Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 daughter had ITP last yearin August.She is 19 now and didn t show any symptoms again.Also her Platelet continuously went up to 190 2 months ago and Doctors said she has shown improvement on her own which is good.She was not given any steroids.Only today we found tiny light marks on her thighs which are not very visible and only in a smaller area.Her Platelets are still190+ I am bit worried why these marks show up again after so many months.Could anyone guide me on this ### REPLY: Welcome at  I have gone through your and being your physician I completely understand your health concerns. Is she having any other infection like sore throat etc. In ITP there are exacerbations and remissions? The spots which you're talking about may be a petechial but again it needs to be examined by the doctor for definitive diagnosis. What assuring is, her platelets counts which are still greater< 190 k>.  I don't think it is due to ITP, is there any active bleeding from elsewhere in body?kindly do examine her frequently. If u think spots are increasing or there is some active bleeding then consult your doctor. Meanwhile stay calm may she gets well soon Hope your query is adequately ad .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suspect my mom has dementia. I have shared with her doctor her mood swings, her accusing me of stealing her things when she can t find them (she lives with me), expresses that something of hers (that we are not sure ever existed) accuses me or someone else has stolen the item. Her doctor did a simple 10 question cognitive test and she only got 3 things wrong. Therefore, he declared her as not having dementia. He also is not believing me of the symptoms I ve shared with him of her behavior for over a year. I am at my wits end and just don t know what to do for her. You can have a conversation with her and 5 minutes later she doesn t remember a thing about it. Her husband died 2 years ago. I ve asked her doctor if she may be depressed and could he prescribe something for her. He has repeated ignored this request. Any suggestions? ### REPLY: Hello thanks for asking from  for your health related queries can understand your concern. She has performed good on Cognitive Tests, so grossly we can rule out dementia as cause of her symptoms. She is showing symptoms like accusing you for stealing things, mood swings, forgetfulness and these symptoms can occur in depression. History of loss of her husband has probably aggravated her symptoms. I would advise you to take her to a psychiatrist for evaluation of her symptoms. Accusing you of stealing things could be occurring due to auspiciousness and this needs treatment. Medicines like Duloxetine, Venlafaxine can help her in coming out of depression and these symptoms of auspiciousness. Visit a psychiatrist for prescription of . Thanks, hope this helps you. Take Care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I keep getting a random throbbing in my neck on the right side...almost like an adrenaline rush would cause. It happens when I am in a relaxed state though, sometimes right before I fall asleep or right when I wake up, sometimes accompanied by a cold sweat or slight dizziness. Anxiety or stress perhaps? I am 31, female, 5 2 and weigh around 165. My family has a history of strokes and heart attacks/problems. Any thoughts? ### REPLY: Hello, I read carefully your question and would explain that your symptoms are not typical of any cardiac disorders. In my opinion anxiety could mimic all this clinical situation. Anyway, before coming to this conclusion, I would recommend checking thyroid hormone levels in order to exclude possible thyroid gland dysfunction. An ambulatory 24-48 hours ECG monitoring would help exclude any possible cardiac arrhythmia. If all the above tests result normal, you should consider anxiety as the main cause underlying your complaints. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, during a routine health check my SGPT levels one week after consuming alcohol were 106 IU/L, at that time SGOT was not tested.  After one month, without consuming alcohol during that period i again got my LFT done, and the readings are SGPT 44 U/L, SGOT 36 U/L, Alk Phos 148 IU/L.  I consume alcohol one a month (180-220 ml whiskey/rum).  Kindly suggest. ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist (DM). Elevation of liver enzymes suggest injury to liver cells. There are many other causes for elevation of liver enzymes apart from alcohol intake like Hepatitis B and C virus, Wilson disease, autoimmune liver disease for which you need to be tested. So you may visit your doctor for these tests. Also, meanwhile what you should do is:1. Avoid alcohol2. If you are overweight or obese then do weight reduction by diet and exercise3. Take tablet ursodeoxycholic acid 300 mg TDS and Cap Evian 400 mg ODI hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had for four months now, a persistant presure in my chest, its like a bubble that wont go away. It gets worse at times, goes thru to my back, and varies in pain intensity. I have had lots of testing done but all results have come back normal. I am taking nitroglycerin to releve the pain, but it never gets rid of the presure. Any help would be appreciated. ### REPLY: Thanks for your question on . I can understand your concern. Most common cause for chest pressure is stress and anxiety. But better to rule out cardiac diseases first because he is taking NTG (nitroglycerin) for chest pain. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic . Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi well I want to give you some basic info, my name is Jenn I am 18, 5 1 and very overweight . Anyway I recently got diagnosed with cellulitus due to a scratch by my dog. I am on Augmentin the highest dose 875-125mg twice daily, my question is this can Augmentin cause nerve damage? Other then the cellulitus I have been having health issues but doctors think its anxiety/panic attacks. Anyway I haven t slept really for 8 days, I was having panic attacks in my sleep. I recently started taking the augmentin (day 3 in the morning) and I feel worse, YES the swelling in my arm is going down but I am having back pain , bad tension headaches, (I have been having weakness only on my right side for about 3 months now in the middle of testing) and also starting today (2 days into the antibiotic) my feet ( both) feel very stiff its unvonfortable sitting for to long (can this be caused by not sleeping or something else??) and my legs are weak and I can not stabd for very lobg my back hurts, and I get dizzy. But strangly when moving my feet feel a BIT better. But now a frightening new symptom appeared and I don t know if it is from the Augmentin (this NEVER happened to me before.) My right ring finger is bent and doesnt want to straighten but can be straightened if I really try to but just resting it it remains in a bent shape ( not at the tip the bend is more towards the middle and bottom) and now my fingers from time to time spread out the dont stay side by side when I m resting my hand it doesn t really hurt its just very annoying and when I squeeze stuff it s very week and I can t squeeze that hard (this problem with my hand is only the right one) also it feels like an electric shock going through my hand and fingers when I do tasks with it it s overall weak but the ring finger is VERY weak and can t do anything with it (what can this be I m nervous!) also I have had tests for Lyme (negative), a bunch if blood tests to do with my heart (fine), anemia (fine), Mono (negative) no diabetes, and I have had 2 EKG S both fine. My only medical problems are asthma (even though I know if your diagnosed it never is cured its always in you just dormant but I haven t had an attack or needed my inhaler in over 7 years) and carpal tunnel other then that Medically I have no other issues. Sorry this is so long I really appreciate your help and time! ### REPLY: Hi, you are using augmenting for cellulitis, but you are experiencing headache, backache, panic in sleep, dizzy, feet stiff, etc., every test of all systems are fine.  Most probably the changes are due to the allergic reaction of the augmenting, and also due to the gastric irritation.  As the .  