Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 there i am due my baby 3 week tomorrow, for the past 2 days i have been feeling a bit sick, were i bork a fair bit, but tonight i was just sat there and i noticed little dots when i looked around the room, i have came home and done my blood pressure and it is 150/61 and pulse rate is 110, i am not sure if this is because i have been rushing before coming to bed ? ### REPLY: Hello, I would explain that these high blood pressure and heart rate values could be related to the physical activity.  Anxiety may mimic this clinical situation too.  For this reason, I would recommend you to closely monitor your heart rate and blood pressure values in the next days, frequently during the day, in sitting position, after 10 minutes of total relax.  If your blood pressure values are above the normal ranges (125/85 mm Hg) most of the time, I would recommend consulting with your attending physician and performing some blood lab tests in order to investigate for the possible causes.  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: Dear Doctor,We are an indian family living in France. My daughter is 6 years old and was diagonised  allergic to dust mites. We started with a de-sensibilisation allopathic  treatment 2 years ago and this has not proved useful. Recently she developed severe symptoms and her nose was completely blocked and was only breathing thro her mouth day and night. We had to take her to the emergency alopathic treatment and right now she is under 5mg primalan`(which treats her symptoms) everyday and the doctor said that 2 years of de-sensibilisation has not helped and hence we have to start the procedure all over again. Can you please suggest some alternative medicines? ### REPLY: Hi, Welcome to ChatDoctorThis is .  I am concerned about your 6 years old daughter. I wonder how she picked up this problem. .  Reply to these questions are required for correct diagnosis discharge from nose ? Or throat ? If yes , color ? Normal or stringy Any history of Tonsils Thin or flabby, dull or actively way, I would suggest you to take care of her intake of diet, soups, full of fruit saladAntioxydents, Lemon juice in water with little honey. She should not suffer from constipation. Inculcate regular bowl practice.  Gargles with salty Luke warm water , Punjab -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently went to Urgent Care and was treated for a UTI.  I have 2 days left on my antibiotic and I still have symptoms and they seem to have gotten worse.  I now have this pain in my lower abdomen when I sit down or stand up.  This just started maybe a day ago or so.  The pain is very uncomfortable and Im not sure what is going on.  I get chronic UTIs so the fact that the antibiotic isnt working and I have this lower abdominal pain concerns me.  I do not have insurance and I know that the ER will just tell me to go to a OBGYN which is what they told me before.  Any insight? ### REPLY: Hi, thanks for asking in . Most often, UTI is caused by gram negative organisms. Acute infections usually involve a single organism and are self limiting. Recurrent or chronic infections may be mixed infections. It could be due to many reasons like bacterial infections, Diabetes Mellitus renal calculi (stones) etc. Since you seem to be getting repeated infections, cause of UTI needs to be investigated instead of taking antibiotics every time. Bacteriological investigations are important in deciding the choice of the antibiotic. Although we don't usually wait till the arrival of report for starting the antibiotic, urine sample must be collected before starting the therapy for better results.  Most antibiotics attain high concentrations in urine and so may be effective in lower UTI. But in upper UTI (like pyelonephritis), the antibiotics needs to be concentrated in kidney tissue. Antibiotics are given for 3 to 5 days. In recurrent UTI, the choice of antibiotics are Clotrimazole, Cephalexin or Norfloxacin. The pain you are experiencing may be due to cystitis (bladder infection), pyelonephritis (kidney infection) or renal calculi (stones causing obstruction and subsequent infection). Ruling out these possibilities is necessary to decide further course of therapy. Inadequate therapy or indiscriminate use of antibiotics is often harmful as it can result in development of resistance.  The organism or bacteria will not be sensitive to the antibiotic if it becomes resistant to it. Hence, you should complete a full course of antibiotic.  I hope it is useful to you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I AM 36 YRS MAN  DURING MY RECENT HEALTH CHECKUP,THE RESULTS ARE AS FOLLOWS:  SGOT 48 SGPT 51 ALKALINE PHOSPATASE 279 SERUM URIC ACID 9.2 SERUM CALCIUM 8.6 RAM BLOOD SUGER 80 HAMEOGLOBIN 14.5 KINDLY ADVICE AND EXPLAIN STATUS OF MY LIVER PROBLEM AND TREATMENT FOR WHICH I SHALL BE GREATFUL TO YOU.PLESE SUGGEST WHAT KIND OF DITE I HAVE TAKEN. ### REPLY: Hi and welcome to . Thank you for your query.  I understand your concerns and I will try to help you as much as I can. As I see from these findings, there is only slightly elevated GOT and SGPT and if you don't have any other symptoms and signs, this is not concerning finding. The findings are fine.GOT and SGPT are sensitive indicators of liver damage or injury from different types of diseases or conditions but only when elevated more than 60. This still can be normal finding or indicate mild fatty liver or medications intake that damage liver slightly.  So I would not recommend any further diagnostic tests. All you need to do is to repeat test in 4 weeks and if there is increasing trend of Lots then ultrasound should be done. Also, have easier dear and avoid alcohol. If such findings persist then beside fatty liver, other causes are viral hepatitis, cirrhosis, medications, alcohol intake or autoimmune diseases may be considered but as I said, at this point this is not concerning sign. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Please help me!!!!Many months ago i had seasame seed shaped seeds in my stool i asked a nurse if i should check it out that was something i never did.Another thing is i have cramping on my left side of my abdomen and sometimes my lower genital area. Ive had 2 ultrasounds 2 blood works done a pregnancy test and pap test done and everything came back positive. As of right now what i am worried about is that I AM EXTREMELY ITCHY inside of my body. The left side of my stomach my toes fingers and under my ribcage.I only take 10mg of cipralex.Im 150 55 f What is wrong with me! ### REPLY: Hi Thanks for writing in Regarding your stool it is always better to get it examined to rule out any infection or worm infestation as your primary issue is itching Regarding itching in other parts of the body if there is no local lesion it would be better if you try taking an antihistamines Also manage your stress levels as it will also help resolve these issues Hope this helps DO write back in case of concern ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son has a lump Or swelling in his hand which looks like it could be the pisiform. He said he hurt it when a rope got caught around it during swimming. His left hand doesn t have a lump but his hand is painful of he shakes hands. Do you know what it could be? ### REPLY: Hello, I have studied your case. It can be soft tissue injury or swollen wrist. It can be misinform also. I would suggest you get an x-ray of the wrist joint to see if there is any hairline fracture or any bony problem is not there. In case any bone fracture is there then he might need splinting. Apply ice and do not do any massage. Rubbing will increase problems. I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 23 yrs old. a month ago i did a pelvic ultra sound due to irregular period, found out that i ave a Bulky uterus and Seedling Fibroids . now am worrying. I am not ready 2 ave a child right now. But can I get pregnant in the future? ### REPLY: Hi Any, Welcome to  Forum. Fibroid is the most common problem which effects the pregnancy. The size and the number of the fibroid, you have not mentioned, is very important. It is the one that is going to decide whether you are going to have a safe pregnancy or not. Get your abdomen scan done. And also you can opt for MRI. By this you can know the size, number and the position of the fibroid. We have seen the lot of patients becoming pregnant after taking treatment for fibroid. Consult your Gynecologist take advice.  