Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffered a very bad case of bronchitis for about 3 weeks, which included blood mixed mucus for over a week. I had a Physical that was already scheduled just as I was recovering in which a blood test came back with low blood platlets, I was sent to a hemotoligist, and began taking predisone. Within a few days I felt great because the predisone finished clearing my chest. However my platlets went from 48000 to 38000. I haven t had any of the signs of Itp (my diagnosis) and there were no other issues with the blood test. Could the bronchitis cause the low platlets ### REPLY: Hello, Infections anywhere especially, a viral infection can cause low counts; no doubt about this and your bronchitis might be a viral one. However, there are a lot of causes of low platelets count, and after your bronchitis is over, the count should have gone up, so there must be other things in mind.ITP (Idiopathic thrombocytopenic purpura) can well be the cause of your low platelets and ITP most of the time do not produce any symptoms and is not very uncommon. Whatever could be the cause (if other things are ok and the patient is stable), I generally ask such patient to repeat the count frequently if not improving seeing hematologist again is very necessary. They may think about bone marrow examination then. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: On 27th February,I ve been detected with hepatitis A and at that time, according to LFT some of the parameters were Total Bilirubin : 2.7 Direct Bilirubin:2.7 SGPT( ALT ) serum : 1120 SGOT (AST) serum : 190 Alkaline phosphet serum : 220 Globulin : 2.6 SGGT : 170 on 16th March the report was Total Bilirubin : 1 Direct Bilirubin:0.4 SGPT(ALT) serum: 200 SGOT (AST) serum : 92 Alkaline phosphet serum 213: Globulin :2.7 SGGT :Not known Now again SGPT increases to 634. I m worried ### REPLY: Dear Friend. Hi, I am , I have read your query in detail, I understand your concern. Hepatitis A can cause serious rise in liver enzymes. We advise admission at this level due to risk of hypoglycemia, bleeding and encephalopathy. I would advise you to get a PT/INR done and also make sure you don't get constipated. In case admission is not possible do take a lot of glucose orally. Also, you may take Spy Lactulose 30 ml Twice a day, so that you pass 2-3 loose stools per day to prevent encephalopathy. This is my personal opinion based on details available here.  If you still have any query you may please ask me. Stay Healthy. , MD ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: About a year ago, my dog scratched me on my hand by accident. Every now and then I have this spot that glares up I  that same spot. Its a round bubbly patch and itches. I have psoriasis,  so I figured that is what this spot is, but my cream Ive been using for the psoriasis is only making this spot on my hand worse. Its sore and inflamed. Could it be a fungal rash from the dog? ### REPLY: Hi, Yes the chances for rash being a fungal rash, are high. But other probable diagnosis are bacterial infection. So, I highly recommend you to stop applying the psoriasis medication on the suspected rash, as it may worsen the condition. Do consult your Dermatologist as soon as possible to confirm the diagnosis and to initiate the proper treatment. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have never had allergies before, up until this year (some sinus issues on and off, but nothing major). About 4 months ago I had a few episodes were my eyes got very itchy and dry on and off and a few times I had some eye symptoms...minor swelling of the right upper eyelid , twice had a bubble which looked like a mosquito bite form under the eye (one time each eye) and another time I woke up with small to medium size bag under my left eye. Each time I felt fine other than the small amount of swelling and each time it was only in one eye, never both. In fact, most times I didn t realize until I went and looked in the mirror and then got scared after seeing the small amount of swelling. I also saw an eye doctor last fall after the first issue with it and the covering of my left eyeball was slightly fluid filled, which he said was due to an irritant and nothing to worry about. We had also found some black mold in our basement at that time that a plumber opened up the ceiling (so conceivably, some of these mold spores may have come out into the air...I had had no issues before this). I am now about 120 pounds (was 140 before I lost the weight) and female and 45 years old. I am a very nervous person and had been under severe stress for several months. It was during this time I started getting the eye symptoms. So stress, the mold issue and most likely the start of peri- menopause may all be contributing. Two of times I got the eye symptoms I had eaten peanut butter....but many hours beforehand. One time it was probably between 4-6 hours earlier and the second time, it was about 10-12 hours earlier. I had also had peanut butter in between with no symptoms. Each time I felt fine other than later on getting some eye symptoms. I had also, due to the stress, had lost 20 pounds during those months and once became dehydrated. Both times I had gotten the little bump under my eye (like a mosquito bite), I had been under acute stress both those days. Those are the only 2 times that ever happened. My general physician feels it s all stress-related and also seasonal allergies (I seem to have a little bit of hayfever). He said my symptoms are not consistent with food allergy or peanut butter allergy. Since not having any peanut products, I ve had no eye swelling, bags or bumps, but my stress level is also a LOT lower now. Should I get a blood allergy test for peanuts or is it most likely stress-related or hormone-related? Is it just a coincidence? Whenever I ve eaten peanut butter I always feel absolutely fine afterwards...even relaxed. No other symptoms...no rash, no breathing issues, nothing else. Being the nervous person I am though, I have worried that if the eye symptoms were related to the peanut butter, then my reaction could be worse next time. That s my main fear in trying the peanut butter again (as I said, I had been suffering anxiety and panic for several months, so my thought process became a little skewed). Would love to know if it s safe to just try the peanut butter again or if I should have the blood test. Thank you. ### REPLY: Hi, Thanks for writing in. I think you should get yourself tested for an allergy to peanuts. Its unlikely that stress or hormonal issues are contributing to these allergies. I would suggest that you steer clear of peanuts for the time being as allergic reactions can be very severe at times (fatal reactions have also been reported)Try and reduce your anxiety levels with deep breathing and yoga. This should benefit you a great deal. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went to the DR. and complained that i felt like I was lossing my mind . Im have suver . Im having  a lot of memory loss proublems . I can be talking to someone the nexted thing I dont ever rememeber the talk ,go places not remember how I got there  . After going to bedmovements  Ill wake up and roll over and not remember who the man in my bed is ( my husband of 28 yrs ) . My DR. said I have Tardive Dyskinesia , I do have involuntargive  movement with face and hands . But i am more worried about my los of memroy . ### REPLY: Hi, Thank you for posting your query. Based on your symptoms, you could be having a mild cognitive impairment of early dementia. You require a detailed evaluation by a neurologist to determine the severity and the underlying causes. This would involve doing a brain scan such as MRI, EEG, blood tests such as vitamin B12 and thyroid profile. You would get better with treatment. Please get back if you require any additional information. Best wishes, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I got a MRI the other day and got a copy of the results are you ready? Mild inflammation in the AC joint Interstitial undersurface tear of the mid to posterior suprasspinatus tendon It maesures less than 50% of the tendon thickness The NTERIOR AND THE REMAINer of the posterior supraspinatus tendon is intact Whats this mean? ### REPLY: Hi, thank you for providing the brief details of the MRI scan. As mentioned in the scan, you need a thorough musculoskeletal assessment. As there appears to be a mild inflammation of the AC joint and a tear of the supraspinatus tendon, this report has to be related clinically. If clinical symptoms are found to be positive then the next course of action will be implemented. Like Medication for pain and physical therapy for improving the joint ROM and also strength. Also, the report indicated that, AC joint inflammation, Means there is an inflammation in the acromioclavicular joint - this joint is formed by the lateral part of the collar bone and acromion of the scapula (which is your upper backbone). The supraspinatus tendon is the tendon which arises from the supraspinatus muscle which allows the shoulder complex. Usually cases with shoulder complex are well controlled with medication and physical therapy in my clinical experience, only a few needs surgery who has major damage to the joint. 