I to my patient with such symptoms prescribe omeprazole, risperidone, and antacid gel. If some changes persists you can go for exchange of the antibiotic. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with clonus 2 yrs ago. I had a disc in my neck that was bulging into my spinal cord. I had a discectomy. The clonus has been getting worse in thelast 9 months or so and I have several electrical sensations a day ( 10-20). I am wondering if I should be concerned? ### REPLY: Hello.  I have been through your question and understand your concern. I think you should be concerned, because like clones which is a spinal cord compression sign, electrical sensation as well is a sign of nerve root compression.I suggest you an expert neurological consult and EMG nerve conduction study to see if there is a damaged nerve and further the appropriate treatment. Hope this helps. Please feel free using MHC again ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have just been told I have CIS Bladder Cancer, And assured it is treatable, and starting tomorrow, a six week plan is laid out for me every Monday, with more to follow. Any idea how long this 6 weeks at a time will have to be, and how long in between each six week treatment? Sorry. Cannot pay for this answer. I misunderstood the help offered. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Treatment of bladder cancer depend on type stage and grade. Treatment is different in low grade epithelial cancer and high grade epithelial cancer. In general radiotherapy is helpful in early stage of disease. Duration of treatment and dosage is depending on type. 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: My boyfriend has been complaining about a metal taste in his mouth . He said he gets a very bad headache in his temple and then gets a metal taste in his mouth. What can cause this? There is a history of heart conditions in his family. About 2 months ago he did have an infected tooth that he had to get a root canal done. ### REPLY: Hi sized, I read your problem, information you provided is not sufficient. Metal taste may be due to any metal filling or crown in his mouth, severe periodontitis, infection in that root canal treated tooth, etc....and this pain may be high points of filling/crown, infection etc.I will suggest you please go to an endodontics and go for whole mouth examination, please follow all the given instructions and take a proper treatment. Nothing to get worried take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pain in my left arm. I have GERD but am experiencing no chest or abdominal pains. It seemed to have started in my upper left arm and worked down just past the elbow. I am feeling a squeezing pain in the elbow and discomfort on the left shoulder when I move my neck. What can I do besides ibuprofen to alleviate the pain? ### REPLY: Dear Patient, Welcome, and thanks for sharing your concern I went through your query, and I feel, besides ibuprofen, a consultation with a doctor is must, as it seem you have some cervical disc problem and that has started putting pressure on the nerves and thus causing pain. You will also need an MRI of the cervical spine for this purpose. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been battling tremors, needle prickling pain, and heaviness in my legs for almost a year now. I have been tested for MS, Lupus, and Parkinson only to be told I am depressed and stressed. I assure you I am neither and refuse to go back to my doctor. ### REPLY: Hi, as mentioned by you, it looks more of the lumbar disc degenerative pathway. As due to the pinch of the nerve the functions of the sensory nerve gets disturbed and leads to abnormal sensation. Taking up and MRI of the lumbar spine will reveal its pathway. Also, getting and NCV study done will help in differential diagnosis and can be looked further. Based on the Neurological findings and assessment along with MRI and NCV the next rehabilitation plan will be implemented.99% cases recover soon if followed with a combination of medicine and physical therapy. With the grace of God I wish you a long life without any medical issues. Regards. 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: i am 55 yrs.first time in life on cold sunday at 4:00a m i went to bathroom and after that breathing troble stated and till 45 minutes i suffered. My wife suggest to see the doctor. Doctor took my ecg and admit for 4days, .Echo and after enziography (result : Triple Vessel Disease), they advise for CABG surgery .Please guide !? LNRathore ### REPLY: HelloThanks for posting at . You have significant blockages in your heart involving all three arteries of the heart. Hence, your doctor has advice you bypass surgery. Angioplasty is another option that can be offered to heart blockages. Bur since he has multiple blockages' angioplasty cannot be done in your case. So please go ahead with CABG. I know that you are tense about going for an open-heart surgery, but its prognosis is very good. The grafts work well for 15-20 years. It requires about 7 days stay in the hospital and then about 15 days to be completely back to normal activities. Wishing you good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The pointer finger on my right hand is giving me pain. It happened after I woke up one morning a few weeks ago. I did make an appointment with a doctor, but I was hoping you could give me some insight as what could have caused this problem with my finger? ### REPLY: Hi, It may be a simple contusion or inflammation at the fingertip. We have to rule out rare possibilities like arthritis also. As a first line management, you can take analgesics/anti-inflammatory combination like Diclofenac/Serratiopeptidase for symptomatic relief. If symptoms persist better to consult an orthopedic and get evaluated. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello my husband has had stomach pains for 18months to two years now and he just cannot sleep, he has had endoscopy and colonoscopy also ct scans and xrays all showing nothing. Vic had prostate camcer 2 years ago  actually had it for about 8 years without treatment but 2 years ago had radiotheraphy, One doctor said Vic has diverticulosis but no matter what medication or foo dhe does not eat it does not ease the pain, he is at his witts end can you please suggest anything.Sheila Olley   ( wife  ) ### REPLY: Hello, Thanks for the query to . Forum. If I were treating doctor of this severe pain (of your husband) I would come up with these reasons. 1 The most important reason may be acute (chronic) gastritis with recurrent episode of pain due to various factor as radiotherapy for prostate cancer, .  As you mentioned that endoscopy and colonoscopy didn't find anything. In chronic gastritis usually we don't find anything except mild erosion in lesser or greater curvature of stomach. Try raising the head of your bed about 4 inches with blocks. It might also help to avoid eating or  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 15 month old baby is has vomited once every day for the last three days. There is no fever cold or cough, she seems happy otherwise, but has hardly eaten anything or had much to drink. The times she has actually had a little to eat the last couple of days, she has thrown up within 45 min. ### REPLY: Hi, Vomiting once a day without fever, cough or diarrhea has very little significance. I think there is nothing serious. Please make sure hygienic conditions are clean and after every feed or meal, your baby doesn't lay down on the bed. Let him burp properly. If at any time you feel he is running fever or having diarrhea, then you see a doctor for consultation. Wishing your kid a healthy life. Hope I have answered your query. Let me know if I can assist you further. 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 Doc, my spouse is in 28 weeks of pregnancy with some associated problems. Swelling in both legs, reduce after elevation of foot and rest. last 2 weeks back SGOT is 25 and SGPT is 18 But we checked again on 2nd JUNE, its highly elevated. SGOT - 2360 and 1580, SGPT - 1560 and 1404 from 2 different labs, Alkaline phosphate is also elevated (527) and bilirubin is in normal range, the remaining all parameters in normal value. She is in medication of T.Duphastan, T.Shelcal, T. Iron supplement and T. Thyroxin. She have a Hypothyroidism since last 1 year. I am a Registered Nurse in india. i want to what is happening to her and what is the possibilities? today i took the sample fr Hepatitis A, B, C, E and Urine routine? ### REPLY: Hello, and I hope I can help you today. Elevated liver enzymes and swelling unfortunately can be symptoms of two potentially very dangerous pregnancy complications. The first and most common is severe preeclampsia or HELP syn .  