Take care, wish you a safe pregnancy. 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 keep getting pains in my knees and joints. I am 61yrs old. I work part time in a college and keep physically active with housework and a walk on alternate days, I take nucoxia 90 to alleviate pain when it becomes intolerable. Please guide if it is alright to take this pill? ### REPLY: Hello, As most pills are used as a supplement for the pain and inflammation. But exercise is very important to maintain the joint space and improve the muscle strength.  If left untreated with exercise than there will be a chance of the pain to return. I will advise you to do regular exercises like - static qua .  Hope I have answered your query. Let me know if I can assist you further. Take care Jay In ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there...My boyfriend through he just had a panic attack... symptoms are light pain in left arm (during the attack), headache (entire day), feeling anxiety (during and after attack), random blurry vision (after/before attack), insomnia (after attack)...We are afraid it might be something series... but in the case of a panic attack, what is the best way to handle it?Thank you for your time. ### REPLY: HelloSudden onset headache, severe anxiety, blurred vision followed by insomnia can occur in panic attack. The attack usually last for about 10-15 minutes and cause sense of doom to patient. Most likely he was having panic attack and there is need for evaluation and to make the diagnosis of panic. Kindly visit a Psychiatrist for expert opinion. Many medicines like of SSRI or SARI group help in controlling the symptoms. Apart from medicines behavior therapy and relaxation exercises help in controlling the symptoms. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my dad was rushed to hospital a week ago.He was unresponsive at first with severe dehydration.They dicovered he had pnemonia & a chest&kidney infection,hes stiil unsteady on his feet but our main concern is he can remember eveything up to a few days before ill &is now forgetting even simple things such as what he had for lunch. Could it be as his body has beeen through so much&he seeems very tired? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your father has pneumonia and kidney infection. He needs higher antibiotics to control the infection first. Taxi, gentamicin and metronidazole or other broad spectrum antibiotics should be used. For intravenous antibiotics and fluid treatment he needs hospitalization. Regular complete blood count and creatinine level should be measured. So go for hospitalization and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 father is having fever for the past 16 days. Doctors have permormed many tests and now after CT scan they said enlarged liver with reduced perenchymal ecotexture and spleen (18cm)(hepatospenomegaly) with multiple lymphonodes and right suprarenal mass. They are now testing for TB.. Please suggest how serious is this? His monocytes came as 14. he also has fatty liver and use to drink alcohol occassionaly but he was addicted to cigarretes 2 years back. ### REPLY: HelloThanks for writing to  There are many causes for hepatosplenomegaly with enlarged lymph nodes. He needs contrast CT Scan of abdomen, and it can exclude many conditions. T. B lymphadenopathy has typical feature like necrosis and matting. For confirmation FNAC and blood investigations can be done. Suprarenal mass evaluation needs clinical examination, biochemical assessment and CT guided FNAC. Fatty liver is reversible stage, and it is treated by diet, lifestyle modification and medicines. Treatment depends upon clinical findings and investigation reports. 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 am 36 yrs facing premature ejaculation last 1 month.semen leakage occured thrice last 1 month though we are in mental tension in that period.uSG KUB -normal URINE CS-NORMAL.iI had habit of masturbation and watching porn. Psycological ? Organic? ### REPLY: Welcome to HM. Most of the time it is psychological. You have done investigation to rule out organic cause. Be relax throw all material from your mindMasturbation is normal physiological function of our body It is one of the method to satisfy sexual pleasure in absent of partner both sex and masturbation has same and has same end result to get satisfaction. So excessive think can cause psychological stress. Constant thinking and feeling of guilt of masturbation will effects no need to worry. Regarding premature ejaculation. Your anxiety and stress will affect your sexual functions is mutual act. Premature ejaculation can be treated with both psychologically and . Please read on net and learn how to do stop and start method of sex is very good results. It is thought diversion method and require time to learn. Search on net to do it proper way read more on googleMasturbating before sex can increase your time proper play and understanding is neededCondition can be treated with medicines like duloxetine and mild dose of clomipramin if you required. Thank you. Happy to help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i have politistic overies and do not really overlate that often i had a period at the end of july im worried this past week or so had loose stools felt vey nausea and i have gone off coffee which i love i have done two pregnancy tests which are negative could i still be pregnant ### REPLY: Hello...thanks for trusting the  doctors for your health related queries. I guess your concern is about...can polycystic ovaries effects pregnancy.well.YES.it effects in getting pregnancy.let's discuss the polycystic ovarian syn .  In this case patients usually have Polycystic ovary diagnosed with the help of ultrasound. Along with this there is usually having problem of irregular menses. Some patients having excessive hair in unusual places in the body. Few of them having insulin resistance n or thyroid problems etc. this all because of hormonal imbalance which occurs in case of polycystic ovarian syn ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Name: Nandini ReddyAge: 24 yrsHeight : 5.10Weight : 60 to 70 kgs appx.Since last few months i have been suffering from a severe pain in my lower abdomen side. when i consulted a doctor he says that i need to carry out a operation but what would be the cost for a cyst removal surgery. plz help.... ### REPLY: Hello, Landing. As you mentioned that you are having cyst (as you mentioned that there is a pain in lower abdominal area on left side) and diagnosis is established. Only query about the cost of surgery for ovarian cyst (perhaps) . I want to tell you one thing that in our country cost of surgery for cyst is variable. It varies from Rs. 4000 to 50,000 depending upon the type of hospital, city, type of surgeon. So I recommend you please consult 3-4 hospitals and surgeons and get their opinion regarding safe surgery and its cost. Good luck for you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have 9 month old baby ever since she was 6 months old she would pass hard and dry stools and they are very wide and she is always screaming while pushing she drinks alot of water and fruits so I dont understand why this is happening she is a formula fed and on solids so what can I do to help her poo normal ### REPLY: Dear concerned parent, your concern is right, and the condition is pain full. As you are describing she is taking fruits and solid food, she should have resumed to normal stools. But this is not happening as she is unable to evacuate the whole rectum because of initial pain. The remaining fecal matter get solidified due to absorption of water over next 24 hrs. The cycle goes on. Try applying Vaseline three to four times at anal canal and insert some amount inside the passage. Don't insert your finger. This will lubricate the path and passage of feces will be easier. Ladies finger or okra is a good vegetable, it helps in increasing motility and evacuation of rectum. Once this start the daily passage of stools will be easy. If this does not help please visit your pediatrician for further treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 57 year old woman who is going through menopause and in the last year I have list a grandchild, my son has gone through a bad divorce and I have recently been displaced from my hone due to flood for the past 4 months. My husband and I were able to live where I work but there I was cobstantly. I had two to three episodes of sweats,dizziness and feeling of doom. I went to the er and my blood pressure was 208/106  I am now on Lisonphril 20mg with hydrochlor--25mg in the am and 10 mg ofNorvasc at night. I have been on levothyroxine for 1 1/2 years. I started at 50 went to 75  after my er visit they upped it to 88  I was only at that dose for 1 month when I visited the er again with extreme dizziness. They upped me then to 100 mg. I have had bad stomach aches, extreme gas, nervousnessio, Could I have too much levothyroxine in my system. Would it cause this?  