Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 haven t ran for a long time and the past week I started running again. However, as I keep running and running, my heart starts to thump faster and faster and then it starts to feel like it s going to explode. I have no choice but to stop running and wait for it to stop every time. I remember before when I ran in grade 7 and 8 my heart didn t feel like it was going to explode, it felt different. Also, sometimes when I m running my stomach feels like it s burning and I just finished running today and I feel really really light-headed. Is this normal? Is this the result of not running for a long time or do I have heart problems or asthma? I don t have asthma... I think I m getting it though. ### REPLY: It is just from being a couch potato for all winter. Most of us are hard-pressed to go running come spring. I really think it will get better as you get back into shape. And when you finally get back to where you can run like you did in middle school, stay that way!!! Don't get like this again!! You must run all year around, somewhere!! Find an indoor track or use the basketball court and just make laps around the perimeter as well as the old coaches trick of running up and down the bleachers. Yeah!! It is harsh!! And I don't sound really friendly saying it! But when we do the winter couch potato we really are not doing ourselves any favors. It gets harder and harder the older you get, to get back in shape after laying off for several months. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fingers are red and swollen but my knuckles are white and they itch like crazy. I have for the past 5 months been waking up in the middle of the night with sever pain in my arms from the shoulders to my fingertips. I am exhausted, my coordination is off. My arms and hands are tingly constantly. When the pain wakes me up the only way to make it go away is to walk around for an hour or so. If I am awake when it starts, I hold my arms out but bent down at the elbows the pain and numbness subsides. HELP ### REPLY: Hi welcome to  forum. What is missing is your age, It appears it is neuropathy secondary to hypertension, or diabetes, or old age. I advise you to consult a physician for diagnosis and treatment.  You may need to have M.R.I.scaling besides other routine tests for diagnosis of any cerebral ischemia.  As anemia also play a role in this, I advise you to follow some diet recommendations as take more of green leafy vegetables, pulses, sprouts, milk, egg, meat, and seafoods to provide body with iron, proteins, vitamins and antioxidants to cure it by natural way.  Avoid taking, potato, other tubers, tomato, Cali flower, and coconut, till you get complete relief of the symptoms.  Wishing for a quick recovery, and thanks for calling. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with depression and I ve been on a few medications but I can t seem to find the right medication to help me. I was also diagnosed with anxiety. I need help with my depression and anxiety! And I m currently not on insurance and not working so I don t know how I can afford any medication right now. ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. Depression and anxiety can occur with regular stress, and it can also occur biologically without any stress as well. You need proper treatment for the same. There are various effective therapies for depression like fluoxetine, venlafaxine, bupropion, mirtazapine or Escitalopram, and they are all very effective and mostly safe. You may also require some benzodiazepines like clonazepam or lorazepam for a short period like 2-3 weeks to reduce the anxiety and help with your sleep.  If you are averse to the .  This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. These therapies have to be tried one after the other until you find the best fix. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: YES I WORK IN A BEAUTY SHOP AND ONE OF MY EMPLOYEES MAY HAVE SHINGLES IT HAS NOT BROKE OUT SO HER DR IS NOT SURE . SOME OF MY OTHER EMPLOYESS R AFRAID THERE GOING TO CAUGHT SHINGLES. CAN THEY THEY R ON HER BACK OR SHE IS HAVING BACK PAIN .THERE IF SHE BREAKS OUT IF THEY DRAIN ON HER SHIRT & THEY TOUCH HER SHIRT THEY R AFRAID. PLUS THEY HAVE TAKEN THE SHOT ALSO I DON T WANT CUSTOMERS TO BE AFRAID. PLUS I AM ON IMMUNE SUPPRESENT DRUGS DUE TO CHRON S AND ATHRITIS .SO CAN WE CAUGHT THIS DO I NEED TO TELL HER TO STAY HOME OR WHAT. PLEASE ANSWWER THANK YOU ### REPLY: Shingles isn't contagious unless you haven't had chickenpox. What happens is you get chickenpox, usually as a child, then the virus goes dormant in the body. Years later it can break out in a localized rash as shingles. So shingles itself can't be transmitted. However, since it is the same virus that causes chickenpox, if someone has not had chickenpox or been immunized for it, they can get it from the shingles patient who has the rash. So unless someone is susceptible that way, there is no reason to have her stay home, especially since she has no rash and the doctor isn't even sure yet. If she does get a rash, she can keep it covered while she is working with a bandage, and then with her shirt over that. Things should be okay that way. Frequent handwashing is important for her and everyone else as well. 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 husband gets very cold and can t heat up he shakes and this can last up to 30 minutes. This is similar to when he had heat stroke many years ago. He sweats very badly and sometimes we have to change the bed in the middle of the night and he has to shower ### REPLY: Hi, Thanks for your post on ChatDoctorI do understand your pain and discomforts As per your history is concerned please follow point wise-:1)Check his body temperature every 6 hours and if present do CBC with differential with malaria test2)Take B-12 injection 3 times weekly up to one month then once a month until 6 months3)Do fasting blood sugar and TSH test in at least 12 hours fast final treatment depends upon test report and clinical findings Hope that helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 72yrs old and have Prostate cancer which is in my bones also. I have a 3 monthly injection of depot and recently completed 6 treatments of Chemo. My Oncologist now is suggesting I try Aberaterone which is very expensive and again is not a cure. My PSA is climbing again after chemo stopped and is around 250 if my memory serves me correctly. My question is about Aberaterone and it s effect on people who have used it for their cancers. I have had a bypass op about 12 yrs ago which you should know about I think. I have an appointment in 2 days time with the Oncologist to advise him of my decision. I need to know how others have found it and has it improved their life or not. I look forward to your reply whatever it may be. Sincerely Gary ### REPLY: Hi. Aberaterone is an option after failure of chemotherapy in advanced prostate cancer. Once the cancer has gone to bones it can not be cured. Aberaterone can not cure as do hormone therapy with depot and chemotherapy. It will lower your PSA, help Control cancer for some time, ultimately PSA starts rising again. It's a good option in your case. Price is of course an issue, it's costly. My patients usually tolerate it well and are happy on it. Its most common side effects are weakness and fatigue. It also has bad effects on heart and liver. If I am your treating doctor, I would like to assess your heart function by doing ECG and Echocardiography as well as blood Liver function test, Urea, Creatinine and electrolytes. Hope I have answered your query. If you have any further questions, I will be happy help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: this is the related of sex problem.i feel Little uncomfortable for sex, my marriage is coming 7th fab 2011.can u tel me is the problem in my mid for in panics.i m worried please help advice me this is the related of sex problem.i feel Little uncomfortable for sex with girl, my marriage is coming 7th fab 2011.can u tel me is this problem in my mid or in panics. i m worried please help advice me ### REPLY: Hi, thanks for query, you have not mentioned whether you had any sort of this in the past. Normally is obvious to have attraction of opposite sex. There could be reasons for you're not feeling comfortable, may you are too shy and having some form of inhibition in your mind, you had some past bad experience with someone, you are not interested in females at all. Please talk to freely about this with your doctor who will guide you properly in your case, please do this before marriage only to avoid problems in the future. