Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: March of 2013, I had a MRI done. My doctor said it showed a spot on my liver and a spot on my lungs. Should I be concerned ?  My cardio doctor requested this. I have not felt the same since the nuclear stress test , etc. I do appreciate your input.  Linda Haidamous Tomball, Texas ### REPLY: Thanks for your question on . I can understand your situation and problem. If you are asymptomatic then no need to worry about spot on lung and liver. They might be due to old healed lesion or scar or calcified spot. Follow up of these lesions are needed. So get done repeat scan after 6 months to see for size of the spots. If they remain static or decreasing in size then no need to worry much. They are benign spots only. But if they are increase in size and number then further investigation in the form of biopsy is needed to rule out malignant lesion. So no need to worry at present, get done repeat scan after 6 months and discuss all these with your doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey this is a little private concern but my name is dexter Jose and recently I began to masterbate allot more since my girlfriend left me but my question is I am getting a neurology test to check if I have ADHD. My question is will there be anyway they could find out why my nervous system releases so much excitement in any size or form to my penis. ### REPLY: Thanks for asking in  forum In Short: Masturbating whenever you have urge/excited is normalExplanation: Many people suffer from lack of excitement and urge. Thank god that you have so much of urge even after your break-up. It is completely normal to masturbate whenever excited and this should not become a habit that's all. So, enjoy yourself. Good luck for your search for new girlfriend. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I feel like weigh under my right last rib .I think i feel liver enlargement like feeling. I used to drink country wine (original Indian) for last 18 years. I got a job transfer. Now for the last four months I have been drinking Royal Stag. (Original one not available in dry State)What shoud I do ? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, your symptom is mostly related to liver pathology. Liver is situated on the right side under ribs. You are taking alcohol since very long time. And alcohol ingestion is the biggest risk factor for liver diseases like hepatomegaly, hepatitis, cirrhosis etc. So, first, quit alcohol ingestion as soon as possible. Better to get done ultrasound examination of abdomen, liver function test to rule out liver diseases. 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: A highly intellegent 16 that was attending an advanced schooling program started to begin acting inappropiate with classmates: laughing at unusual times, staying up for long periods of time, drinking lots of caffiene and no sleep, when he was getting ready to have his pictures taken for school he could not emotionally take it and crawling into a fetal position and began crying, paranoid with classmates ### REPLY: Hi, The behavior of the person described by you is highly suggestive of a psychiatric disorder, most probably some psychotic condition. However, for a definitive diagnosis he would need complete evaluation with more details like duration of illness, aggressive behavior, etc. It would be advisable to consult a psychiatrist for the same. Investigations like brain scanning may be needed to rule out any organic brain lesion. Assuming he might be suffering from psychotic disorder, he would need treatment with anti-psychotics like risperidone, olanzapine, etc. Hope this information was 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: curious as to what this may be...I have been having a dull ache under my left rib cage and it seems to only happen when i dont drink enough water? ...if i drink water it seems to get a little more tolerable, but doesnt completely go away...any idea as to what they may be? ### REPLY: Thanks for your question on  I can understand your concern. By your history and description, possibility of gastritis is more. But better to get done ECG to rule out heart diseases because left sided chest discomfort is common in heart diseases. If ECG is normal then no need to worry much for this. Possibility of gastritis and hyperacidity is more. Your pain is subsided by water intake. Water dilutes the acid in the stomach and hence subside the pain. So .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have a 23 year old daughter that exhibits ADHD symptoms. When away from us i.e. university etc, she has abuse marijuana , alcohol , constantly lies to us and needs money. She is very intelligent and yes people go to her for help and yet she cant seem to score well all around. when immense pressure where she had to pass three remedial courses for a carribean medical school (after being home for the summer) she managed a 89 %, a 92% and on the third course repition only a 69%. she has issues with aleopicia and is very attractive and will be friends with guys who pay attention to her! Because she has long hair the alexia is well hidden. It has increased with the stress of medical school and i have asked her many times if she wants to leave the program. she refuses. i m lost and afraid , live in Toronto and want to try and help her . please help ### REPLY: Degree understand your concerns went through your details. If your daughter refuses to discontinue her course, please do not compel her. She is doing what her intellect says. Let her be happy and do it. You can ask her to consult a psychologist who can counsel her and teach her to cop with stressful situation and time management. In fact, she should learn it from her experience. Prolonged stress can affect her health adversely. She shows ADHD symptoms may not mean she has ADHD. Please consult a psychologist. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: About 3/4 of a year ago I started to notice a dull stitching pain on my left side between my shoulder blade and my spine . In the past I would have said that something was out of place in my back. I have gone to 2 different chiropractors for adjustments over the year and the pain is still there. Lately I have also noticed a pain in the esopogial area again on the left side of my body and also sometimes my heart seems to thump hard, it beat normally 60 -70 beats per minute. I don t know if it matters but I live in an area where Lymes Disease is common. Thank you , Eric ### REPLY: Hello have understood your symptoms, There is radiating pain from inter scapular region downwards. Usually cervical disc bulge leads to nerve compression .so I will advise you physiotherapy like Inferential therapy and auto traction for early recovery. Static and against resistance guided exercise therapy may help in this case. You can consult physiotherapist for that. MRI cervical spine will help you to see severity of nerve compression. Consult your doctor for investigation. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a respiratory infection and asthma. I have been having asthma attacks all day with coughing fits where I can t stop the coughing and then I feel pressure building up in my head and chest and left arm. my left arm hurts like someone squeezed it too tight like a tight blood pressure cuff from my armpit to my elbow. muscle pain all through my torso from coughing for days. I m exhausted and I don t have health care. ### REPLY: Hellos you mentioned that you are having asthma and respiratory infection. There is pain in the chest and radiating to the left arm and head, so I recommend you consult a physician and get in ECHO to rule out cardiac involvement due to asthma. When asthmatic patient visit my clinic I prescribe them to take montelukast+albuterol tablet twice or once in day. Hot coffee and steam inhalation also provide instant relief. Since you are also having cough so take dextromethophan syrup. Consult a physician and get his prescription for these . Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes i recently was moving some 100lb propane tanks and the next day I started hurting real bad in my back. I was worried about kidney stones/infection...It hurts so bad i can hardly move at times. I do not have any trouble urinating or anything. However i went to the doctor this morning and he felt around on my back and said he could feel the spasms and said he was pretty sure that it was a pulled muscle, however he done urine test and said that they was a small streak of blood in my urine said it could be due to drinking alot of pop. can anyone help me out here?? ### REPLY: Hi, Thanks for using ChatDoctorFirstly to start with In my opinion you should stop worrying about the urinalysis. Nothing is wrong with you. As far as your back is concerned for immediate relief have some painkiller along with a muscle relaxant for 3-5 days depending upon the pain and symptoms and have proper bed rest for a week. Do not lie down on soft mattress use hard one instead, Do not strain your self or over exert. U can also apply some good anti-inflammatory painkiller gel on your back. If the pain increases do some hot fermentation locallygell well real soon ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my wife aged 67 has kidney problem.  last week blood test shows s.creatinine: 2.5 .blood urea : 50. hemoglobin : 9.2. sugar fasting 126 and pp sugar 186. recently since 10 days some blisters have developed on the legs from ankle to the knee. she is obese about 120 kgs.kindly tell us what can be done ### REPLY: Hi dear user have gone through your question. I can understand your concern. In advanced stage of renal disease there is severe water-sodium retention, wich may cause blisters when the fluid becomes trapped under your skin, but in my opinion your wife is not in End-stage renal disease. My advice is to consult a nephrologist in your area because you need to have an exact diagnosis and treatment for your wives renal condition. She need also to take iron treatment for anemia and a hypocaloric diet because she has morbid obesity. Hope I have answered your question. If you have any further questions I will be happy to help. Thank you for using . Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I had unprotected sex 11 days ago and today got a headache, sore throat, and my temperature may have been slightly increased. I dont think my partner has HIV but she does have irregular periods which Ive read may be a sign. Does having these symptoms make me likely to have HIV or can the stress Ive been under contribute to this? ### REPLY: Hi, I have gone through your query. Symptoms you have mentioned are not associated with HIV. Neither intercourse with girl having irregular periods nor stress have caused it. You have Upper respiratory tract infection. A course of antibiotic like azithromycin and NSAIDs like ibuprofen will help you out. Do consider positive feedback as a credit to my work. Let me know if you have any further questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, How are You, Recently i am suffering from severe back pain, i visited the Ortho specialist and he suggested me to take X-ray and he prescribed me pain killers and to do some excercises.After that i didnt feel any reduction in pain, offcourse it really started paining more, so i have consulted a Ortho Surgeon and from Clinical findings he told me that there is no disc prolapse and he advised me to take an MRI. From the MRI report it is mentioned - Minimal Lumbar Spondlysis in L4 and L5 Finally they mentioned all the spine structure is normal. I am really confused.  but still the pain is there, i am not getting any relief. i have been advised by doctor to take minimum of one hour walking every day. kindly advise  Age : 29 Height : 164 Weight : 68 Kgs ### REPLY: Hi... I can understand your problem. As most of your report findings as well as clinical findings are normal, there must be some postural problems or some faulty routine which causes pain. I advised you to start some light muscle strengthening exercises which will make your muscles strong, will lose your weight, and you will get relief from the pain. In case of pain which is not tolerable you can take some painkiller like ibuprofen, as well as some muscle relaxant. I hope it will be useful to you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive had eplipseygrand mal seizures since I was 12 had seizure about 5 yrs ago but now had two others about 4-5 hrs apart they were way worse I am now 57 yrs old I screamed at the beginning of seizure and had seizure wed 4pm and started being myself and pretty much know what was going on by sat afternoon do you know why they would be worse like that m.plamann@ ### REPLY: Hi, Welcome to  .com I am . Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Q1 : What makes seizures worse with age? A1 : As a person grows, the liver and kidney functions change. Brain Functions change. These are the reasons for making seizures worse with age. To solve this, you need to change the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i have a cold, runny nose and cough. i have produced some mucus over the last couple of days but this morning i coughed up a 3 inch peice of what looked like throat lining. should i be worried. yesterday i had a temperature of 38.2 but today i am fine and feel a lot better in myself. ### REPLY: Hi, I had gone through your query and want to say you thanks for your patience despite having such symptoms. I think you need not be worried too much now. I see similar cases in my clinic. In the first meeting, I give symptomatic treatment thinking of viral infection and ask them to follow up after 2 days if they are not improving. Since you are giving history of fever for 1 day, I would advise you to observe for another 2 days. During this time you may take:>Antihistamine like cetirizine>Paracetamol(acetaminophen) tablet if temperature rises>Throat soothing agent you find breathless, wheeze,profuse foul smelling sputum etc., then please go to your local doctor. Hope this answers your query. Take care and get well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband who is 70 years old otherwise quite healthy and active, but ex smoker, had tongue surgery for a white patch which was a tumor, the report was hyperkeratosis with moderate epitelial dysplasia, and then he spread and had a second surgery, the report is Well differentiated squamous cell carcinoma within the muscular wall, focally extending to deep inked resection, lesion is 3.5 mm in size with mild squamous hyperplasia and parakeratosis overlying mucosa. Now he has to go for a 3rd surgery. No other treatment is given. Could you please tell me how we should proceed or which country & hospitals have success rate for this kind of cancer. In this country everything gets delayed for months. Thank you. Nora ### REPLY: Hello, Thank you for consulting with . As you are mentioning that your husband went for surgery for white patch the report showed that it was well differentiated squamous cell carcinoma. In this case you should go for chemotherapy and radiotherapy both with surgery, as only surgery will not solve the problem. So better you should visit a good cancer institute for treatment. Hope it will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Good afternoon!My auntie just had an EKG and the reading said slight left-precordial repolarization disturbance,consider ischemia,LV overload or specific change.She has a schedule for  kidney operation this coming june 12, 2013.It is okey to undergo operation with this kind of result?Your response is highly appreciated!Thank you very much. ### REPLY: Hi Thanks for posting your query on  If EKG show some ischemia it is Must evaluate cardiac status for planed surgery. You forgot to mention age of your auntie I guess she is in the age group of coronary artery disease.  