It normally develops at term but if it does prematurely it can cause seizures in the mother and abruption of the placenta. Typically, patients also have low platelets and can be at risk for stroke. The second possibility is acute fatty liver f pregnancy which can also lead to fetal death and potential permanent liver damage. I seriously recommend you consult with a physician or take her to the hospital immediately for evaluation... She needs her blood pressure checked, an urinalysis, a CBC with platelets, electrolyte including BUN/creatinine and a consultation with a high risk obstetrician. Sometimes the baby needs to be delivered prematurely to treat the mother. I again am very concerned about your partners status, and please consult immediately with a local physician and do not continue to try to diagnose her yourself. If she develops a severe headache or sees spots in front of her eyes she is at high risk of seizure and should go to the hospital immediately. I am sorry to give you this answer to the question, but I am glad you consulted with  .com and I hope your partner gets the appropriate evaluation. With 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 been on 3 different antibiotics over 2 months for throat sinus infection. My throat started hurting again on right side. have pus coming from roof of my mouth behind uvula. sore throat keeps coming back before i finish antibiotic. i am now on my last day of biaxin. 55 years ols ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. I advise you to do culture and sensitivity from the pus that coming out of the back of your mouth. It will guide you regarding the probable organisms and its sensitivity pattern. Once the report is available to you, you can take the . You might be having resistant infection that is why it is not responding to 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 mother says she is not depressed but her doctor is giving her Paroxetine . Every time she goes to our local clinic when her pain gets back that s what they give her. She have this pain inside her lower belly and they tell her she s just depressed and that s why she get the pains. It s been a long long time since she has it. She doesn t trust her doctor any more because she is not depressed or stressed. She even asked if her uterus or cervix can be removed because that s probably the cause of the pain but they told her it s too dangerous. Its a pain we are tired of. She asked if I can help her. So here I am writing to you. Please suggestions! ### REPLY: Hello and welcome to . Thanks for your query. SSRI anti-depressants, like Paroxetine, are sometimes given to treat somatoform pain disorders (these are pain syn .  However, even in such cases, it is important that the patient should be psychoeducated and be made aware of the reason for starting the anti-depressant and also be actively involved in therapy. Merely giving out medication without involving the patient in therapy is not likely to help much in such kind of disorders. Besides medication, she should be also be thought other psychological techniques and strategies to deal with the pain. I would advise you take her to a psychiatrist for a detailed evaluation and a more wholistic approach to the management of her pain. Wish you all the best. -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my daughter is 30 months old. She has vomiting and diarrhoea which both have a strange sweet smell. Vomiting is occasional, diarrhoea frequent and large volumes. I can hear her tummy bubbling and gurgling. She will take some liquids but not lots, she wants to drink milk. She has eaten small amounts of food which doesn t seem to have made it any worse. She has had a mild temperature but nothing serious. I am wondering if she has norovirus? If so should I be giving her any meds or doing anything different? In between episodes she is bouncing round full of energy. ### REPLY: Hi, diarrhea till the age of 5 years is a common condition. Keep good HY . Give Syrup Incline 5 ml once daily for 14 days. Also give her some probiotics like Syrup Similar 2 ml twice daily. AF for feeds, give her regular food less oily and less spicy along with lots of curd. There is no role of antibiotics if diarrhea is transient. If it persists, give her Syrup Oflox-Oz twice daily. Thanks and 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 sir i got fed by regarding my health and also consulted doctors for my problems, clearly explained these things... problems 1) from morning 10 am onwards upto evening 6 o clock i feel stress too much without any work.. To much nerves looks on my hands, I feel like 100s of threads are tagged in brain and 10 elephants pulling ( stretching ) that threads. Without work i getting this problem 2)My age is 29 and height is 157 cm but my weight is only 44.5 kg and some time 45 kg. My hands trembles too much like 80 year old person.. Is this problem solve this medical field or not.. Now i lost trust from science.. Please i beg yo solve this problem, reply to my mail id : YYYY@YYYY ### REPLY: Hello, Thanks for using health acre magic for posting your query. I can understand what you are going through. First and foremost you should get a thyroid test done to evaluate its levels. In case if they come normal then in that case there is possibility of you having a depressive episode or anxiety disorder. However, a final diagnosis can be commented on only after a detailed knowledge about your symptoms. You should meet a psychiatrist. You will benefit with antidepressants and behavioral therapy that he would suggest. Hope I am able to solve your concerns. If you need a detailed answer, I would be more than 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 a situation me and my girlfriend kinda had sex twice. I say kinda because it was for short amounts of Time and I wasn t close to orgasming I am just worried about precum and the odds of her being pregnant it was 4 days after her period. Also is there anything she can take to help avoid it (preferably something you can buy when younger then 18) ### REPLY: Hallow Dear, Precum is pre-ejaculation secretion which is expelled out unknowingly. It does contain some sperms which can cause pregnancy. However, you had this experience 4 days after her period. This day is rather safe as far as the risk of pregnancy is considered. Egg is released 14 days prior to next expected menses. Egg has a life of 24 hours while sperms are active for 3 days. Hence, a period of about a week around the day of egg release is considered as fertile window. 4 days after the menses falls quite away from fertile window. Still, I would say, better to err on safer side. Hence, she should take post-coital emergency contraceptive pill protection. These pills have to be taken within 72 hours after the unprotected sex. If this period is already over, she may get intrauterine contraceptive device inserted within 5 days of this unprotected sex. This will give her protection from the pregnancy and moreover will give her ongoing contraception for years to come. If 5 days also are over, you cannot do anything now. Just wait for her periods to appear (which mostly she will get). If she misses her period, get pregnancy test done on her urine after one week; earlier the results may be false negative. Alternatively, you may get her blood checked for Beta  for diagnosing pregnancy, 10 days after this incidence. If she is pregnant, she can get the pregnancy terminated by medicines safely and effectively up to 9 weeks of gestation. However, this has to be done with Gynecologists advice and prescription only. And lastly, any step she takes is to be done with her parents consent since she is minor; otherwise it will be an illegal offense. I hope this provides you detailed guidelines. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yesterday my upper left side of my chest starting hurting with tightness along with shortness of breath. They were my only symptoms, but today I just have a slight tightness and pain very mild, but my mouth tastes like I ve been eating pennies. What could this be? ### REPLY: Thanks for your question on . I can understand your situation and problem. Left sided chest pain, tightness along with breathlessness are seen commonly with heart diseases. So first get done ECG and 2d echo. If both are normal than no need to worry about cardiac diseases. Sometimes stress and anxiety can cause similar symptoms. So consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. But first rule out cardiac cause. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was told by my hairdresser I had lost quarter to half of my hair since may. I had blood tests done which have came back iron deficient & prescribed iron tablets. I have also been experiencing wrist weakness in both wrists & wondered if this is normal. I also take sertraline for post-natal depression & thyroxine 100mcg, TS3 results not in yet but slightly low on TS4. I had my thyroid removed at age 16yrs. Sadly I cannot pay for this, I ll just go back to my GP on NHS Thank you for your time ### REPLY: Welcome to ! I have read the question carefully and from my clinical experience I can say that almost all problems - hair fall, wrist weakness, iron deficiency, and depression, are related to thyroid deficiency in your case. It is well established fact that hypothyroidism, I.e., high TSH, and low T 3 & T4 levels, are related to hair fall, weight gain, increase lipid, lethargy, low mood, weakness, calcium loss, and low iron. The wrist problem or any bony problem. Can occur in you as parathyroid gland are also removed when thyroid is removed. Get calcium & phosphorus levels done, along with TSH regularly. I think you need to increase the thyroxine supplement and use more of iodized foods, like-salt. Avoid vegetables like-cabbage, etc, as they increase the problem further. You have been taking iron supplement, along with that you may get help by eating Jagger, more of green leafy vegetables, citrus fruits, nuts, to increase formation of iron and blood. Iron is absorbed more when taken with citrus fruits or water, in empty stomach, never with milk. You may start calcium supple amt for wrist weakness. Continue with antidepressant, as this will help you. For your hair, you may start a good multivitamin, vitamin A, and most important is thyroid supplement. So, meet your doctor and get adequate thyroid medicines for your self, this is the most important . Hope the reply is useful for you get well soon! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a very inexperienced doctor removal my toe nail. He numbed it with three shots directly above the toe line, had a very poor cut, and didnt properly cauterize it. It is one day after and it pussing fairly badly and looks terrible. What should I do? I am taking an Anti-biotic... but? ### REPLY: Thanka for posting your query to health care magic.removal of OE nail create a big wound, and it will AKE time to heal .you should maintain proper hogan and regular . Along with this you should take 1.complete course of antibiotics as recommend by your surgeon .2. Antiinflammatory enzymatic preparation like Serrraiopeptidase 10 mg .two times a day .3. Multivitamin4.Painkiller like Aceclophenac 10 mg two times a day all medication should be taken under guidance of your clinician.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: Lately I have been on a new birth control , however, as of last week I have light pink when I wipe, dry discharge in my underwear and also some itching and uncomfortability. I have also felt as if I m having cravings and solid weight. Do any of these have any links? Could they just be the hormone from the birth control? Or a bacterial infection ### REPLY: Hi, Thanks for the query. Oral contraceptive pills can cause side effects like intermenstrual spotting, brownish discharge etc. Nausea, bloating sensation etc. can also be experienced with these pills. If you are having any associated symptoms like vaginal discharge etc., better to get examined to find out pelvic infection. If there are no signs of infection and the symptoms are due to pills only, you can go for symptomatic treatment. Possibly the symptoms will subside soon. If the brown discharge persists, you can go for additional dose of hormones for few days. This will help in decreasing the spotting. If the problems increase you can change the contraceptive method with your doctors' advice. 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: in Germany swimming pools have sprays installed for swimmers to use to prevent foot infections.Not so in Australia. Can one obtain such a spray and what would one ask for say on the internet? Also, is it quite harmless to use such a spray regularly and for long periods? ### REPLY: Hello, Thank you for posting your query to . In pools generally get spread and grow all kinds of fungal. So the sprays have a medicine that is used to prevent them. I will mention some names, but depends on what you have available in the country you are living. Creams would work as well. Canes ten 2%; Fluconazole 1%; Fluconazole 1%- all this should be easily findable over the counter. Use them 1-2 times/day of you have the infection, and each time after getting out of pool in you go to pool to prevent getting it. The same creams are used to treat the Athletes foot. Hope I answered your question. Let me know if you need more clarification. 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 Doctor.Am married man.Every time i will taken semon test.In this test live 68%,dead 25% and motility only 10 or 15 %.Why the motility is not increase?Any tablet or any fruits for improve motility?Pls give me solution for me.How to improve my motility?My wife told vegetables are only improve motility.I like some vegetables.So,what i will do?pls give me solution?regards,navanee....... ### REPLY: Hello, Exercise and a balanced diet with adequate sleep will improve this. Wearing loose underwear and avoiding hot tubs and showers may also help.  There are multiple studies showing the intake of antioxidants like vitamin C and vitamin E and zinc may improve sperm quality. You may also need a scrotal ultrasound with Doppler to rule out varicocele.  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: Sir is it TB? it is found in abdominal ultrasound examination that Lymphnode(LN) :Bowel inflammation  Few small mesentric lymphnode enlargement seen in left paraumbilical region (5) the bigest one is 10*6 MM  Due to this problem my wight is decreasing science tow years but now i know after check up now  i am getting TB treatment could i totaly free from this disease tb  and how much time itwill take for for completely remove it plz tell me some symtoms of it and what shuld i do ### REPLY: Hello, Your explanation is not so clear for me. As you explain, you are under treatment for extrapulmonary tuberculosis (TB). Which means that your lungs are clear. It means to me that it has done a lymph nodal biopsy and the result has been tuberculosis (TB). The symptoms of TB are several, but the most common are sweats, a nonfebrile fever, anorexia, chronic cough for pulmonary tuberculosis, weight loss. The duration of treatment varies from six months to a one-year maximum, but it's your treating doctor who decides for this. If you are taking correctly the treatment, you will be cured completely, do not worry. No smoking, no alcohol. 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: Within the past 4-5 months I have had bowl accidents without feeling them come on. I have had problems with my kidneys and the right kidney is good and the left works approx. 14%. Within the last 4 years I have had 2 surgeries for very large stones. Do you feel this has anything to do with my kidney s and should I make an apt w/ my kidney specialist? Both time the kidney stones were discovered by accident. There was no pain involved. ### REPLY: HelloThanks for query. You had undergone surgeries for removal of stones in left kidney twice in last four years. Function of the left kidney is detected to be only 14 %. This suggests damage to the kidney due to long-standing presence of stones in kidney what is called as calculus kidney failure Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) DMS scan to assess kidney function 4) Renal function tests. Further treatment will depend upon result of these tests and final diagnosis. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doc, I was wondering if Althea birth control pills could increase my cup size? Or should I take Diane for that? Also, I heard that birth control pills increases a woman s risk of never getting pregnant. I don t want to get pregnant now but someday I would love to have kids. Is this information true or is it a myth? Thanks! ### REPLY: Hello, Certain birth control pill which contain combination of both estrogen & progesterone, more likely cause increased breast size in women with some other side effects. Though, increased breast size is not a permanent side effect of it and in most of the cases, breast size returns to normal after stop taking the pill or switch to a low dosage birth control pill (contains only progesterone). In general, full fertility comes back within 1-3 months after discontinuing the birth control pill, and it totally depends on commencement of normal regular period. Hope, this information is very much sufficient to clear your doubt & confusion. Be well & 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 had my 2 bottom wisdom teeth taken out on plus two other teeth (one which had been broken due to impacted wisdom tooth ) on Monday and everything has been ok until this morning when I woke up with what felt like a swallon gland and pressure in the right side of my face its not painful but its very uncomfortable and i m having trouble swallowing what can I do to heal quicker as I can t eat proper food and I cant open my jaw more than 3cms :( ### REPLY: Dear friend. Thanks for sharing your concern. Your symptoms suggest towards Erasmus(inability to open the jaw post extraction). It also shows, there is infection developed at the extracted site. Sometimes deeper tissue injury also cause Erasmus. Therefore, I would suggest you to revisit your dentist and get the clinical examination done for the same. A new course of antibiotics and analgesics should be started, and also keep a note that you keep chewing, chewing gums in your mouth. Maintain good oral hygiene, by rinsing with antiseptic mouth washes. Hope it helps. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have difficulty breathing and it feels like I have some lung congestion and a stuffy nose and a slight sore throat like it has been draining down my throat. I have a harder time with respiratory issue as I have bilateral diaphragmatic paralysis. I have had labored breathing in the last 2 days and am preparing to contact my doctor tomorrow but if is hard to figure out if it is a cold or a serious respiratory problem in my lungs which is very dangerous for me. Usually I have no trouble doing my 5 miles on my walk but it has been a real chore in the last few days as I feel it in my chest more. ### REPLY: Thanks for asking your query completely understand your problem according to your symptoms I think you are suffering from upper as well as lower resp tract infection along with sinusitis. You will feel more severe symptoms due to your diaphragmatic issue. You should consult a pulmonologist, he'll get a chest X-ray done and will start some broad spectrum antibiotics like lifetime for a week or two. About your diaphragmatic issue you can ask pulmonologist, he can guide you for placation surgery or a supportive ventilation like cpapthanks/ regards feel free to ask questions may god bless you with good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am a 54 year old woman who at present suffer with depression, I have an underactive thyroid and high blood pressure, I also take medication for high cholestral, for the past couple of months I have been suffering aches and pains throughout my body and am having difficulty walking due to pain, I feel tired all the time and and find it difficult to get out of bed due to pain, my other problem is sweating which is embarrasing as the sweat runs down my face constantly, while browsing the net I found that my symptoms may be due to fibromialiga, should I consult my doctor as at the moment I feel I cant go on with this much longer. Regards Aileen ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you might be having post menopausal syn .  After menopause, there are a lot of hormonal changes like low estrogen, progesterone etc. All these changes can cause similar kind of symptoms. So better to first consult gynecologist and get done hormone levels to rule out hormonal imbalance. You may need hormone replacement therapy (HRT). Another possibility is vitamin B12 and vitamin D3 deficiency. So get done blood levels of these vitamins and if deficiency then you will need supplements. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Went to the dentist got a novacain shot on the upper left quad area and a blood vessel was punctured...it wasn t until a couple of days later I was black and blue and swollen in my left jaw and tender ....still have some swelling could it be blood settled in the area ? It s been like a yr and half ... ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint as you were given injection for upper left qua . . It is although not commonly anything fatal but TH swelling can last longer. As you said that still some swelling is left it means that some swelling has subsided, so it is a good sign and need not worry. I would suggest you to do alternate warm and cool compresses over the swelling. Gradually the swelling will subside, and you will be completely alright. Hope this information helps. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have pain in my lower right pelvic area. It comes and goes. I had my gall bladder out since that was the only thing they could find wrong. I had stones. Hoping this would cure my ailment. The pain was gone for 3 weeks. I started back to work yesterday and the pain has returned. I have had multiple test and all my results have been negative. Do you know what the pain could be? ### REPLY: Hello! Thank you for the query. It would be much easier if you could mention what tests have you had performed, otherwise, it will be very hard to help from here. Such lower right pain can be caused several diseases including urinary tract infection, urinary tract stones (frequent urinating, burning while urinating should be present), ovarian cyst (if you are female), large intestine inflammation (Crohn's disease, especially if you are about 20-30 years old, have had diarrheas, blood in stool, weight lost), colon cancer (especially if you are 50 or older, have had constipation, blood in stool), inguinal hernia (the pain aggravates while coughing).  Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: After suffering chest pain, going to hospital, clear chest xray, negative blood results, good stress test results. My GP has told me that I may have suffered a precardiol catch ???  I have had high bp for over a year and I have an extensive family history of angina and heart disease. He tells me I have nothing to worry about????? ### REPLY: Thanks for your question on . I can understand your concern. Since your stress test is normal, no need to worry about major heart related diseases. You need to control your blood pressure. Sometimes stress and anxiety can also cause high blood pressure and Chest pain. So avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Don't worry, you will be alright. Strict restriction of salt in diet is needed for control of blood pressure. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i am 25 year old married from 2.5 year from last 8 months i m trying to concieve but not getting the result.i have pcod and very irregular periods.i had an ovalution checking ultrasound done which was normal size of growth of my eggs were normal.my periods are always 8 to 10 days late and during that late period phase i have urine burning and constipation.ive done urine test which was also normal no infection ### REPLY: Hi, I think you should take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband every 2 to 3 days after your periods stop.  Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 months.  Discuss with your doctor regarding this.  If it doesn't work then you can go for HSG to see for tubal patency and if it is normal you can try for GUI.  Do a semen analysis of your husband.  Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am suffering from hot water epilepsy since teenage. Now i am 42 yrs, the occurrence of the seizure was rare..may be once in several months and it was partial..not loosing the consiousness, last year i had two bouts of seizures where there was no tonic/clonic movements.. i am on encorate chrono 300mg 3 times day. and free of symptoms for last one year..should i take the medicine for the life.. or can i discontinue after a few years..pse advice ### REPLY: Dear patient Thanks for your question. The fact that you have had seizure one year back requires that you continue medications for at least one more year. We stop medication only after seizure free period of minimum two years. Other very important instruction is that you should use Luke warm water for bath. EEG may be help in deciding about with .  If EEG is normal then medications can be with ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was playing soccer and tripped over the ball but I fell on the outside of my foot... I heard a crack and I couldnt run anymore or kick... my foot hurts on the top and I have a bruised bump... the bottom of the foot hurts on same side I have the bump... so the top and bottom hurts... what is wrong with it? Its not my ankle at all but the outside of my foot. Please help! ### REPLY: You probably have an injury to the joints in your foot crack can mean 2 things1)ligaments partially torn or overstretched2)a fracture of your tarsal bone (mostly non-surgical)you might have this so called franc injury - ligamentous injury of your midfootbest course of action is X-rays to rule this out since this injury usually presents with bruising of the foot (both sole and above the foot)franc injury needs to be cast the least but can be operated on if its really that bad ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 called...he is 55 yrs old....He complains that last evening, he felt not quite right tired..a bit dizzy...better when he laid down...this am, tried to get out of bed...room swimming, dizzy...retching and I think he said some diarrhea. I have had several inner ear infections over the years...it this sounds the same... It is Sunday, Dr. not reachable.....(Mr Dr. sent some sort of suppositories several years ago, the last time I had it.) Is there any home remedies that would help ? ### REPLY: Hello and welcome to  . Internal ear infection will generally present with nausea, giddiness more on moving head, accompanied by tinnitus (buzzing sounds in the ear) and sometimes loss of hearing to some extent, a feeling of fullness in the ear may also be felt. Internal ear disorders are not accompanied by diarrhea usually. If diarrhea is associated then the chances are more for a gastrointestinal infection or dyspepsia due to faulty eating. Rest and ORS (oral rely . At the age of 55 years, giddiness can also be due to Hypertension, so do ask him to get his BP checked and take an antihypertensive if it is higher than 150/90 mm Hg. Hope that helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My dog bite me on my thigh but teeth were not into my thigh i was wearing a jeans so only a scratch was there n a tiny spot of blood came out bcause the skin was scratched .. So is anything dangerous ? N i guess 3 years before my dog got his last treatment like injection n all ... M worried what to do its a month now ..!! ### REPLY: Hello, THX to contact us. If I am your treating doctor I would like to advice you that injection given three years before was not working right now in your dog that it been I feel. The dog is I think your pet dog, and it is in front of you. So there are no question of worry. Because after a bite of 10 days or so if dog ran away than you think of rabies virus in the dog. But even for safety purpose I advise you to take rabies shots under your treating doctors consultation. If you have anything else to ask please contact me. Than.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: These days m trying to conceive n I think not sure dt m pregnant nw my last menstrual date was 3rd August 2014, my question is should I start folic acid tablet nw ? I have a three years old son n after dt one miscarriage(due to fall on the floor) in march 2014 this is m 3rd time pregnant again n thanks to God my first pregnancy ws normal no complications n 2nd ws too ..... ### REPLY: Hello, and I hope I can help you todayFolic acid is recommended to be taken during pregnancy because it helps reduce the risk of certain kinds of birth defects known as neural tube defects. While there is no proof that taking folic acid completely prevents birth defects, it is known that neural tube defects are caused by folic acid deficiency. It was helpful to take folic acid while you are trying to conceive because then you will already be on it at conception. However, the neural tube of the baby only begins to develop at around 7 to 8 weeks gestation, so if you start taking the medication at around that time pregnancy the potential benefit is still there. So in summary, you should begin to take folic acid tablets as there is a possibility you are pregnant. I hope this information was helpful and best of luck to you for your future pregnancy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 42 year old male. The past month or so i have been having tightness of my chest, beart beat fluttering, and dizziness. I have in the past had similar syptoms, but here latly they have been so bad they are starting to really scare me! The feeling is of some one squeezing my heart. ### REPLY: Hi, welcome to . Thanks for writing to us. Following may the cause of chest tightness, heart beat flutter and dizziness:1. Ischaemia and myocardial infarction.2. Paroxysmal supraventricular tachycardia(PSVT)3. Atrial fibrillation or flutter4. Indigestion and belching of abdomen5. Maniac disorders of the above-mentioned causes requires some underlying predisposing cause behind them. Only MI and PSVT can occur in an apparently normal subject at any time. Recurrency of such attacks is noticed in case of PSVT.Therefore, I would request you to go for an EKG whenever you experience such an attack. Then you can consult with your doctor with the EKG report in hand. Hope I have answered your query. Stay fit, good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have different Diagnoisis my questions that may contribute to these. I had a procedure because of bad pain in my right lower adomen the doc ask me when i had my last period i told her 2 weeks prior then she said i have a folicle on my right overy. two weeks later and still experiencing pain. I have been digonoised with PID from being a victum of sexal assult, so when i was rediganoised when going to the gyn she gave me anti-biotics and still pain is bad to where as i can t sit move my right leg and when i release my bladder and bowel. i also have IBS . the real question is that i have developed a rash below my neck and where my chest is and it is circling aroundin the region. this startedtwo weeks before my period and did go away. it came cack in a more aggresive manor and developed a cough runny nose sort throat headaches andtight chest when i breath. with the doctors i have incontered they don t know whats going on and this is concerning me to the point of being scared. so please help me unerstand more ### REPLY: Hi welcome to  forum.  Your Cold and cough started you got recovered, and there is recurrence of cold as well as rash. You had a sexual assault, and followed few days latter with P.I.D.with probable tears in the Regina due to assault.  You may need to use anaerobic antibiotics as well to get rid of the infection. Bed rest may be necessary to for orthopedic involvement. You should get treated for cold and cough as well, and for rash.  I advise you to follow some diet recommendations as avoid taking potato, other tubers, tomato, and fish to avoid pain.  Wishing for a quick and complete recovery, and thanks for calling . F.  