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there. Im suffering with what I thought was/is a tooth abscess as I have what looks like a tiny open cut on my gum next to my molar and my face swells from time to time. Underneath and around my jaw is very painful when pressed and Ive just brushed my teeth and spat out blood. Ive had hot flushes all day too, any ideas as to what may this be? Im 19 years old. ### REPLY: Hi, Welcome to  forum.  As you describe it appears to be the wisdom tooth, means a 2nd molar tooth behind the 1st molar tooth. As the space there is little, it will tear the gums and stop for while, so cause the infection.  I advise you to consult a dentist, for diagnosis and treatment. If not cured by conservatory treatment, it is to be extracted by surgery.  Take more of green leafy vegetables, pulses, sprouts, and protein rich foods.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi Two years ago I had a fall and needed a CT scan of the head. It showed enlarged ventricles and a silent stroke, It was decided that I was born with the low pressure hydrocephalus. I had am MRI last year, It showed no further changes. This September I started falling down on my left side with difficulty standing up without help. I was having to use a cane. I saw a neurologist and had another Ct scan today and will have an EMG in Dec. My falling has stopped and my walking has improved in the last couple of weeks and no longer have any symptoms. Your opinion please. Thanks. Marge ### REPLY: Hello! Thank you for your question on ! Regarding your concern I think that it may be caused by a second stroke, in the posterior part of the brain or a vertebral artery insufficiency. If the CT scan you did, resulted in no new strokes from the old CT scan, it means that the problem may be a vertebral artery insufficiency. It is caused by a narrowing of this artery causing low blood flow to the brain. Another cause of repeated falling may be the HY .  I would recommend you to have a Doppler ultrasound of the cervical arteries and to take aspirin for the prevention of a second stroke. I would encourage you to continue with the physiotherapy. Hope to have been helpful! Greetings! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I had a sever panic attack a couple hours back, and although I have had a lot of stress due to a wide variety of factors -- I cannot negate that I have had problems breathing and over the past two weeks I have been unable to shake off cold virus as I still have problems with my nose being open to let me breathe appropriately. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Severe panic attacks and breathing difficulty are possibly due to the stress you are mentioning. Maybe you are trying to rationalize your problem with the current cold virus conditions. Treat both of them different and if the cold is persistent, please consult a physician for further management. Regarding panic attacks, you should take holiday for a couple of weeks and enjoy or take rest. 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: My chest hurts but it doesnt feel like heartburn. Its sharp pain that make me feel like my heart is going to rip out of my chest from the lack of space. It stays for a couple of minutes and then it goes, and sometimes the pain shoots up to my throat. Im 19 and have done all my tests and nothing seems to be the problem. What should I do? ### REPLY: Thanks for your question on . I can understand your concern. Since all your tests are negative, no need to worry about heart diseases. Sometimes uncontrolled stress and anxiety can also cause similar symptoms. And these factors are high in late teenage. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with CKD stage 3b, and also advised that I had two cysts on one kidney, and an internal septated cyst on the other kidney. Should a biopsy be performed. My clinicians seem unworried, but I use the VA for treatment, and my confidence is lacking ### REPLY: Hello and welcome to . As a Urologist, I hope you know that both kidney functions must be very poor, to be diagnosed as CKD-3b. If you can update me regarding your latest kidney function test reports (urea, creatinine), with the ultrasound/ MRI, and other reports (He, Na,K, uric acid, urine protein and micro-alb, etc), I can give you expert advice, regarding further management. Kindly clarify if you meant Veterans affairs by VA. You can send the question in my name here, with the reports. Wish you well. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father is 78 years old frail elderly, lives alone and H/O alcohol misuse and abuse. He had a CT Scan yesterday and he has been diagnosed with moderate ischemic atrophy and he is being referred to the hospital for further tests. Query encephalitis , I think that is sthe medical term. Can you explain what this means and will he be assessed by a psychogeriatrician in the hospital. GP is not recommending asperine for furing of the arteries in the brain because fo h/o alcohol misuse. Does this diagnosis mean shrinkage of the brain and what will the long term diagnosis mean. Help ### REPLY: Hi, Thank you for posting your query. Atrophy means shrinkage of brain. This is a normal process with aging. In addition, chronic alcohol use would have contributed to that. Whether the brain atrophy is clinically significant or not can be decided if one examines his memory and other mental functions. A decline in memory and other cognitive functions would make this atrophy significant. Ischemia means lack of blood flow to the brain. If it is significant then aspirin would be recommended.  Best wishes, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had my C-5/6 disc replaced with an artificial disc. I still have two more herniated disc (C54/5) and (C6/7) I am still in pain with limited movement. L&I says since I don t have numbness in my arms, the pain is not consistent with the injury of herniated disc in my C spine. I do have neck pain, shoulder spasms, some weakness, difficulty sleeping and when the neck pain starts, it shoots right behind my eyes. Is this all consistent with my injury, or do you think something else is going on? ### REPLY: Herniated cervical discs will often cause numbness, pain shooting down the arm and fingers with some weakness because the disc gets out of its space and pinches a nerve and the area that this nerves supplies gets numb and weak, these are symptoms that would prompt a C spine surgery. Neck pain and shoulder spasms alone could be just spasms of the muscles around the C spine. However you mention that you also have some weakness but you don't say what area of the upper limb is weak. Weakness in the shoulder could be just due to a torn shoulder ligament or tendon(rotator cuff). I would suggest you get reviewed by your doctor for a thorough examination or even get a second opinion. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a 21 year old female I have had da Lorena for bout 6 years now once my 5 years was up I got it again but on da other hand I have bn having problems with my stomach in 2012 I got testes n dey didn t c nothing wrong now in 2014 I was tested twice n dey say my gallbladder is no good it s not function properly.. I was is this the cause of my stomach because of my Korean please help ### REPLY: Hi.to answer your question, yes, gallbladder problem can cause abdominal pain. The usual presentation is colicky in character, located on epigastric to right upper qua .  It may be secondary to an infective or obstructive (gallstones or lesions) pathology. It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Diagnostics and management (medical and/or surgical if indications are found) will be directed accordingly. Low fat diet is also recommended. Hope this helps. Good day!!~ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My ankle for a number of weeks has been hurting when I put weight on it.I am very active.I weight lift and play football.For weight lifting I did not go over board to injur it, but during football with all of the footwork we do, it really bothers me.I dont think it is sprained, or broken, but i am not a doctor. ### REPLY: Hello, As this sounds be instability of the ankle joint. Ligament weakness and muscle imbalances may lead to recurrent ankle pain while in sports. Doing balance board training will help improve the stability of the ankle joint and also improve muscle imbalances. While playing sports please use ankle brace to control the stability of the joint. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: it s has been more then about 2 years since i had tummy tuck follow by liposuction of my back and my stomach since i had a bump in my lower back it keeps moving from one side to another and sometime it is hard to move and it;s hurts alot sometime i feel like my back going to stop working and now im about to have a tumor cancer surgery do you think that will make my back pain worst ### REPLY: Dear patient There is no direct relation between lung cancer surgery and back pain. But before going for lung cancer surgery metastasis to spine should be ruled out. Also prolonged rest that might be required post surgery may aggravate your back pain.  Besides impaired nutrition post surgery also affects muscle strength. So by many indirect ways' lung surgery may lead to aggravation of back pain. You should be prepared to face all this and jeep steps to prevent all these consequences. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is 58 years old.  He just found out that he has allergies.  He has been having this bad cough that brings water to his eyes.  He coughs so bad that he vomits.  He says he has this tickling in the back of his throat and that this is why he coughs like thatThe doctor keeps giving him cough syrup.  He says that he doesnt know why my husband is coughing like that.  Can you give me any idea of what it may be?  Someone suggested that he go to a pulmonologist. ### REPLY: HelloYour husband is having very severe cough, so much so that even, he vomits and also tears in the eyes. He is also complaining that there is tickling in the throat, he is right, actually this is also due to some sort of allergy. Such cough may be due to these possibilities, these include;1 asthmatic allergic bronchitis, due to some allergen there develop bronchoconstriction, this produces cough. Dust, mite, pollen, pests, smoking are few predisposing factors of such cough. When such patient visit I advise them to take montelukast+ albuterol tablet according to severity of symptoms. Dextromethophan tablet chew will relieve ticking sensation in throat .2 Sometimes, such sudden provoked cough may be due to some inhaled particle in airways (in lungs) .3 Septic pharyngitis with allergy may be the next reason of such cough. So deal as mentioned above and take a prescription for above-mentioned .  However, it is very difficult to establish any diagnosis merely with these findings, so consult a physician and get his opinion. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am a 63 year old female and was bitten by a 4 to six month old puppy. i was injected with rabipur for 3 doses already.the puppy is okay eats well sleep well but i became worried because i had fever last night with no headache and cough, are these early signs of rabies infection? ### REPLY: HelloWelcome to , As you were bitten by pet puppy for which you have been advised antirabies vaccine. I hope you have been advised five doses of vaccine on days 0, 3, 7, 14 and 28. As you have taken three doses of vaccine and the puppy is healthy. Nothing to worry the symptoms of fever, cough and headache is may be due to other infection in the body.  As the puppy is normal and not having any symptoms of rabies your symptoms is may be due to some other infection in the body. 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: My son had high blood sugar over 300, now it is almost normal with medication.  My concern is his liver enzymes which are 1700 and he just had an ultra sound and they now want him to go for a MRI, he used to be overweight could this be the cause of his problems. ### REPLY: Thank you for following up. Causes of high liver enzymes:-infection(hepatitis A, B, C, cytomegalovirus, Epshtein-Barr virus etc)-Steatohepatitis(fatty liver) appears when the fat accumulates and cause inflammation and scarring in the liver. This more serious form of fatty liver disease.-cirrhosis should get your child examined especially for viral hepatitis Causes of hyperglycemia:-diabetes mellitus-overeating cake before analysis- .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 question I believe i have social phobia i have been have trouble with presenting and people in the crowd judging me and i hate using public factilities because i feel people are outside the bathroom door making fun of me, today I was talking to my grandma and she said she had it so what should i do? ### REPLY: Hi, From what you have mentioned, you seem to have symptoms of social phobia. It is a condition where you are not comfortable in social situations, avoid meeting new people, feel that people are constantly noticing you and fear embarrassment in public. You should seek a psychiatric consultation for initiating treatment. Medications like paroxetine will help. In addition, treatment with psychotherapy in form of cognitive behavior therapy can be opted for. It will consist of sessions which will focus on relaxation and learning ways to cope up and overcome your fear of public. Hope that you find this information helpful. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have type 2 diabetes. I have developed a red circular rash on my right leg. It has faded in the center to pink but is scaly and red around the outer edges.  Currently my blood sugar is 136.  What can I buy over the counter to get rid of the rash? I like to swim but this is way too embarrassing to put on a swim suit.Michelle ### REPLY: Hello, It seems to be a fungal infection and such types of infections are very common in diabetics specially uncontrolled ones. You can apply a local antifungal cream like CLOTRIMAZOLE locally for a week, and it can be easily purchased without a prescription. It should be all right in a weeks time. Keep your sugar well controlled, as it is very important not only for your current fungal infection but also to avoid various future micro as well as macro vascular complications. 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: Dear sir I have problem related to pain, muscle contraction, shivering. When i lift small weight or press any object with my hands my hands start paining in shoulder joint and hands shiver. When I fold my hand or leg it start paining in joint and muscle contracts. When I lift my hand or leg for little time pain is felt along with shivering. I can t move my body freely Some type of jam is felt.I feel shivering in standing position. My hand while writing feels shivering and I can t write freely. I consulted a ortho doctor he did blood test for vitamin B12, hydroxy vitamin D result was 190 & 10.49 is low. Medicine given are D360 capsule, Cobadex czsczs & nusran. Kindly suggest am I going in right direction. Aftab Alam. ### REPLY: Hi, Thanks for your query. Seems you are suffering from multiple joint pain - Polyarthritis with early morning stiffness. Rheumatoid arthritis is one of the most common causes for Polyarthritis. I would suggest you to get yourself examined by an Orthopaedician for multiple joint pains. You would be asked to undergo few blood tests like He, RBS, TLC, DLC, ESR, RA factor, CRP and Thyroid profile along with routine urine examination. These investigations will help us find out the exact cause. Discuss with your doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: had silicone breast implants about 32 years ago, to correct an imbalance in breast size due to scoliosis.  