Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Haran (24 years old) doing MBA at Bangalore. I feel that I am running low in self confidence and self worth. I feel that I do not have any attitude at all and tend to forget what I am going to say when sit for interviews due to nervousness. What can I do ? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Self Confidence, as you already know, cannot be purchased. Also, nobody can give you self-confidence. What we can do is to motivate you. Even if somebody motivates you, you should be able to take the positive points out of it and become self-motivated. I mean to point that self motivation is always key for self-confidence. You are actually fearing your inability. You are overseeing your abilities and worries about those inabilities which should be made abilities if you try to make it should be made. Furthermore, you have all the abilities, and you just have to know them Introspection should help you. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the passed few nights I have experienced terrible burning in my stomach with a feeling of fullness and gurgling noises. I also have a tightness in my left upper chest around the peck muscles it s almost like a spasm . I haven t been able to sleep more then 4 hrs any of the past few nights b/c I m too uncomfortable and when I wake in the morning the burning sensation is like an empty stomach feeling needing something on it but I m afraid to eat anything ### REPLY: Hi, Thanks for posting your query. Do you have fever/ watery diarrhea/ constipation/ spasmodic abdominal pain/ nausea or vomiting? With the available described symptoms, there could be possibility of acute viral gastroenteritis or peptic ulcer disease. Myalgic is an integral pro .  You should consult with internal medicine specialist and should go for thorough check up. You should also go for complete blood count, ultrasound imaging, endoscopy and serum electrolytes. Furthermore, you should take complete antibiotic therapy, antispasmodics, probiotics, antipyretic and muscle relaxants. Furthermore, you should maintain your HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband is very disturbed emotionally.and behaviourly due to some bad experiences in past life of childhood getting upset getting agreesive shoting on little things. negative thinking arec some symptoms.i m very much disturbed so please suggest me good psychiatrist in mumbai preffered location will be andheri ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. If the symptoms you gave here are correct, then I do suggest that your husband do not need a psychiatrist help, but needs the help of a psychologist. Anger and aggression and negative thinking due to past happenings and disappointment from those incidents are normal and happens with every one. Understanding life and its significance is the key. Logo therapy and simple behavioral therapy should do good for your husband. Please consult a psychologist soon. If you need more of my services, please post a direct question to me in this website. I am happy to serve your purpose. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have some small lumps on my elbows. I have had them for a while now however they are increasing. The don t hurt or cause me any pain but they do itch sometimes but not all the time. My right elbow is a lot worse than my left. I am beginning to be very paranoid about revealing my arms in public which is quite a big problem as I am only 25. ### REPLY: Hi! Good evening. I am  answering your query. Although it needs to be examined clinically to know the exact nature of the lumps, from your history, these seem to be either olecranal bursa (a benign cyst on the elbow due to chronic friction), or could be part of multiple lipomatous, again a benign subcutaneous swelling mostly causing cosmetic problem as in your case. If I were your doctor, I would advise you to consult a general surgeon, who might advise you for a FNAC (fine needle aspiration cytology) of the lump. Further management would depend on the reports which could be an excision biopsy to be very sure of the cytological diagnosis by FNAC. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: last week i felt a lump in my neck it s slightly to the left of the top center of my esophagus there is a mild pain when i touch it, same time that popped up a little pimple did under my nostril, now that little pimple is a patch, slightly raised red around the edges and scaly looking but smooth white top. AND my jaw and tongue have been cramping for some reason, like a muscle cramp in my tongue! I have TMJ, so I think that it may be the cause of that, but it s gotten worse and more frequent since the lump showed up?????? PLEASE HELP! What is wrong with me, i know i need to see a doctor, but I m waiting for insurance to go threw! Tanya- 24 years old ### REPLY: Hello, I read carefully your query and understand your concern. The lump is probably related to an enlarged lymph node. The enlarged lymph nodes are related to the presence of an infection in the system. I suggest using anti-inflammatory medications such as Acetaminophen in case that the lump is painful. It will go away on its own and there is no need for a specific treatment. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards!  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir i m 28 years old married man,,, my sperm analysis report is as follows,,,liquefication time 30 min,,volume 1 ml ph ,sperm count 92million/ml,active motile 25%sluggish motile 35%non motile 40% pus cel 1-2/hpf normal forms 96%abnormal forms 04 sir is it normal?,,,at that time when i took the sperm , i was worried and and i ejaculated without erection ### REPLY: HelloThanks for your query, based on the report of your semen analysis I would state that your semen parameters like sperm count, sperm motility and morphology of the sperms are well within normal range of WHO standards except presence of pus cells which indicates infection either in seminal vesicle or prostate. Please take antibiotics like Doxycycline for 4 weeks and repeat semen analysis after four weeks. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 not able to eat very much food due to upper stomach pain/bloating and within 5 min. or sooner I have diarria. I only eat around one meal a day if that due to my issue. I have had tests done, gallbladder removed. thank you maylene jackson ### REPLY: Hi welcome to the  I need to know when was your gall bladder removed?? Post cholecystectomy diarrhea is common complication Gall bladder help in fat digestion by storage of bile salts As in cholecystectomy patient bile reservoir absent, diarrhea occurs if high fatty foods or excess diet eaten Take low fat intake Small meal with frequent interval If diarrhea not improving then your doctor might suggest you celestial like bile salt medication Hope your concern solved ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother is 50 years old. He is driving me nuts. He talks about everyones problems except his own. It is unbelivable! He can see and diagnosis everyone but himself! If you even try to express your feeling to him about him, he shuts you down immediately!!! I want to hang a mirror in front of him and say, tell it to the mirror!!! He can fix everybody else but HIMSELF and he is a train wreck! Recovering alcoholic- Yea! Honestly... No job, lives w/ my parents, borrows money from my parents and anyone who will give it to him. He doesnt pay child support or do anything about working on a relationship w/ his 12 year old daughter. He gets involved with women who are needy and feels he is right and can fix them! ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. From the given information it may not be possible to diagnosis your brothers disorder. But I can suggest some personality disorder. Proper and correct diagnosis is the first step towards cure. Consult a psychologist / psychiatrist for further advise. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes, my liver enzymes were quite high 450 272. had ultrasound told had gallstone which ruled out liver issue. Then had MRI which shows lesion in bile duct area. Now scheduled for a Endoscopic Retrograde Cholangiopancreatographyll and Endoscopic Ultrasound. never drank, never smoke, no meds. whats wrong with me ### REPLY: Hi, Thanks for your question. After going through your question, there is possibility of cholangitis which caused rise in liver enzymes. Liver synthesizes bile which is . Any obstruction to common bile duct causes back pressure and leakage of bile in liver tissue which leads to hepatitis (Inflammation of liver) which causes raised liver enzymes.ERCP (Endoscopic Retrograde Cholangiopancreatography) is an endoscopic invasive procedure by which we can determine type of lesion in bile duct and if required can relieve obstruction by putting stent in common bile duct thereby maintain bile flow and relieve back pressure and bile leakage and revert changes of hepatitis. Endoscopic ultrasound is a less procedure help in knowing the nature of lesion, but we cannot intervene if required. Hope I have answered your question. Do vote as helpful if found helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...Doctor,2 months back i had cough & i took clavum an antibiotic in january after that the continous cough stopped.But when i took the X ray test it showed as mild Brochitis & doctor had given some antibiotics.But still sometimes when i cough & spit little green phelm is coming.What to do now? ### REPLY: Thanks for your question on . I can understand your concern. Brown mucus expectoration is suggestive of lung infection. So better to get done sputum culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. By doing this, you will be able to kill all the organisms effectively and rapidly. 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 had back surgery four weeks ago tomorrow s1 decompression still had pain after the surgery in left buttock and left leg and numbness in left foot had nerve block injection one week after surgery no relief still taking a lot of pain relief mainly endone also went back to Nero last week and I am now on neurtin but no relief as yet please help Hi had back surgery four weeks ago tomorrow s1 decompression still had pain after the surgery in left buttock and left leg and numbness in left foot had nerve block injection one week after surgery no relief still taking a lot of pain relief mainly endone also went back to Nero last week and I am now on neurtin but no relief as yet please help ### REPLY: Hi welcome, first itself I say surgery for disc compression is not the remedy since the disc is not an over growth or any unwanted item of body we should protect that one with the treatments.I am an ayurvedic doctor who done all research work in lower back pain (sciatica) for the last 7 years both in MD and PhD, I can say we can treat this without surgery, any way you did that, so we can make you only some better way without painkillers you will not feel pain. That much I can do for you since surgery over. Write to us in detail we can discuss youchristyjoseph1@gmail.com09895313720thanking 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 iam suffering from cold and cough doctor say light asthma since dec2010 which medicine it cure age is 25 so fast bcz my parents where seeing matches form me thier worry for this problem ### REPLY: Hi dear Hubbard, Welcome to . In many people with asthma, the person is allergic to a substance and that initiates the reaction and so cough, cold, breathlessness. The best way to treat is to find out the substance you are allergic to and stay away from it. When you have the episodes of cold and cough, approach for medical advice immediately and get treated promptly. Asthma can be treated effectively by bronchodilators and steroid national puffs which will be given by your Chest Physician. If you are a smoker please try to quit smoking. Good luck. Have a happy and Healthy life. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 having something grom on my pubic hair, it is a yellowish color and looks like a fungus.. this fungis or what ever it my be seem to grow as the pubic hair does.. I am extremely disscused but this and looking for a way to rid my self of this problem~! ### REPLY: Thanks for contacting ChatDoctorI see you are concerned about yellow areas on you pubic hair. This is called folliculitis, where the hair follicles become infected either from shaving or from rubbing. To treat the area I recommend using a topical antibiotic like Newsprint and reduce rubbing or shaving. Sometimes if the infection is bad enough then an oral antibiotic is needed. Hope this answers your question. Please contact us again with your medical questions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there, my mother has had chemo & radiation treatment .. her last one was July 17th. Now her ankles are so very swollen, this happened while she was getting treatment & they sent us to get a ultra sound to check for a blood clot..she saw her dr. on Wednesday of last week & she said it was probably just the chemo & radiation still in her..but today they are REALLY swollen..she does have a bad knee * said it was bothering her today as well..i am concerned about her ankle swelling ### REPLY: Thanks for your question on . I can understand your situation and problem. There are many causes for lower limb edema in patients taking chemotherapy and radiotherapy. The common causes are1. Deep vein thrombosis (DVT)2. Hypoprotienemia and anemia3. Lymphatic obstruction of lower limb either by direct cancer spread or due to radiotherapy.4. Cardiac failure5. Renal failure.6. Rarely hepatic failure. So better to consult oncologist and discuss all these possible causes, and start treatment accordingly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello! I have been on the nexplanon for almost 2 years now and have gained over 60 pounds in weight. My boyfriend and I have intercourse 2-4 times a week for the past two years and we do not use condoms or the pull- out method . I feel like I am having pregnancy symptoms like cramping, back pain, breast getting bigger, heartburn, sickness, and movement in my stomach. I have taken 3 pregnancy test and they all came out negative. I do not have the option of getting blood work done at this moment but I feel like this all may be just the nexplanon. Im not entirely sure what to do at this point. Could I get pregnant on the nexplanon? ### REPLY: Hello misunderstand your concernFailure rate of explain implant is very less (0.05%). So chance of pregnancy is very less. Definitive sign of pregnancy is missed period. That can not be confirmed by your history. If period is due for 10 days from normal date you have to think about the pregnancy and should be confirmed by UPT or USG scan. Your symptoms may be due to side effects of implant as it contain progesterone hormone.  Or it may be pelvic inflammatory disease as risk is increased due to implant.  That should be diagnosed by pelvic examination and USG. Hope this may help you 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 m on defcort 6mg for nephrotic syndrome is it safe for long time i m male 37 yr old with nephrotic syndrome i m on med defcort 6mg is it safe fo long time bcoz without this i cant survive ### REPLY: Hi HarbakashWelcome to . Defcort is a steroid, and it has its own side effects. At this point, you should consider the importance of taking it rather than the side effects. You can go ahead and take the . Effort can have side effects like weight gain, buffalo hump, decreased immunity over long time. If you have any signs of side effects you should approach your Doctor in early stages to avoid complications. 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: Other than prickly heat rash,  what other rashes can occur under the sun during very hot weather.  Rash is not a pimple like rash but resembles red/purplish blotchy round circles varying in sizes.   This happened twice to my 12 year old daughter.  