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: hi i have had a lump appear just outside my anus hole,had it for 5 days now,i thought it was a pile so been using anusol + on it but it still hurts and its not reducing in size.its quite painful and when i looked at it last night there is a non protruding black spot on it,im a little concerned? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have internal or external piles. You should go for examination.  Medical treatment helps in most of the cases. Avoid spicy food.  Take high fiber diet and plenty of water. Avoid constipation.  Local anesthetic gel like lignin can be used to receive pain.  If you have bleeding then ethamsylate can be used to control bleeding.  If you don't get relief then surgery is the permanent treatment. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear doctor, i am 34.yesterday my BP shot high 145-95. I have no past history. I rushed because of uneasiness and restlessnessto a doctor. Could u please guide me as to what shouldtbe done at home during emdrgency as an immediate control? Thanks. Adam ### REPLY: Hello Adam, I understand your concern. What you had was probably a panic attack and the BP would be elevated due to that. BP up to 140/90 is normal. So there is nothing to worry about an episodic elevation to 145/95. Take a deep breath and try to relax. This is not an emergency. It would be good idea to restrict your salt and to lose weight if you are overweight or obese and adopt a healthy lifestyle. If the BP is persistently elevated you would require medicine in addition. If you have further queried, I am available to answer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hard lump on my knee just to the left of my patella. It just appeared one morning after I ran 3.2 miles the day before. It hurts when I stand, when it is bent, when it is pushed on, and when I kneel. It is about the size of a dime and is visible when my knee is bent. What could it be? ### REPLY: Hi! Welcome to our health forum, and thanks for your post that gives me another opportunity to discuss on the knee lumps! I often get such patients and never got some serious diagnosis therefore not to worry at all! We get cases as following frequencies, and we confirm by fine needle biopsy if necessary under image-guidance:1. Bursa 60% cases2. Ganglion 10% of cases3. Synovitis 10% cases4. Loose bodies / hematoma 5% cases5. Benign tumors like neurofibroma/Chen .  Patellar dislocation / tendinitis 5%Therefore see an orthopedic surgeon to determine the diagnosis and the management line!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 small, stationary lump on the left eye area. It is attached to the Zygomatic bone, next to the temple area. In the morning I have this dried fluid that is secreted from the corner of that eye and it is crisp and a bit gummy. Of coarse I am worried because it is not like a lymph node that floats or moves around when messaged when infection is present. Any information on what this is would be very helpful. Thank you Sorry to say I cannot pay for your services at this time. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some sebaceous cyst or dome other soft tissue lump.  You should go for excision biopsy of that lump. Then you should go for histopathological examination and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a history of heart problems. I have had multiple heart attacks and a double bypass after 4 stents failed and still continue to have them. but here lately I been getting really light headed and then my right eyes vision will go completely black and I am just sitting here relaxing. also been having weakness in right arm. should I be concerned? ### REPLY: Hi, Thank you for posting your query. Your symptoms are suggestive of TIA-transient ischemic attacks. In this condition, the blood flow to a part of brain is reduced for a while, resulting in these symptoms such as vision loss and arm weakness, and complete recovery occurs in a few hours (always within 24 hours). You should see a neurologist, get MRI and angiogram done, and start on aspirin. I hope my answer helps. Please get back if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a sharp pain that feels like a long pulling pain and some cases when i move my shoulder a certain way I can t move it at all, but it only hurts sometimes and prevents me from doing stuff like pushups but I can do chest press. is it a pinched nerve ### REPLY: Hi, thank-you for providing the brief history of you As you have a pulling pain it can be related to a pinched nerve. Getting a clinical examination and an MRI of cervical spine should help father. Treatment:Physical therapy has been successful in many patients in my clinical practice. Physical therapy will include - therapeutic ultrasound therapy, TENS therapy and exercises in specific. 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: hello , i m heena. i m trying to conceive . i m 23 yrs old and i have been married since 7 months. previously i got too much bleeding for many daus. which is now cured by my physician. now i want to plan my first baby.my doctor said to go through some checkups which are normal.my husband too got normal results.now what are the things which can help me to concieve...plzzzzzzzzz suggest............. ### REPLY: Hi, Thanks for the query.  I understand your concern.  -start taking tab. Folic acid 5 mg a capsule of vitamin E 200 mg daily . By both of you.  -have healthy diet.  Daily exercises. Sound sleep.happy positive mind avoid ill health.  -have unprotected sex for 6 days from +ve LH surge test (which marks ovulation).  -Let the semen be retained in vagina for half hour (take pillow under waist if needed) -test for pregnancy by HTP after 8 days deal in periods.  *In case there is no positive response with these in 6 months(which is rare in healthy couple.... you both would need detailed investigations consultation of sterility doctor.  Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi.i am sandeep singh .before 2 years ago i found my OT,PT higher near by 90 and 140 in liver function test..then i got treatment from a  doctor and he said it is Problem of N.A.F.L.D  and he suggested me medicine of udiliv300(Ursodeoxycholic Acid ) i m taking this medicine since two years but i sill have that fatty liver problem .please suggest me .what should i do..... ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have slightly high GOT and SGPT.  You have non-alcoholic fatty liver disease.  Furthermore, you should continue your Adílio.  Avoid high fatty diet.  Go for regular exercise and weight reduction. Take high protein diet.  Avoid alcohol.  Lifestyle modification is key in NAFLD. 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