The implants have since ruptured, as confirmed by mammograms and sonograms. In the past year or two, I have experienced significant itching all over my body, with red welts, bumps and raised areas,  especially on my arms. Could the ruptured silicon be causing the itching? ### REPLY: Dear Ma'am, Sorry to hear about your problem. Have the ruptured implants been removed? If not, they should be dealt with immediately. Silicone can cause problems, but they are mainly in the local area. It is unlikely that silicone will lead to problems all over the body. For your symptoms, you should consult a dermatologist as they might be due to eczema or some generalized allergy. Hoping for the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter awoke last night with intermittent tremors for about 30 minutes.  Her lips appeals bluish.  We took her temp and it was a perfert 98.6.  We then checked her blood as she as Hyperinsulinism and it was 57  we gave he her Diazoxide and about 30 minutes later broke into a high fever.  She had a seizure when she was 5 months old, but it was determined to be the low blood sugar issue.  Could this have been another seizure? ### REPLY: Hi, Thank you for asking question on . Intermittent tremors during night may be a seizure. Better get the EEG and CT scan of the brain done and get the consultation of a neurophysician. Most probably she may need anti-convulsive therapy. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care . V. Subrahmanyam MD;Disassociate professor of pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 chronic back pain with pain running down both legs.  During the day when I am working, I need nausea, heavy sweating and sometimes chest pain.  Now, I have developed a pain in my lower abdomen.  My heart has been checked and everything looks good. ### REPLY: Hi. Thanks for your query and an elucidated history. It says you have three different problems.1. Pain in the low back, reading down both the legs. This indicates a condition called sciatica. And indicates compression on the spinal cord by prolapsed intervertebral discs or lumbar canal stenosis. I would advise you to undergo MRI of the lower spine, Neurosurgeon s opinion and proper treatment which may be physiotherapy, injections or surgery.2. Your another problem is related to nausea, chest pain and sweating. Cardiac check up is normal hence the worry is reduced. It may be related to HERD or something, needs upper GI endoscopy.3. Now you have pain in lower abdomen. It depends upon associated symptoms like changed bowel habits, bloating which you have not mentioned. Ultrasonography, clinical evaluation will help for the proper diagnosis and gives plan for further treatment. I hope this answer helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi sirMy husband is having grade 1prostatomegaly.size of prostate gland is 43*24*37 and weight is 22.5gms.He had renal stones but they have been removed now.No alarming sign and symptoms he is having.Can you please tell what medications should he has? ### REPLY: Hi, Renal stones are caused due to plenty of causes i.e. genetic, dietary, infective ....etc. Ureter which has the smallest urinary Tract diameter of 5 mm. So stones of diameter 5 mm or slightly more can come out by its own.  Now once renal stones being formed has tendency of recurrence so one need to remove it by .  Regarding BHP can be controlled medically with alpha blocked and 5 alpha reductase inhibitors at this stage .hope this ll help Thanks n 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 was suffering from Typhoid fever since last 3 weeks.i did blood test .now there is no infection.I feel body pain and severe head ache now .doctor suggested to take Hifinac and Lans00 and acciloc tablet.Is there any other medicine which i can use to reduce body pain.. ### REPLY: Hi welcome to ... You are having typhoid fever for which you are given analgesic in form if aspirin and antacid as well.... Complete the course of antibiotic. . Headache and muscle weakness is because of typhoid in which muscle ache can be there. ... With the time it will be relieved ... Here meanwhile take small diet with frequent interval . Heavy meal restricted. ... Non veg and outside food restricted ... Fruit juice taken more .... Take care Advise : physician consultation... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 gap between my front two teeth and a normal bite but with a 2 mm overbite in the front witch was normal according to the dentist. I suffered from grinding in my sleep for long so as a result i had miss shaped 4 front teeth (uneven in height and shapes) but not so severe. The doctor then advised me to go for porcelain lumineers for my front 4 teeth since it was more resistant from grinding, and had normal lumineers for the rest of my front teeth. Lower teeth were the same (i whitened them to match the lumineers). But i kind of feel a slight push in my upper lip and it s harder to close my mouth and an overbite only in the front two. Should i remove them and go for braces or wear an inside device that pulls back only the front two or maybe put lumineers on my lower teeth to match the upper? ### REPLY: Hello thank you for your question at . I need to know your age before giving you advice on braces. Second you feel push in lip and improper overbite after having laminates in upper teeth. That clearly takes doubt arrow towards improper laminates. And you don't need to go for laminates in lower teeth just to match them with upper. Instead go for perfect laminates in upper teeth which match with lower teeth. You can consult back for further quarries. 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 I am in extreme pain from a herpes/shingles outbreak. I am in between doctors as my insurance has changed and need a refill of my Vicodin 5/325 Can I get that online? I guess I will go to urgent care and see if they can help me. ### REPLY: Hi, Welcome to . I understand your concern as shingles pain can be very distressing and can last for a few days to months. Shingles is caused by a virus called varicella zoster which usually remains latent in the neurons and gets activated in persons with low immunity to form rashes on the body supplied by that nerve. There is also associated nerve inflammation which causes this severe neurological pain or neuralgia. You can get prescription for antivirals like acyclovir and pain medication from a GP nearby you. This condition will last for at least 1 month. Wishing you a speedy recovery. 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 just turned 80 and suddenly my running times have worsened from an 11 minute mile to a 14 minute mile -my hips and legs are so tight that it s difficult to touch my toes as a warm-up and run more than one mile -- and most scary is that my shoulders and biceps have suddenly become so aching and tight that my usual 30 push-ups daily are so painful that I can barely do 20... Is this just because of my age or could I have suddenly developed senior arthritis or some kind of disease?... Thanks for whatever you can advise. ### REPLY: Hello, I have studied your case with diligence. If not relieved then possibility of polyarthritis needs to be considered .  There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like RA factor, CCP, ESR, complete blood count, HLA B27Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello,me and my husband were intimated on the 15th day of my mensural cycle.we are always  careful during our intercourse. but this day he is confused whether a little of the sperm had entered inside. will i be pregnant. is there any remedies to prevent. ### REPLY: Hi, If you have a regular 28-30 day cycle, perhaps you had intercourse around ovulation and there is every chance of conception if conditions are favorable. If any protection was being used, chances are lesser. If you wish to prevent any pregnancy, you should get emergency contraception as soon as possible after the act as any further delay would make the medication useless. If it happened more than five days ago, then, the only way out is to wait for your next period and get tested for pregnancy if you miss it and go for a medical abortion under medical supervision. 