TMT or Dobutamine stress echo is first screening test and if positive then further investigations and interventions can be planed. Without fixing coronary artery disease may create problem during or after operation Hope this information help you to regard planning of you Aunties Kidney surgery 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 9yr old boy is having a infection in his penis,on top of that there is redish some time its burns and little pain and swailing is there.he is vomiting twice and coughing also,there is little temperature.can suggest me the medicine which get in dubai ### REPLY: Hi. From your description I think your son has got balanoposthitis which is a local infection and allergic reaction in the penis. You can give him CEPHALEXIN capsules 250 mg 1......0.....1 for 5 days. Also teach him to cleanse his penis daily during bath. If there is no improvement, or he has scrotal pain also please consult a pediatrician. For his cough you can use a cough syrup with DEXTROMETHORPHAN and CHLORPHENERAMINE combination if its available over the counter in your country. Hope I answered your quarries. Follow up for any further doubts.  . S. Sri Vichy Chennai ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im a 16 year old female. Iv been experiencing occasional sharp pain in my chest and often get the feeling I cant breath properly for up to 4 seconds, where I feel as if theres no oxygen, I have had an asma test and an ECG however mother came back as um usual ### REPLY: Hi thanks for asking question. You have normal ECG so cardiac cause here seems to be less likely. First you might have such pain by bad sleep posture. Simple analgesic can be taken. Hot compress found useful. Take sleep in supine position. Second by any hard activity or weight lifting of heavy object can lead to muscular strain and such pain can occur. Analgesic taken for it. Third if you have gastric problems then by it chest pain can occur. Treat it with omeprazole or suitable treatment. Mostly above-mentioned causes most likely in your case. But if still want to rule out if history of cough and fever then respiratory viral infection has to be ruled out. Possibility of pneumonitis like infection also has to be ruled out. Chest x-ray and CBC will be helpful. Antibiotic may be needed for it.Finally, if you are taking excess stress then also pain can occur. 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: Using microgynon30, do I need to take the pill at the same or a regular time each day? I ve not taken the pills at a regular time each day (between 8am-2pm), and pretty sure a few times I forget a day and take it the next morning (and that day s in the evening or not at all). I m on microgynon30. Should the pill still cover me as contraception if I m taking it, almost haphazardly, like this? ### REPLY: Hello. Thanks for writing to us. If you are taking the pill on the same day even if it is at haphazard timings, then you are protected against pregnancy. In case you have completely forgotten the pill for more than 2 days then you need an additional protection. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://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: Hi Doctor.....my son is 4.9 year old... he is suffering from cold and cough and have mucous in his nose although the mucous is not coming out frquently....please suggest whther i should give him Maxtra or Montair LC kid syrup as well as what should be the daily dose for the same. In addition to that, you want to prescribe anything else ### REPLY: Hi Thanks for the query to . Montair i.e. montelukast + levoceterizine is a combination of these tow anti-allergic . However dosage clearly written on bottle. But normal dose is montelukast 0.2 mg / kg body weight. Levoceterizine is just half of this i.e 0.1 mg. So this dosage are adjusted. Fist read and then you can give your kid. If you think infection i.e. fever present then some antibiotic need, otherwise montage will suffice. Steam inhalation will provide relief. Hope this will help your kid. Further, if any question I will reply. 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 18 year old grandson, a junior college basketball player, is experiencing sharp pain starts behind his knees on both legs. His legs tingle like they are asleep. Has been going on all day, but getting worse. They lifted weights the past couple of days.... chest and back. Should he go to an ER? ### REPLY: Hi, Pain in both legs with numbness indicates disc pathology with nerve compression, and it may have happened due to weight lifting. Tell him to stop weight lifting. Take rest on hard bed. Tablet Regain x75 mg one at bedtime helps in relieving pain and numbness. Visit to orthopedic surgeon for detailed clinical examination is recommended. MRI of the lumbosacral spine needs to bed done. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My grandfather is 76 and he has had a mitral valve replacment 2 years ago then about 6 months ago is started having chest congestion and it is still happening it sometimes makes it to were he can breath very well what can we do? we have tried just about everything ### REPLY: Hi Dear !! Thanks for your query to . Read and reviewed your query and health concerns. My opinion-In the given situation-You seem to suffer from-Mitral Valve Regurgitation with Right side failure, causing this chest congestion. Consults with Cardiac Surgeon who would treat it with medications. This could be due to many factors which would be investigated from Cardiac surgeon and would be treated accordingly. Further suggestions in this regard would need ore information /investigations after getting more details from You. This brief reply is given on facts submitted, which needs to be verified from your attending doctors, with whom you can check before starting further changes in the treatment. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following  link-http://doctor. .com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at  services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!!  . N. Senior Surgical Specialist M.S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife had her periods on 31st July and it ended on 3rd Aug. We had protected sex on wed, after which she took an i-pill on Thursday morning 3am. We had an unprotected sex on Friday afternoon at 3pm. Should she take an i-pill again? Or after what time she can take? She has regular periods with around 25 days cycle. ### REPLY: Hello dear. Understand your concerns. I pill taken on the Thursday does not protect against the unprotected sex done on the Friday. If you do not want to become pregnant then take I pill again as early as possible after second sexual intercourse. But make sure, avoid frequent use of the pill in future as it causes high chance of hormonal imbalance, menstrual irregularity, and infertility problem. Use barrier contraceptive in future to prevent the unwanted pregnancy. I hope this will help you. 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: About a month ago I had a sudden onset of something that was foreign to me up until that time. It was early evening and I was beginning to feel tired. All of a sudden I got this queezy feeling in my gut, and then a feeling of very hot spread throughout my body. My skin felt like it was on fire. I broke out into very profuse sweating, and quickly soaked my clothes. I got lightheaded. Being a mild diabetic, I took my blood sugar level and it was normal. Also, I have high blood pressure and have blood pressure machine. My blood pressure was within limits. After about 45 minutes the symptoms began to subside. After an hour I was feeling better but completely wrung out . I kept getting these symptoms every evening, albeit moderately, for a couple of weeks. For another couple of weeks I got the symptoms, albeit mildly, sometime during the day at differing times. Now, I get the symptoms mildly every once in awhile. The first set of symptoms really scared me and I almost called the ambulance. I would like to find out what this might be because the next time I get a severe set of these symptoms I may black out, and I live alone. I forgot to say that I am a 65 year old male who has had 7 lower spine surgeries and a knee scope surgery. I had a TENS unit surgically implanted in my lower back and right buttocks, but it had to be removed after a couple of months due to very severe staph infection. It took a lot of strong antibiotics(Vancomycin) to get that under control. The last back surgery was done at KU Med. Center, Kansas City, where they opened up my abdominal cavity to get in and put bone wedges in between 3 vertebra, put that all back together and sutured up, turned me over, and opened up the posterior of my lower back to put 3 sets of screws in the same 3 vertebra and tied them all together with rods, sutured that up and called it good. ### REPLY: Hi, I understand your concern and would explain that it is necessary performing a comprehensive differential diagnosis between different possible causes that may lead to this clinical situation: thyroid gland dysfunction, possible cardiac arrhythmia, orthostatic hypotension, low blood perfusion to the brain, etc. For this reason, I would recommend performing some tests to investigate for the possible causes: -a Doppler ultrasound of the carotid arteries - thyroid hormone levels for possible thyroid gland dysfunction- blood electrolytes for possible imbalance- an ambulatory 24-48 hours ECG monitoring in order to investigate for possible cardiac arrhythmia. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have recently been on a diet to eliminate food allergies. After 5 days I tried eating a few cherries from my own cherry tree and within a short time I had a tingling, itchy sensation up my arms like an allergic reaction. This is very strange as i am now 68 but have been eating copious amount of cherries all my like. Can I suddenly become allergic to them? ### REPLY: Hi!welcome to ! Most food allergies start in childhood, but they can develop at any time in a persons' life. Yes, adults can develop an allergy to a food they could once eat with no problem. It is possible that you have become allergic to cherries.You'll need to avoid the offending food that is cherries altogether. An allergic reaction can quickly put your immune system into a state of emergency, affecting numerous organs in your body hence it is better to avoid!hope this will help you! Take care! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pain in my chest just on left side. It is when i breath or sitting a certain way and breath.I am a smoker for the last 15 years or so. I noticed this after having a "kink" in my kneck. My kneck is better but this stuck around. I can sometimes breath or take a deep breath with no pain at all ...Help ### REPLY: Thanks for your question on . I can understand your concern. Since your chest pain is associated with specific position, posture and movement, possibility of musculoskeletal pain is more. So do following things for better symptomatic relief. 