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 3 year old daughter who has seizures at 6 months of age and lost all developmental and cognitive abilites. She is slowly gaining them back at is at this time functionally at a 1 1/2 to 2 year old. We have had mris and catscans done and all is well we have had e.e.g s done and they are improving. She was born with a low sugar level of 24 and otherwise was ok. She has been seizure free for 2 and 1/2 years and was on topamax for 2 years. She is dealing with the side effects of that now. She is currently on keppra 1.5 ml bid as a preventive measure. what could cause a baby to have seizures and then they go away but leave such a bad path. I see her improving daily. We have had tests ran and nothing comes up no cerebral palsy chromosomal or metabolic. Please help. ### REPLY: Hi, Seizure and loss of already attained milestones occur in a condition called neurodegenerative disorder. Truly speaking, this is not a single disease but a group of conditions with neuro-regression. Frequently, despite thorough investigations, we won't be able to find out a specific course, as new diseases are being discovered year by year and the list we have now is incomplete and yet to expand. The hypoglycemia she had after delivery could be a reason, but in that case we expect MRI to be abnormal and although milestones can be delayed, loss of already gained ones is unusual. In such cases, what we can offer is symptoms oriented supportive measures like early stimulation to maximize development, seizure control with .  Your doctor will guide through these steps. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my father is 80 years old. has high blood pressure. had a stroke over a year ago and has only 33 percent of his kidney usage. he wears a cathoda for apps 1 1/2 yrs now. every 2-3 months it is absolutely agonizing for him and painful  to the extreme he is screaming in pain. he wishes to be put out with general anesthesia during this process not just a local and he is awake. he wants to be put asleep. can you help me find someone ### REPLY: HI, thanks for using  Urinary catheter replacement is not normally done under general anesthesia. It is normally uncomfortable but should not be painful to the extent that your father is screaming in pain. It would be important to look for a cause for this level of discomfort since this is not the expected response. Some causes of severe pain on catheterization are infection, stricture (narrowing) of some aspect of the urinary tract, perforation, using a catheter that is too large He may want to see a urologist to determine the cause of his pain. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes, thank you.  I have severe emphysema and for the last 10-12 months have had a rib pain that is a tightening around my lungs along with a lot of pain - my breathing becomes shallow and life just becomes miserable.  What causes the ribs to tighten and hurt so much,Thanks ### REPLY: Emphysema is the dilatation of the alveoli which is the smallest unit of lung or the smallest respiratory unit dilatation of alveoli occurs in cop din emphysema lungs grow in size and that causes the symptoms of coughs breathlessness, phlegm tightening symptoms are due to obstruction in the airways pain in ribs can be a symptom you need to consult a Pulmonologist who ll request for a spirometry and ll stage your disease and give you inhaled medications as necessarythanksfeel free to ask more 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 I have high level of enzymes in my liver and am always dehydrated, I also have low levels of ferretin in my body and recently have started to become dizzy, confused, fatigued and increasingly tired. My GP has arranged for ultrasounds and a visit with gastrogenitus specialist. What do you think this could be??? My hepatitis tests have come back negative which is one good thing. ### REPLY: Hi thanks for asking question. Your serum ferritin levels are low, so you can have anemia. Low HE that is anemia can lead such symptoms. So correct your anemia with ferrous sulfate tablet. Maintain your HY . Take enough nutrition with more fruits. As far as liver enzymes concerned then in your case no hepatitis present. Do you have done USG??? Because fatty liver simply can elevate liver enzymes. If no liver problem present then let me know you do you have any heart problem??? Because if you have hypertension induce or other caused heart disease then it might be possible organ not getting enough oxygenated blood. In heart problems also liver enzymes can be elevated. So if present treated accordingly. Do you have any muscle problem??? Myositis or muscular trauma can lead elevated enzymes. Repeat your liver enzymes after few days. I hope my suggestion will helpful to you. Regards; ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good day, for the past 4 years or so I have been having some stomach issues. It is a very painful almost unbearable pain that occurs in my abdominal area. I went to a Gastroenterologist and had an endoscopy but that came up clean. Blood results also came up clean. However this must be something! The pain is sometimes so great that I need to go to the E.R. I think that it has a lot to do with gas build up in my abdominal area. If I do not eat at the exact time that I am hungry my stomach fills up with gas and I become full. However if I eat my stomach would still sometimes fill up with gas. Especially during times of high stress/anxiety such as exam time. My most recent attack was two days ago on an airplane. The pain was localized in my top abdominal and was very severe lasting for about 1 hour after I ate some sour candies. Could this be gallstones? ### REPLY: Hi welcome to  forum.  Thanks for calling . Forum.  You are having the pain in the upper middle part of the stomach. It appears to be the gastric irritation, due to peptic ulcer, or gastric irritation. Or may be gallbladder pain, or pancreas pain.  I advise you to go to the gastroenterologist as a follow-up visit. You may have to get gastrostomy, M.R.I, besides other routine tests for confirmation.  I advise you some diet recommendations as avoid taking spices, junk foods, and oily foods to avoid gastric irritation.  Practice yoga, meditation, reading magazines, and hearing music to avoid stress and anxiety, and hence reflex gastric irritation.  Wishing for a quick and complete recovery.  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 Mother has bad pain in her back, she has been told by the doctor that her kidneys need to be looked after and she needs to drink more water, she has diabetes and rhumatoid athritis and has the onset of alzheimers so it is hard to remind her to drink plenty of water ### REPLY: Hello, I have studied your case with diligence. Osteoporosis is common in diabetic and RA patient leading to back pain. Degenerative wear of muscles and ligament and loss of elasticity of muscles, due to deficiency of IT B12 and carnitine these symptoms can be aggravated .so supplements of these nutrients can relieve pain. Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis, I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies. MRI spine will help in diagnosis. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor,i am having erectile dysfunction i beileve..or premature ejaculation as i am unable to hold it of for a minute while doing masturbation..also erection is also not so strong..my penis size is just 5inches when it get erected and by normal 2 inches..i am a single..can i marry and lead a happy sexual life ### REPLY: HIT hank for asking to ChatDoctorI can understand your problem, of course you are going to have a happy married life, no need to worry at all what ever you stated here are not the disease this just your functional problem and these will go way once you will get married, your confidence will return soon, stop worrying, just take it easy it all right your size of penis and other things, hope this information ease you, take care and cheer up bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hiim just wondering if i should have someone look at my frenulm it is sore when i get hard and its sore after intercorse i had a circ 3 years ago  it looks like it is streched out by the head i did not know if there is something that could be done about it ### REPLY: Dear, We understand your concerns went through your details. The present soreness of frenulum should be due to the hard intercourse you are referring to. These problems are common, and you have nothing to worry about it. Just give rest to the area for three days, and it will be alright. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Happy New Year. 