Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, Last year I was stung by a bee/wasp/hornet... I am not sure to be honest.  I was outside splitting white ash wood, to which I have a minor allergic reaction.  I have been stung many times in the past, by all types of insects, and I had never had a reaction.  This time, I puffed up like a blowfish, had welts all over my body, and my breathing became very constricted and labored.  I immediately went to the hospital and was discharged a few hours later.  A couple of months later, I was tested for bee/vespid allergens and everything came up negative.  Ok, so at this point I was more perplexed and disconcerted than anything, especially when no physician could give me a good answer as to what happened.  Just today, I was stung again while cutting the grass.  I am not sure by what type of bee or vespid.  This time, there was no reaction, except for pain and a little bit of swelling at the sting site, which was a couple of inches below my knee.  The only thing I can think of that explains the critical moment I had last year was that when I was stung then, it was directly on a major vein on my right hand.  Do you have any thoughts on this?  I would greatly appreciate any insight. Sincerely, Tony ### REPLY: Hello Tony, It is unfortunate that you have contacted with sting bite. Determine if the stinger is still present (look for a small black dot at the sting site) and remove it immediately if it is visible in the wound. Apply ice or cold packs to the area to reduce the bodies inflammatory response. Clean the area with mild soap and water. Then apply HY .  You may also apply calamine lotion to reduce the swelling. Taking an antihistamine such as defense ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 23 years old and only have one functioning kidney (on my right). Due to scarred tissue my left kidney does not work. I have pain in my left side when I urinate, but my specialist has said this is normal. However, it has become more frequent in the last few weeks and today I have pain in my left side when I sneeze, cough, or touch it. Please advise. Thanks. ### REPLY: Hi and welcome to . As a Urologist, I can understand your anxiety.First, if your left kidney is non-functioning, you cant feel any pain in it. If the left kidney is non-functional, then it should be removed. The non-functioning kidney can get infected and affect the right one. So consult your Urologist, and follow the guidelines given above. Thatll relieve your symptoms and give you relief. If you've any doubts, send your doubts as a direct question to me. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey I have gotten my 4 wisdom an 1 other tooth pulled out on Monday4-8-2013 an I have been in pain sense the doctor didnt put me to sleep he just gel me up an went to pullin but my right side of my face has gone down good an quick but my left side still swollen an it hard as a rock under my Chen an on side of my right face I can eat no food I have eat sense I had this done its had to sollow an the in side of my mouth is white so can I get help on wats goin on thanks ### REPLY: Hello there, Thanks for writing your query, Extraction of wisdom tooth often ends witChatDoctorplications like pain and swelling post extraction. Usually it takes 7 to 10 days for the extraction wound to heal and close completely provided if there is no infection.  After extraction antibiotic and analgesic coverage is must prevent infection of the extraction site and to promote healing.  I would suggest you to start with an antibiotic and analgesic course consulting your dentist, which helps in subsiding the swelling and relives post extraction pain.  Follow all the post extraction instructions and rinse the mouth with lukewarm saline or antiseptic mouth rinse. Maintain good oral hygiene to prevent infection and condition of .  I hope this helps, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am 41 years old height 5ft 11inches weighing 90kg. i am suffering from mood swings since last 10 years. in the beginning i use to feel better when i went on vacation to some hill station. but then it became a routine at the time of season change. I use to feel depressed didnt feel to work and i could sleep for hours continously. i also lost weight a lot. After that doctor gave me Epilex crono 500mg twice a day and recita10mg once at night. After that i felt better. i am taking these medicines since past 4 years and gained weight also during this period. please suggest whether i should continue with these medicines or will i have to take these medicines lifelong. presently i am taking epilex crono only 500 mg. Please suggest ### REPLY: Hi, let's first understand mood disorder-Mood disorder is the term designating a group of diagnoses in the Diagnostic and Statistical Manual of Mental Disorders (DSM IV TR) classification system where a disturbance in the persons' mood is hypothesized to be the main underlying feature. The classification is known as mood (affective) disorders in ICD 10.  Two groups of mood disorders are broadly recognized; the division is based on whether the person has ever had a manic or hypomanic episode. Thus, there are depressive disorders, of which the best-known and most researched is major depressive disorder (MDD) commonly called clinical depression or major depression, and bipolar disorder (BD), formerly known as manic depression and characterized by intermittent episodes of mania or hypomania, usually interlaced with depressive episodes. However, there are also forms of depression of MDD and BD that are less severe and are known as dysthymia disorder(MDD) and cyclothymic disorder for (BD).  The . Follow your doctor advice for course of treatment, weight gain is a side effect seen with this  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi , am 25yrs old, i agree i had lot of stress past few months or may b a year...am relaxed bit fr past 2months, problm hre is i hv hair loss & greying of hair?i do agree i donot take water properly, dont feel tat i take nutritious food , my mum n sis has thyroid prblm, so i dubt if my hair loss is due to the same prblm?being a muslim i worn head scarf whole day covered my hair, but not using head scarf now whole day fr past 1 month due to some persons advice ,plz suggest me if this is due to stress or water or covering hair whole day or not taking nutritious food wat should i do? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Here you are describing two things. Stress and premature graying of hair. Stress needs to be reduced. For that you should understand stress and the nature of stress. Every one are stressed, and almost everyone is able to tackle stress. That is the story. So you also shall be able to tackle stress. It is just a matter of time. You may consult a psychologist for help. Regarding premature graying of hair. All the three reasons you stated could be correct. And it is very difficult to say correctly. But never use oils or creams which claims to be a miracle cure for premature graying. None are effective. You will spend money unnecessarily. That is all. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there.  I have high blood pressure and had swelling of my feet and legs after a night out in high heels.  It has been two days and the swelling is just decreasing now after a day of rest and leg elevation.  I took my bp about 20 min ago and it was 137/92.  I am on meds to control my bp but have had more salt intake the last few days than normal.  Will i be ok? ### REPLY: Hello, Thanks for posting your query on  ...* Brief Answer: you need to lessen your salt intake and follow-up blood pressure accurately.*Explanation: My opinion is that high blood pressure on many occasions is an indication for control. That happens on many levels. First, be sure that high blood pressure is not secondary to any other diseases as Cushing or renal failure. Then, Diet with low salt and less fat content is crucial. Exercise and other healthy activities are also a mean to control blood pressure. If all that does not help, medications are a must. That is usually decided by your doctor according to your condition and comorbidities. Some . Regular blood pressure monitoring is as important as starting treatment so that we could assess efficacy of the medication we started. I suggest my patients the following : low salt in diet and exercise. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about *Conclusion: I suggest you avoid high heels and check out salt content of every item you eat or  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ir I am 35 years old and recently got married .i have erectile dysfunctional and premature ejaculation problem. I met the urologist he suggested me some medicine that is Cavarta, sustinex and LR Zin . Can i take it for life long or anyother option to cure this problem ### REPLY: Degree understand your concerns went through your details. Erectile dysfunction and premature ejaculation are mainly due to anxiety and stress. Anxiety about sexual performance can undoubtedly provide you with erectile dysfunction and premature ejaculation. In any case, you are already under treatment for those. The medicines are good, and please take it. You should be cured within a fortnight or so. Work with your urologist for a better cure. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I currently have a cold. Every time I develop a cold or stomach flu I break out in a rash all over my chest, stomach, back, neck and scalp. The rash does not bother me until it disappears. Then for 3-5 days after my skin is extremely itching and feels dryer than normal. Just wondering what could be causing this reaction with my skin from run of the mill cold. ### REPLY: Hi, It seems that you may be having viral exanthem. The erythematous rash may follow viral infection of throat. Symptomatic treatment may be taken. If there is itching, take antihistamines like levocetirizine. Antibiotics may be taken to prevent secondary bacterial infection. Apply calamine lotion to soothe the skin. Avoid soap bath, which may irritate skin. Improve immunity to prevent relapse of flu. 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: My adult son broke both his heels and has 23 steel pins in his feet. He lost his cane and fell down onto his head about 2 wks ago. He has a fair sized bump on his forehead and there is numbness around it which has been spreading (for the last 2 days) to the rest of his face. Is this significant? He feels a little bit in his leg also. ### REPLY: Hello, Welcome to the magical world of health care, I went through your query, and this seems to be hematoma which means blood collection under the skin, it's in itself innocuous, but if it gets infected it can be dangerous, so see your doctor and let him decide what is best for your son. I hope my advice would have been useful, in decision-making regarding your treatment, still if you have any clarifications or doubts feel free to contact back. I hope a 5-star rating if you feel guided in your treatment, Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m worried. For the past month, maybe even more, I ve had this problem: Sometimes after I eat I feel like my left arm is sore and numbish, yet still sore. I haven t had any chest pains other than one a few weeks ago. This also happened about a year ago to me, though it cleared up. I am left handed, I don t smoke or do drugs, I have asthma and I am 18 years old. Should I be worried? ### REPLY: Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion your concern are valid as your age is only 18, the symptoms can come from nerves in your hands, but to make that clear an examination is a must. Please do not delay and consult your GP soon Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Wisdom tooth is on top right. Basically if it goes, there will be much more of a gap on that side than on the left. Im nearly 50 and I do not want my face caving in. Any views? From whats being said, implants are too complicated, otherwise Id consider one to replace. ### REPLY: Hello, Removal of a single tooth or wisdom tooth, in particular, will not cause any caving of face. It commonly occurs due to loss of multiple teeth causing sagging and caving of face. So my suggestion is to consult an oral physician and get evaluated. If the wisdom tooth is causing problems, you can get it removed, and it is generally not needed replacement. 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: Hi, I was feeling on top of the worl for the last few weeks... and then I started my period (which is abnormal and light). I get a sharp pain on the side of stomach for like a min or two and sometimes my lower right abdominal will get a sharp pain. I feel really tired even though I got 8 hours of sleep and I get a really made mindgrain. ### REPLY: Hello, Thanks for the query to . Forum. Since your period were abnormal hence due to anxiety pain was in the stomach, proof is that it relieved within a short period, so don't think about that. Now concern is that pain in the abdomen at lower part on right side. Co-relation is there in period and this pain, because you said period was abnormal. It seems that pain is deep so think about pain in fallopian tube right side. Ovarian cyst. Amoebic colitisCalculus (stone) in right side urinary tract (anywhere from kidney, ureter, urinary bladder, urethra)Any tumor. Worm infestation is one more cause. So please get in U/S of abdomen witChatDoctorplete blood test. Good luck.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi...my 11 month old son has flea bites on his testicles and i have tried using anisthetic creams, fisan paste, germoline...you name it, nothing helps. Please i need help on how to get rid of the bites, it looks really sore and unconfortable and very itchy!! shame i cannot let my little man go through all that anymore!!! Please help urgently ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My dad was diagnosed with stage 4 congestive heart failure, and was told that only 25% of is heart is pumping.  This was 2 days ago and has really scared us, can you please help explain just how severe this is, what to look out for, and what to expect? ### REPLY: His would like to know if you were told the cause for the heart failure. Did he have a heart attack earlier? Did he have any other illness prior to this time that required hospitalization? Most likely its is the echocardiography report that would have been mentioned as Ejection Fraction - 25%. It indicates the efficiency of the heart which in your dads' case is on the lower side. Once he comes out of this current period of hospitalization, it is essential that he takes his medicines regularly which may include medicines to reduce the amount of work that his heart performs by reducing the bodies water content(diuretic). There are several other effective medication too which can be prescribed depending on his blood pressure and other factors. I am sure your physician will be able to guide you on this. Ensure that he reduces his salt and water intake. His body cannot handle too much water. Any infection especially of the lungs is to be treated promptly with antibiotics to avoid complications. With adequate medicines, some of the patients that I see with a heart failure having an ejection fraction of 25%, also live up to 3 to 5 years. Wishing him the best health!! I hope I 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: 3 year old.  Complaining of head hurting and eyes hurting.  Seems a bit lethargic, but still talking and somewhat active.  Do I just do a tylenol/Ibprofun switch off or take her to the after hours clinic?  Wont really let me take the temperature, but the ear thermometer said 101. ### REPLY: Hello dear, Thank you for your contact to . The way a child exhibits a headache may be related to many factors, such as beginning of viral or bacterial infection, genetics, hormones, stress, diet, medications, and deny .  