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: Swollen cheek and gum. At the top of the gum meets the cheek. Its been swollen for three days and I have a dentist appointment tomorrow. Should I be worried about waiting so long or will one more night be okay. I have no pain really just a little discomfort due to the swelling of my cheek. ### REPLY: Thanks for your query, I have gone through your query. The swelling in the cheeks and gums can be because of the tooth or gum infection. The vestibular obliteration can be because of the collection of the pus. Nothing to be panic. Consult an oral physician and get it evaluated. If I am your treating doctor, I would have suggested you to take radiographs like RVG or IOP AR to rule out gum and teeth infection. If it is a gum or teeth infection I would have prescribed a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic) till you consult the dentist. Then I would have suggested going for scaling and root planing for gum infection. RCT or extraction if it is a tooth infection. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im a virgin. I had my first yeast infections a couple months ago. The yeast infection returned. I done research it told me if i had reaccuring yeast infections within a year i could have some harmful viruses. Since i cant have an STD it could link to diabetes right? Plus how do i get rid of this yeast infections with home remedies? ### REPLY: Thank you for the query. I would like to inquire about your age. Vaginal candidiasis (yeast) is a common fungal infection in female subjects. Since you are having recurrent yeast infection, a blood sugar screening is advisable (Fasting and post radial blood sugar). A routine urine examination may also be done. There is no home remedy for candidiasis as such. You must try to maintain hygiene and keep you private parts clean and .  Local preparations like vaginal creams and ointments are available (Clotrimazole cream) which may be applied locally twice or thrice a day, with good results. If symptoms worsen or urinary tract symptoms like burning during urination develop, you must consult your physician for a thorough physical examination. Hope that helps 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 had one of the upper-jaw tooths root canaled.Post treatment, I used tove food lodgment problem surrounding the cavities adjoining the gums of treated tooth i.e: small slices of food teer into the gums and cavities. When I went to see a Dr, she removed the cap along with which the tooth part came out.Dr. has suggested me 3 options :1) Have an implant of metal by removing the root.2) Have a bridge by cutting the left-adjacent natural tooth and removing the cap of right-adjacent root-canaled tooth.Which one would be better option to prevent food lodgment? 1 or 2?Would you suggest 3) a replacement of cap? or4) I may leave it as it is without any cap.Is it advisable? Pros and cons? ### REPLY: Thanks for using . Read your query. Based on the treatment options put before you, it is not advisable to leave the tooth as it is now. It has to be rehabilitated. If I had a patient having the same conditions, I would go for the re-replacement of the cap of that particular tooth, provided there was sufficient sound tooth structure left behind. If there is minimal tooth structure going for implant would be the option provided all the criteria for the placement of the implant is met. Implant placement will not affect the adjacent good teeth. Have it evaluated with your dentist and go ahead with the treatment. Hope this was useful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a large lump in my right cheek that runs along the underside of my cheekbone and goes to the Temporomandibular Joint..above my rear molars/where my wisdom tooth was pulled from a few years back   The lump is around 1 inch in length along the jawbone and is maybe the same width as my pinky.  It cant be seem, but can be felt when pressing on my cheek in that area.  There is a much smaller (almost not there at all) thing in the exact same spot on my LEFT cheek which led me to think its a swollen gland, but everyone else that i ask dont have anything in that area.  It doesnt cause any discomfort ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have swollen submandibular gland or lymph node enlargement.  It may be due to some inflammatory disease or may be some infection or rarely malignancy. You should go for complete blood count and fine needle aspiration cytology of that lump. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good Evening. I hope you are well. Thank you in advance for your assistance. My issue is that my right scapula is in pain. I don t feel terrible pain as if it is broken, however it hurts to rotate it or lay upon. I was held down forcefully and the pain begun thereafter. Please advise. Kindly and Sincerely, Angela Mitchell in Florida ### REPLY: Hi, It may be a spasm of the muscles of the scapular region. Try doing hot water fermentation and post that little of scapular muscle strengthening exercises. It will help you. If still the pain persists than you can go for a physical therapist and a therapeutic ultrasound therapy and TENS will help to ease the pain and give access to perform exercises which will make the muscle stronger. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi we have 36 weeks neoborn deleverd by SVD with dusky color and poor perepheral perfusion blood gas normal x ray chest unremarkable we connect to mecanical vent . ECHO .done show right to lt. shunt after 2 h. develop hypotension and acidosis oxygen sat. fluctuating 80 -85 / inspite nitric oxide 30 ppm and correction of acidosis and hypotension. what we can do ? dr ahmed ,,,neonatologest. ### REPLY: Hello and welcome to , The clinical features of poor peripheral perfusion, hypotension and acidosis suggests that the shunt in heart is preventing the blood to be pumped from heart to peripheral tissues. The structural abnormality in heart is probably causing obstruction to flow of blood in aorta, the major blood vessel which supplies blood to periphery. There is probably mixing of arterial and venous blood in heart thus oxygen saturation is also very low. The oxygen saturation needs to be maintained with external oxygen. This will correct the acidosis also. The definitive treatment is surgical correction of the shunt. I suggest you to consult a pediatric surgeon for surgical correction of the defect. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my cat whos 15 yrs old hasnt had her rabies updated vaccine in 5 years.  shes an indoor cat & due to health an old age I havent taken her in 5 years.  She accidentally bit me this morning because I didnt see her and stepped on her tail.  Should I be worried? ### REPLY: Hello, Welcome to , As you were accidentally bit by an unvaccinated cat which is an indoor cat following which you had a punctured wound with few . According to WHO categories it is categorized into Cat III. Rabies is a disease transmitted by animals like cat which is 100% fatal, but it is 100% preventable with proper and adequate treatment. You need to take both antirabies vaccine and antirabies serum, antirabies vaccine should be taken on days 0, 3,7,14 and 28 (If the cat is healthy after the third dose you can discontinue the antirabies vaccine) and rabies immunoglobulin should be taken around the wound on day 0. In addition to this you need to take a shot of In TT and a course of antibiotics. I would suggest you to consult your doctor for proper and adequate treatment. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have L4/5 disc degeneration with annular bulging and left sided posterolateral disc prolapse occupying the left lateral recess and compressing the L5 nerve root. At L3/4 there is a left lateral annular bulge with annular tear. What does that mean? ### REPLY: Hi, Thank you for posting your query. I have noted the details of the MRI report of your spine.First, I would like to reassure you that there is no need to worry about those findings. These findings suggest degenerative disease in the lumbar (lower back) spine with bulging of discs at two levels. At those levels, there is pressure on the nerves. As a result, you may experience back pain, leg pain, tingling or numbness of legs. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son has radial nerve palsy & can not extend his wrist. The emergency room gave him a basic wrist splint & shoulder sling. One person told him to wear both all the time & the other said to wear brace only. What is best for him? He starts occupational therapy In 3 days & has had this condition for 5 days with no improvement. Now has some clawing deformity & 4th & 5th digits crossing over. We do daily passive ROM & gentle massage to upper extremity. ### REPLY: If your son has a new radial nerve palsy without a preceding trauma or a bone fracture, you should see a neurologist today. A neurologist can precisely locate where the nerve is damaged by clinical examination and nerve conduction studies. Then an MRI of the presumed location should be done to see what is going on with the nerve and whether surgery is warranted. If you wait too long, the condition might be irreversible. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a problem with my 4yrs old boy for his cough,sore throat has no relife,even we re given him allerkid and salbutamol ...and now given him an allerkid and ventolin nebule,but still having cough during night bedtime and while he is playing. pls.help me find an answer. ### REPLY: . Hi... Thank you for consulting in . Greetings from Chennai. By what you quote I feel what your kid could be having viral associated wheeze or multi triggered wheeze. I have a few questions for you -Questions:1. How many days per month does she cough or feel breathless?2. How many nights per month does her sleep get disturbed due to above symptoms?3. Does she feel breathless when she runs around or plays with other kids?4. Are the symptoms when there are seasonal changes?5. Is there any family history of asthma or any other sort of allergies like skin allergy etc.?6. Is the cough always associated with fever? If your answer is yes for any of the above questions, your kid might be having viral associated wheezing or multi triggered wheezing, and I suggest you meet a pediatric pulmonologist who is near your place. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am experiencing extreme burning pain during and after sex since I relieved the depo shot birth control.. Im also very moody and annoyed easy for silly things and basically an emotional reck., my question is will this go away if and when I stop getting depo ? will I ever want to have sex again? will it always hurt now or will my body and sex life go back to normal and enjoyable once the shot wears off? Ive had the shot twice and Im due for my next shot in a week and will not be getting it., Ive alway been bleeding the entire time since my first shot not heavy but enough to bother me... ### REPLY: Hi dear user, thanks for your query. Irregular bleeding, decreased libido and emotional disturbances are side effects of demo proverb. Painful intercourse may be due to some local infection. In my opinion, you should take antibiotic and antifungal treatment for local infection after proper prescription. I hope that once effect of demo will wean off, its side effects will also disappear and your life will come out to be normal again. Hope this helps. Good luck. For any further queries you can directly reach out to me on the following URL:http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 70 year old end stage of renal disease my biopsy from clavicle was necrotising granulomatous inflammation suggestive of TB, XPert PCR and special stains for TB were not positive, however Quantiferon Gold was positive for TB on ATT but liver enzymes gets elevated frequently urine output is also decreasing please advise ### REPLY: HIT hank for asking to ChatDoctorSome time clinical symptoms are very important rather than the lab. Reports I have seen many cases in which the lab. Reports was very bad, but patient does not have any clinical symptoms related with the reports, and they are really doing fine, so I advise you to take it easy if you do not have any clinical sing or symptoms then why to worry the value of chemical reaction of our body goes on changing from time to time, keep your moral high every thing will be okay to have nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, this morning I rolled over in bed and it felt like my head was spinning for a few seconds. Throughout the day Ive had similar episodes when standing up or bending over to grab something. Ive never had this before, what could it be? Is it a symptom of maybe getting sick? Thanks.Steven ### REPLY: Hi Steven, Thank you for posting your query. Your symptoms are suggestive of benign paroxysmal positional vertigo (BPPV). In this condition, there is minor dysfunction in the middle ear. Symptoms are dizziness or giddiness, which is made worse with sudden neck or head movements. This is a self-limiting condition and complete recovery occurs in a few days to a few weeks. For relief of dizziness, you may take betahistine tablets. If symptoms persist or recur, you may see an ENT doctor or a neurologist. I hope my answer helps. Please get back if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my sister in law has pput a stent in the right artery before 3 days and she is 51 yrs old and she is going to be discharged toady from the hospital but since it happened in her holiday in peru she needs to fly back home which is a 17 hours flight. When should she fly the earliest ### REPLY: Hello, theoretically if all the blockages have been scented and the pumping of the heart is normal, with the prescribed medication she can fly with no added risk. However, as you said it was an urgent procedure, I presume that she had a heart attack in Peru, now in such circumstances all the complications are more common during first 5 -7t days. As it is going to a BS a long flight, personally I would like she waits for 7 days before embarking, just to be on safer side. 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 severe asthma and my heart is feeling like it is pounding out of my chest. The doctors told me it was a side affect of the salbutamol i am taking but it doesn t feel like that. You can see it through my clothing like my chest is bouncing up and down and no one seems to be listening to me. Also with my asthma I am on montelukast pills, beclometasone, salamol, salbutamol and salmeterol and have just come off a course of preds (steroids) and I am still not stable. help me please.. ### REPLY: THESE ARE ALLERGIES AND IF NOT TREATED PROPERLY THEY START INCREASES AND THE MEDICINES YOU ARE TAKING TO CONTROL SYMPTOM PD ARE FAILING AND THEY CAUSE INCREASE IT IS NOT THE ALBUTEROL BUT THE INCORRECT TREATMENT CAUSING FAILURE OF MEDICINE STO AFFECTANTIBIOTICS MEDICINES LIKE PCM IBUPROFEN VITAMINS AND DIET SUPPLEMENTS ALSO TRIGGER ADD ANTALLERGICS MONTELUKAST 10 MG TUSCAN USE BRONCHODILATOR SVP START MINIMAL STEROID INHALER INSTEAD OF ORAL STEROIDS GET BLOOD SERUM TEST FOR SPECIFIC ANTIBODIES FOR FOOD AND POLLEN ALLERGENS IN YOUR BLOOD AND GO FOR IMMUNOTHERAPY TO CONTROL GALLERIES ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 cut my pinky finger on some glass last Wednesday. It was down to the white meat. Have no insurance so I didnt go to E.R. my girlfriend has been taking care of it. Making sure it stay clean and bandaging at least twice a day with iodine but its still swollen. It looks like its healing fine but I havent bent my finger since. Will it be okay? ### REPLY: Hello am  and I will be answering your query. You should upload the picture of the wound so that I can have a look. In the mean if you have not taken tetanus toxic injection, you should take one dose today. You should also take tablet diclofenac sodium 50 mg + serasiopeptidase 10 mg twice daily for 5 days to reduce the swelling and the pain. Also take tablet ciprofloxacin 500 mg for 5 days. Hope I have answered your query if you have further questions kindly let me know. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im a 56 male in good health But do have diabetes typ 2. About 4 weeks ago I fell as I was running hurt my right knee it is still sore to kneel on it and Have found the knee is full of fluid warm to the touch. I can move the fluid around under the skin. Can drain the fluid with a needle? and what is the fluid? Thank you ### REPLY: Hello, I have read your query. Knee effusion can be monoarticular rheumatoid arthritis. I will advise blood test like RA factor, CCP, ESR, complete blood count, HLA B27 to confirm it. Synovial fluid examination may help to confirm diagnosis. Another possibility can be knee infection. Blood investigation will help in diagnosis. If swelling persists then you may need to do MRI again to see for any functional defect. Consult your doctor to . 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