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 Doctor , i am from INDIA , my mother underwent MRI scanning we found a blood clot at spinal-cord ,the Doctors said no problem they can cure by medicines and today they asked us to check with Hematologist , is there any problem regd this kindly let me know wat to do .... ### REPLY: Hello, It depends on her clinical situation. A spinal cord stroke can lead to paralysis, if not treated at the right time (as early as possible).  Regarding the hematologist, I agree with the doctor recommendation, as most of the time, spinal cord stroke is related to hematological disorders, which lead to increased risk for stroke. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I had a nose bleedon Monday which lasted about 12 hours. My bloods came back and all were ok apart from the platelets which were 76. Im now home but feeling tired and weak all the time. Is this normal? Im due to have some more bloods taken to see if the platelets have gone back up. ### REPLY: Hello and welcome to , Spontaneous nose bleed can be due to low platelet counts. The platelet counts are low in your case. However, the counts are not so low as to warrant the infusion of platelets. However, the cause of low platelets has to be found out and thus treatment has to be instituted. Consult your hematologist for assessment of peripheral blood smear and bone marrow aspirate. Lo platelet occurs due to increased destruction or decreased production. . See whether there is history of use of any  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been off of antibiodics for 5 days. i still have a bad cough, headache, post nasil drip, and a fever of 100. i am taking tylenol, cough syrup, and cold pills. the doctor said i had  the flu, ear ache, sinus infection. also i have had 4 heart attacks, 7 uti in a year. i still feel very bad. what is going on? this has been going on for 2 weeks. what do i have. ### REPLY: Hi thanks for contacting .... According to your complaint you can have following differential diagnosis....-Sinusitis-Viral flu-Pneumonia(if chest pain associated)Here Paranasal sinus x-ray can be done to rule out sinusitis. If chest pain associated then chest x-ray needed to rule out pneumonia. For viral infection symptomatic management done. Which antibiotic you are using??? Prophylactically ceding like antibiotic can be taken.... Here bronchitis also can be the cause.X-ray useful for it. Steam inhalation, decongestant and antihistamines useful to relieve inflammation and congestion.... Hope I have solved your query...... Take care... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Raj, Iam 17 still student. from age 12 I was suffering from fit. if feel very irritating when it attack while in class. my brother took me to epilepsy specialist . After took body scan. The result show negative. The doctor say there is no any side effect in your body. My body condition is perfectly good.There is no any symptom is getting epilepsy.We also dont know what to do. I need doctor advise. ### REPLY: Hello vineshbobWelcome to  Epilepsy occurs when abnormal and excessive electrical discharge occur in brain. Fit or seizure is clinical presentation of epilepsy. If you had fit, and you have underwent MRI, and it came normal. In a number of cases the scans come normal. Still if you have doubt, next time when you have seizure episode then go to a neurologist and get you EEG done. EEG may help to identify the abnormal electrical feature. Thanks Take Care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my sisters daughter get very hateful and mean and they put her on medication .I am no way a doctor but I do know doctors put kids on meds that I don t think they take the time to see whats really wrong1 medication is risperidone she takes in the morning and I highter dose at night 2 one is sertraline 3rd one is benzonatate 1 tab as needed ### REPLY: Thank you for the query. The description of the child is not complete, and I believe that the doctor must have seen things (signs) which you have not. These medicines are prescribed only after complete cautiousness on the part of the doctor. If you have any doubts, it is advisable to visit another doctor and take second opinion. When in doubt always take another point of view. As per your illustration it seems you do not have faith in any doctor. And nothing can be cured if you do not have faith. How do I believe that you will believe in my answer? ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have sinositous from last 15 days and recently i found my liver fatty a little bit i mean SGPT(ALT) 56 U/L. I am 5 feet 11 inches of height n 83kg of weight before sinus and now 80kg i am so sad to losing weight so fastly just in 5 days. actually i was so week in 2010 n 62kg of weight. i am so consious about my weight. i am also having irritible bowl syndrom............ i am male. please help me out n also tell me what can i eat and what can i not. thanks a lot doctor. reply me as soon as possible ### REPLY: The SNU has long history and not few days you must have been having mild infection and allergies off and on, and it turned into acute stagehand you have fatty liver and weight loss this indicates to food allergies as some of the foods we daily can cause these diseases get blood serum tests for specific antibodies for milk wheat potato Chaney rice nuts eggs and other daily foods we take get eliminated the foods coming in tests, and you will be befitted in few wk ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 RA and have been injecting 7.5 ml once a week followed by leucovorin 5 mg tab 12 hours after methotrexate. I have been suffering from a cough for 3 weeks. My Family Practicianer prescribed medicine for reflux and allergies, since I did not feel sick except the cough. Another week went by and my cough is worse and I am now coughing up some phlem, but not much. So now I am on azithromycin. My blood tests taken a couple of weeks ago all appeared normal except wbc is approaching the level of being low. I have not ran a fever. My question is when should I be concerned that my severe, non stopping cough is due to methotrexate toxity. ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. I advise you consult pulmonologist and get done1. Chest x ray2. CT thorax if needed.3. PUT (pulmonary function test). Since your cough is not improved with treatment, and you are developing fever with phlegm (mucus) production, these suggest either of the following.1. Lung infection (pneumonia)2. Methotrexate toxicity3. RA associated pulmonary complications like bronchitis, fibrosis,infiltration etc. So chest x-ray, CT thorax (if needed) and PFT are needed to rule out above possible causes. So consult pulmonologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was on the nuristerate contraceptive injection for a month and was due to go for a second shot but did not go,I got my regular period about 8days after due date to go get a 2nd shot and got another 3 more menstrual cycles a week apart and I got an abnormal light period a week ago and it lasted for 4 days which is abnormal because I usually bleed for 7days. What is wrong with me? ### REPLY: Hi, Your symptoms are more likely due to the hormonal imbalance induced partly by the injection and partly by the failure to take the due dose in time. The menstrual bleeding is a with .  You have two options; either go for additional hormonal supplementation to correct the bleeding disturbance immediately through consultation of your specialist or waiting for a couple of cycles with regular intake of doses to see if the disturbance settles down on its own. Either way, you need dietary supplementation of vitamins and minerals. 