First to do urinary pregnancy test by a kit, it is easily available in your nearby medical store and do it. If it is negative, then don't worry, menses will come with or without medication. But if it is positive then you can visit to nearby gynecologist, he/she can help you.2. If you are still having irregular menses then your treating gynecologist also helps you. I hope the above things are informative enough, useful n helpful for you. 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 Doc - Me and my wife are infected by yeast infection...probably. My wifw consulted a gynaecologist and she was prescribed to use the VDM kit.. The doctore also asked me to have the same medicine. Please can you let me know if this is an affective treatment for men? ### REPLY: His feel you should consult an .  If so then you will need a different set of medicines may be for 3 weeks. If your wife is having yeast infection then you will need antifungal tablet and local ointments... depending up on the severity of her infection she might require intraluminal antifungal suppositories for 3 to 6 days. That will be decided by her gynecologist. Hope my answer helps you. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, my name is Puneet and j hv been married fr 3 years now. I have been having a lot of issues and fights wth my wife mainly on issues related to my mother and sister. she gets extremely angry, abusive at times. also she feels my mom and my sis insults and mocks her. i have a 2 yr old daughter. my wife feels my sis wants to take away my daughter away from my wife. as a result, last week, she consumed some medicine in the attempt to kill herselves. since then i hvae been reading a lot and i think she might be suffering from Borderline personality disorder. when i told her that there is some problem with you and we should see a psychiatrist, she refuses to acknowledge that the issue is with her and she keeps blaming my sis for it all. Please guide me how can i make things better from here on ### REPLY: Hi, I have read your query. Since you are married for 3 years, and you are diagnosing your wife as personality disorders .this is not good try to communicate with both your sister and wife . Make some arrangement so that both can sit together and discuss the family matter ,,,also took advice from your parents etc. perhaps both of you husband and wife need some parental guidance ...do not straight way ask her to go to psychiatrist . If matter still not solved then take help from consultant or psychiatrist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffering from severe chest pain since puberty, headaches and dizziness, fatigue and shortness of breath with the slightest exertion and more recently palpitations (I am currently in my mid twenties). I have been diagnosed with mild mitral valve prolapse with trivial mitral regurgitation and mild tricuspid regurgitation. My EF=70% Is this likely to progress? What should be done about these symptoms? ### REPLY: MVP may lead to excessive stress on the papillary muscles, which, in turn, leads to dysfunction and ischemia of the papillary muscles and the subject ventricular myocardium. Rupture of chordal tendineaeand progressive mitral annular dilation and calcification contribute to valvular regurgitation, which then places more stress on the diseased mitral valve apparatus, thereby creating a vicious circle.However, the clinical course is most often benign and most patients are asymptomatic and remain so for their entire lives. Initial MR severity is the primary predictors of progression. In your case LVEF (70%) is excellent and long-term course is likely to be benign. Beta blockers sometimes relieve chest pain and control palpitations. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 33 year old male.....  Went this morning for pre-opp blood/lab work.  Im having a lump/mass removed from my left breast.  The doctor called and told me that my blood glucose level was 42 and I needed to come back in for more blood work.  What could be the reason behind the low glucose level?  Is it related to the lump in my chest?  Non-diabetic.  Thanks for your help ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You are suffering from hypoglycemia.  Your low sugar level is not related to your breast lump. Their are some other causes for your hypoglycemia.  You should go for investigation.  After your sugar level become normal then only you should go for surgery. 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: My 3 grandson has very painful bowel movements & constipation (since he was 7 mos. old) that have caused his parents to take him to the emergency room where they could find nothing abnormal though all they did was take xrays. The docs just tell them it s normal, have him drink prune juice, etc to no avail. This sounds very serious to me as I ve seen the pain he goes through and have cried myself watching him. What should be our next step in helping this poor little guy? ### REPLY: Hi, Constipation is common in young child .  