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: Hey, I am a nurse that has been working in critical care for a little over a year, once i was on antidepressants mainly for anxiety. I am finding myself unable to do my job now because I am so nervous in social situations. I want to help people and i love what i do, i just cant do it. Should i get put back on medication? ### REPLY: Hi. This might be due to performance anxiety. I feel you should make a change over to preferably to general ward rather than being in ICU/CCU/CCC or any of the units which need emergency/quick response so that it will suit your personality. Since you love your job it's really a great thing to hear & you can serve utmost as long as you choose a profile which will not put you under stress. 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: I am a 42 yr old female in good health. Friday of last week, I had my lower right wisdom tooth removed. It was very difficult to remove and was ultimately cut up and removed. Now my right tonsil and gum area hurts whenever I swallow!! Whats going on? ### REPLY: Thanks for your query, I have gone through your query. The pain in the tonsil or gum area near the wisdom tooth can be because of ulcer that usually occurs following wisdom tooth removal that can be authors or traumatic ulcer. The other possible cause of pain can be presence of bony spicule near the extracted site, that occurs if the bone filing has not been done properly. Nothing to be panic, consult your dentist and get it evaluated. Meanwhile you can take symptomatic treatment like topical anesthetic and analgesics like 2%lignocaine and choline salicylate gel (Anabel gel) apply 3-4 times daily before food and if the paid is severe you can take systemic analgesics like diclofenac 50 mg BID for 3 days. Do saline gargling. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi ,I am 44, i got recently married . I am not able to sustain rock hard erection and erection long lasts for two or three minutes only. I am forced to have sex within this time.  otherwise the erection loosens inside the vagina faster. I feel that i have stress,anxiety to perform on that day  by compulsive reflex with me. I have been doing sex for the past 15 days quite successfully ,but this problem arisen just recently. ### REPLY: Hello, You yourself are saying that you were able to do sex perfect for fifteen days. This erection problem is happening only recently. You are just 44 and there is no need for you to worry further.  If you worry too much about this, the condition may worsen. As you said, this could be due to your stress, apprehension and anxiety.  Just wait for a few days without trying for sex and build understanding, love, affection with your wife. They try after around a week. It should be alright. Hope I have answered your query. Let me know if I can assist you further. Take care .  V. Anand, Psychologist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 4, and has had 2 previous bouts of having stool back up all the way to her ribs. It always starts with the symptoms of a uti, and the drs can find no infection or anything until she spikes a fever. She s on a high fiber diet, and is very regular with her bowel movements, yet still has this trouble. Last time the xray revealed that her colon was stretched. Drs are stumped. Any idea what it could be? ### REPLY: Hi there, The backed up stool and tendency to urinary tract infection does point to the idea that she could be constipated, despite being regular.  Regarding the frequency of bowel movements, do note that different people tend to have different bowel needs, up to 3 times a day is accepted as normal.  So she could actually be going daily and still be relatively constipated. What we are aiming for is the right consistency of stools, which is long and sausage-like, with or without cracks.  If you need more visual guidance, look for the Bristol stool chart online, and aim for Type 3 or 4.  It is good that she is taking enough fibers, but also pay attention to her habits and stress to her that she needs to go when she feels like it even if it is more than once a day.  Constipation often occurs at this age because this is when they are getting better at holding it in, and prefer other exciting activities to sitting in the toilet. The other rarer possibility would be that she has a mild form of Hirschsprungs disease, which means that some nerves are missing from the end of the colon, making the evacuating of stool difficult.  Most people have this diagnosed as babies, but if its very mild it can be missed.  It might be more likely if she had delayed bowel movement more than a day after birth, or had tendency to constipation even as a baby.  You will have to discuss with your doctor on this possibility, because confirmation would be needed with a rectal biopsy. Hope this helps, and all the best to you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answemmr your health queries right now ?  Please type your query here...I m 25year old married girl.i had pain in lower abdomen side from nov.2009. Emy mx& elisha for kochs was positive.i had medication from 8.1.10-26.11.10. Again i had pain after 2 month during period. Some mesentric nodes found in uterus in u.s.g report.again tb drug taken 2 month till march 2011.again dr. told to take drug next 3 month.then i visited another dr.,my pcr in menstrual blood is positive.can i concieve?(tb drug taken 13 month).thank u. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have tuberculosis. Your tb PCR is positive.  You have already taken 13 months treatment. You may have multiple .  Furthermore, you should go for culture and sensitivity test. It will give you exact diagnosis. Then you should take treatment accordingly. You can conceive, but chances are low. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was doing a chest stand (gymnastics) and my head started hurting shortly after, not really bad to the point i cant take it, but enough to make me put a rag on it. i know it has something to do with the chest-stand. But what do you think this is? It hurts on the left side of my forehead, to the top-left side of my nose. ### REPLY: Hello, Thanks for the query. It could be due to some minor contusion that had occurred during the head stand. Nothing much to worry as it will subside with simple conservative measures. As of now you can take analgesics like acetaminophen or diclofenac for pain relief. You can do a CT scan in case of persistent pain or symptoms like vomiting or dizziness. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a small, hard unmovable lump behind the top of my left ear. It feels like it is attached to the bone of my skull and my skin moves freely over it. Also, the ear that the lump is behind has sun damaged skin that I am having removed. I am told that the damaged skin will turn into skin cancer if its not removed. What could the lump be and are the two related? ### REPLY: Hi, Thanks for writing to . That lump can be a Desmond cyst, with a possible intracranial extension. You need to show it to a surgeon for a physical examination and a skull X-ray. That lump and the skin can be removed in a single sitting only simultaneously, and they are mostly unrelated to each other, unless the lump runs out to be a lymph node. So it is advisable to get a needle biopsy of the lump prior to its excision, as it will help in planning the excision. 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 fallen down a flight of stairs and four days later; I had to go to the ER for treatment and the doctor said I have a contusion of the shoulder from the fall and gave me some pain pills. My shoulder has not stop hurting after taking the pain pills and I am also a cancer patient it started as breast cancer and then the doctor said it went to my bones and that why I am so worried about the fall and my shoulder hurting so badly even with taking the pain medicine. Thersea ### REPLY: Dear patient Since you have fall with injury to your shoulder and pain is not relieved by medication possibility of fracture cannot be ruled out. I would like to advise X-ray of involved shoulder anteroposterior and lateral views to confirm diagnosis. Visit radiology center nearby you and get it done. Meanwhile, apply shoulder immobilizer brace on your shoulder to prevent pain ND mobility of involved shoulder. You need to consult expert orthopedic surgeon with report.  