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 been spitting up blood. Occasionally. It s been about 5 times in the last 3 weeks. Last night I fell asleep sitting up and got up at 4am and I spit up more than just a speck of blood. It was long streaks of red. My doctors are doing blood work. I m worried this can be something bad. I never was a smoker but fear it could be lung cancer. What can be causing this? ### REPLY: My advice will be not to get panic. There are many causes for blood in sputum like just severe pharyngitis, Rhinitis, or an episode of epistaxis, or some trivial trauma to oropharynx. There and many other benign conditions can cause blood in sputum. Other causes like chest infection, Bronchiectasis etc. which are non-malignant causes of blood in sputum. Right thing to do at this stage is to investigations, study of your symptoms like whether you had some nose or throat infection (Complete ENT check up), a chest X-ray or CT Scan of Nasal sinuses and chest...and if required bronchoscopy. I think your physician will properly guide you after studying your case to go through the appropriate logarithm of investigation, to reach a definite diagnosis. Best thing to do right now is not to be panic, anxious but to go through proper medical check up and act on your physicians' advice.... 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: Sir one of my friend has some problem and he is talking un-necessary things like marriage of his son, who is just 20years old. And he is calling all the relatives to his place for discussion for that to his place. And this problem started from last two days only. Plz help how to tackale this issue and plz let me know what is basic problem happend with my friend. ### REPLY: Hi dairy understand your concern. If he is talkative, high talk with grandiosity, increase goal directed activities and decrease need of sleep then it suggests psychopathology like mania. Mania is elevates and expansive mood with talkativeness. It has sudden onset and disturbing in daily routines. You need to evaluate properly and as early as possible. Condition can be treated with mood stabilizer with low dose of anti-psychotic medicines but before that need proper diagnosis. So consult psychiatrist and get help. Thank you. Still have a query then feel free to ask. Wish you a good health. 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: When I feel I am in pressure situations and I become so tensed  nervous my palms and foot goes cold sweaty and when I stand my feet shakes, my heart palpitates, and I go in a state of trance when i could not memorize the things to be said or written in (exam, presentations, etc). Specially in situations where I dont know what to expect. I have nausea when I am nervous. ### REPLY: Hi, It seems you are suffering from anxiety disorder with performance anxiety predominating. You can choose to start management with medications or behavior therapy or botChatDoctorbined. I would advise you to meet a local psychiatrist. One of the SSRIs like paroxetine would be a suitable agent for you. In addition, you can start doing some relaxation exercises like progressive muscular relaxation which will help you relax. Wishing you speedy recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My partner has great pain comming from his left testicle going up his groin adnomen. He sufferes erectile difficulties and his ejaculation is much less. His left testicle had shrunk dramatically, almost half the size of the right. there is no blood in his urine but does have difficulty in uriniating at times. ### REPLY: Hai, As from your complaint it seems to be an abnormality in testis and other related organ(epididymis, prostate etc.)pain radiating from testis to groin and difficulty in urinating indicates some problem in the urethral path. Left testis got shrunk in size possibly it got atrophied. In condition like viral infection, injury to the groin area, blood flow interruption to the testis can cause atrophy. I advise doing ultrasound and kindly consult a urologist for further management. Thank you hope I answered your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 an odd burning sensation/pain that occurs between my index finger and middle finger near where they join the main part of my hand. There is nothing on the skin surface, but occasionally when something pulls on this are, it feels like it was burned under the skin. What could cause this? ### REPLY: Hi, This area that supply between index and middle finger extensor surface is supplied by superficial branch of radial nerve. In case of any compression at radial ridge or neuropathy or radiculopathy pain or burning sensation will be there. Local Infection or scabies may can cause this problem. Use tablet Pregabalin once daily for five days. Use vitamin B complex tablets once a day one tablet for one week. If symptoms not improved please consult your neurophysician/orthopedic they will examine and treat you accordingly. 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: hives on stomach and back on May 2nd. went away after second medrol pack. was fine until I wa getting big hives every day to every two days in random places including forearms elbows legs. Im on Zyrtec and Zantac but seem to not help. today I went home early with severe fatigue neck pain and shoulder pain. tight chest as well started while I was on second medrol dose pack. rheumatologist is now testing blood again because liver enzymes are high. testing for viruses, could this be a case of mono? ### REPLY: Hi and thanks for the query, Abnormal liver function tests under such circumstances need careful considerations. An enlarged or inflamed liver on its own could explain the shoulder pain, neck pain and fatigue. It's mandatory to know the cause of the raised liver enzymes. Hepatitis A, B C and D should be ruled out systematically. An abdominal ultrasound could be useful in getting the know the size of the liver and the spleen. It is very rare that this could be infectious Mononucleosis.  In I'm, raised white blood cells are seen, enlarged lymph nodes and usually with spleen enlargement and not liver most of the time. It's not usual to have raised liver enzymes in this condition. I strongly suggest you consult your primary care physician and evaluation of your liver function. Kind regards, Bain LE, MD. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I AM 39 YEARS OLD WOMAN & I AM SUFFERING FROM MARELGIA PARESTHETIC ON MY LEFT SIDE OF THIGH SINCE LAST THREE YEAR I HAVE CONSULTED WITH SO MANY DOCTORS BUT COULD NOT OVER COME FROM THE DESEASEKINDLY ADVISE ME WHAT TO DOI COULD NOT EVEN SLEAP BY THE LEFT SIDE OF MY THIGH ### REPLY: Thanks for the query. Meralgia parenthetical is a painful mononeuropathy of lateral femoral cutaneous nerve. It is due to the entrapment of nerve as it passes through inguinal ligament. It could be because of injury or tight clothing or obesity or weight gain or pregnancy. If any of the above-mentioned cause is involved. 1. Reduce weight2. Wear lose clothing3. Methylcobalamin 1500 mcg injections on alternate days for 1 month followed by capsules of 1500 mcg in multivitamin combination should provide good long-lasting relief. This treatment is for long term benefit4. In unresponsive nerve block surgical decompression required In your case if all the options of painkillers, local lidocaine or corticosteroid injections are given already for temporary relief and methylcobalamin also given then kindly go for surgical correction. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 is experiencing the following: Upper back pain - when I press on it it feels crunchy. It hurts to take a deep breath, last night he had trouble swallowing some food from dinner. He said his BMs went from 2-3 times a day to 3 times a week. HE is very healthy and works out 5 times a week. 6 weeks ago he started a new job (increased stress) He went to a doc in the box 3 weeks ago and had a ct of the chest it was negative. what could it be. What kind of doctor would be the next step ### REPLY: Thanks for your question on . I can understand your concern. Since his CT scan is normal, no need to worry much for major lung causes like pneumonia. Possibility of musculoskeletal pain is more in his case. So ask him to avoid strenuous exercise. Avoid heavyweight lifting. Avoid bad postures in sleep. Avoid movements causing pain. Apply warm water pad on affected site. Start painkiller and muscle relaxant .  