Recurrent headaches of any type can cause school problems, behavioral problems, and/or depression. Actually, you are a use the rescue medication purchased over-the-counter, such as analgesics (pain relievers), to stop the headache-Tylenol, Ibuprofen is enough. Keep your baby HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doc,I am having a panic attacks daily, like my heart stops and feel like head is blowing up. i have thyroid issue. I suffered a lot of stress as a result i got thyroid. ALso i have a bicuspid arotic valve, but docs say there is no problem as of now. Please tell what is the problem. ### REPLY: Hi, First, thyroid gland diseases can disturb the function of the normal heart. In addition to this, the bicuspid aortic valve you have can put further strain on your heart. So you should do an ECHO and an ECG on your heart in order to know the ejection fraction of the heart. The normal ejection fraction between 52-72. If your ejection fraction below 52, you should ask a cardiologist for help. Second, we cannot diagnose a patient with a panic attack if he / she has a cardiac disease even if it was asymptomatic. Third, you should take the medical treatment for thyroid disease you have, measure your blood pressure and ask a cardiologist for help. Finally, the hormonal therapy for contraception or replacement therapy for women and stress can aggravate cardiac disorders, so if you take it you should ask a gynecologist for help. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am just a little concerned. it looks like my ball sack (sorry) is sagging a little to much. i might be over reacting but it seems like there is just some extra skin from my penis to my sack. im 15 years old and im just a little worried about my heath should i be concerned? ### REPLY: Hi, Dear,Thanks for your query to . Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-Your current health issues seem to be due to-more of Anxiety and Hyperion . Your Scrotal bag is just normal for your age. Nothing to be concerned. Still in absence of any first-hand information of physical findings and history, I would suggest you to have consults with Surgeon, who would do all needful checks and would fix any odds, if found to relieve your worries.Hence, Other causes, need to be ruled out, by verification with Physician/and or Surgeon. Dos-Consult with Surgeon who would investigate physically and by USG with Color Doppler study if needed. This would fix the cause amongst the other possibilities. You need to have Second opinion-with Surgeon/ Urologist. This would resolve the complaints of yours. Constant followup with local family or specialist Surgeon-for long term would give you long reliefs in time to come, which would depend on meticulous followup treatment of your health concerns. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link-http://doctor. .com/Funnel?page=askDoctorDirectly&docId=70229Wishing Good Healthy Life!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my cousin,aged around20 yrs, have episodes of unconsiousness for last 2-3 yrs , duration of unconsiousness is about 40 - 50 secs.she is not taking any medicine. now she contact a doctor & he advised a CT. CT report suggestive of 3 old calcified granuloma with out edema. doctor prescribed her tab epsolin ER 300 mg along with some multivitamins for 2 yrs. i want to know is this treatment is sufficient?? as in her elder brother case CT report was suggestive of neurocysticercosis & he was advised prednisolone, albendazole along with epsolin. plz help me. i will be very thanful to you. ### REPLY: Hello, Thanks for writing in. You are confused regarding Epstein, prednisolone and albendazole being prescribed for neurocysticercosis and Epstein for old calcified granuloma. In neurocysticercosis I suppose that it was cystic stage where the worm is alive. Albendazole is given to kill worm, prednisolone is steroid given to decrease brain swelling (edema) and Epstein to control seizures. In your cousin for only calcified granuloma (dead worm) only Epstein is sufficient to control seizure activity. 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: My mother has primary peritoneal cancer . She was diagnosed at Stage IIIC almost two weeks ago. Today, her legs are swollen from her thighs through her calf on each leg. Do we need to get her back in to see her Oncologist? Does this mean it is moving into stage IV? She has been constipated also for 3 days and we were told to watch for that. ### REPLY: This could mean a number of things, and you definitely need to see your oncologist. It could be because of the disease in the abdomen pressing on the veins of the legs leading to edema. The constipation could also be due to the disease pressing on the rectum and colon (large bowel). However, the swelling in the legs could also be due to blood clotting in the veins of the legs particularly if it's painful. This is a serious life-threatening condition and needs immediate hospitalization and treatment. You have not mentioned the treatment that you are taking for the cancer. If that has not been started I suggest you do it at the earliest so the disease related problems subside. The treatment for stage AIIC primary peritoneal cancer is chemotherapy (injections for cancer) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a tubal ligation about 2 years ago. Every since the procedure was done I have had abdominal and stomach pain nearly everyday. What would cause this and would a reversal help? Also bein that its something medical would it be considered an elective procedure? ### REPLY: Hi. Thanks for your query. The commonest cause of pain in abdomen on daily basis after tubal ligation 2 years back can be adhesion or scar as are said to be. Tubal ligation is a surgical procedure, and it can create scar tissue and adhesion of the intestine or other tissues around the operation site near the tubes or the incision in the abdominal wall. I would advise the following:Get a CT scan and Enterocolitis meaning barium studies done. The best procedure in such cases is Diagnostic Laparoscopy and procedure if needed like adhesiolysis or removal of the scar. This gives the best chance to diagnose and treat too. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi , i am 28 yr old and suffer from pain in l4 n l5.according to my MRE , it shows my disc has been ripped it off. i have been having this problem for 2.5 yrs back.i have been taking pain killer for last 1yr. Indian dr. suggested me to go for surgery. i do exercise every day. but i have not yet relieved from the pain. please suggest me what to i need to do....... ### REPLY: Chronic low back pain is really bothersome problem. If You have undergone conservative management for 1 year and still the pain is not relieving then surgery is the only option left. For your kind information, the surgery is a pretty simple one and really give good result in expert hand. Keyhole surgery is also available but rather costly while giving similar result as conventional method. Until then, take intermittent rest(in occasion of extreme pain), take paracetamol 1 gm twice or thrice daily, give hot compression, and have some postural modifications. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im taking losartan potassium (50 mg). Im 34 years old. My pressure has been high for over a year maybe two. I didnt tell my doctor  I think its because I drink everyday . Ive been drinking alcohol since I was 12. I dont  believe I have liver damage yet. I was to embarassed to confess this problem. How long do I have to take this medication? I havent taken a drink since I started the drug. Is this hypertension curable? ### REPLY: Hello, Excessive alcohol can cause increase in the blood pressure, and moderation in the same would help to overall improve your health. I am happy that you have been able to abstain from it since on medication, do continue the same and be strong-willed about leaving alcohol. The medication losartan is appropriate to control the blood pressure for time being. If you achieve ideal weight, consider 45 mins of aerobic exercise daily and cut salt in your diet to less than 2-3 GMS a day, there is a fair chance that your blood pressure problem will be reversed.  Let me know if any further clarification needed, and I would be happy to help.  Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i m 23yrs, since 7yrs i have the major problem of grey hairs i did every thing that could make my hairs to grow black once again but didn t worked for me. so pls suggest me a solution to my problem. i need to grow black hairs again naturally pls pls pls give me any remedy to my major problem pls. ### REPLY: Hello! Welcome to  forum. HOMEOPATHIC treatment will not only help you to stop the base of grain of your hair and will improve the quality of hair too.generally hereditary, Stress, anemia, hypothyroidism, hormonal imbalance causes .and It's necessary to have high protein, ion and vita E diet, include black dates, almonds, spinach, green leafy vegetables to prevent premature grain of hair .as you have started grain at very early age you must start treatment at the earliest for this homoeopatChatDoctoredicnes will surely treat the exact cause in your body, for more info you can write down to (. Com) take care .wish u good health always! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi This is heena here I m suffering in typhoid from 10 days.. My Mom and Dr. Also had told me that i have to cut my hair.. I wanted to know that is it necessary to cut my hair for typhoid if yes.. Then please tell me in detail why its require...? Thanks Heena Naqib Ingaiya ### REPLY: Hi Helena, Thanks for posting in . I understand your concern. It is not compulsory to cut hairs while having and getting treated for typhoid. However, it might have been advised so because many would experience severe hair fall during or after the period of illness and its treatment, which may be bothersome. This occurs due to a state of hair under-nutrition and falling out during the period of recovery (convalescence). The hair usually grows back within a few months. You can provide good nutrition to hair by eating a lot of fruit, .  Hope the information provided would be helpful. All the best and 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: I was just diagnosed with being allergic to cat and dogs.  We had a cat in our house the past 3 years.  We found a new cat for our home so we got rid of the problem.  Im taking Allegra and steriod nasal spray but still experiencing congestion. I did have a CT scan and it show that my inferior turbinates are enlarged.  Is this due to being allergic to our cat?  Will my inferior turbinates get back to normal in a few weeks or months once the dander is out of our home?  If yes, how long will it take? ### REPLY: Hi Welcome to , Swollen turbinates with sneezing, watering eyes with runny nose could be due to rhinitis (allergic or infective) or acute sinusitis. Here, it can be mostly due to either allergy or viral infection because of our low immunity or allergic to certain substances like dust, pollens or grass. You should take symptomatic treatment,1) Take antibiotics (quinolones like ofloxacin or accolades like azithromycin) to prevent super-infection.2) Take antiallergic . 3)Take decongestants like phenylephrine if you have congestive symptoms in turbinates, nose and throat.4) Steroid nasal spray like rhinoceros, flonase or became.5) Nebulization twice daily with saline or take steam inhalation 2 to 3 times a day. The best way to cure allergy is to avoid contact with the allergen, so you can make out which particular substance from these cats or dogs is causing it and try to avoid contact it. If still problem persists then you should consult ENT specialist who can recommend you certain blood tests with ESR and X-ray of face to make a diagnosis clear. Hope this information will help you. If still any query then you can ask me. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a blister on the roof of my mouth that my dentist is saying is a toric bone. I have taken bone suppliments for some years now and this problem started when my plate broke and a blister started. Could you fill me in on what this condition is. ### REPLY: Hello! Welcome to . You did not mention why your palate broke. Is it an accident or any other reason. You also did not mention your age. Tori appear in early adult life. This is extra bony growth and is not infection. It must be removed if it is disabling to the patient or causing discomfort while eating, etc. Sometimes presence of torus runs in families. This cannot be due to the bony supplements. Do not worry. If it is a torus, then there is nothing to worry. If the swelling is painful, tender or grows in size, you must be worried. Feel free to write to us in case any further queries. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a mirena coil, which has been in for 3 months and have had strong cramps today. My usual period wouldve been due last week. I feel cold, nauseous and tired. The cramps almost feel like constipation but my bowels are normal. I feel dizzy with the pain. ### REPLY: Thank you for the question, and I am happy to help. During the first few months after an IUD insertion, mild cramping and breakthrough spotting are normal.  Severe cramping, to the point that you are nauseous are not normal.  This could be related to migration of the IUD into an improper location or into the cervix (the lower part of the uterus).  You need to contact the clinic where this was placed and state that you need an urgent visit.  They also need to perform an ultrasound to assess its location.  In the meantime check a pregnancy test and if it is positive, go immediately to the ER. I hope that this helps and good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Five days ago I felt pain under my neck area and noticed several small lumps (next to each other) on my left side of my neck/throat. They re lower down my neck than where my lymph nodes are normally swollen, although I know I ve got lots of them all over. They haven t gone away yet. I noticed that when I swallow I feel something in my throat, I ve been tired recently and that I m always cold. Anything to worry about or just my body fighting off something so my lymph nodes irritated? ### REPLY: Welcome to  .1. The history suggest multiple enlarged lymph nodes in the neck region and as you said its chronic cause.2. Lymph nodal enlargement is seen in presence of local infection / inflammation, systemic cause and finally lymph nodal pathology itself.3. For better evaluation - after examination an ultrasound neck would help.4. Ultrasound will help to find out the nature of lumps its source and extensions.5. An FNAC - fine needle aspiration cytology to evaluate the cause / cells present.6. After that appropriate treatment can be taken. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My father is having liver cancer with tumor of size 17cm. and no other health issues. He looks preity healthy now. goes for walk almost 2kms every day. from last 1 month. his weight is stable. appetite and sleep is good. only in the evening temp goes to 98.. no surgery possible. and dr  suggested dont go for chaemo. as it will pain him..  We have started with ayurvedic treatment. Can you suggest anything for him?What about his survival? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your father has liver cancer. Treatment depends on type and stage of cancer. In early stage surgical resection is possible. In late stage surgery is not possible. Chemotherapy and radiotherapy is the only treatment options but despite treatment prognosis remains poor. Life expectancy is not good. Please send me your reports so that I can help you further. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have smoked cigarettes for years and now when I smoke I get headaches, throat pain, swelling in the throat, acid reflux, makes me very tired. I stopped smoking for a few days and felt better.  I have been smoking again and the problems are back. I know I need to see a Dr. My question is do I already have cancer if I have symptoms like this from smoking? ### REPLY: Hello & Welcome to , I had gone through your case and I found it might be due to over smoking which create gastritis due to which all symptoms you have mentioned is occur. For conformation of cancer you need to go for further investigation like biopsy of throat scrap and Ct Of Abdomen. But I am sure this will be only gastritis. Better for you to quit the smoking. Take antacid, multivitamin and proper regular diet to improve your fitness. Hope my answer will be effective for you. Thanks & regards: .