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: My grand daughter just came from her OB and they said that she definitely was pregnant, but now it is detaching from the uterus. She has slight cramping; nothing major, no bleeding. She was given a prescription for suppositories to induce the D&C affect. Should she take these without any other symptoms present at this time? ### REPLY: Respected user, thanks for using .come have evaluated your query thoroughly.* Cramps during pregnancy may be due to - non-specific cause - uterine expansion via growing fetus - placental separation - fetal movements related - other abdominal causes * Only pain is not the criteria for induction of D&C effect, there are many parameters gone doctor evaluate and then decide for the prescription.* I strongly recommend following strictly your doctor's advise only. Hope to clarify your query. Welcome for further assistance. Thanks for using  .com & giving opportunity to assistWishing her fine recovery. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 53.  I have a Merina IUD that was inserted a year ago to stop my heavy periods.  I have recently had an ultrasound that indicates a thickening of my uterus, 9mm.  Apparently this is abnormal for menopausal women.  Is it abnormal for premenopausal women with this IUD?  I would have thought the IUD would prevent thickening. ### REPLY: Hi, This thickening of the endometrium is definitely abnormal in the menopausal uterus while it is under normal limits for a premenopausal woman. IRENA contains hormone and hence helps to control the duration and amount of bleeding. It does thin the endometrium. In the current scenario, you need further monitoring to see if the IRENA is really working or not. If there is a persistent rise in the endometrial thickness, you may need to have further investigation. Hope you find this information useful. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am having back pain, but only at night. When I go to sleep, I usually feel fine. At night I often wake up with pain in my lower or middle back. In the morning or during the night I do some exercises that my doctor recommended, which seem to help. Once I get up in the morning and start moving around, I start to feel better. By mid-morning I usually feel fine. I have changed my mattress and tried sleeping on different beds, but I cant find anything that gives long term relief. What do you think? ### REPLY: Hi, Based on your details you have backache which is more at night after lying. You should consult neurologist for clinical examination .MRI lumbosacral region should be done to rule out spine degeneration and disc and other lesionsUsually these type of symptoms are seen in lumbosacral canal stenos is. Meantime do spinal exercise and avoid heavy weight lifting, and you can have analgesic for short durational of action depends on further evaluationRegards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 acute sqeezing very painful contracting type pain on my right side that starts slowly like a sqeezing and as the sqeezing increases the pain increases until it is so intense I cannot function and must take pain medication to manage. The pain is worse than childbirth. The sqeezing intensifies and lasts until I can go to sleep on pain medication. I feel like I have to urinate but can only get dribbles. When I wake up in the morning, the intense sqeezing pain is gone but my side feels like I have been kicked and am bruised. It comes on out of the blue. ### REPLY: Hi. The squeezing type of pain as you have described, which increases gradually, gets a relief only on medication followed by a feeling of being kicked and bruised on the right side can be due to the following :-Intestinal obstruction, particularly where the small intestine opens into the large intestine. This is called ileo-caecal region. There are few diseases which affects this area. These are Tuberculosis, Crowns, recurrent intususception. This can be well diagnosed by :-Colonoscopy and biopsy.-CT scan of the abdomen. The treatment will be as per the reports and clinical suspicion. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 cervical stenosis at c5,6,7 lower lumbar stenosis c3,4 osetharthis grade 3 in knees my medication help very little have not had a,body scan in 3years for narrowing of spinal cord. Just feel am getting pushed from pillar to post, docs now say I have fibromyalgia. The pain is really get me down ### REPLY: Hi, Decompression surgery is the best option for you. But before all that, I suggest you see a spine surgeon and seek his opinion with all your scans too. After a thorough physical examination, if the cause of the pain seems to originate from the nerve compression, it probably is not fibromyalgia. The best thing is to get a repeat MRI scan after consulting with your spine surgeon. Hope this answered your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 feel weak when I wake up in the morning and experience low temperature- around 97 degree F.I get pangs of hunger. I had a blood test done recently. Diabetes and Thyroid are ruled out. My haemoglobin is 11.9. Lympocytes is 44%, Neutrophil (stab) is 0% Neutrophil (segm) is 52% Platelet count 2,20,000 Total R.B.C is 4.4 milliom/cumm P.C.V is 35% I have been suffering from Cervical Spinal Stenosis for the past 3 months and was under medication of pain killers and muscle relaxants. I was advised surgery but Osteopathy treatment improved my condition. ### REPLY: Hi, Sometimes screening blood work for thyroid disease is not entirely accurate since most primary doctors will only check a TSH to detect an abnormal state.  In your case, since it appears as if low metabolic function may be to blame for your symptoms I would recommend expanding the blood work a bit to include several other thyroid tests such as a FREE T4, Total T3 and Free T3.  I might even check a random cortisol and also look at your vitamin D, B12, and folate levels due to the very mild anemia which may or may not be relevant to the rest of your symptoms. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Iam 30 years old man,I have lost my hair about 50% from front to back,I Would like to know that is there any medicine will help me to restore my hair again if not please like to know how much cost for hair transplantation and how long need the treat ment.(Iam working in Saudi Arabia and more than 2 months vacation is difficulty) ### REPLY: Hi, You seem to have an .  It is a hereditary condition influenced by hormone.testosterone. Initially, there is recession on the forehead. Then, the hair fall continue to bald the occipital area. I think you have baldness on frontal area extending to backward. If you have sparse hairs on the bald area, then medical treatment might give good result. You may take finasteride 1 mg daily till good result. And biotin 10 mg twice a day along with vitamin E 400 mg once a day may be taken. Minoxidil 10% solution may be applied on the bald area twice a day. Ketoconazole containing shampoo may be used to cleanse the scalp. Have patience for the result. You should take treatment under observation of dermatologist. If the affected area is complete bald, then hair transplantation may be considered. Cost varies from doctor to doctor and according to the affected area. I hope you got my answer. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I am not very sexually confident.When I masterbate,I ejaculate in 30-40 seconds.I am not sure whether I am suffering from Premature ejaculation or not.Today I consult a sexologist and he give me some medicines to take for 8 days.He will do my check-up again after 8 days and will continue my medication.I am not sure whether I should take those medicines or not.I am afraid of the side-effects of medicines.Please suggest me what should I do.Is there any other method or therapy (without medication) that can help me to overcome my problem? Please let me know. ### REPLY: Hello, It may be due to performance anxiety. For further assessment you may require complete hologram, lipid profile and electrocardiogram after physician consultation. Along with that Avoid stress and strenuous activity. Take balanced diet and proper rest. Avoid smoking and alcohol. Till then, you can take tablet sildenafil one hour before sexual act Hope I have answered your query... Let me know if I can assist you further. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband has one kidney and the hospital in our home town said that he had an infection , gave him meds and sent him home, my husband works basically everyday all days, working 12 hour shifts, his kidney is acting up again and im scared that his kidney is failing on him, im not sure on what to do about getting him to a specialist, any tips or suggestions? ### REPLY: Hi, thanks for using  It is understandable to be concerned about any kidney infections if he only has one kidney. To determine if his kidney is not working well, he would need to have blood tests, urine tests and possibly imaging investigations as well. The blood tests would be for creatinine and urea. These can be increased in kidney disease. The urine tests would look for protein in the urine as well as any other abnormal substances. He may need to see a specialist at this point, all of these tests can be done at his GP office. If abnormal then he can be referred. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 5 mo ago I noticed that the side of my thigh had noticible caved in. In the center of this indention was a tiny hard lump. My mother told me not to worry it will go away. So now 5 mo later it has very quickly getting larger but only about pea size but in addition to that lump there are two others. One being pea sized and one like a large knotty like mass that seems to stretch about 3" down my leg starting right after the second knot I found. I have no previous injury or anything and im not sure what it is. They are hard and virtually painless, they do not move around they seem to be attached to my thigh muscle. Any ideas? I have a doc appt on monday but just wanting to see if I am going to be wasting their time if I go lol. ### REPLY: Hi! I would like to summarize your description of the lumps as spontaneous, hard, painless and fixed/attached to underlying muscles...and I generally come to following possibilities as per the final diagnosis after fine needle biopsy like:1. Neurofibormas2. Lipomas3. Dermatofibromas4. Lymph nodes5. Parasitic nodules6. Muscular nodules/neuromas think there is nothing to worry about these, but you need to confirm the diagnosis therefore please see a physician and go for a needle biopsy;regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am suffering with acne on my cheek for long time.i am undergoing treatment since one year. i am 27. single . please adv. ### REPLY: Hi, welcome to  forum, yes suffering from acne for girls is really sometimes very embarrassing, as you have mentioned that you are taking treatment from last 1 yr, which is very long time and if you are taking modern medicines which will only suppress your acne but will never cure it, and taking tablets and using local applications will only disturb you Get problems and will make your skin more sensitive, it is better to switch to Homeopathy in order to get yourself cured, For more info u can mail us at info . Com or visit us at WWW. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father just had a PET scan done. The Dr. said that it showed that he has cancer cells but they dont know where the cancer is. Is this normal? He wants him to wait 4 months and come back. That seems like a long time to me with no form of meds or treatment plans. ### REPLY: Hi. Your father has a condition called carcinoma of unknown primary site. Usually patients present with enlarged lymph node which on pathological examination show cancer cell metastases. This usually occurs in the head and neck but can also occur elsewhere. Patient needs a complete ENT examination, blind biopsies from several sites from the head, throat. CT MRI and PET scan often help. The pathologist can do an IOC and give an indication of the likely origin of the tumor. But inspire of all these, several patients continue to have metastases without obvious primary cancer. The treatment of these will involve multiple modalities and often radiotherapy to the involved nodes may be necessary ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Many people with psychiatric difficulties appear to have co-occurring physical problems such a lower and upper back pain, recurrent indigestion. Is there a documented relationship between the presence of positive psychiatric symptoms, and spinal column difficulties? ### REPLY: His had gone through your query. There are no direct relationship between these two. But spinal column difficulties make person stressful due to inability to maintain daily routine precisely. Chronic pain may be associated with psychiatrist morbidity like stress, anxiety and depression. Pain can be part of aromatization or psychological pain. There are psychological reason behind physical symptoms. Medicines like TCA, SSRI and anxiolytic can be useful. Better to go for psychological evaluation before taking any medicines. Consult psychiatrist and get help. I hope I have answered your query. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have 5 itchy areas on my forearm that swelled up into large red lumps after scratching them. They have gone down quite a bit but have not gone away since its onset two weeks ago. Last night I developed what looked like a small itchy red bump on my forehead and is today a large swollen red lump. I have no known allergies. Whats going on? ### REPLY: Hello and welcome to , I read your query and understood your concern. To me, it seems like a case hypersensitivity to an insect bite, due to which you have developed a hive. And that is why presumably it increases on itching. Take oral anti histamine like cetirizine / loratadine, and if the itching is intense you can apply a mixture of mild steroid like mometasone and moisturizer to the affected area, preferably except face. And stop it as soon as the itching subsides. Hope this helped ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 9 and has been complaining about the back of her neck hurting. When I looked and felt behind her neck it appeared that the top of her spine was bulging out more than normal. Just wondering how big that knot should be and if this is what is probably causing her the discomfort? Should I get this check out or could this be growing pain or something like thst? ### REPLY: Thanks for the question.9 yrs old girls with swelling behind neck, probable cause-Lipoma (subcutaneous fat growth)BursitisAbcess- tubercular/infective may be spinal original more If it is not hurting her wait and watch and look for progression of swelling, pain,appearance. If it is progressive you have to consult local orthopaedician. After the examination of swelling he can advise you further treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor. my dad who is aged about 56 years got herpes on chest. he is having sever pain. he visited doctor and got some medicines. From websites in found that rubbing ice cubs will reduce the pain. I suggested him to do that but the pain has aggravated. Is it so dangerous? Should he be alone or he can mingle with people? Is there any home treatment to get it cured? ### REPLY: Hello, Herpes Zoster can be a very painful condition. If you let me know your dads medicines, I could suggest some that would bring him relief. It is normally not dangerous unless your father is immunocompromised due to other diseases. It can infect people who have not had chicken pox through very close contact. We do not normally isolate people. Some people advice honey, need, coriander etc. Being a viral disease, in most cases it will get cured with or without home remedies, but there are modern medicines like Acyclovir which can accelerate the healing. You are welcome to contact me if you have any further queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, I have undergone urodynamics test a year back and and it was found i was having low bladder sensations. Subsequently , uroflow test was performed which showed a poor flow rate. I am having this problem for the past 3 years. Also, i am not getting early morning erections. When i masturbate i get an erection but ejaculate within a short time. I have undergone MRI of spine(3 times) and brain(1 time) which showed normal results. I also have undergone several blood tests which all showed normal results. i had Vitamin B12 and Vitamin D3 deficiency. I am 29 years old and am unable to take a decision on my marriage. Could you please provide your suggestion. Thanks XYZ ### REPLY: Hi, If your MRI was done thrice, and it was normal on all three occasions, you might have to get some other tests performed. There are neurologists who check for nerve conduction defects. Sometimes these are useful in such a clinical scenario. We should ideally not think of your two problems (poor erections and bladder muscle weakness) as separate entities and should check if one solution will help both problems. There are other investigations which can also be performed. These include a penile Doppler to test vascularity of your phallus. You can also be tried with medications like alpha-blockers to see if urine flow improves, and if required also add medication to improve bladder muscle tone which unfortunately is not very often successful. Hope I have been able to help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been feeling dizzy for about a little over a month now and am now getting worried as to what the problem might be. My speech has been suffering for about 2 years now and I can t figure out why......It just feels like I can t get my words out properly. I used to get a lot of numbness and tingling in both my arms but now I just get it every now and then. I have gone to the doctor and he ordered a complete blood work on me but I have nt heard back from him yet. Can you help? ### REPLY: Hi, Welcome to  forum.  