He will mostly improve in 1 week time. If not improving than consult pulmonologist and get done clinical examination of respiratory system and repeat chest x-ray to rule out pneumonia and bronchitis. Hope I have solved your query. Wishing good health to your son. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was bitten accidentally by my dog nearly 2 weeks ago on my right hand, It became very infected and I had two courses of antibiotics, the wound is now clean. My GP has said that I can leave the wounds uncovered now and they are drying up well. However my finger is still swollen and painful. I have got co codamol and naproxen. Is there anything else I can do to help? thank you ### REPLY: Hello, I understand your concern. I am , Infectious diseases specialists, responding to you. I suggest you to take the vaccination that is rabies and tetanus toxic. Rest of the things are right. You can add serratopeptidase to add up in healing process. Nothing more is required. I will be glad to answer your further query. Thank you for your contact to . Wish you the best health. Thank you, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 12 years old (female) i have 2 molar teeth with big cavities in them, i have had them filled, but they really hurt, i have been prescribed special toothpaste that contains lots of fluride, but when i use it, i get a headache. what could be causing the toothache and headache?i really dont want tooth extraction or a root canal as i hear that they hurt ### REPLY: Hello and welcome. Thanks for sharing your concern. Headache and toothache are not related. They have different reasons for their ache. If you have pain in your teeth please see your dentist and get examined. Deep lesions require root canal treatment. Treatment is carried out under local anesthesia, so you will not feel pain. Please do not be apprehensive and continue with your treatment. Regarding your headache please see your physician. That could be due to vision problem or sinusitis too. Hope t helps. Wish you good health. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was having sex with my girl friend earlier, but as my foreskin got pulled back, I noticed a really sharp pain from my penis, and I was bleeding.  However, when we use a condom, we dont have this problem.  Can you tell me what could be wrong with me? ### REPLY: Hello, You are probably having Mitosis. It means difficulty in pulling back your foreskin.  It needs to be taken seriously. If it persists, it can cause problem in sex, pain and infection. Further it can cause problems in passing urine and kidney damage. Therefore, I will advise, get it checked by doctor and most cases require a "small operation" called CIRCUMCISION, by which the foreskin is removed to cure your problems permanently.  Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 76yrs old, got hit at a red light,had xrays and several mris have bulging disc in neck and lower back. the pain in neck is just that, and my right hip aches as does my lower back, neck and shoulder.I have been given a shot in hip for pain, and will be going to phy. therapy., How long does healing take, right now, if I drive the pressure of the seat of my car hurts my back and I have trouble getting my right leg into the car,as my  hip hurts please, answer, thank you Joan ### REPLY: Hello Joan! Welcome on  ! You should know that in case of a lumbar bulging disk the pain is triggered by sitting or standing up position. So, it is quite normal to have pain while .  Physiotherapy can help manage the pain, as well as painkillers. But, if the pain persists, and surgery is out of discussion (if you have already discussed this with a spine surgeon), I would recommend starting Gabapentin or amitriptyline (if no contraindications) to help as a chronic management of back pain. Hope you will find this answer helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im 16 years old and Ive never been found to be allergic to anything and my skin isnt extremely sensitive, just normal. But, just today I noticed some rash like bumpy areas that itch right under my ears that is spreading along my jawline. I havent done anything abnormal/eaten anything that I wouldnt normally eat so I cant figure out what triggered it or what it is. Help please! ### REPLY: Hello, Thank you for asking at . I went through your history and would like to make suggestions for you as follows:1. There are many causes of such itching and rash. Common causes are exposure to sunlight, sweating over that area, exposure irritant from air, exposure to shampoo/soap, etc.2. For treatment purpose, I would suggest you to use an antihistamine like cetirizine or levocetirizine which will control itching.3. I would also suggest you to apply a lotion such as calamine lotion over the itchy area. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health ahead. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 5 year old daughter in constipated and has frequent UTIs.  Every time they test her urine, she has traces of blood in it and they disregard that.  When I five her any type of laxative (Mira-Lax, PediaLax) she gets sick and gets a fever and very lethargic.  Whats going on???? ### REPLY: I would consider the constipation and UTI as two separate ailments. For constipation, giving high fiber diet including green leafy vegetables is very important. I prefer Medial over MiraLax. However, I prefer lactulose more, although it is a prescription medication. I doubt any connections between fever and lethargy with that of constipation. Rather, these symptoms are likely to be due to the recurrent UTI. The cause of recurrent UTI could be some sort of anatomical abbe ration which could be identified by a DMS scan. Please discuss the same with your pediatrician or urologist. Further treatment would depend on the findings. If antibiotics needs to be prescribed, it is better to check the sensitivity and prescribe accordingly. Intake of plenty of water as fluids is essential. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a 51 year old male - I m running 25+ week, lifting 5 days, yoga, etc. I consume maybe 6 beers a week. I take daily vitamins, but absolutely no Advil, Tylennol, aspirin, etc. I just had my Cholesterol testing, it came back OK, but my Liver enzyme AST was a 65. I just went back this morning for a follow-up blood test and will get the results back within a week. Any thoughts as to why the elevated level. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have elevated liver enzyme SGPT. Elevation of liver enzymes level seen in liver damage. It may be due to some viral infection, alcohol, .  Your level is very slightly elevated so nothing to worry much about that. Just be relaxed.  Just repeat liver enzymes level.  Avoid alcohol and smoking. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am knocking at your door for an answer of my question. Dr. my niece is 9 years old and she has good health, weight 32 k.g height 129.1 c.m. She is suffering with tumor in her lung. Dr. suggested that with the help of surgery it will be cure. I wants to take her CMC verllore for surgery. I want to know the cost of the surgery and the process which i have to follow. Please help me, we are from lower middle class family we can t effort big amount. I m not very good in English if i had make any mistake the forgive me. Kindly give me the answer i will be very thankful to you. ananda sankar chakraborty ### REPLY: Thank you for your question Amanda. Firstly I would say it is not a normal thing to have a tumor in the lungs as the lungs are the site of exchange of gases between the environment and the body. Secondly a tumor in the lung at her age could probably be benign meaning it is not cancerous or malignant meaning it is a cancer and has chances of reading to other parts of the body. The fact that she is in good health now, it does not exclude that the tumor could be dangerous to her health in the long run as the tumor could start compressing other organs in her chest. I would advise you visit your consulting physician so that other necessary test are carried out to confirm the exact nature of the tumor so that an appropriate