I have been prescribed Ativan for my anxiety. I really dont want to feel drugged forever ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. All the symptoms and .  Your anxiety has crossed over to the PTSD due to the stress you were experiencing and also due to the menopause. You need to continue the medicines.Lifestyle changes are necessary to overcome the current anxiety disorder and to reduce the dosage of medicines. You need to calm down and live normally. You are still getting anxious and that is the reason for your extreme sweats, dizziness and feeling of loneliness. The symptoms are continuing because of the menopause. Within a year or so, the severity should lessen. Don't worry about the medicines. Be active, engage in some hobbies, keep your mind happy and pleasant, do not worry about past or future etc. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 28 weeks pregnant with a terrible cough that worsens at night for more than a month now! mr Dr. PRESCRIBED COUGH SYRUP AND PIRITONS BUT NO RESULT.Is this treatable? can it affect my unborn baby? Also note that the cough is productive and at times makes me vomit. ### REPLY: Hi welcome to  ... You are having productive cough... You are taking cough suppressant for that. In productive cough it should not be given... You might have mild bronchitis infection... For that your auscultation done first and if needed x-ray can be taken.... After your work up if needed suitable antibiotic full course can be given.... CBC, throat swab like investigation done according to need.... Avoid excess spicy and fried food. Take Paradise :Pulmonologist or physician consultation for examination and further work up Hope this will 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: my husband has been admitted to hospital twice within the laste 4 months. He blood is to thick and carry no oxegyn. He is currently on wafrin, go for test ever week but the laste week he has to go every 3rd day to have it tested. His count today was 1.02 and he has to take 10mg wafarin again and go back on Wednesday for testing. I would like to know what can be wrong with his blood for we dont seem to get any answers. Please Im desperate and hate to see him suffer like this. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He has thrombophilia.  It means high tendency of blood clotting. There are many cause like it b12 deficiency, high homocysteine, protein c or protein s deficiency or some other cause. He should take warfarin for blood thinning.  He should maintain his INR between 2 and 3. Consult your doctor and set the dosage accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor im 25 of age and married 2 years me and my husband try getting preg but no luck the doctors sent me for al test and everything is normal and my husband sperm is okay aswell he put me on fertomid 50g from day 3-7 actually from day 2 but he said if smotting is few i should start on day 3 when bleeding normal i finished my last pil yesterday at 12 morning time and me and my husband had sex last night is ther a possibility we can get preg i have light cramps aswell thinking it could be fertomid 50 .wendy ### REPLY: Hello WendyThanks for writing to us with your health concern. After taking Fatimid from day 3 - 7, you can start having sex anytime once you bleeding stops. You should be sexually active, particularly at the time of your ovulation. This would be day 14 in a regular 28-day cycle. You would be undergoing follicular monitoring throughout the cycle. Once ovulation is neared or confirmed, have intercourse daily or on every alternate day. If 3 - 6 cycles of stimulation with follicular monitoring fail, then go for a laparoscopy to confirm patency of your fallopian tubes. 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 bitten by some others pet dog(already vaccinated six month back) bite week ago & blood come out heavily through hand , had taken three injection of rabies vaccination another 2 to complete in couple of days . Now bite area is healing & drying slowly.i don t have any diabetic1) my question is do i have any chance of Rabies?2) can i have sex life with my wife or can i kiss her? by doing so does rabies pass to my wife ### REPLY: Thanks for your query at ! I am Infectious Disease Specialist! I went through your query! You must leave aside all your speculations. You have taken appropriate treatment measures and also the dog was vaccinated, so there is no need to worry. It is very unlikely that you will get infection. You can lead your normal and sexual life without any tensions. You would not transmit to your wife. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up query. Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I m experiencing a relatively strong pain on my right side, lower ribs and I m not sure of the cause. This discomfort happens usually once or twice a week now. Days ago right before waking up, now after having a coffee right jafter a nap. This started 2 to 3 hrs after lunch and it s still strong after 6yrs. I m type 1 diabetic diagnosed 2 yrs ago, 36yr old. Thank you ### REPLY: Hello, Lower rib pain could be because of muscles weakness. We have several muscles attached there and if they are weak, then they can get pulled and can cause pain. You need regular exercise and the most important thing is walking to make them strong. You can get ultrasonic therapy over that particular area. 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, may I answer your health queries right now ?  Please type your query here...My patient is 62 years old.He is suffering from pain in back side below the waist for last 20 days. We have already done MRI and according to the report doctors are suspecting tuberculosis .Some of doctors are asked that in kolkata there no treatment for this. Now he is totaly bed retained .It is not possible to move a single step.So please help and please inform me regarding the best treatment of this dieses in india for geting cured and inform me how can we shift the paitent for treatments as be is bed retained ### REPLY: Dear caregiverFirst of all spine tuberculosis is totally curable disease with medication and surgery if required.  Diagnosis of spine tuberculosis is usually based on MRI report which is very sensitive and specific for diagnosing tuberculosis.  But biopsy from the affected site is most specific. Nowadays biopsy is done under ultrasound and ct guidance with fewer risks. So I would advise confirmation of diagnosis with ct guided biopsy. Then start treatment with first line Antioch therapy.  .  Injection streptomycin can be added for initial two months if required.  Four  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 17 yrs old.from the past few days i feel my left year is "shut"..i feel that sumthing is stuffed inside...i feel my ears are closed...though there is no pain. i referred to an ENT nd he told me its an eardrum infection nd asked me to have RELENT OD and SPORIDEX 250.i hav been taking the medicines but there is no improvement at all.I m confused as to wat has happened.plz help. ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  You may have Otis media or other infection.  You should take a course of antibiotics like amoxiclav or CEPA .  Furthermore, you should also take antihistamines like chlorpheneremine palate or cetirizine.