The blotches were not itchy. They appeared on her arms and legs (the exposed areas) then suddenly and slowly disappeared once she was in a cool place. ### REPLY: Hello, Thank you for posting on . Acute sun burns are sometimes frightening but nothing to worry as It's pretty easy to manage. Generally, I advise short course of prednisolone along with local application of mometasone cream and soothing calamine lotion twice a day. Antihistaminics and antioxidant tablets can additionally be added. Use high SPF broad spectrum sunscreen every time before going out in sun. Cold sponging will definitely help. Hope this will take care of your issue. Wish you best of health. Thank you . D Dermatology ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Dr, i m 23 years old , not married .. i have a 2.7 mm varicocele on left side and 2.3 mm on right side ... i did semen analysis, it shows normal count , volume and all other parameters with 35% abnormal forms .. it this concidered high pecentage ?? .. should i do surgery concidering that i m complaining from pain on right side or just conservative treatment and follow up is enough ? thank you ### REPLY: Hi Mr, regarding the semen analysis, it's ok, although I would consider repeating it in 4 to 6 weeks to see if there is any change in the abnormal form percentage. Always Remember 2 to 3 days of abstinence before the study. Now considering the varicocele, the best treatment is surgery, it will improve both your symptoms and your semen quality. I hope I have answered your question, and if any further concern, please contact us. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor..! I have become very sensitive to people`s statements, their reactions.... I take everything personally.. I am a lot worried about my future.. I was a positive person and i want to succeed. Even a simple thing like an unsuccessful experiment in my research worries me a lot... I dont want to be like that. I want to be what i was. ### REPLY: Hi dear, Thank you for your query.First due to such negative thoughts you have any problem in your personal social and work profile? Is there any other symptoms related to such negative thoughts like sad mood, loss of interest, sleep and appetite disturbance, easy irritability etc... If you have none of the above symptoms than you need psychotherapy to develop positive attitude in life and if you have nay of the above problem than you need to take medication with psychotherapy. 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, may I answer your health queries right now ? Please type your query here... I am a 49 year old female. I fell down wood stairs yesterday from top to bottom. Today my back is sore, my right side is sore(where I think I took brunt of fall ) and have a head ache. Been taking ibuprofen but hard to get relief. What should I do? ### REPLY: Hi, I went through your question and understand your concern. Short answer: You may need to consider a visit to doctor. Detailed answer: Thank you for your question on . A fall from the top of staircase is a matter of concern considering your age. In this age, bones tends to be weak. Even a minor injury may lead to a fracture. But, worry not. If there was a fracture you would have restricted movement of limb. Sometimes, a thin fracture may not cause noticeable difficulty in limb movement. Taking Ibuprofen without a doctors' advice in old age is not advisable. I suggest you to consult an orthopedic doctor who will rule out fracture and suggest further treatment. If you have any further queries, feel free to contact me. I'll be happy to help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m trying to get answers. I had surgery 10yrs ago for trigeminal neuralgia 3 days after discharge I developed menningingitis and was back in the hospital. I don t remember much of the experience, after the lumbar pucture, I passed out in the ct scanner with a temp of 106. I did recover And went back to work. I noticed ever since the experience, loss of memory , I would give a lecture at school, and if someone asked a question, I would be unable to answer it. Even thou I have answered the question many times in the past. Through the years I has increased to the point , that I don t teach any more. I ll give lectures , but I keep them simple. When I read I have a hard time concentrating, the woorse part is my retention ability is terrable.. Prior to the surgery, I could read something once and recall anything you wanted to ask.. I have had MRI , in th epast to find something, but mostly my primary told me that I have to learn to live with this , side effect of having severe menningitis with a high temp. What can I do? ### REPLY: Hello, welcome to . Your current may occur due to following in given hierarchy:-Memory loss due to damage to brain/neurons-Organic anxiety/depressive disorder-Vitamin deficiency-Combination of above problemsExcept from the first possibility, you will get benefit from the treatment after evaluation by psychiatrist. For Memory loss due to damage to brain/neurons, some behavior intervention may be effective to manage routine social and occupational life. Wish you all the best. . 99doctor.com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sore, itchy anus combined with feeling really sick. I thought I was pregnant and so took a home pregnancy test which was negative. However i still feel very sick and my sore bum is really getting to me. I feel great in all other respects. Help! ### REPLY: Hi, Thanks for posting in . The symptoms you have mentioned like soreness and itchy anus does not suggest anything related to pregnancy. You might be having fissure in ANO which is making you sick. Kindly avoid constipation as it precepts this condition. For this you can take laxatives, high fiber diet and keep yourself well HY .  You need to take an opinion from Surgeon to manage this condition. Hope the information is clear. 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: Last week i went to move a scaffold went to pick up to move it and felt something go in my lower back then felt light headed and passed out. Woke up laying on the concrete with a big lump on my right head and lower back pain. And some how hit my left elbow bruised and the bone is really sore and still have a lil lump on my head that still hurts. ### REPLY: Welcome to  I am  and I will help you with your problem I have gone through your question. What I comprehend is, when you lifted the scaffold, you developed intense back pain because of back muscle spasm which lead to fainting. The head lump is because of impact on concrete floor. This head lump needs some investigation if you are experiencing vomiting, ear, nose and throat bleed or clear fluid discharge. Loosing conscience after back pain is a rare thing. If you still remain .  For back pain I usually prescribe diclofenac sodium along with tizanidine (muscle relaxant), meloxicam local application. For elbow bruising you need antiseptic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a lump that developed in my right hip to the front i am 42 year old male it is sensitive with area spazams of light to medium pain i am fearful of this should i go to the emergency room right away a little over a week its been there and spazamy type pains in that region for months now ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. You should go to RR since it may be femoral hernia incarceration, and it required urgent treatment. You should take risk for this. However, there are also some less serious conditions such as lipoma, atheroma or lymph node enlargement but if this happened suddenly then this required medical attention. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been getting rashes every day all over my body at the same time of day around 4-5pm. I had surgery just before this happened, I had a tummy tuck and lipo on my legs. the rash doesn t happen in the same spot sometime its upper body today it was. most the time it is lower body on my legs, butt, stomach, etc. idk what could cause this to happen and haven t had time to go to a dr. this has been going on for almost a year now. it went from every few days to recently it is almost every day at the same time ### REPLY: Hi, I have read you question and understand your concerns. Answer: Would you be able to provide some more information about the rash like; does it come when you do certain things such as going out for a walk or exercise, cleaning the house, eating certain food or . Do you have history of allergy, dermatitis or asthma? Anyone from your blood relatives having such conditions. Do you sneeze, cough or get short of breath??? Is the rash itchy, bumpy??? Your condition could be a hypersensitivity reaction to an irritant or a trigger. I would recommend that you go to doctor who will examine the rash and run tests to look for/rule out hypersensitivity and then treat you accordingly. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: below my tailbone and above my rectum kinda in the crack hurts. not a sharp pain but an continual hurt. when i go to the bathroom or even have gas it hurts. if i flex my but muscles it hurts. it started about 2 months ago. I have 2 ruptured discs in my lower back. ### REPLY: Hi, The ruptured discs do not cause this type of pain. Your pain is localized to below the tailbone. This usually occurs when you have a fall on the tailbone resulting in an injury to this bone leading to this type of pain. Another possibility is an infection in the area causing an abscess or fistula. This needs to checked by a surgeon Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello my son is 4 Yr old and was down with chest infection which caused him to hv high fever....fever has subsided but cough and cold is still there I have been giving him a concoction of tulsi,Ginger,pepper and honey 3 times a day and not any medicine....should I continue the same and also today while he was sneezing to remove mucus from nose I saw little blood...pls advise... ### REPLY: Welcome to the  I understand your concerns but don't worry. It takes 2-3 weeks for cough to completely improve after chest infections. I would recommend you to start him on antihistamine such as Chlorpheniramine or fexofenadine for cough and cold. Continue the herbs you are giving. Also, use nasal saline .  Avoid nose picking by your child. Use room humidifier while sleeping if the weather is  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 gallbladder disease and i have had a severe toothache for 2 days alternating taking 4 extra strength tylenol 5oo mg and 5 ibuprofen 200 mg every 4 hours for tooth pain doesnt take it completly away but makes tooth pain bearable for about 2 or 3 hours.I have upper abdomen pain almost constantly from my gallbladder its bearable my family doctor says i need it took out,I just havent went to see the surgeon yet,my questions are could my tooth pain and diseased gallbladder be related and is it good to take so much ibuprofen and extra strength tylenol with a diseased gallbladder what should i do? ### REPLY: Hello and welcome. Thanks for sharing your concern. Since you are aware that you have illness related to your gall bladder then you must go and visit your physician first. Consult him and start your medication. After that you can see your dentist in relation to teeth pain. Please stop taking so many painkillers. It is very injurious to your liver.Therefore, delay can damage your other vital organs too, like kidney, heart,brain etc. Though gall bladder and toothache are not related, but still I would advise you to visit physician first, as general health is always taken into consideration prior to any dental treatment. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has high fewer two months before..and then she experienced seizure thrice in one night..she was hospitalized then and the doctor started eptoin along with calcium ..after one month he goes for eeg and thereafter increasd the dose from 4.2 to 5 ml for three months..now the question is ,is it okk to cntinue with same...it is very hard to giv her the medicine..she cries alot. ### REPLY: Hello, Welcome to . From your query, I understand that your daughter may be suffering from febrile seizures. It is a very common seizure disorder in child . Usually it is limited to the age group of 6 months to 5 years. There is specific pathology for febrile seizure. As you did not mention EEG findings, it is difficult to predict whether it is febrile seizure or other type of seizure. In case of febrile seizure, antipyretic like paracetamol syrup and phenobarbital or option is enough. But if it is other types of seizure, Option can be given. I think your child may have calcium deficiency in addition to seizure.that's why your doctor added calcium with option. So it is essential to give option and calcium. Try to follow your doctors' advice. Hope this helps. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Since I moved to XXXXX over a year ago,I ve noticed a rash next to my nose whicChatDoctores and goes. I saw a doctor Who gave me steroidal cream which seam to help,but for only a short time.ive varied my diets to see if there is a Comin denominator ( none) I stopped drinking hot coffee and gone to frappichinos and it seemed to go away, this morning I had hot coffee and my nose area started to tighten up and get blotchy and for dinner I had hot chili and that set it off , it got really tight and blotchy -- any ideas ? other then that I am in fantastic shape and I eat Healthy ### REPLY: Hi there Generic. Your clinical observations are very astute if I may say so & would help any dermatologist pinpoint the diagnosis. I may be wrong as this is only an online portal & for best results, you need to visit your dermatologist on the ground; But, your condition seems to be what we call Acne Rosacea or plain Rosacea. This will need visual confirmation & as such, feel free to upload clear digital photos on this site. Do ensure you use a sunscreen from dawn till dusk, avoid hot & spicy foods e.g. hot tea etc. & UV light in general. Do try to use a topical antibiotic cream called metronidazole evenings & it just might get rid of your problem. 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: My echo stated moderate mitral regurgitation with lvef 55% and my other three valves are mild regurgitation. I am having shortness of breath walking and resting, dizziness, some pain in chest and left arm and getting tired. I was assigned 3 different heart specialist at the same hospital, but each doctor fail to be truthful to me. I had problem with blood clot in my lung they fail to explain why my system generated blood clot. Does leaking heart valves generated blood clot that traveling through your vein and get trap in your lung? Please help ### REPLY: Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of Right sided heart failure and pulmonary edema. I advise you to get an ECG,2D Echo of your heart, lipid profile, hsCRP. Troponin I and chest x-ray immediately to confirm the diagnosis. Monitor your blood pressure, heart rate immediately. . Avoid stress and anxiety. Avoid smoking and alcohol. I also Exercise daily for 30 min. Coronary angiogram with or without stenting will be the procedure of choice. Exercise regularly for 30 min. Stress management is mandatory in your case. Consult your cardiologist for expert management and follow up. Hope I have answered your query at the moment. Post your further queries if any, 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: have had cervical thru limbar injuries during my 60 years of life, currently mri shows c5/c6 fusion/ i had no surgery, i had cracked c3 and c5 in auto accident 1975(?)..lumbar is the most painful/ mri of 2010 shows L2-3 concentric tear far left lateral aspect of the annulus/mild bilateral degenerative facet disease is present, not resulting in neuroforamen encroachment or nerve root compression/ L3-4 minimal bulging annulus is present in addition, mild facet arthropathy,not resulting in ffacet nerve root compression or spinal stenosis and L4-5 mild bulging annulus present  in addition to facet arthropathy,encroaching the posterior aspect of each neuroforamen, not resulting in nerve root compression,modic endplate change is present/ what can be done for me? ### REPLY: Dear patient First you should mention your complaints. Because in case of back problem not only MRI but whole clinical scenario should be taken into consideration while deciding plan of management.  Your MRI is also 5 years old and also needs to be done again. So if you have significant amount of back pain, difficulty in performing daily activities and neurological claudication a repeat MRI of lumbosacral spine is must. If this new MRI shows canal stenosis and disc prolapse then surgery is recommended.  