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My sister s C7 area looks like she has a mass growing around that area. You see it a lot in people who don t have the best posture. It looks like her head is going forward and not up with a hump behind her neck to shoulder area. Is this a calcification of soft tissue? Is there anything she could do to correct it? ### REPLY: Hi, I had gone through your question and understand your concerns. The problem you are discussing your sister neck, probably is a deformation of vertebral column, called kyphosis. I recommend your sister plain radiographs of the neck and a consult with an orthopedic surgeon to identify the pathology and to discuss the treatment. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A horsefly bite me yesterday afternoon behind my left knee while taking a break from riding a bike.  Never noticed any after pain for about 9 hours when noticed large lump behind knee.  Then slowly felt knee discomfort that ended up getting worse and keeping me up most of the night.  The pain was generalized at the knee but radiated up and down my leg.   Figured I would go to clinic in morning, but pain seemed to get better as day went along.  Now that its bed time, pain is back in knee ready to make my night another great one.  Now question is, is this something I should be concerned about? or something that just needs a couple days to get better? ### REPLY: Welcome to . 1. It could be infectious process as lump with painful condition, source of chances of bite can be possible - but it's not poisonous as no other signs are seen.2. Other possible causes I can think of is ganglion, cyst arising from knee joint.3. Need to examine, if infective a course of antibiotics will help, in larger one a small incision and . 4. As a remedy - do not squeeze, scratch the lump as in that way you will complicate the healing process.5. Maintain local hygiene, clean area with antiseptic liquids. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doc, good afternoon.  I am from the Phils, 28 and almost 2yrs married.  Were trying to get pregnant but nothing happens. Weve done our check-up and take some vits and medicines.  My menstruation is irregular and I have polycystic.  My husband also have problem of fertility and have varicose on her left scrotum.  Plz give us some advise for us to have a baby of our own.  Take care and God bless us all. ### REPLY: Dear film, Thanks for writing to . I am .  Consultant organ specialist. There are many reasons fir not conceiving easily. You mentioned irregular cycles and polycystic ovaries. In such case you may not be ovulating. Also if your husband is having a varicocele in scrotum it may affect sperm count. The best method is to check the sperm count by semen analysis. You will need medication depending on the level of hormone abnormality. You will need tab metformin, folic acid daily for PCs. Please write back with your reports to  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 blood pressure was 145/94 and pulse 90 this morning. I have had a headache for a few days. My blood pressure was taken a few months ago and it was 130/90 because of my family history she had me come back and recheck it and it was 134/90. I have to go back in a couple of weeks for another check should I be concerned that it has gone up? I have been having headaches and been very tired lately. ### REPLY: Hello there I have read through your question and would like to tell you that headache can be attributed to a high blood pressure. I would advise you to get your blood pressure monitored for one week and if it continues to be above 130/90 you should consult your physician for a complete blood work up and start an antihypertensive. If hypertension is ruled out, we may have to look for neurological causes like tension headache or migraine. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son was seen last week for high fever and throat pain and vomiting. Strep test came back negative but was treated with first cephton ( which he couldn t keep down so then with rocephon shot. ) Good for a couple days but now up last night again with fever and felt like throwing up. Today still running a fever with back and leg pain. I m getting concerned. He is 8 yr old. ### REPLY: Sore throat could also be caused by a virus called Epstein Barr virus. Irrespective of whether it is due to viral or bacterial cause, no antibiotics are recommended as the condition gradually resolves on its own in around 5 days irrespective of the use of antibiotics. Give him gurgling with lukewarm water. Give ODEM MD (ondansetron mouth dissolving) tablet to reduce vomiting. Give paracetamol for fever and body ache including leg ache. You will have to be a bit patient. Still, I would insist you to get a routine blood count done just to be sure. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last night I was awake severe chest pain like heartburn pains in chest and upper back. Went dr today they gave me omeprazole and said I have heartburn. 23 hours later still feel like I have something stuck in my trachea just sitting and worse every time I swallow. Its a burning sensation. I took a tablet before bed last night could it still be stuck but would that cause burning sensation in waves? ### REPLY: Dear, welcome to , and thanks for choosing us. I share your concerns. There are following possibilities I can think of with symptoms you have mentioned, taking into consideration1 heart ailment (possibly transient attacks, can become real heart attack if not investigated and treated), chest tightness suggest this. 2 HERD (acid reflux from stomach to esophagus), nausea suggest this.3. Lastly anxiety disorders. I would advise you to go in following target an ECG done and discuss with your cardiologist. Cardiologist will be able to guide you for HERD too. For GERD, you may require an endoscopy of stomach. If both are normal, Lastly you may require a visit to psychologist. I hope my reply will help you. Please write to us or me for further information. I 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: Hello I Am A Concerned Mother, I Am Currently 33 Weeks Pregnant & I Have Been Using Marijuana Up Until A Few Days Ago To Help With My Anxiety And Lack Of Eating Also To Ease Up My Morning Sickness ..... I Am Extremely Worried That CPS Will Take My Daughter Away From Having Marijuana In My Sysytem When I Go To Deliver Her .... I Am Trying To Find The Best Most Safest & Effective Way To Rid My Body Of These Toxins As Fast And As Accurately As I Can Considering I Delivered My 1st Child At 37weeks ...So I m Worried I Won t Have Enough Time To Clean Out My System !! I Would Love To Hear Some Advice & Recommendations On What I Should Do ### REPLY: Hello, Thank you for trusting ChatDoctorThe only thing that can you now is to avoid further use of Marijuana. But that does not guarantee that marijuana will be eliminated from your system completely by the time for delivery as Marijuana can stay in your system for several weeks in chronic users. Hope this answers your questionPlease let me know if you need further clarificationsRegards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an angiogram yesterday and was diagnosed with chronic blockage of the right coronary artery . The interventional cardiologist stated approx. 64 cm. of the bottom of the artery was completely blocked. He stated that a by-pass was to risky and he would not consider a by-pass as an option. Can you explain to me the seriousness of this type of blockage? ### REPLY: What you describe is chronic total occlusion of mid to distal RCA, two important branches PDA (posterior descending artery) and Pl (poster lateral) arises from it.  They supply Inferior and posterior wall of heart and some part of the septum.  The best part of such lesions are that good collateral s From the left side of the heart provides enough blood to these areas to prevent any kind of damage to heart muscle. Now why bypass in not a good option?  