treatment is undertaken as waiting allowing time to pass might cause the tumor to increase in size to an extent where little or nothing could be done. Better still I would advise you seek the opinion of another specialist a thoracic surgeon or a neurologist. Good luck and my regards to your niece. Keywords: Specialist consultation, confirm nature of tumor ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have been feelng low and crying a lot as i live in turkey we have to pay for health care so went to the chemist for tablets which are cipram took for 6 months then came of them over 1 month gradually my friends have noticed i am muddled there words and think i should start tblets again not sure if  i should stay on these tablets or change them ### REPLY: I appreciate your query on . The medicine you mentioned is probably Escitalopram which is an antidepressant and a Selective serotonin reuptake inhibitor. Ideally they should be started in consultation with a psychiatrist. If you are having the symptoms of low mood, weeping spells, poor concentration, decreased interest in life and sleep/ appetite disturbances you can restart the medicines but continue for 6 months when you feel absolutely fine (not total 6 months) and then gradually off them. I hope you find this helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is home recovering from heart surgery. Suddenly one of his eye lids swelled up after dinner. He didn t eat anything new and he has been taking his post surgery medicine for several days, so I didn t think it is from an allergy. Should I worry. ### REPLY: Puffy eyes are usually only a temporary cosmetic worry, but occasionally. Most commonly, puffy eyelids is the result of aging causing a loss of skin elasticity around the eye. The tissue loses its firmness. Other causes are sleeplessness, thyroid dysfunction, fatigue, smoking, and increased oxidative stress. Over Intake of salt and should be taken care . Low-carb diet can prevent eye puffiness by preventing water retention. Eating foods rich in vitamins, especially A, C and E, helps to reduce eye puffiness. Use less salt & sugar, proper sleep, take a lot of water, A cold compress near the eye can act as a short-term remedy, Take Homeopathic Kali Carb 30 / twice a day /2 days. Be careful, Severe and persistent puffiness may be a sign of other serious medical conditions, calls for medical guidance. Consult your treating doctor if it persists hope this helps solve your quarry Take care. All the best.Don't hesitate for further query if any. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a small hard lump on the left side of my neck near my collar bone about the size of a pea. My neck muscles on that side are also sore . I haven t been sick. I do have asthma which flares up occasionally but haven t had any problems with that in a few weeks. I m female. Age 29. Should I be concerned ? ### REPLY: Hi Kristen, Welcome to  Forum. Do you have associated cough, fever or weight loss? Do you breast pain? Maybe it is an Enlarged Lymph Node. But it has to be examined by a Physician and a Gynecologist. Get your Chest and Breast examined to rule out any underlying Pathology. If it is changing in size and shape, it may be sent for biopsy, and you will be evaluated Further. 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 m not sure what to do, I ve had a headache for the past 3 days, and my b/p is 133/101. I have no health insurance and was turned away at the e.r. Because I did not have $250 to pay up front. Is there anything I can do at home to help alleviate some of the pressure I feel in my head or to help lower my b/p until I can get the money to see a doctor? Thanks, Tammy ### REPLY: Hi Tammy. You are welcome to . Firstly I would say stop panicking and taking stress. The more you panic the worse it will become. You do have a high pressure, but not a reading which needs emergency attention. You did not mention which side of head you are feeling the pain. But for now wherever the pain is, you can always take over the counter analgesics. This will definitely give you relief.Don't stay empty stomach, eat good food and try to sleep. All this will definitely help alleviate your symptoms. 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 was recently in Atlanta Georgia for the weekend, while there i was bitten by something under my left breast which left a red mark bout the size of a quarter in a oblong shape. it itches and feels  like a bump, i used neosperon, alcohol, anti-bacteria cream on it. Its been 5 days and its still there still itching, but it has gotten a little smaller ### REPLY: Hello rearward welcome to .come have evaluated your query thoroughly.* This indicates local inflammation following bite.* As per the narration, it requires certain antibiotics and anti-inflammatory medications for faster recovery and preventing secondary bacterial infection.* Better insight can be possible with photo pic of the same as an attachment if possible and no objection. 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: Ive had this lump or ball in between my neck and my shoulder..... i dont know if it is just a stress ball or what it might be...but i am starting to worry...ive tryied massaging it but i still have it i dont know if i have to put lots of pressure or anything....it does not hurt when i touch but i still want to know what it might be and what i should do ### REPLY: Welcome to  .1. The history suggest most possible cause could be enlarged lymph nodes at first place followed by glandular lesions and finally vascular cause.2. If you are my patient I would have examined the lump / lesions and ask for an ultrasound examination.3. Ultrasound will help to evaluate the nature of the lesion, its source and where all it is extended.4. If necessary needle sample might be needed. Never press or scratch the lesion - it will only increase the lump and possible infections.5. Lymph nodal enlargement is seen in case of localized / systemic infection / inflammation. If you are aware of any - treat the cause.6. So get an appointment and get needful investigations and treatment done. Good luck. 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: One side of the back of my tongue gets sore periodically.My papillae there are slightly enlarged.I do still have my wisdom teeth.Does this sound like oral cancer?I am a 37 yof,non-nicotine user and also pregnant.Occasionally,My gum near my wisdom teeth gets white sores which look like Ive bitten it in my sleep. ### REPLY: Hello, Read your query, No this is not a sign of oral cancer there is nothing to be worried so much be relaxed, don't take stress, as you have sore tongue and gums near wisdom tooth has white sore this can be due to glossies, due to deficiency of vitamin supplements, and sore gums can be due to infection in wisdom tooth related to periodontal problem or pregnancy induced gingivitis. Consult your doctor for vitamin B and C supplements and take proper sleep for eight hours.  Take proper nutritious healthy diet, includes green leafy vegetables, avoid junk foods, You can consult dentist for visual examination and after pregnancy you can go for oral prophylaxis. Maintain proper oral hygiene, Do warm saline gargle two - three times a day, Use regular mouthwash chlorhexidine twice daily.  Hope this will help you.  If you have further queried I will 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: I have RCT done one year back on my llower molar. few days back I observed the bump on that gum and after one week if was squeesed and blood was released. the tooth is now not feeling any pain . only thing is there is little scare on teh gume. Please suggest what should i do? ### REPLY: Thanks for using . Read your query. Underlying infection in the root canal treated tooth is the most probable cause of the swelling and discharge in the tooth. It is Reinfection in the treated tooth. I would advise you to visit your endodontist and have it reviewed followed by a radiograph. If required, have the root canal treatment redone. Scar if present will heal naturally. Do salt water gargling. Hope this was helpful. Thanks and regards. ### END