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have some kind spinal disorder from birth. It may be spinal cord kyphosis. Actually only two verbetes are curved in spinal cord because of these hump on the back appeared. My parents notice when I was at the age of 7. Even we consult to many doctors but advice not to go for any kind of surgery. I am now 25 living normal life no pain nothing. But my appearance from back side is the issue. Any advices. ### REPLY: Hi there, thanks for your question. At your age cosmetic appearance is one of the indication for intervention apart from disability caused by pain. In spite of recent advances in modern spine surgery kyphosis correction surgeries definitely have higher risk than correction of deformity like scoliosis. So if you can manage with your cosmetic appearance and pain is negligible you can wait. In the other hand if you feel the appearance is disabling, and you would rather get it corrected, surgery is advisable. Your doctors might have refused surgery due to smaller magnitude of deformity. Treatment varies on case by case basis. Hope this helps. All the best. Regards.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have ADHD and I dont feel like my medcine is helping verymuch. I am still very loud and distracted sometimes. I m already on the highest dosage of my medicine and take more at unch. How can I calm down at school so I can be less loud and more focused? ### REPLY: DearWelcome to ChatDoctorWe understand your concerns went through your details. You must understand that medicines alone cannot cure mental disorders. ADHD is a mental disorder. To cure ADHD, you need to change your lifestyle, attitude, thinking pattern etc. Cognitive behavioral therapy (CBT) is very much effective on ADHD. Rational emotive therapy too is useful. Meditation, mindfulness, exercise etc. should also help you. Identifying and deep understanding ADHD is the first step of cure. Please consult a psychologist who is willing to treat in this manner. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 17 years old. I was masturbating nothing too rough just massaging it. After maybe 30 min later I went to the bathroom (had to pee) and after I wiped I noticed blood (not heavy). This is the second time this has happened after ive had an orgasm. The bleeding will go away after a day. Should i be worried? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. No, masturbation won't cause bleeding in you. But one possibility that you are having a stone in the distal urethra, this can cause injury to urethra while doing act. This can cause active bleeding to you. Please diagnose yourself with USG abdomen. This can help you diagnose the condition causing the problem. Please take good care for the hygiene otherwise it will cause infection to you. Please .  So that if the stones is there it will be flushed of. I am  answering your concern. I will be happy to answer your further concern on 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: Hi I found kind of a hard lump bout half way round my belly button it seems like it can move I have my tubes clampd but not sure if they still there or not cuz when I have a period I use a tampon & 1 side will have blood & other side doesnt also I have no pain w da lump n my belly.  Wut do u think this may. B ### REPLY: Hi, Dear,Good Evening. Thanks for your query to . Cause of the lump around belly button-is Epigastric Hernia? Para-umbilical hernia? Laparascopic lobectomy keyhole hernias? Cause is the defect around belly button due to weakness in Line Alba/ congenital weakness above umbilicus / and defect at Keyhole of the laparoscopic lobectomy. Hope this would help you to plan your treatment with your doctor. Welcome for any further query to  in this regard. Hit thanks if this reply helps you to relieve your query. Good Night. With Regards . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 26 year old. i had an history of masturbation. the erection is almost ok but during little flacidity there is a bent in penis. i ejaculate quickly right after some seconds after penetration or even with little longer touch of erected penis. it also happened that with girlfriend touch on glans penis, after forepaly, the ejaculate came out? whats reason? how to handle this problem? ### REPLY: HiT hank you for asking . I have gone through your query.  Slight bent of penis is normal. If it is more curved than you should consult a urologist. Premature ejaculation you are facing can be due to performance anxiety or stress. Practice squeeze and stop technique or thought changing or using condom with anesthetic will help. If that is not helping then behavioral therapy by psychiatrist or sexologist will help. If that is also not working then SSRI group .  Hope this may help you. Let me know if anything is not clear. 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. Im on the pill & my period started before I started the inactive pills. I decided to stop taking the pill until my cycle ended & then would start a new pack. My husband & I had unprotected sex when I had finished my cycle but I had not yet started the pill. What ae the chances of a pregnancy? ### REPLY: NamastheWelcome to ChatDoctorGreetings of the davits unlikely that you could be pregnant, as you are in safe period that is first ten days of cycle, I suggest you to start using the pills and also advise you to use alternate contraception during 10th to 18th day of this cycle In case you need any further assistance, will be glad to assist you. Wishing you happy and healthy lifetime Care Best Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor I had a by pass four years ago and everything was fine I got over it very well, four tears on, and I now have an iregular heart beat. Last stress test I had was great. what I would like to ask you, is can an iregular heartbeat ever go back to normal, and if not does it shorten your life somewhat. Thanks Margrit Haas ### REPLY: Hello and thank you for using . I carefully read your question and I understand your concern. You should know that this palpitation has to do with a rhythm issue. There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm. They cause premature heart contraction that it's not a normal one. You feel like a skipped beat, anxiety, difficulties in breathing deeply and palpitations. There are different causes of this rhythm issue like simple emotional stress, coffee and alcohol consumption or pathologies like anemia, hyperthyroidism, electrolyte imbalances or ischemic heart disease. The fact that you have already done a stress test, and it results ok than you have excluded active ischemic heart disease. If I was your treating doctor I will recommend a full blood analyze to exclude anemia, hyperthyroidism and a holder rhythm monitoring to evaluate your rhythm tendency and the frequency of this rhythm issue. Only after this we can better judge what we are dealing with and how to treat it. If we find a cause and treat it they might disappear. So don't worry just do what I mention before. Hope I was helpful. Best regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello i am samit i have suffer skin allergi problem last 4 month. allopathe tretment and different type blood test done.my blood aso test result is positive and injuction and tablates are taken.but when i stop my medicine allergy begain.my age 27 ,problems  are  all body skin itching ,cold rain time it is decreas and hot day it increase.plz tell me how it is solved? ### REPLY: Hello Sam it, Thank you for asking at . I went through your history and would like to make you suggestions as follows:1. Were I treating you, I would suggest you a regular antihistamine like cetirizine/levocetirizine/fexofenadine along with montelukast for 2-4 weeks (depending upon response).2. I also prescribe a short course of antiparasitic medicine for intestinal worms as sometimes worms can also cause such symptoms and are common in many parts of India.3. I would suggest you to avoid activities causing excessive sweating and hot/spicy foods. Furthermore, I also advise my such patients to avoid wearing tight-fitting, woolen/synthetic type of clothes and wear loose-fitting, cotton clothes if possible.4. Please do not scratch the itchy areas; scratching aggravates itching. I would suggest you to apply lotion like calamine over the itchy areas.5. A multivitamin-multimineral containing vitamins A, D,E and zinc, selenium etc. may also help. Hope above measures will be helpful to you. Should you have any other query, please feel free to ask at . Wish you the best of the health. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is debbie heston. i am 58 yrs old. i have been diagnosed with fybromialga, henated disc, for about 2 months both of my leggs have been in pain, all the way down to feet, i also am having on/off ear ache and sore throat. it hurts when i walk, i do see my family dr. on monday. i havent been sure if i should go to the hospital. thank you, Debbie ### REPLY: Hello I have studied your case. Yes you should consult your doctor. Clinical examination is essential to look for enlarged lymph node. You may need to investigate in form of complete blood count, ESR, CRP, and if required fine needle aspiration cytology. You may need to consult your doctor to confirm diagnosis. Till time, you can start medication and antibiotic consulting your treating doctor. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had a root canal done due to my gums being swollen, pain in my mouth that went up to the left side of my nose. My nose was alittle swollen, the dentist injected injected an antibiotic during root canal, the following day I blew my nose when the mucus came out it was thicker then usual and noticed it kind of looked like rubber glue. When looking into my nose I noticed a white patch in there and my nostril looks swollen. I ve recently been on antibiotics for sinus infection after getting Cat Scan and seeing an ear nose and throat doctor, but before all this happened I had pain on the right side of my face in the jawbone area underneath my ear doctors thought it was mastiod, bone infection and turned out not to be. Cat Scan did determine I had mucus and sinusitis. my question iscould the white patch on my nostrils be sinusitisor the antibiotics that the dentist inject in my tooth and gums. ### REPLY: Dear friend. Thanks for sharing your concern. Your history requires little more clarity, you have mentioned that you got root canal treatment done. This is done to treat a tooth which has involved the pulp and periapical area.  It is not done for gum swelling. The cause for your gum swelling is the abscess, which was due to infected tooth. Your dentist has injected local anesthetic to relieve pain during root canal treatment procedure. Its effect last for few hours only, this will not lead to sinusitis. Please mention which tooth are you talking about ? Is it your upper left side first molar? Here I would like to mention that if this is the tooth on which RCT has been done, then in rare chances it can lead to or astral fistula. The white patch and mucus thicker than usual could be the result of this. For this I would suggest you to revisit your dentist for clinical evaluation. Have you mentioned to your dentist about your recent sinusitis and the antibiotics that you were taking prior to dental treatment? Your pain underneath your ear on right side is not related to this. It could be due to impacted tooth in the lower jaw or a periapical infection on right side, for this you must get a X-ray done to rule out any impaction or infection. . Hope I have answered your query. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a cheerleader, and i fell on the mat and scraped my face, so between my eyes on my nose, my upper lip, and my chin all have what looks like rug burn marks, but between my eyes is the worst, it actually bled. where as on my chin and upper lip it is just raw and red. how do i get rid of these marks as fast as possible? ### REPLY: HAI, looks like u have an abrasion injury, first better take a course of antibiotics added with painkillers, U can apply antibiotic creams like mupirocin on the would to reduce local infection. Once the infection is reduced the marks can be taken care of. It takes normally 3 to 6 weeks for the marks to reduce on its own. U can apply skin lightening creams containing vitamin AFC. Once the skin rashes are . Take care. Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctors, I had severe malaria abt 3 month ago & after the treadment, I have bn experiencing little muscle sparms, fever, little pains in the eye and pain in the side of my abdome, I get weak expecailly in the evening and also my mouth doesn t taste good, hope u understand. It is like when blood runs through my vains sometimes it pains me. When I go to hospital keep giving me malaria treatment which is not solving the problem I have also taken 3 bottles of Monimino blood tonic but still the same. When I urinate in the morning it a little yellow. Pls want do I do now What is wrong with me. ### REPLY: Thanks for posting your query to . As I understand you are suffering form some kind of preaxial illness. There are so many causes for such kind of illness. I suggest you to undergo some investigation to confirm the diagnosis and then start treatment . It may not be only malaria, but some other infection could be there. So I advised you to undergo :1. Complete blood count.2. Widal test.3. Malaria antigen test 4.SGPT and Stall this test will help in deciding further treatment plan. Review me with all investigation report.thanks . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good day! Doc, my uncle was bitten by our dog in his foot last June 2, 2012 and today June 4, 2012 he was suffering from fever and the wound of the dog bite is swelling. Does he need to be vaccinated right away? Or should we first observe him? For how many days? Thank you doc. God bless. ### REPLY: Dear Friend. Welcome to . I am . I have read your query in detail. Furthermore, I understand your concern. Dates state that your query is an old one. We are sorry, due to high pressure of free queries, sometimes it takes time to reply. If you wan t immediate replies in such acute problems please post to us in paid sections. However, in general for future unseen events, here is my answer:Yes, after a bite a person should be vaccinated immediately. If bite is severe, immunoglobulins might be indicated. In sever bites, there is sometimes, infection of that area leading to cellulitis, that requires proper treatment with antibiotics. This is my best advise 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: Hello, I have tingling in my right leg and occasional tingling in my right foot. I had blood work done last summer and show no signs of diabetes. I am new to my area and don t have a physician yet, so I thought I d do some checking on-line about the symptoms. I am a 58 year old woman in good health; I eat well and get regular exercise. Thanks ### REPLY: Hi, Thanks for your query. The abnormal sensations that you have such as burning, tingling are termed peripheral neuropathy. Peripheral Neuropathy is a condition caused by damage to the peripheral nervous system [most commonly seen in diabetic patients]. Another possibility could be nerve compression in spine due to disc bulge. Change your diet and remove inflammatory foods such as citrus fruits, dairy products and wheat that may aggravate the condition. Simultaneously increase your intake of potassium and calcium-rich foods such as bananas and avocados and green leafy vegetablesVitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue and deficiency of it can lead to numbness. You can increase B12 level by taking meat and fish, or you can take tab methylcobalamine. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 21 years old and just this morning after waking up I went to my bathroom. I looked at myself in the bathroom. Just as I stretched my arms I saw a little pea - sized ball move on the left side of my neck where my collar bone meets. I m kind of scared. I ve never been to the hospital. I ve never had any medical problems. What is it that I saw? What should I do? ### REPLY: HiT hanks for your queryBased on your query, my opinion is1. Swelling in the neck is most often related to lymph nodes, usually enlarged secondary to infection in the head and neck region.2. If your swelling is less than a centimeter, not painful, then no need to bother.3. If the swelling increases in size/ gets painful/ if you have upper respiratory tract infection/ fever, then you need to get examined.4. This is very trivial, and no need to bother much. Hope this helps. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my age is 20 ys old.....bt i look more older than ma age...i feel very lazy in everything.....i dont get energy in ma body..so my weight is also increasing..so plz tell me wat to do doctor..i wanna become very much active..earlier i used to work for more dan 12 hours..bt nw nt even 1 hour..i am a student ### REPLY: Hello, Welcome to . In your age, periods are active and heavy, so blood loss is more. Due to this iron and hemoglobin level decreases which leads us to become weak and lazy and tiered immediately after a little work. Please take iron supplements with folic acid. Take iron rich diet like fresh fruits, green veg, . Do regular exercise mainly at early morning gives you a freshness whole the day. Do cycling or swimming. If not cured, consult your physician. Thanks for contacting us. Take care... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is sunita I am 24 years I have one male baby& I have done an abotion after 7 month of first delivery but now I am trying for concive but it is unable I have taken a medicine for 6 month of egg releas there was no effect on me now I am taking ayurvedic medicine for last three months  should I will get another baby? ### REPLY: Dear Sunita, Is it confirmed by ultrasonography that you are not ovulating? If so, then you will have to take medicines for induction of ovulation. If you are ovulating, then there is no necessity of any medicine for egg release. Please continue ovulation monitoring by ultrasonography which will locate the day of ovulation. Then try to have frequented your sexual relations on and around the day of ovulation. Usually, healthy egg is released when the follicle is between, 18 mm and 21 mm diameter. Uterine lining (endometrium) between 9 mm and 14 mm is most conducive for implantation. Along with, it is advisable that you get the patency of your reproduction tract assessed by Laparoscopy and/or Hysterosalpingography. If any block of anatomical lesion is detected, you may require surgical correction. Since you have conceived twice before, at this stage, I do not feel there is any necessity of semen examination. I hope this helps you at this stage.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: the pulmonologist found something wrong with my lungs he is suggesting an open lung biopsy to determine if it is rhuematory lung, sarcoidosis or basal cell lung cancer. is this test the only tests to detemine which of t he three ? he is leaning toward rhuematory lung disease due to bllod work that shows elevated levels, but the rhuemotologist doesn t think it is such so wont treat me. what other test can be done to determine rhuemotory lung disease? ### REPLY: Hello! Rheumatoid arthritis is diagnosed based on clinical presentation of inflammatory arthritis involving three or more joints in your body. The blood tests which help in diagnosis are Rheumatoid factor, Anti - CCP (cyclic citrullinated peptide), ESR (Erythrocyte sedimentation Rate) and CRP (C reactive protein). Blood test that helps in diagnosing acidosis is Serum ACE (Angiotensin Converting Enzyme)level. Rheumatoid Arthritis is an autoimmune disease (the body reacts against its own tissues and damages them)so it can affect lungs as well and not just be restricted to your joints.  The various common manifestations of rheumatoid lung are interesting lung disease (OLD), pleural effusion or thickening, inflammation of airways or blood vessels of the lung, rheumatoid nodule. There is also increased risk of respiratory infection due to immunosuppressant . . Sometimes the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband had arterial surgeery in august. they put in three grafts. also found out his liver is totally shot .hepatitis c.since the surgery he has lost 40 pounds.  no appetite, lethargic, and no strength at all. also he had a staph infection in one of his incisions where one of the grafts where.. i think we are over the staph infection. but, my husband is almost like dead. he can barely walk cuz he is so weak, he will now -last 4 days -drink ensure to keep himself alive, also he is very weak- like i could push him over with a feather. he also started having chronic pain in his abdomen and lower back about three weeks ago. since this time thats when docs found the staph infection. but since then he is still having chronic pain in his lower back-so bad he would not eat or sleep for fivedays. doctors say he has muscles spasms. hard for me to believe. he also is going downhill- fever, sweats, very lethargic where he sleeps continuasly, and still in massive pain.saw the doctor today, and prescribed ambien. now he is sleeping, which is good, but the poor man is still feverish, and so ill he can barely stand up. would the doctor just not tell me or my husband that he is dying-expecting that the infectiuos doctor to tell us. i am at whits end. he is definatly deteriating- and i was the one to point out to doctors that he had lost 40 pounds since the surgery. please help ### REPLY: Hi there, If he is still having fevers and lethargic, I'd be worried that one of his grafts were infected. Sometimes, it takes many weeks or even months to get over a major surgery, but he should start to improve and not decline.  Blood cultures would be the first place to start, as if he has blood cultures that show infection, I'd be very worried that his arterial grafts were infected. If he has negative blood cultures, that is more reassuring.  If his incision is getting better, that's certainly a good sign. I would have a straight forward conversation with the surgeon who did the surgery and ask him why your husband hadn't fully recovered, and what his expectation for his recovery should be.  If he's not eating well and having pain, then there are certain things that can be due such as a nasogastric feeding tube, or perhaps even IV nutrition.  If he's having pain issues, then he should refer him to a chronic pain doctor.  And finally, if he's having fevers, I'd ask the surgeon if he has an infection of the grafts, and if he says no, I'd ask him where he thought the fevers were coming from this far out of surgery. In this case, it sounds like you really have to push your surgeon for answers.  No one will know the answers to these questions unless it's the surgeon who did the operation, who should be following him closely. I hope this is helpful. Please contact me if you have any further questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor . when i was 15 years old one of my friend told me to mastrubats. and i did it for certain time . than on the ere of self relezation i stoped doing it. during the period i used to mastrubate i did not had that month problem . as soon as i stopped.it started as usuall.but now i m about to get marriade and i have a doubt in my  mind that will i be able to reproduce ?do answer my question? ### REPLY: Hello, Masturbation is normal, natural and never unhealthy if you do it moderately and without giving much pressure. You can masturbate three times a week, and it is in fact healthy. Therefore, there is no need to worry. There are no such chances that you will not be able to become a father just because you were masturbating in your teenage. 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: 28/02/2013 SIR, MY MOTHER IS ABOUT 70 YRS, IS SUFFERING FROM PORTAL CIRRHOSIS OF LIVER & GALL- BLADDER STONES, TAKING UDILIV 300 MG SINCE 1998 (ABOUT 14 YRS), DOCTORS ARE STILL PRESCRIBING UDILIV-300 OR URSOCOL-300 TO CONTINUE TREATMENT. I JUST WANT TO KNOW - 1) MAY MY MOTHER CONTINUE THIS DRUG SUCH A LONG TIME ? 2) URSOCOL (URSODEOXYCHOLIC ACID TABLETS) & UDILIV (URSODEOL / URSODESOXYCHOLIC TABLETS) ARE THE SAME DRUG OR DIFFERENT ? 3) IS THERE ANY OTHER SAME COMPOSITION DRUG IN CHEAPER PRICE ? I AM A PERSON OF VERY LOWER INCOME CATEGORY. PLEASE SEND YOUR VALUED SUGGESTION. email - YYYY@YYYY SAJAL BANERJEE 80/1/1 SITALA TALA LANE HINDMOTOR HOOGHLY ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist (DM). Udiliv and protocol contain same salt i.e. ursodeoxycholic acid. You have mentioned symptoms, investigations, cause of cirrhosis. Ursodeoxycholic is not helpful once cirrhosis is established and there is normal transaminase levels. So it can be stopped hope I have answered your query and this will help you. Remain in touch and get-well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What is the treatment for pain in back jaw, gums , teeth , neck , ? due to tobacco or other infection from last five years my mouth is opened a inch. i have pain in back jaw, gums , teeth, nech, ear etc. i treared many doctors and take a treatment but i did not got any releif. so i want to full treatment and suggestions. ### REPLY: HI, I have read your problem. You might be suffering from sub mucous fibrosis while chewing tobacco since last five years that way your mouth will not open much. In addition to this you might be having wisdom tooth problem. You have not mentioned age which is important for wisdom tooth eruption, in that way you are having problem in back jaw, gums teeth, neck and ear. Go to any ORAL SURGEON clinic, he or she will guide you better. After taking OPG x-rays they can tell you better what is the problem. If this is because of wisdom tooth, they can plan for extraction of that wisdom tooth under general anesthesia under antibiotic, analgesic,trypsin, chymotrypsin and b-complex. For submucous fibrosis, treatment is possible by giving some injections of steroids and through exercise also. But to quit habit is the first criteria. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i am a 37 year old female and have had some chest pain that goes into my back and little waves of dizziness....i do workout 5 days a week and was doing some things with chest muscles yesterday...could that be why my chest was hurting?  I feel better today. ### REPLY: Hello. Welcome to , and thank you for your question. I understand your concern. Pain in the chest can have different origins, which include also the locomotion system, i.e. muscles, joints and ribs. Now, every time we work out, even if we do not include the between rib (intercostal) muscles, suffices that we have heavy breathing and this can cause intercostal muscle soreness, which is mostly reflected as pain. If you try to cough, and you get the pain, then it is probably this diagnosis. As all other episodes with muscle soreness, no special treatment is required, as it goes away in few days. According to your age, my opinion is that cardiac and pulmonary origin of this pain is less likely. However, just to be secure and "in the safe", I would recommend you to do an EKG, as there sometimes are inflammations of cardiac lining (pericardium) which do not have an age predilection and can happen in all ages, especially after an episode with flu or other forms of infection. Just to be clear, my suspicion that this is the case is very low, but I recommended the EKG to securely exclude this as an origin of your pain. As about the waves of dizziness, I would be more comfortable answering this question if I had more details, because dizziness is a symptom that may have various origins. It probably is, in this case, from over loading of physical activity and, in this case, no further examination is required. I would recommend you to take two to three days off from working out, and see if these bouts of dizziness happen again. I hope this helps. Take care. Best regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I was just sitting down when I got a sudden pain in my palm. It is now swollen blue and red with the veins in larged and lots of pain in the area 3 hours later I started to get a head ach that it dull and achy. Just wondering if I should be worried ### REPLY: hi Hope this msg finds u in good health. I have gone through your complaints and understand your concern. I guess u have got some sort of soft tissue swelling that might have caused u pain.may be due to some strain. If it isn't warm and painful...u just need to keep it elevated and take rest. If warm.take analgesics and anti-inflammatory tablets. Nothing to worry about. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime.  Thanks Take care god bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was flossing my teeth, and I noticed a reddish blackish spot on the inside of my cheek. This is probably the third time I have saw one. The first two times it was very small. This time it is about the size of a match head. Do you know what it could be? ### REPLY: Hello and welcome. Thanks for sharing your concern. The reddish black spot could be an abscess developed from a subclinical chronic infection. Please get it examined once. Do you have any associated symptoms like pain, pus,or swelling related to any teeth?does your gums bleed upon brushing? If yes then please visit your dentist once. Get an x-ray done and rule out any kind of infection.Meanwhile, maintain good oral hygiene. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my mom is 64 years old and she is suffering from repeated coma which lasts for few days ,all the lab tests shows normal results except for slight elevation in liver enzymes and the serum ammonia is 160 we ruled out neurological issues what could be the reason ? Thank you ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Coma with high ammonia level suggest hepatic encephalopathy. You should go for complete liver function test and ultrasound abdomen to search the cause. Then you should take treatment according to cause. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I recently had a sinus infection and ear infections about 2 months ago. I have had 2 different antibiotics but I still feel like my sinuses are full, they never did drain, I have pain and redness across my forehead and cheeks and have severe hearing loss. Please help ### REPLY: Thanks for posting your query to .  As I understand there may be few reason to not getting cure. One may be due to antibiotic you have taken didn't work because causative organism was resistant to that, second there may be persistence of course. So I suggest you to go for culture and sensitivity of your ear discharge and then take antibiotics accordingly . Further you should avoid expo user to cold and cold water bath and also protect your ear and sinus to entry of water also avoid expo user to dust because some time its allergy may lead to sinusitis. So you should communicate me after report of your culture and sensitivity so that I would be able to suggest right antibiotic with its duration because duration of taking antibiotic is important in cure .by that time you can take Paracetamol 500 mg 2 times a day for relieving headache. Decongestant like tablet of Minaret 3 times a day. Feel free to contact.regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am a 27 year old male who has recently having trouble keeping an erection during sex. I recently had a spinal fusion of L5 S1 and am wondering if this could be the problem. I have no other medical conditions but do take colotopin for anxiety.I do smoke about a pack of cigarettes a day. I want to find out the possibile causes as this is really putting a strain on my relationship. It is happening a few times a week now and i don t know what to do ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. It seems that your problem is combined problem. Problem is because of spinal fusion, stress, smoking. You can take the sildenafile citrate under your doctors' guidance. You can watch the porn movies before you perform. This will help you in better performance. Try different positions every time. This will give you thrill about the sex life and performance.Foreplay is very important in the reaction and better performance. I advise you should leave the stress. Stop the smoking. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear doctor, I have been prescribed HCQS by my doctor as I have developed serious rashes on my feet which has been diagnosed as urticaria vasculits. I am a lady who is 49 years old and currently on depakote as mood stabilizer . Is it safe to take this drug and what are the watch outs. ### REPLY: Hi, HCQS is a disease-modifying anti-rheumatic .  Generally it is very well tolerated. However, it may cause nausea and diarrhea, which often improve with time. Less common side effects include rash, changes in skin pigment, hair changes, muscle weakness and anemia in individuals with G6PD deficiency or porphyria. In rare cases, it can cause visual changes or loss of vision. Such vision problems are more likely to occur in individuals taking high doses for many years, individuals 60 years or older, or those with significant kidney disease.  It is recommended that you have an eye exam within the first year of use, then repeat every one to five years. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is 4 yrs. She was advised to use budate/budecort inhaler regularly from the age of 2 (2puffs 2times a day), non-availability of these two use budamate. and salbair inhaler (2puffs 4/6 hourly) during cough. She has an allergrtic cough and cold problem. I want to know the side effects of this inhalers and whether she has to use it lifelong? ### REPLY: Hello have gone through your question and understood your concern. Budamate Inhaler contains Budesonide, and Formoterol Numerate as active ingredients, and it works by relaxing muscles and opening air passages; reducing swelling and inflammation in the nose, throat, lungs or intestine. The most commonly reported side effects of Bedmate Inhaler are Blemishes or pimples on skin, Local hypopigmentation of deeply pigmented skin, Cough, Dizziness, . Saltier Inhaler contains Albuterol as an active ingredient, and it works by relaxing the muscles in the walls of the small airways in the lungs. Possible side effects of this  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 two year old daughter has what looks like a tonsil on her gum. It up the top/back on her right hand side. She doesn t have her two year old molars yet but it may b underneath this thing hanging of her gum. She came to me and told me she had a sore tooth but she seems to be in good spirits so I think it s more because she can feel it there with her tounge. Is this something I should be worried about? ### REPLY: Dear friend. Thanks for sharing your concern. As your daughter is in early growing phase she will experience, a little pain and discomfort due to growing teeth. The tonsil like elevation seen is nothing but the elevated gum tissue. Maintain very good oral hygiene and eat good and nutritious diet rich in calcium. The teeth will come on its own there is nothing to be worried.Also, if possible ask her to do warm saline rinsing, it helps. Hope I have answered your query. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im a 31 year old female. For the last 2 months ive been having a tightness in my throat, its more tight on the right side. I also feel like i have a lump in my throat under my adams apple. The doc says he thinks im having anxiety. I dont have any pain or swelling and i swallow fine. I am a smoker. Please help!!! ### REPLY: Hi. Thanks for your query and an elucidated history. Your Doctor may be right in one sense. This type of problem is seen in female patients of your age group only. BUT: this is true ONLY if the investigations prove that there is no organic / somatic problem. This is confirmed by doing an endoscopy, CT scan or MRI of the neck and Pharynx. If these two investigations are normal, one can say this is a psycho-somatic problem. Get a medicine for this if you feel it is required OR just be assured that there is nothing to worry about. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is in in-stage renal failure and his creatin level is around 6. However, they have not started dialysis because he has no symptoms. Tonight there was significant blood in his urine. It is one in the morning and I want him to go to the emergency room. He does not want to. He has an appointment at the VA at 9 AM in the morning. Can you advise me? ### REPLY: Hello and welcome to . As a Urologist, i can understand your anxiety. Blood in urine, is called hematuria, whichs needs to be tested. After an examination, an Urologist will ask for some tests to be done:1.urine routine, culture and ACR.2.blood routine, creatinine,electrolytes, uric acid, RBS,LFT, platelets,Bag.3. Ultrasound scandium. The Urologist will advise treatment, depending on the reports. If you've any doubts, you may send the reports to me, as a direct question. .  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: Greetings! My 5 month old baby has hoarse voice, mild runny nose and some dry cough(whether pretend or not..she is fond of coughing).Three days ago her temperature was around 37.8, gave her some panadol syrup 2.5ml then it was gone...all she has now are 1)hoarseness 2)dry mild cough 3) mild runny nose5) Some sound like chesty plegm sound but not wheezing...Please let me know if I should be worried. Or If i have to go to a doctor. ### REPLY: Hi, You did right by giving Paradox syrup for the fever. For the running nose you need to give an antihistamines such as cetirizine once per day before going to bed. For cough, you need to make her .  You could use an expectorant that contains guaifenesin such as Murine.  You should also add a cough suppressant such as Dexomethorphan. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 19 years old female and suffering from excessive hairfall problem ...please suggest me some good doctor who can help me to prevent it at affordable rates ..kindly also inform me about skin specialists at aiims,delhi who can provide medicine to prevent this problem ### REPLY: Hello, as you are suffering from excessive hair loss and have not mentioned the area of the scalp from which it is occurring, I assume it is diffuse and not from a localized area. The most common diffuse hair loss is a condition known as halogen effluvium. I would adv you to get a serum ferritin level and thyroid function tests, to rule out common treatable causes of diffuse hair loss (iron deficiency and thyroid disorders respectively). If these are normal, start on hair supplements like tab Collinear 1 tab daily for at least 3 months and apply Pronged lotion on the .  Also, for washing scalp, use Again shampoo thrice weekly and use a good conditioner for your hair (apply conditioner on wet hair, leave for 10 min and then, rinse with water). With this, your hairless will improve, have patience, in case you notice any other complaints, then visit a dermatologist for evaluation. At AIMS, there are many dermatologists' viz.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i suffer from psoriasisbut recently have been getting red pimples on my left leg just above the knee that get yellow puss in them. When i bathe & lance them they are still sore for days & seem to move a couple of millimetres & another one appears. I have changed nothing in my lifestyle apart from 2 months ago i stopped taking neotigisin for my psoriasis as it was having no effect. Any ideas?? ### REPLY: PSORIASIS HAS TO BE TREATED IT DOES NOT CRE ITSELF AS THIS INVOLVE THE ORGANS IN DIFFERENT LESIONS AS YOU ARE GETTING PSORIASIS IS TREATED AS CHRONIC INFLAMMATION OF SKIN BY COMMON FOODS WE TAKE DAILY GET BLOOD SERUM TEST FOR SPECIFIC ANTIBODIES FOR MILK WHEAT CHINA POTATO RICE NUTS EGG AND ELIMINATE FOR TIME AND IT WILL CURE YOUR DISEASESTILL YOU CAN CONTINUE TAB METHOTREXATE 2.5 MG TWICE A WEEKDOCYCYCLINE 100 MG BD FOR 7 DAYS AND OFF AND ON IF PUS PIMPLES APPEAR IN ANY PARTIALLY ANTIBIOTIC OINTMENT MIXED WITH NONALLERGIC FOR LOCAL APPLICATION CAN ADD NONALLERGIC TAB FOR ITCH ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 two year old just woke up in the night vomiting thick white chunks, no liquid, and was not breathing in between gags, almost like he was choking on something. This happened a couple weeks ago as well, only not in the night. It was a few minutes after breakfast ### REPLY: Dear Sir/ Madam, Thank you for posting your query at .comic the child go to bed or on the stomach immediately after food/ Milk often get the white chunk. I advise you after every meal, let the child be active and compulsory burp should come. That gives a signal that food has settled down. Also encourage your child not sleep immediately after meal. Apart from this, give plenty of fluids which will help in digestion. If still persist consult pediatrician, Hope this informative to you. Your vote of thanks is very much appreciated! With 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 name is XXXX. My 93 year old aunt was just diagnosed with pancreatic cancer. We are not able to see the surgeon until 11/19-her skin has turned very yellow in the last 2 weeks but not the whites of her eyes. She now has excessive gas that she never had before and does not complain of any pain at all. Is the gas a symptom of the cancer? ### REPLY: Hi, Based on the symptoms you have mentioned, the gas could be due to the advancing pancreatic cancer in her body, also the skin turning yellow is not a good sign. Kindly show to an oncologist (need not be a surgeon) at the earliest and get your evaluated mainly for the extent of the disease, her physical fitness in order to assess her ability to tolerate the treatment, based upon to decide regarding treatment options. Hope I have answered your query. Let me know if I can assist you further.  ### END