The distal vessels and small caliber vessels so putting a graft there in more probability the grafts will get closed in small while, and we are to square one. Options : get a thallium, if the area is well perfused, only medical management to optimize the heart condition and prevent further damage. If their Id ischemia in the region of supply, try opening it up by angioplasty, the results of which can only be told after opening up the block and seeing the condition of distal vessel However as I said there are good collateral in such cases and medical treatment is optimum for most cases 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 had an accident and got a hit on my knee of my left leg...now while I walk I feel pain...doctor recommend some "knee brace"....and some tables like Ranitas-150, Phlogam, Tendocare, and Signoflam....should I carry on this medicine. ..?? But its still paining. ..and in xray they cannot find may facture.......plz help me.. ### REPLY: Good Morning, Sorry to hear about your accident. Yes, the knee brace and the tablets prescribed to you are very much appropriate. Kindly continue them for a week. When a fracture cannot be seen in a knee joint, it can be a Meniscal tear/ACL-PCL tear. So get yourself an MRI scan done of the knee joint. A partial tear can be treated with medicines and physiotherapy but a major tear might require surgery. Get well soon mate ! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 need help with a problem, Im 16 years old but I suffer every night from terrible nightmares, and I shake with fear at night, and even some times during the day. I always feel like theres someone in my house watching me or waiting to harm me. This is all really confusing to me, I think I have paranoia, what would you say? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. You are aware of paranoia, are you? If the description you are projecting here is true to the best of your knowledge, you definitely have paranoia. But, there is another way of seeing this. For a person who feels that he may have paranoia, could be obsessed with such a thought, and may feel paranoia like symptoms. You need to visit a psychologist / psychiatrist for clarification. Please don't guide the therapist. Just tell the symptoms and let them diagnose. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doc, I have cavity in both of gums .What is the solution. What are the precautions to be taken in order to get rid of it. Thanxs ### REPLY: Hello,first I would like to tell you that cavity or decay will not be seen on gums. This may be perforation/sinus seen on gums. Or it may be cervical or sublingual dental carries which occurs on the cervical area of tooth which is very close to gums. Get your teeth checked clinically by a dentist to get the diagnosis. Get your teeth cleaned and check for any abscess or sinus on gums. . Apply gum tone gel on your gums. If there is decay vertically get it restored. Use soft bristled toothbrush and brush from back -forth and top-bottom. Gum massage can be done with your fingers. Maintain good oral hygiene. Rinse your mouth after every meal. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my age is 20 yrs ... my lips are very dark ..how can i make them pink and also there are scars on my face i want to remove those scars and also want to make my skin tone more fair which cream should i use to make my lips pink ... and also suggest me cream for my face ### REPLY: Hi, Thre are certain biochemical to be used under dermatological supervision. I suggest my patients to use a Comic acid cream or glycolic acid cream or licorice extract or routine creams. These are to be used at nighttime in guidance of dermatologist. Other than that applying sunscreen daily half an hour before you are going out and reapplication in 3-4 hours if you are continuously in sun for long hours is quite helpful. Most importantly have a good diet with fruits and vitamins. In between you can use good concealers which can mask the acute effect of pigmentation. 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: I was just diagnosed with carcinoma in siu after a pterygium surgery.  I cant find much information and have not talked to my surgeon yet, he was not in.  Should I have any immediate worries, do they just monitor it or what is the standard treatment going forward ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. Carcinoma in situ is initial stage of cancer. This suggests that the cancer is limited to the tissue and not spread. So you are in stage 1 of the cancer. This carries good prognosis. Treatment is en block dissection of involved tissues. So better to consult oncosurgeon and discuss surgery.Don't worry, carcinoma in situ have great prognosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my fiance 38yr had major MI , his main artery was 100% blocked, the operation was done within 1 Hr after MI, he underwent Angioplasty and stenting, after one month he went back to normal, doc said everything is ok, he s taking the medicine and living an ordinary life, he stopped smoking and rests more, my question is: How does stenting affect life spam? Is he in danger, and doesnt it mean he will live less? ### REPLY: Hi, The stent doesn't affecting the lifespan, the disease does. They put the stent, opened the blocked artery, which gave a chance to his heart to function normally. If he continues follow his doctors' advice, take the medications and follow healthy lifestyle, he has good chances, that his disease will not progress quickly, and he may have long life. Wishing a good health to your father. In case of any further questions don't hesitate to contact me. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 30 yr old. i am having serve pain in my upper abdomin since last june 2010. did sonograpy 2-3 times..gone CT SCAN ..every test result is normal.i visit many doctors in mumbai , jaipur & kota ,,,noboday disgonose my problem. my main problem is too much amount of gas formation. due to this i feel tried,serve headache & sleep issue. ### REPLY: HI. Your Problem is Pain in abdomen and gas formation. Due to this I feel tried, serve headache & sleep issue for a long time. If the USG and CT are normal, we can think this as a problem of irritable bowel syn . A proper course of antibiotic must have been given to you by this time. It looks you need to look into your dietary habits→ there must be something in food that is not suitable for your intestines, identify and stop completely. Secondly you may have to change your lifestyle-the anxiety is one of the most important factors in problems like you have. Thirdly add probiotics avail;able as Pre-pro / Darla, Activated charcoal tablets like gases, avoid late nights, you should get the complete and sound sleep, No stress/ worries/ anxiety→ change the surrounding situation... All this will help you to have a proper betterment. At Maximum, you can undergo colonoscopy to rule out any organic problem ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 40 year old female.  Today, my Dr. put silver nitrate on canker sores on the insides of my lips.  My lips are now swollen and black on the insides.  When will the black stains disappear & the swelling go down & is there anything I can do to speed up the process? ### REPLY: Thanks for using . Read your query. Some medical professional do use silver nitrate to be applied for canker sore. It chemically cauterizes the nerve endings in the area and usually result is a potentially longer lasting ulcer but it doesn't hurt during the healing period. The swelling and the stain will take an around a week to resolve and get the normal tissue. Do salt water gargling and if painful, you can apply denote /McCoppin ointment to relieve symptoms. If the swelling and blackness is still persisting after a week or so, please report back to your doctor. Hope this was helpful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had neck surgery about 1 year ago, and soon after the surgery I began to experience lower back pain.  Ever since the surgery I am continuing to experience back pain and it seems to be getting worse. I am getting pain in my legs and it is starting to effect my duties at work.  Do yo have any advice that might help me?  