There are various ways of spine surgery and best of them is endoscopic approach.  Please take a visit to endoscopic spine surgeon nearby you and get examined. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 along history of asthma. Initially I used to take bronchodilator like asthalin. Gradually the frequency of inhaler kept increasing and in a span of 10 years I have come to a point where even asthalin is no longer effective. I consulted a doctor some 2 years back about this development and prescribed combitide inhaler, this inhaler gave me a lot of relief and after about 6 months he reduced the dose. Now recently he has prescribed Formonide 400 and has told me that he is reducing the dose. I am still skeptical whether this is reducing the dosage or increasing it, also suggest whether the inhaler can be completely stopped in a future date? I am a little concerned about the long term use of steroids. Kindly advise. ### REPLY: Hello. Thank you for asking at . I went through your history. Hormone 400 contains the corticosteroid Budesonide (400 mcg) and Combative contains the corticosteroid Fluticasone. Both are different corticosteroid molecules and hence their dosages cannot be compared exactly. However, in general, Budesonide is said have lesser side effects as compared to Fluticasone as Fluticasone is considered more potent than Budesonide. If you are taking Hormone 400 once a day, it means you are taking Budesonide 400 mcg per day, which is not a high dose. I want to emphasize on the fact that your technique of using inhaler is crucial to determine the quantity of .  So please be very careful about it and make sure you are following all the necessary steps daily, i.e., shaking the inhaler, expiration, good coordination between pressing and inhalation, holding breath for sometime after inhalation and rinsing mouth afterwards. Following these steps correctly will ensure maximum  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 my wisdom teeth cut out a few years ago (they had never erupted). Afterward, everything was sewn back up. Now I have a seam of skin that runs along my cheek and into my gumline. I keep biting it by mistake when I eat. This has been happening for years and it s very painful. I think I bite it at least once per week, and when I do it swells and bleeds . The skin seam is right there were my molars meet, so there is no way to stop it from happening when I bite myself while eating. This is getting to be rather painful and I m worried as I get older that it could get infected or can cause cancer? Should I be worried? Is there any remedy for this? ### REPLY: Repeated injuries to the mucosa-cheek can cause non-healing ulcer, which usually get infected. The chances' cancer also there but very less. The treatment is removal the problematic teeth-which you have done already. The ulcer/ injury not healing even after antibiotics, you should undergo for biopsy-tissue removal from that area. Please show to the oral surgeon, so that he/she can advise you how to prevent further injuries by changing chewing methods. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife had Non Hodgkins lymphoma 2 years ago and was treated with chemotherapy. She is now getting symptoms of severe cramping in the left lower leg , pains in the shoulder and is regularly woken up in the morning with headaches, and cramp. She has had a headache for 2 months now. We are concerned that the spleen has again enlarged (22cm last time) and that the lymphoma has come back again and/or spread. Our Dr just seems to sit and look, and suggested panadol, we are getting nowhere. Waht questions should we be asking our Dr. We are even going to try a new Dr . ### REPLY: Dear Metal, since your wife is already a case of treated non Hodgkin lymphoma. The symptoms you are stating may not necessarily be related to the disease. . The enlargement of spleen has many other causes and can be ruled out by simple ultrasonography. Headache, shoulder ache, leg cramps have many other causes like hypertension, anemia, nutritional deficiency essential nutrients and minerals like magnesium, calcium, It B1, B12and so on. Another imp. Factor may be stress related. These all need to be ruled out and patient reassured and I am sure these symptoms will wane off. With good nutritious diet and reassurance. There is a chance of recurrence of the disease for which you have to be under supervision of your physician. Since it is not known what stage of non Hodgkin lymphoma your wife had and what was the histological type of NHL, prognosis cannot be predicted. I am sure your wife will be well and there is no cause of panic. Truly, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 names ohlivia and i always feel mostly tworads the end of the day that i can t breath and i get dizzy, the room flashes in and out, i feel like i m going to puke , i get really light headed and my heart feels like it s being squeezed and it hurts. it s been getting stronger lately and i actually had to go to the nurses office and lay down and even then when i tried to slow my breathing and rest it pounded and i got hot like i always do during these attacks but worse i m scared that something worse will happen and this time and i won t wake up. i tried to tell my family but they just laughed. i told them it was because of stress and i tried to explain the pain and that i ve been going through it for years, actually like 3 years after my father left me. one time i had an attack in school and got my friends worried sick. please helpha me ### REPLY: Hello......... Thanks for your query. What you describe are suggestive of anxiety attacks. What I would suggest you is to undergo an ECG to rule out cardiac pathology. If normal, you would require a thorough psychiatric evaluation followed by antianxiety agents and psychotherapy. Yoga/meditation/breathing relaxation exercises are recommended. Hope you found the information useful. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son is 3 years old and has been ill with a virus i.e hot tempreture, cough, the shacks some times and has also developed red sports around his mouth and a few on his cheak, so i have given hid calpol over the last few days and he seem to be making a recovery so he went back to nursery today, and when collecting my son htey told me that during the day my son had come up in red bloches on his arms and legs both of them, but then had soon gone away, so when bring him home he didnt want any dinner and soon feel asleep, so we put him to bed and after a few hours he seem to b unsettled and starting to cry and when checking on him, the red bloches had come back up and was on both arms and legs, and they are still there, would b greatful for you advice... ### REPLY: Hi, Fever of a few days without any localizing signs could as well a viral illness.  Usually rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day.  If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all.  Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F.  I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a boyfriend who have leukemia for for ten years now, hes 28 years old. We are committed to each other.I am scared that its genetic, so hows severe or 1%can the kids inherit the disease?I am worry, that I might not enjoy my motherhood if we get kids. And for how long will my boyfriend lives from now on (life expectancy)? ### REPLY: Thanks for your question on . I can understand your situation and problem. Yes, you are right about leukemia inheritance. Leukemia s are inherited in nature.  The possibility of inheritance is depending on type of leukemia. B cell leukemia have high inheritance then T cell leukemia. So please reply me the type of leukemia he is having. And with modern medicine, prognosis of leukemia s are good. Life expectancy is usually up to 40-50 years if regular follow up with oncologist is done. And inheritance in child is up to 5%. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a small lump near my groin area for several years now. It s soft and it feels like its filled with fluids. I usually leave it alone but now and then it would break and ooze out clear liquid under my briefs and after a while, it would bleed. I have tried squeezing it as it bleed to see if it may contain pus but only more blood just shoots out. What may it be? ### REPLY: Hi, If I were your treating Doctor for this case of a groin lump, I would come up with only one and one possibility that is a sebaceous cyst! Nothing to worry about this and try not to get infected there! I suggest you to go for an FNAC test of the lump for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im 19 and I noticed today that I have what looks to be a small hole--maybe 1.5 mm across, plus maybe a tiny one that might forming between the next pair of teeth to the left--in the gums immediately to the left of the piece of skin stretching from my lower lip to the teeth in the lower front part of my jaw.  A few months before this all Id noticed was that my gums were receding a little to where I could see the dentin, especially on my lower canines, and Ive been using a softer tooth brush since then.  Can anyone tell me what this might be from and how I can fix it?  Thanks. ### REPLY: Hello! Thank you for posting here. This can be due to poor oral hygiene. You did not mention your normal hygiene status. Also, how are your teeth positioned. Irregularly placed teeth can be a cause. Do not brush hard. You did the right thing by changing to a softer tooth brush. Brush gently. Maintain good oral hygiene. Apply gum tone gel on the gums. If your teeth are irregularly placed, crooked I mean, this must be corrected first. Gum recession at your age is not very frequent. You are 19, and must adopt health oral hygiene routine. Get scaling done every 4- 6 months and floss daily. Concentrate on the lower teeth, also on the inside while brushing and flossing. 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 tore my meniscus 35 years ago and had scope surgery. Over the years after various activities my knee swells and i limp for several days then return to normal . Is there a way to go back in and remove anything that may still be in the knee area that is causing the persistent problem? Thank you ### REPLY: Hi. Of course, an arthroscopy would do just that. But in my opinion the more likely cause would be osteoarthritis which would have developed over the years due to the torn meniscus. So treating that would be more wise than any other approach. But we can go ahead with the arthroscopy which will also predict the grade of osteoarthritis usually 3 and 4 (grade) will require adequate attention. Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello!  I am 34 years old and have 2 boys.  I am pretty healthy.  I have had back pain since the birth of my 2nd son who is now 4 years old.  I had an MRI done and it states I have a suspected annular tear on my L4-L5.  It also says "imaging through the lumber spine demonstrates heterogeneously low signal of the bone marrow".  What does this mean? ### REPLY: HIT hank for asking to ChatDoctorIn MRI heterogeneous intensity of signal is very common encounter, it means that the diversity is there, and the nature of signals are also different, this indicates so many pathologies of musculoskeletal system to some time soft tissues, and that need to be correlated with clinical history of patient, as you have given history of backache, so the chances of lumber spondylosis is more likely if you do not have neurological deficit, if you have neurological problem then the interpretation would be in that sense only, 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: My friend is experiencing a sudden onset of high blood sugar, in the 400s.  Male, 63, 206 lbs who was 216 about 3 weeks ago.  Great shape, exercises frequently.  Doctors have taken CBC and everything looks good except the blood sugar.  He drinks a bottle of water and urinates it out in 20 minutes.  Does diabetes come on this suddenly or is there a hidden cause we could investigate? ### REPLY: Good day. Noted. You have not mentioned his height and hence his body mass index couldn't be calculated. Sudden onset blood glucose in an otherwise healthy individual need investigations to rule out a secondary cause. However, I must say that Type 2 diabetes can have such a presentation. They may remain asymptomatic for years with a high blood sugar undetected. Please get a HAC done which will tell if he had diabetes for a long time or not. On examination, doctors may elicit signs of secondary causes if any. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I suffer from the feeling of total exhaustion even when I ve done nothing.im taking thyroxine1mg daily,which initially helped,but when I have a stressful situation it seems like my body can t use it s fight and flight system,I have wondered if I am suffering from some kind of adrenal insufficiency and have thought of doing a salivary cortisol.this has been ongoing for about 4 yrs now,and became evident after I had my home burgled.i would appreciate your comments. ### REPLY: Hello, I understand that you are going through a difficult time due to your problems. From the description of your problems, one possibility is that you could be suffering from a chronic depressive disorder (a.k.a. Dysthymia). Persons with thyroid disorders are known to have a much higher prevalence of depression. Moreover, you have also mentioned that your symptoms were trig erred by a stressful event. So, I think that it would be worthwhile to see a psychiatrist for a detailed evaluation and further management. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello how are you, I need help with a problem in the penis. a few weeks ago I noticed something strange in the penis. at first saw some red dots on the glans, now I see that almost do not look, but I notice that the glans is a little swollen and the foreskin of the penis also. Also when I masturbate I see the glans has a skin flaking and loose so it looks white and a bit dry. from what I ve read on the Internet that could be balanitis, an infection or fungus that may have been caused by sexual transmission. i read on the webpage that I use ketoconazole every 12 hours for 7-10 days, which I have in my house that I m using cream and 3 days ago. I want to know if I m doing well using the cream or if I have to use some different. I had sex without a condom with my ex to last 4 months. this happened about two months ago, they were like two or three times that she convinced me to do it without protection. and for this reason I think she conveyed me. please i need URGENT help with that, if you know about that would greatly appreciate it. thank you very much for your time ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have infection of Glans Penis and Foreskin (. Ballano -Prostatitis) due to unprotected sex. Please get swab test of the secretions from glans done. You need to take broad spectrum antibiotic like Čeferin along with anti-inflammatory . Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 morning sir I wanted to know why I am having consistent pain between my shoulder and ankle. This on my both arms. I find it difficult to raise my arms above my head or use them to wash my body when taking my bath. This has been going on for two months. But it is getting worse by the day and night. ### REPLY: Hi, thank-you for providing the brief history of you. A thorough clinical examination is advised. As per the symptoms there can be two possibilities whicChatDoctores in mind but after a thorough clinical examination and MRI we can come closer to root cause and try to eliminate it. The two possibilities are - shoulder regional issue and the other is cervical spine degenerative disc disease. Both of which can be taken care thoroughly and better with physical therapy and exercises. In my clinical practice such symptoms have been notice in most to the cases with cervical spine disc degenerative disease. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For the past 2 years I  got breathing difficulty in the months of Febraury and March alone.It usually starts with continuous sneezes for 2-3 days then vezzing.doctors prescribed me Deriphylin to control that.Also they gave Clavam for antibiotics.During  the course of the medicine i was alright.Now i used to get only sneeze and runny nose always.I find it very difficult.Also i am afraid that whether i will get vzing next Feb.march too.Please give the way to overcome this difficulty completly.Thanking you. ### REPLY: Thanks for your question on . I can understand your situation and problem. By your history and description, possibility of seasonal rhinitis and asthma is more. Your symptoms typically seen in February and March. This is characteristic of seasonal disease. Your symptoms like sneezing, running nose, wheezing etc. are suggestive of rhinitis and asthma. So you need inhaled bronchodilators and inhaled corticosteroid (ICS), combination of antihistamine and anti-allergic .  Start these  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 35 years old and 8 months post delivery and have recently experienced pains in lower abdomen and felt a large lump in my stomach, i have only felt these symptoms in the last 6 weeks once I stpped breast feeding. I had an appt at my GP and was sent to have an urgent scan to which they found a complex cyst measuring 17-18cm in length arising from right adnexa. I have had my bloods to see my CA125 levels and have been referred to the Gynaecologist and have been told the cyst needs to be removed surgically and fast. My biggest and most immediate concern is that it is cancer. There is no history of ovarian , breast or cervical cancer in my family however my father did die of pancreatic cancer . I am terrified as I have two young children and do not want the cyst to be malignant. I want to know what the chances are of it being malignant? Thank you as I am feel sick to the core with worry. Anna ### REPLY: Hello! Thank you for the query. You need to know that it if this cyst would be malignant, it would kill you before reaching half of mentioned size. So if it has reached 18 cm, most likely this is benign lesion what is good news for you. However, you should follow as advised by your gynecologist. One more thing, breast and ovarian cancer in family makes you very suspicious of BRCA1/BRCA2 genes mutation. Therefore, you should consult oncologist or genetics and perform BRCA1/BRCA2 mutation tests. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have severely decaying teeth. One has rotten to the point its chipped itself down. The others are black and blueish with plaque. I am going to get surgery this coming week. My teeth have been getting worse for 2 years now. 3 years without a dentist. Have I put myself at risk for serious health conditions elsewhere in my body due to my negligence? ### REPLY: Hello there, Thanks for writing your query, Multiple decayed teeth, plaque and calculus deposits on the teeth indicates COMPROMISED oral health. It is caused due poor oral hygiene, improper brushing and flossing that leads to accumulation of bacterial plaque and calculus deep in the gum pockets and root surfaces of the teeth.  This leads to a condition called Gingivitis which presents with symptoms of redness, bleeding gums, swelling, pain, recession and sensitivity. Poor oral health definitely affects general health of the patient so better get the treatment done as soon as possible. You may need to be treated by thorough professional deep scaling of gums and root planing of the teeth to remove all the irritants, this will help in resolving the symptoms followed by a course of antibiotic and analgesics.  I would suggest you to go for symptomatic treatment at home like gargling with lukewarm saline water or antiseptic mouthwash like chlorhexidine or Betadine.  Decayed teeth can be treated by restorations. It is advisable for you to get and OPG radiograph done which will help in diagnosis and accordingly treatment can be planned. I hope this helps, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife hit her head very hard on a brick wall falling down. She was told at the emergency room that she had a mild concussion. That was 3 months ago. She was without dizzy ness for about a month. The. Last week she started getting dizzy again, it is worse when she lays down on the side she hit. Is this anything to worry about? Or is it how a concussion works ### REPLY: Hello ! Thank you for the question on ! I understand your concern. The fact that the problems disappeared and turned back again after 3 months is concerning. I would recommend a good neurological examination and a head CT scan to rule out a possible subdural hemorrhage. This is a complication of head trauma, which can occur distantly in time from the trauma and can cause similar symptoms. Hope to have been helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: the last time i got my period was 2/21/10. i had unprotected intercourse on the 8th of march and my ex ejaculated in me, ive taken 3 home pregnancy tests and a blood test but they all came back negative. i have all the pregnancy symptoms and my belly is growing and getting hard. may i be pregnant but the doctors cant find out yet? ### REPLY: Hello dear, I understand your concern. In my opinion as the tests are negative there might not be any pregnancy. Usually the first sign of pregnancy is missed period. And all other symptoms of pregnancy like nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period. The growth of the abdomen is apparent after 3 months or 12 weeks. The confirmation of pregnancy is done by urine pregnancy test or blood  or ultrasound. As the tests are negative there cannot be any pregnancy. But if you want to confirm ultrasound can be done. Even the stress regarding the thought of pregnancy also makes one to feel the pregnancy symptoms. So relax and avoid stress. And I would like you to consult doctor and get the investigation like ultrasound done to confirm the absence of pregnancy. Hope this helps. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a pain the is becoming increasingly worse in the last day, it feel like a pulled muscle ( i m very active) however it is tender to the touch also if I cough it hurt. Its located under my lower rib cage and continues just below.. if I squeeze my side I can fill the tissue is tighter has a know,, maybe I have a knot in my oblique? but why is it getting worse ### REPLY: Thanks for your question on . I can understand your situation and problem. By your history and description, in my opinion you are mostly having musculoskeletal pain. But we need to rule out pneumonia as it can cause pleurisy (inflammation of pleura) and chest pain on coughing. So get done chest x-ray first. If chest x-ray is normal then no need to worry about pneumonia. You are having chest pain due to excessive coughing. So start antihistamines for suppression of cough. Start painkiller and muscle relaxant. Apply warm water pad on affected site. Avoid heavyweight lifting and strenuous exercise. Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just had angiogram 3 days ago. My heart arteries an not clogged and are healthy. I am concerned about my groin area, how long does the punctured vain takes to heal? Does it ever heal in such a way that I dont worry about it?At present all look good from outside. ### REPLY: Hello. Thank you for your question and welcome to . I understand your concern. The femoral artery is used to retrograde go to the aorta and the coronary arteries to check them if there are blockages or not. The function site can be considered healed in the first 48 hours. In our clinics experience, the patient who underwent the angiogram via the femoral pathway is advised to assume a lying position, without moving the leg, for 12 hours. Thereafter, he/she can stand up, and for 24 hours should ambulate by not giving angles to the leg of function. After 48 hours, to be sure, even showering and light to moderate activity are allowed. Congratulations on the good news you had from your coronary angiogram. I hope I was helpful. Take care. Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My sister was told she has stage 4 kidney failure (January 2014). The doctor told her she was 71 years old and had a good life, come back in October. I have been reading articles on Kidney failure. Will reducing protein intake and taking vitamin B1 help? What else should she do? Thanks Rick Wilson ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She has stage 4 kidney failure. Protein metabolism and its end product increase the load on kidney. So reduction in protein intake help in kidney failure condition. Vitamin B is also helpful. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has been having low grade fever, chills, cold feet and hands, coughing, feeling tired aching neck and bsck and the skin on his back is sensitive to the touch and found a lump behind his ear, can you try and help ,e figure out what might this be ### REPLY: Hello! Thank you for the query. His symptoms indicate an infection in the head/neck area. It might be tonsils infection (pain while swallowing), ear infection (ear pain), tooth infection or other infection in the close neighborhood to the lump which seems to be a lymph node. I suggest your husband to do not wait with it as complication of infection in this area can be life-threatening. He should consult palynologist. Antibiotic seems necessary. 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: My daughter is 12yrs old & a healthy thin, her spine has always stuck out as well as her shoulder blades. I thought as she got older this would maybe go away, but if anything her spine sticks out more...especially if she s slouched forward, should I be concerned? ### REPLY: Hi, I deeply regard your concern towards your daughter.1) You have mentioned that she is thin, this is the most probable reason why her spine is sticking out. This would go away only if she gains weight. However, you should take care that she does not bend forward too much while reading or watching TV, phones, using laptop etc. This will cause posture related back problems.2) If her posture is good and straight, you have not much to worry about. Make sure she gains weight and have a BMI around 21 to 22. Make her do regular exercises for her age. Yoga too is recommended with proven benefits. And you do not worry you are a loving parent. Hope I have answered your query. Let me know if I can assist you further. 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: My children ages 11 & 9 have bumps all over their bodies including their faces. They are flesh colored not red but are on their arms, backs, torso and checks neither of them are complaining of itching. The same thing happened to both children about 3 weeks ago, but the bumps were red, as this time they are colorless. ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello dr , my husband had spinal fusion 13 years ago and still gets some pain after working all day or sometimes just standing for to long can cause him pain , he is a large man 6.2 feet tall and aprox 140 kilos weight. my question is can he use an inversion table, without hurting himself further? he also has high blood pressure. ### REPLY: Hello, I have studied your case. I will advise you to do MRI spine to see for any disc bulge or spinal canal stenosis. And also check your it B12 and it D3 level. Medication like methylcobalamine and analgesic will reduce pain. You can continue yoga exercises and focus on spine extension exercises. I do not recommend inversion table and probably no doctor will recommend it. Some exercises which can be done include-Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case. If not relieved you can take epidural injection. Hope this helps. Wish you a speedy recovery.  Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello - almost two weeks ago (it will be two weeks on Sunday) I banged my head (temple area) into the sharp corner of a coffee table and almost immediately had what you would call a goose egg. I started the process of icing it. The swelling went down, and about 12 hours later there was purple bruising, particularly near my eye where the blood must have migrated to. It has just about healed (turned about yellow, then went away, all within a matter of days) and I have no more pain, but I do still have a slight bump in that area which I would compare in size and feel to a pimple or mosquito bite. It s not even visible, but I can feel it. I know it s still probably just healing but I was wondering if that is likely hematoma and if there is anything I can do to help that alleviate it. Should I continue with icing or should I switch to warm compresses and/or massaging the area? ### REPLY: Hi, Thanks for writing in. You might have had a scalp swelling after your injury which caused the goose egg appearance. This can happen when there is slight injury and bleeding in to the skin. This injury is restricted to the scalp and does not cause any bleeding in the brain. If there is worsening pain, dizziness, vomiting and nausea, difficulty to maintain gait then a brain problem would have been thought of. Icing might not help much, and you can start warm compresses to feel better. Hematoma can occur under the scalp, but it usually maintains its size. Your injury does not look like hematoma. It has healed in 2 weeks and should heal more over next 2 weeks. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 45 -- I had been bitten by a baby monkey on the right hand middle finger -- nail, in August,05;  I took 5 rabipur injections as per the schedule and also  took a booster dose a year later.  That is, on 7.9.2006.  Should I take another booster dose? ### REPLY: HI THANKS FOR POSTING YOUR QUERY ON  .ANTI RABIES VACCINE IS INDICATED IN THE BITE OF ANY WILD ANIMAL, APART FROM DOGS.GENERALLY FIVE DOSES TAKEN ON 0.7,14,28 AND A BOOSTER DOSE ON 90TH DAY. A SINGLE BOOSTER DOSE IS QUITE SUFFICIENT.ONLY DCC(HUMAN DIPLOID CELL CULTURE VACCINE)" VACCINE STRAIN IS RECOMMENDED TO AVOID HYPERSENSITIVITY REACTIONS.YOU HAVE FOLLOWED A SCIENTIFIC VACCINATION SCHEDULE SO FAR. I WOULD LIKE TO APPRECIATE YOU FOR THIS.YOU HAVE SUCCESSFULLY COMPLETED YOUR SCHEDULE AND DO NOT REQUIRE FURTHER BOOSTERS.CONSULT YOUR DOCTOR IN CASE OF FURTHER ASSISTANCE.THANK YOU.TAKE CARE. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am 20 years old and I have 1 son who is 4 and me and my boyfriend has been trying to work on a baby for 3 years and we have been together 4. And I was wondering about taking the prenatal pills and my questions for you are. How much does the pills cost? Where can you get the pills at? Do your baby still comes out looking like you and your baby s daddy? And how long does it takes to work? ### REPLY: Hi. The pills will be quite affordable, and you should be able to get about 60 tablets (2 months supply) for anything around 5-$10. You should be able to get the pills at any medical store, just ask for pre-natal supplements or take folic acid supplements. Haha, yes of course your baby will come out looking like you, or your babies daddy, or a mix of the two of you, the pill only helps with preventing growth and developmental abnormalities. The pills are just nutritional supplements, and provide the nutrients your baby needs to grow and develop within your womb, so it basically works immediately after being taken. Are you sure you are taking about pre-natal supplements? Or pills that make you more fertile? Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son last week was helping to lift a large post and felt like he strained and said it hurt for a while and he about passed out. Last night he noticed a small lump about like a pea right in the crease of his left leg. He said yesterday while he was sitting in class that he had pain behind his knee but it quit when he moved around. He said the lump does not hurt and does not move around but he is concerned. Could it be a hernia or something more serious? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He has lump In crease of leg.  If lump increase in size when straining like weight lifting, coughing or passing stool then it can be inguinal hernia.  If it's not hernia then it can be inguinal lymph node.  He should go for examination and ultrasound study.  It will give exact diagnosis. Then he should take treatment accordingly.  Hernia repair surgery like meshplasty is the treatment of choice for hernia. Consult your doctor and plan 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