The reason for the symptoms may be the hypertension, diabetes, anemia, infection of the internal ear, or ischemia of the brain.  I advise you to consult a neurologist for diagnosis and treatment. You may need to have an M.R.I. and other tests for diagnosis and treatment.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to have good health and resistance against infections.  Wishing for a quick and complete recovery. 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: Hello. I have low iron levels but the tablets that I am on are horrible so havnt been taking them. Last night I was really breathless before I went to bed. I woke up at 4.30 in the morning not being able to breathe properly. My chest was sore. My pulse as i woke up was 116bpm. Will this be related? ### REPLY: Hello, Thank you for contacting ChatDoctorI understand your concern, I am , Infectious Disease Specialist answering your query. No iron therapy never causes such a problem. In fact when you have low hemoglobin such problems may happen. So breathlessness is because of severe anemia. I advise you to continue your therapy with iron. Iron therapy takes long time to get its effect. So please continue the medication. Take the medication till your hemoglobin sets to normal level plus three months. This extra three months will replenish your storage of iron. You can ask for further queries here on bit.ly/ . Thank you, ChatDoctorInfectious Disease specialist wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, was taken into hospital by ambulance with chest pain. I am 48 years old, didnt feel good all day. Woke with chest pain, which disappeared, later that evening chest pain became more severe. Arrival to hospital, after blood test my triponin level was 10 at 10am, then a further test was given at 1am and my triponin level went up to 1,500. My heart was tested with an angiogram, no damage was done. I then had a check to make sure i did not have a lung clot, all was negative. Why did i have such high triponin in my blood? ### REPLY: Troponin is a cardiac enzyme which is raised during heart attack and falls after heart attack. Probably your chest pain would have been relieved by medical treatment. As your angiogram does not reveal any block in the coronary arteries you might not be suffering from serious heart disease and that is why you were not subjected to angioplasty. However, you should be carefully followed for controlling the risk factor such as hypertension, diabetes and cholesterol etc. To avoid heart attack in the future. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father age 71 experience paralyse attack 2 months ago. Left leg and left arm is not working. Alopathic treatment is going on but not desired result yet. Sugest that I should seek local treatment( desi ilaz) or not. And how my father will get well soon?..............................shiv nath Himachal pradesh. ### REPLY: **1. Since the case is diagnosed, and he is in recovery stage, [nervous system takes time to heal] and probably bedridden, thus prior to initiate/suggest alternate medicines, please keep following things in mind:i. If there is history of diabetes, high blood pressure, raised cholesterol: these issues should be managed simultaneously.ii. avoid alcohol, smoking and start general supportive measures as follows. Change the position every 1-2 hours to avoid bed sores. Feeding should be done preferably in sitting position. Give protein supplements, avoid foods that may cause diarrhea. Give enema on alternate days to evacuate the bowels. Sponge the patient every day with a wet towel followed by . . Physiotherapy is advised to prevent joint contracture and edema of the limb, and to promote recovery of strength.PS. Passive movements of the limb also prevents venous stasis and pulmonary embolism. Check every 2-3 days for bed sores over sacrum, back,greater trochanter and ankles. If bed sores are developed,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 3 year old has been congested for several days with runny nose and yesterday said his right ear was hurting, tonight he woke up in pain complaining about his left eye which is swollen and red. Gave him childrens ibuprofin and he is resting now. Any ideas what might be going on and should I tke him into the emergency room now it s 1 am or to his doctor in the morning? There was a notice sent out from his school last week about a case of hoof and mouth disease, any connection? ### REPLY: Hi, Hoof-and-mouth disease in animals can be transmitted to child .  This is a highly contagious viral infection presenting as rashes which may be vesicular in the hands, in gluten, on the soles and dorsum of the foot with ulcers in the mouth making swallowing and eating painful. Your child has cold and nasal congestion for several days with ear pain. It looks like he has developed ear infection also. The ibuprofen has relieved the pain for the time being. He has an eye infection also. You should take him to your Doctor who will confirm the diagnosis.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: itook 10 muscular releaxer wet to hospital my hrate got to 153 they admitted me got heart rate down to113 sent me home told me to drink plenty of fluids heart still beating like crazy they gave me atavan to calm down how long will this stay in my system should go back to hosp or ride the storm out ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, your fast heart rate is mostly due to stress and anxiety. You must have attempted suicide by taking overdose of muscle relaxant .  This means you are going through a lot of stress, anxiety and depression. All these can cause fast heart beats. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic and antidepressants  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my daughter is 3month old and she having loose motion 5 times in day from last 2 days yest i have given nor metrolgyl 2.5 ml twice a day..now she is felling well shall i continue or stop.she don;t have vomit or not feeling dull also..her taking milk thing is also going well ### REPLY: Brief answer :No need to give metro. Detailed answer :A 3-month baby can pass 5 to 6 stools per day and can pass stool only once in 3 to 4 days, both these things are normal and there is no need to give antibiotics in that. In my opinion, you should stop metro as it has no role in diarrhea in 3-month-old baby. In my opinion, you should give enterogermina ampule once a day for 3 days. Enterogermina is a prebiotic which is used to increase gut immunity in child. I hope this has helped you. Take care. Regards - .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sure my husband just has had 12 polyps removed in a colonoscopy 8. mm up to 2.8 cm in the transverse and descending colon. . Strong family colon cancer . Either location especially troubling. Worst case what would the likely treatment plan be if it is cancer ### REPLY: If it turns out that the polyps are malignant (cancer), investigations would be required including CAT scan of abdomen and chest radiograph to stage the disease, and serum CEA levels. If the disease is respectable and not metastatic on investigations, surgical resection would be done followed by chemotherapy depending upon pathology report. If disease turns out to be metastatic then chemotherapy would be given. You can discuss with your doctor in detail once biopsy homeopath becomes available. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,2 years back i undergo through a servical spines surgery (c4 c5 c6)...but still now i fell a burning sensation in my left palm and pain in my shoulder..can you please suggest me something which help me to cure this.I am taking typtomer 25 mg every day to get relief from that pain...please help ### REPLY: Hello! Welcome and thank you for asking on ! I understand your concern, and would explain that your symptoms seem to be related to a nerve damage or compression, caused by surgery. For this reason, I would first recommend performing a nerve conduction study to examine your nerves. Regarding treatment, you should know that Customer can help with the chronic management of the pain. Anyway, considering the fact that the pain persists, I would recommend adding pregabalin or Gabapentin to your actual therapy. Hope you will find this answer helpful! 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: Hi, I m 36 and most of my teeth are in very very bad way. mostly the rear teeth. Either I have missing ones though rotten away or half teeth where the filling has fallen out. I live with pain on and off most days, strugle to eat and talk to people so the people I know don t see my bad teeth. I really need to see a dentist to sort my teeth out which I think will result in extrations. I feel sick just thinking about it and I just can;t bring my self to get to a dentist. Can I try anything ### REPLY: Hi, the condition you had written in the query is really critical. You need a dentist and proper treatment. nowadays the dentistry is completely painless. Please do not have any fear in your mind. Just visit and get the proper diagnosis and treatment. Extraction is one of the alternative but not for all.... with so much of advancements in dentistry nowadays, it is quite easy to save a tooth. There is no other way out, by taking palliative treatment you are advancing yourself to the extraction of tooth. I am sure if you visit dentist once you will get the confidence and trust. Best of luck. 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: Sir I have fever since 3 week. Initially I was diagnosed as Malaria FR. I took GEN-M 40/240 mg (Artemether + Lumefantrine) two time three days. But still I was getting fever. So doctor recommend to get few tests (i-e ICT Malaria and Widal) malaria was negative but typhoid was positive. So doctor recommend me the Novidate 250 mg (ciprofloxacin HCL) two time a day. I continued it for 10 days but still I was getting fever. Then again I check to a renowned doctor he recommend me Levofloxcin 250 and then 500 two time a day. Now I am improving but fever is still coming. ### REPLY: Thanks for your query at ! I am Infectious Disease Specialist! I went through your query! It is sometimes possible that there might be a coinfection of malaria and typhoid but rare. How were you diagnosed of malaria for first time? Get microscopy by gains test done to confirm diagnosis. Sometimes these two tests can cross-react. So I advise that you get your blood culture test done. You must get properly evaluated if fever is still persisting. Also get Dengue serology tests, complete mammogram, LFT and abdominal USG done. I feel you are in recovering phase and things will improve this week. Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up query. Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my wife 52,was urinating number of time in a day last weak and so my family Dr. advised her to put up urine for test.The test shows pus cells.2-3 hpf and rbc 10-12 hpf.Culture shows no growth.She had a very small cyst in kidney 2years back.in an USG test.Now urine is normal and she never feels pain while urinate.Is it alarming Pls help me Dr. ### REPLY: Hi, many thanks for the query! A kidney cyst may sometimes cause pain & if it's very small (as in your case), need not be removed surgically, just painkillers would suffice.Also, your urine report is good so need not worry.In the future, if episode of pain occurs, get a USG PUB, urine (R/M) done & if normal then can take painkillers symptomatically with your doctors' opinion. Wish you a good health. Take care. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: So I was checking myself and I ve just noticed a tiny lump almost like a really small spot. I have looked online and I m worried it could be cancer however there are also a lot of things indicating it to be a cyst or something else. So I was wondering what I should do? ### REPLY: Thanks for your question on . In my opinion you should first get done clinical examination of cyst.Most of the time it is benign cyst either1. Sebaceous cyst2. Desmond cyst etc. So clinical examination is important.  Size, site, contents, tenderness on palpation present or not, hard or soft etc. all are important in deciding further line of investigation and treatment. If any doubt than biopsy should be done to confirm the diagnosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has fever on and off for 9 days now, from the highest was 104.3 today, the 9th day she woke up with 102.7 and gave tylenol as my pediatrician said. on the 6th day we went to ER because of high fever which was 102.8 and then she did not show any symptoms but high fevers that comes and go. She is totally fine after her high fever goes a way with a dose of tylenol.Urinary analysis was neg. also We were sent home and asked to see her pediatrician if everything is the same. Went to see her pediatrician, pediatrician did swab, and urinary analysis both negative. we are sent to lab tests and we are still waiting for the result. It s frustrating now, the question I have, the only thing I can think of without blood tests is maybe she has bacterial infection, would it be ok to just go ahead and give her antibiotics? ### REPLY: No, it is not a good idea to start antibiotics without knowing what is causing the fever. Fevers can be caused by viral and bacterial infections, but they can also be caused by other conditions, such as parasites like malaria, blood diseases, and other problems. When a person has had a fever for a long time without a diagnosis, it is called Fever of Unknown Origin, and a work up for the cause should be done. This would initially start with a variety of blood tests. Talk to your pediatrician about what further tests need to be done. 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: Hi. my father is at the age of 65, gone through a surgery of cist in  lower right jaw. Now he is having the problem of temporary loss of memory. A month back this simptom continued about 10 minutes. Otherwise he is healthy,takes good food, bp & sugar is nil. Can we get solutions from Neurologist ? we are from Koppa near Sringeri. ### REPLY: Hi, Thank you for posting your query. I have noted your fathers symptoms. They are suggestive of minor brain stroke-TIA (transient ischemic attack). In TIA, the blood supply to brain gets reduced for a short period of time, resulting in neurological symptoms. He should be seen by a neurologist and an MRI of brain should be done. He should also be started on aspirin tablets to prevent major brain strokes in the future. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello iam a 40 year old smoking female and two days ago i passed out in my bathroom for no apparent reason . when i was awakened i didnt know what had happened . i also had a vein in my left calf muscle bust earlier could these two incidents be related ? and what type of doctor would i see for a situation like this? ### REPLY: Hello. I have been through your question and understand your concern. The situation does not seem related to each other. Loss of consciousness is not uncommon and most of the causes are benign. The reason could be cardio circulatory or neurological. If you were having a bath or urinating or defecating before the loss of consciousness then it could be a vasovagal response, meaning that you should see a cardiologist. Otherwise, you should see a neurologist. Hope this helps. Please feel free using MHC again ### END