Thank you. ### REPLY: Welcome to  I have gone through your query and understand your concern. After going through your query I came to know that you are suffering from chronic backache. It is unlikely to be related to your neck surgery. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. You can get vitamin D and vitamin B12 levels and if found low you can take its supplements of vitamin B12 and D3. You need to do MRI to rule out other causes. Back exercises, neurotrophic such as mecobalamine and analgesics such as Ibuprofen give relief. Avoid long continuous standing. You can discuss with your treating Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have recently been diagnosed with Chamydia. I have taken the antibiotics as required and I should be able to have sex again in five days. However I am worried about permanent damage. How long can chlamydia go untreated before it causes serious damage to my reproductive system? ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. There is at least a month period is required if it causes permanent damage. So if the chlamydia is treated before one month than there is no possibility of damage. But if it creates damage than it will be permanent because it causes fibrosis in the genital system. It prevents sperm to reach to the ovary and so ovum. I will be happy to answer your further concern, you can ask me on bit.ly/ .  Thank you. ChatDoctorInfectious diseases specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. Im a 24 year old girl...suferring from a hair loss problemMy docter suggested me trigaine solution...He didnt tell me about the side effects neither did he tell me how to apply this solution on the effected area....I stopped using the oil today after reading the side effects on wikipedia....Im really very worried....I used this oil for 17 days....the area i applied this solution on itches when I comb it...and when I shampoo that area after scratching.....And i used to apply 3ml on the afected area. ### REPLY: Hello. Thank you for writing to us at  The solution that you have been using contains a combination of minoxidil, retinoid and Aramaic acid. It is not a hair oil and actually has an alcohol base. It should be applied with the help of a . The quantity recommended is just 1 ml, once daily. It should be applied on spotless scalp, once daily at night. Hair oil use is not recommended while you are on treatment. It is advisable to shampoo daily while you are on treatment. It should not be applied on wet scalp/ hair as the concentration of its ingredients may get diluted. The method of its application is to start from the center of the scalp and gradually move outwards. Minoxidil is an approved hair growth promoter, whereas Aramaic acid is mainly added due to its anti-DHT actions (dishy ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 unprotected sex regularly. my partner and i have a commited relationship and have both been tested. i have been taking birth control for over a year but i occasionally forget to take it. but i always take it within 24 hrs. for the last 5 days or so i have been having period like cramps . my period is not due for another 3 days or so. i have never had cramps prior to my period before. also i have been having a lot of lower back pain and while showering last night i felt very faint. ( im not sure if its related but my breasts are more tender than normal.) any ideas? ### REPLY: Hello, If you have been regular with your birth control pills in this cycle, your chances of conception are very minimal. Your symptoms could mean an impending period. To clarify about your status of being pregnant or not, you can get an assessment of the serum beta-ChatDoctor titles now or wait for your next period and go for a HPT 3-7 days later if you miss it. Urinary tract infections also can lead to similar symptoms of abdominal cramps and hence urinalysis also is essential in the current scenario. 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: Hello,I had a sore throat two days ago and now i have really tiny bumps on my lips, around my eyes, on my fingers and toes. now the sore throat is gone but i have a headache, coughing, sneezing and a runny nose. I figure i have a cold but what about those bumps? ### REPLY: HI Thanks for posting your query.  These bumps could be due to allergy either because of throat infection or due to the medicines used for the throat infection.  The other possibility is it could be due to some skin disease not related to your throat problems.  If you are taking any medicine for your throat problem stop it and see what happens to the bumps, or you can continue it if only 1-2 days of course is left.  If the bumps persists even after 2 days stopping /completing medicines then it means it is due to some skin problem. In that case kindly uploads the picture of those bumps so that I can tell you what to do next. Hope this information was useful to you. Any clarification feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 24 year old son was diagnosed with strep throat saturday and started antibiotics.  By Tuesday his stomach hurt so bad he went to ER....They said after an ultra sound that his gallbladder was swolen.   On the IV with antibiotics he felt bettter, now 12 hours later his stomach is bad again, he thinks its the antibiotics.  Im wondering if it is just anything he puts down his stomach affects his gallbladder????? Help I dont want another trip to er ### REPLY: Hello! Thank you for the query. Antibiotics quite often cause some gastrointestinal issues. Like every medicine they can irritate stomach causing stomach ache. Usually it is nothing serious, however if it starts recurring, some diagnostics is necessary. Swollen gallbladder should rather get better after antibiotics. So it is hardly possible that antibiotic itself has caused such issue. More possible is that your son has peptic ulcer which get irritated by antibiotic. In case of peptic ulcer, ultrasound is usually useless. I suggest your son to visit a doctor once again. CRP, and blood work should be done along with an ultrasound. If nothing will be found, gastrostomy should be next. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The other day I started to feel pain on the bottom right side of my jaw (like my wisdom tooth was coming in). Recently, it has been hurting, and the gum seemed swollen. I just assumed that was the tootChatDoctoring in. I was just chewing gum where this is happening, because it hurts, and a felt a popping sensation. I do not see any of the tooth exposed, however, puss and blood were coming out of the gum. ### REPLY: Hello your condition is called as peritonitis. Pericoronitis is a condition where there is inflammation of gums around erupted or partially erupted tooth. It is most commonly seen in wisdom tooth (third molar).  This generally happens when there is no sufficient place for the tooth to erupt in the jaw. But the tooth tries to come out of the jaw. This results in partial eruption of tooth, and because of which there will be food accumulation and more plaque accumulation in that region resulting in inflammation in that area. It can also get infected easily and can cause abscess in that area (abscess =collection of pus). This infection can be painful and there may be difficulty in opening mouth and swallowing food. Do visit dentist, depending on severity antibiotics may be prescribed, once acute condition subsides a X-ray will be taken to ascertain the position of tooth. Based on X-ray findings and your age it will be decided whether it will erupt or not. If the conditions are favorable for eruption then a simple procedure is done to remove gums covering tooth and there by allowing it to erupt. If it is not favorable for eruption then it has to be extracted. 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: Approximately 5 days ago I had very high tempature 104.9 ans was put on antibiotics. The fever has been broken but I have tremendous pain in my legs and have a very difficult time walking. The doctor is treatingf me for an infection . Any suggestions ? What may be causing this? ### REPLY: Dear friend if you had not done any blood test for that high temperature, do at least once to know the cause of high fever. Although leg pain may be due to that high temperature you suffered, muscular pain from generalized weakness. Analgesic like paracetamol or combination with ibuprofen will relieve the pain. Also take multivitamins with methylcobalamine combination if pain is severe for few days. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, my boyfriend hasnt been feeling good these past 3 days. hes got stomach pain, headaches, vomiting, diarrhea, dizziness and cramping in the stomach. he wont eat cause hell vomit and even when he drinks water that makes him sick too. he also cant sleep, though he tries. he thinks he caught dysentery. hes had that before when he was in iraq and said it was from being around dead bodies. said it lasted a week. is there anything i can do to help? im trying to get him to go to the hospital but dont think he wants to ### REPLY: HI. The causes headaches, vomiting, diarrhea, dizziness and cramping in the stomach can be gastroenteritis, typhoid, or some other intestinal problems. I would advise you to take him to the Emergency as soon as possible to get the treatment with an antibiotic, metronidazole, PPI, Risperidone and probiotic, intravenous fluids, and so on. Get investigated to rule out any septicemia and other complications. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: right shoulder problemHello Doctor. I injured my shoulder two days ago while wrestling with my cousin. I was in a head lock underneath him when he decided to trip me and bring me to the ground. When we fell, all of his body weight landed on my right shoulder and I instantly felt a swelling sensation. I was still able to movw my arm afterwards but as the shouldwr cooled down it made it impossible for me to move it without assistance. Aboit a year ago I was playing football and threw a ball against the wind. When I did that I felt a small pop in the middle/center parr of my shoulder. I did see a therapist for it and had it fixed. This pain is similar but more intense. My shoulder is not poped out but my rotation is very limited. I have to assist my right arm even when I am laying down. Whether its putting my arm on my stomach or above me it still needs assistance. Whenever I feel I want to move my arm anywhere, I feel I have to battle a tweak inside my shoulder. Would this be a rotater cuff injury or just some swelling that isnt allowing my arm to move yet? I fell like something needs to pop back into place but only slightly. Im told that that feeling is because of the swelling. It also hurts to get up and lay down. I did not ice right away but I did apply salon pas and also tiger balm. Do you have any advice for me? Thank you for your time and help. ### REPLY: Dear patient There is much possibility of rotator cuff tear or ban kart lesion, both soft tissue injury may occur during sports like wrestling. To confirm diagnosis First X-ray of involved shoulder with clavicle anteroposterior view should be done. Secondly MRI of the involved shoulder also needs to be done to confirm rotator cuff injury. Please get it done from radiology center nearby you. Immobilize your arm in shoulder immobilizer brace for 3 weeks. Avoid overhead lifting of shoulder. If MRI report is abnormal please consult expert orthopedic surgeon nearby 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 doctor ! 4 months ago i was involved in car accident and suffered multiple fraction to my right arm and dislocated both shoulders . After the operations i discovered I have MRSA infection and I am on antibiotic four times a day.I yesterday i found that i am going to the toilet lot and sometimes get pain on my left back side ### REPLY: Thanks for your query at !In my opinion there is no connection between your previous and present infection. You have developed urinary tract infection. You need to collect mid-stream urine and get routine microscopy and culture/sensitivity done and start the treatment based on test results. Also get USG of abdomen and Pelvis done to see the extent of involvement as you are complaining pain (could be involvement of kidney). Get complete hologram, BUN and S.creatinine test done. Visit a urologist/GP get these tests done you will be fine. 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: Doctor i  got something to ask you ok i been useing chewing tobacco for sometime to stop smoking ciggs weeks later i notic on my eft lip on the insides of it a large blister but it doesnt hurt or anything . i am wondering what is this and should i head to a doctor to have it checked out cuz i showed my friend that and he said it could be from the chewing tobacco and if i stop useing chewing tobacco that bump will just go away . i want to know will it go away ?? i am little bit scared right now and what do you suggest to get ride of it ? ### REPLY: Thanks for your query, I have gone through your query. The large blister over the lip could be a muscle secondary to lip biting. Consult an oral physician and get it ruled out. If it is a muscle you can get it surgically removed under local anesthesia. The other possible cause of blister could be secondary to the use of tobacco that is in initial stages of oral submucous fibrosis. You have to stop the habits and take anti oxidants like lycopene capsules once daily for 30 days. 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: hello, i have check my doctor and the result of my SGOT is high 64.6 and my sgpt is 27.8..what is the cause of high Sgot?before i correct already my sgpt before is 74.3 now become 27.8..iam take a medicine of silymarin capsule..i have also have problem before in kidney they found out an gravel stone on it but not yet stone and also they see mild fatty liver on it this is last 2months ago..but the kidney now is already clear as per doctore said.. ### REPLY: HelloWelcome to . Your GOT and SGPT are mildly increased. It may be due to fatty liver. Mild increases also found now in patient infected with Hepatitis C. Liver enzymes increased in many conditions like liver injury due to hepatitis A or E, certain . Alcohol also a cause. I think you have fatty liver that's why or medications you have taken for kidney stones in the past. If you are overweight than first try to reduce it by exercise and diet. If certain  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am a 15 year old girl and for the past week I have been having a horrible sore throat, (its going around.) Ive felt something in the back of my throat. At first It felt like if I coughed, it would come out, but today, I realized that its a bump in the back of my troat next to my uvula. It doesnt hurt, but should I be worried about it? ### REPLY: Welcome to  .1. Yes you should be worried about it - but it's not life-threatening and needs to be treated.2. As there are chances to get complicated like Abscess / perforations etc.3.It's a simple throat infection viral / bacterial. Which need to be examined and a swab for evaluating the pathogens.4. A course of antibiotics will be enough to treat this problem.5. As a remedy try to do salt water gargling (warm water) will give some relief. Before you get appointment and see your doctor. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. 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 recently had diarhoea for a week with signs of blood. The diarhoea has stopped after taking Imodium tablets. However I still gave small signs of blood. I am really worried because I have just had the strangest poo ever. It came out with lots of blood and looked like a kidney and felt like grunge/jelly. Can anyone shed any light please as I am panicking. Thanks ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you are passing blood in feces since recently. The presence of frank blood could be due to following reasons.1) Diverticulosis of Colon 2) Multiple Polyps in colon or rectum.3) Amaebiasis4) Hemorrhoids. Please consult qualified Gastroenterologist for clinical assessment. He may advise you for procedures like , Stool examination .and ColonoscopyFurther treatment will depend upon phial diagnosis. .  ### END