It may be due to:(1) Inadequate/ improper toilet training in toddlers(2) Predominant milk based and no fiber diet(3) Stool withholding maneuvers due to fear of getting pain while passing hard stools(4) Sometimes hypothyroidism (low thyroid hormone levels) and rarely surgical conditions such has Hirschsprungs disease may also cause constipation. As the stools get stagnant in the bowel, they get harder and child ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, my partner has slipped disc and compressd on to his right leg nurve,he had an epudural injection into his spine on monday, but there is no different in his pain it looks like he is finding it difficult to walk now becuse of pain on his back, should we be worried and how long will it take to feel better ### REPLY: Welcome to  After going through your query I concluded that your husband is suffering from acute disc prolapse, for which epidural was applied. But he is still not having relief. He may get relief in pain gradually. Rest is essential part of treatment. He should rest in lateral position. Treatment may be long, sometimes years. You can discuss with your treating Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask . Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I have a small lump straight behind my ear (where the ear ends and the scull starts)  that looks like a part of a vain and it hurts when I touch it. Its been there now for a few days now, didnt change anywhere, but Im still worried because it looks like a swollen vain and hurts. Before the lump appeared, i had problem with the very same ear because it got blocked every now and then without any reason. Im a 19 years old girl, not over-weighted and I do have naturally low blood pressure. I dont have any serious diseases. Thank you for answering. ### REPLY: HI, Dear,Thanks for the inquisitive query to .1-I studied your query in depth.2-In my opinion, this lumps behind your ear crease is due to the infected lemonade -secondary to the boil/ or acne in the out ear-which blocked your same ear few days ago.3-I would advise you to check with ENT/ or General Surgeon, who would treat it under antibiotic cover with NSAIDs, if not responding would plan Incision and . 4-You are therefore advised to consult a Surgeon. Hope this would solve your query .5-Wellcome for more queries to me On .6-Thnks once again for your inquisitive query. Have a Good Day.!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear doctor, I am 34 year female, married, have 2 sons aged 20 and 17. i work in a corporate office. some 12 years back i had a acute on my right abdomen and doctor doubted appendicitis but the pain went away. Then aftersome years the pain on the same abdomen occurs sometimes and goes, but slowly my montly period became heay lasting for 7 days and some kind of piece of blood comes, feel thirsty, no appetite, feel like eaten too much, gas formation, some whitesh discharge comes sometimes, back pain, some giddiness while geting up from chair/bed. The monthly period com on time. after the delivery of two sons tubotomy was done as both the delivery was ceaserean. Recently about 20 days back again i had a acute pain on the same abdomen with  feeling of something is struct inside, feeling like vomiting sometimes, overeating, thirsty, no appetite. This time one doctor after doing all the checks and ultrosound says tumor in ovary, need surgery and i referred to second doctor, who conducted all the test and check says not tumor but cyst in ovary, need not surgery. The pain is better but still there little. The pepsimer and malingness test is noram.no medicine given. advised to review after 6 months I am confuesed with two opinion. If doctor could give some advise on this and also your suggestion to diet and other means to control or reduce the pain. ### REPLY: Hi I am sorry to know about your illness can understand your concern at this point of time you need not to worry if you can upload your ultrasound reports I would be able to help you better meanwhile have plenty of fluids avoid fatty and fried geophysical exercise daily have tab pantoprazole 40 mg half an hour before breakfast to avoid hyperacidity and related abdominal symptoms Hope this helps you can ask for further query if any thanks for using  wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I am trying to concieve for last 1 and a half yr. my reports are all normal and my ovulation test was normal with an endometrium at 9mm thickness. I have a daughter 6 years old and was a caesaerean baby. my fallopian tubes are perfect . active motile sperm count is 20% ### REPLY: Hi, I think you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband every 2 to 3 days after your periods stop.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  If total motility (progressive and nonprogressive) is more than 40 percent, there is no problem.  Otherwise, you can try GUI.  Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: goodevening.. for the last 6 months i have high levels of sgpt (400) and sgot (200). i have been tested for hepatitis but i dont have. they tell me to do a liver biopsy so as diagnose if i have an autoimmune hepatitis. do u think this is a good advice to follow? am i in danger having these high values? i am 35 yrs old, 53 kgrs, dont drink, dont take medicine of any kind. thank u for your time..mary ### REPLY: Hello Thanks for writing to ChatDoctorIncreased SGPT indicates liver injury. Increase in SGPT may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc.GOT is non-specific, and it increases in many conditions. You need proper evaluation. You need few more investigations like random blood sugar(RBS), renal function test(RFT), lipid profile, GGT level, urine RE/ME. You are rightly advised for biopsy to know the exact etiology. You should avoid red meat and high fat milk products. You should avoid fried and junk food. Medicines should be prescribed after complete investigations. Get well soon. Hope I have answered your question. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have random pain in my lower right side, and sometimes when I m about to pass water I ll get sudden stabs of pain but then it will subside and won t hurt for awhile (days or weeks). I ve had protein in my urine before and have had a kidney infection about two years ago. Any suggestions? Should I get it checked out? ### REPLY: Good Day, and thank you for being with  ! I would advise you to have your kidneys and urinary system checked. Pain during or after urination is always a trigger sign that something might be wrong. I would suggest getting an urinalysis and a kidney bladder ultrasound. This two non-invasive test is very easy to do and would be able to detect about 90% of urinary system abnormalities. Protein in the urine is always bad and tells me that there might be ongoing kidney damage happening right now.  I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ .  Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my mom had a stroke about 4 years ago and has gone through menopause.  She has limited mobility of her left side and spends most of her time in a wheelchair.  She is 63 years old, 5ft 5in, 190lbs (approx) and in the past year has started bleeding bright blood again with clots.  She says it is a dirty liver and went to the dr who referred her to a gyno.  She wont go. I just do not think it is a dirty liver but since her stroke she gets upset easily and you cant really talk to her.  What could be causing this and does a dirty liver make you bleed bright red? ### REPLY: Hello Thanks for writing to bleeding to not related to liver. Your doctor has rightly referred her to a gynecologist. Her problem may be related to pathology in cervix, uterus,local cause etc. She needs proper gynecological examination and investigations. Investigations include routine hologram, RBS,Pap smear, ultrasound of abdomen. Further investigation scan be done if needed. Proper treatment depend upon findings. Get well soon. Take Care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello....my son was born on 18th july 2014.initially he was on breastfeeding but realizing that his needs were not fulfilled we started him on top feeding.since 3 days he has started passing watery stool with bad odour around 10-15 times.my pediac has adviced walamycin 3.5 ml tid.I have stopped top feeding as well.what else should I do ### REPLY: Thanks for putting up your query at . Breast milk is the best food for a baby and there can be no alternatives to that. Let me ask you what made you feel that the breastfeeds are not adequate? The adequacy of the feeds can be judged by the number of episodes urine is passed. If the baby passes urine at left 5-10 times in 24 hours, you would know that feeding is adequate. Moreover, the amount of breast milk produced depends upon the hunger of the baby. If the feeding is inadequate, the baby will suckle more and more breast milk would be produced. If supplemental feeds are given, the hunger of the child would decrease and the child will suckle less and thereby the amount of breast milk produced would .  I strongly suggest that you switch back to exclusive breastfeeding if possible. Most of the formula milk are cow milk based and hence difficult to digest. Top feeding is also a source of external infection and may give rise to diarrhea as in your case, although diarrhea could also result from intolerance to cow milk. Continue the medicines for the prescribed duration. Continue breastfeeding. No more interventions required. Things should be fine in no time. I hope that helps. Feel free to revert with further queries if any. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi , iam 28years ol , i feel lately weird ,i am under stresss of finding job and trying to get money for study and beside i live in unstable country these days (libya) i feel so heavy and my both arms kind weak, and my heart beats so fast ,sometimes at need two pillows to sleep on so my heart dont beat fast and can breath better , but i do feel kinda gassy so mybe thats why i cant breath better maybe! and the last i worry alot until i feel my hands and my feet so cold and get so scared , can some body help me!???? thanks for ur time ### REPLY: Hi, I can understand the distress you are feeling due to your symptoms. From what you have mentioned, you seem to be depressed and in addition have anxiety symptoms. Your increased heart rate, being worrisome and your limbs becoming cold are direct indicators of anxiety. You should seek a psychiatric consultation for your condition. Treatment with medications like sertraline or paroxetine would be helpful. In addition, you should start exercising daily as that will help you feel relaxed. Hope this information was helpful. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had elevated triglycerides at a recent doctor visit.  Doctor ordered an ultrasound and was told I had an inverted kidney during the test.  What does this mean and what might cause elevated triglycerides?54 - W male - 200lbs - diabetic - triple bypass surgery ### REPLY: Hello and welcome to . As a Urologist, i can understand your concern. An incidental finding of this malformation, is not of any worry. If the kidney is not atrophic(shrunken), it should be working well. If there are any other changes noted, you should've a CENT(contrast CT scan). Thatll show the function of the kidneys very clearly.You'll need to take statins for your high TGL.(triglycerides). If you've any doubts, you may send reports as a direct question, in my name. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been taking Lisinopril/HCTZ for about six years. I was initially prescribed 40 mg/day, but about three years ago the dosage was changed to 20 mg/day. It seemed to be working well, until Tuesday, January 21st, about 2:00 PM, I noticed tiggling in both my hands after taking a shower. The tingling turned into viscous red itching hives on my hands that traveled up my forarms to my elbows. The next morning I went to the ER, where they told me that it was probably a reaction to penicillian that I was given for a throat infection. I have taken penicillin before in the past, (I m a 48 year old African American female), and was suprised to hear that after having taken the medication for about nine days, I would develop an allergic reaction. I threw the last two remaining doses of penicillin away, took the prednisone medication and benydril capsules given to me and went to bed. The next morning, I noticed that my hands had swollen up painfully. The hives I had previously on my forarms had gone away, but new more numerous smaller hives were there. I also had numerous hives on my lower torso, and thighs, some small about a quarter of an inch in diameter, some huge, almost five inches in diameter! My lower legs, feet, upper torso and face were completely unaffected. I took more benedyl and my second dose of prednisone and went to bed. Today I woke up with a swollen lip, dizziness, difficulty breathing, and even more vicious, numerous hives on my forearms, lower torso, and thighs. The benedryl capsules were useless and the predisone was not working. I went back to the ER where the doctor gave me benedryl intraveneously, and a stronger 6 day regime of predisone, and blamed this time the Lisinopril that I have been taking. My question is this. Why on earth would I have such severe hives and swelling now after being symptom free with Lisinopril for six years. Also, I wanted to add that I had been using a new body soap for about two weeks without any adverse reactions, and I had bought a new laundry detergent that I used for about a month without any previous adverse reactions. I have been going over my movements for the past week and can come up with absolutely no changes in eating, bathing, hygiene practices, etc. that would begin to address such a strong acute reaction. Your comments please... Sincerely, Ann Coney Denver Colorado ### REPLY: Hi. Thanks for posting your concern at ChatDoctorI would keep a possibility of Acquired Angioedema due to ACE Inhibitor (Lisinopril) and Urticaria. Angioedema due to ACE Inhibitors is usually not associated with urticariaAngioedema or Quinces edema is the rapid swelling of the dermis, subcutaneous tissue, mucosa and submucosal tissues. ACE inhibitors are one of the common cause of Angioedema. You have been on lisinopril which is an ACE inhibitor!! Though ACE Inhibitor induced Angioedema is noticed at the beginning of therapy, but sometimes it can happen later on. Urticaria OR hives can occur due to various causes like(to name a few):-Infections(bacterial, viral, fungal)- . -Cholinergic Urticaria: in response to strong emotions, exercise, spicy food etc-Autoimmune disorders like SHE, RA etc.-A few cases have no underlying cause and are known as idiopathic urticaria. I would advise you to get few basic lab tests like Hologram, stool for ova/cyst, Urine routine, Chest X-ray. An oral antihistamine like Fexofenadine OR Loratadine once or twice daily for a week would be suitable. They are non-sedating and won't affect your alertness level. A topical soothing lotion like calamine would help you symptomatically. Take care regards ### END