1. Avoid movements causing pain. Avoid bad postures in sleep. 2. Avoid heavyweight lifting and strenuous exercise. 3. Sit with proper back support. 4. Take painkiller and muscle relaxant .  5. Apply warm water pad on affected areas. You will mostly improve with all these in 1 week. If after 1 week, you still have pain then get done chest x-ray (to rule out lung pathology) and ECG (ti rule out heart pathology) because you are smoker. In any case you should quit smoking as soon as possible. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 34 yr old female....height 52, weight is 175...I was diagnosed with HPV a few yrs ago and have been battleing outbreaks periodically ever since. Had an appointment today with my gynocologist, for what i thought was a breakout. However, she tells me that it is cholesterol buildup. Can you tell me more about this? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern.HPV is the STDs or sexually transmitted infection. It is caused by the human papillomavirus infection. It has nothing to do with the cholesterol built up. Cholesterol is type of fat and can not cause STDs like HPV. There is nothing an outbreak like in this condition. So if you have HPV you should take the treatment as per the disease state and your clinical condition. There are various treatment modalities available like imiquimod, cold laser, phenolic cauterization. But all have merit and demerit as per the situation of the patients. If your sexual partner have the same infection as avoid the sexual act till you are free from the infection. You can use the condom, but better is to avoid the sex act. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, 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: toilet training my 3yr old boy. he s great to pee standing up but we are not having much success with poos. His poos are mostly runny and he doesnt recognise the urge before it comes out. sitting on the toilet may catch it but its hit or miss. Any ideas on how to firm up poo? thanks ### REPLY: Hello, At 3 years of age a child passes well-formed solid poop...if It's not then something may not be going right. At age of 3 child should be eating from the family pot (meaning whatever the parents eat). A balanced diet with fruits, vegetables and dairy (milk not more than 400ml/day) with proteins, carboy .  A stool analysis has to done to rule out any malabsorptions in the child. Few occasions, constipation too leads to watery stools and rarely potty training if stressful for a child can lead to constipation. Kindly see a pediatrician before you might feel your child isn't ready for poop training. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have noticed i have a slight tear under my penis i think its the frenulum tear. Symptoms are my foreskin is swollen and red, when i urinate and it runs down over the cut/tear it stings really bad for a few seconds. Also i seem to be leaking some fluid like substance and it has a smell to it. What is my problem? ### REPLY: HelloThanks for query. Based on the symptoms that you have described you seem to have infection of foreskin (Prostatitis). Many a time it is a presenting symptom of Diabetes hence get your blood sugar test done to rule out Diabetes. You need to take broad spectrum antibiotic like Definite and anti-inflammatory . Ensure to wash your genitals with warm water twice daily. Ensure to avoid sexual encounters till it heals up completely. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir,im prakash from hubli,and i want treatment or medicines or near any hospitals for this as im now 18yrs and i was masturbating from 15yrs and now physically and mentally very weak i cant concentrate on studies and also my height is getting short .weightlossing,muscle pains and so on,so please give me some suggetions ### REPLY: HelloThanks for query. Based o the facts that to have posted it seems that you have been indulged in masturbation since 3 years and now facing health problems like general weakness, muscle pain and loss of ability to concentrate etc. which you think these problems to be due to habitual masturbation. First there is myth in a mind of common man that excessive masturbation is the reason of all sexual and general health problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and improve your heath. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. Avoid frequent masturbation and restrict it to twice a week . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here... my daughter is 17yrs old and 11months before she is suffering from rt lwer quadrant pain by ultrasound and ct scan found out that she has ovarian cyst after a4mos ovaries normal size no more pain only suprapubic pain before the end of urine and trans rectal ultrasound reveals histry of pid and pelvic tb cant be entierly ruled out mantoux test done 22mm size dr told positve for tb given tb drugs 47kg 5,1ht no symptoms.i want to ask if is it possible to have the dissease soon because many procedure done it was not seen only this month seen in the ultrasound will she take already antitb drug how many months she will be cured is it contagiuos what is the best treatment for her ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Anti TB treatment is a long therapy. You have to take the treatment until you can completely cure with it. In many cases there is resistant in the tuberculosis bacteria. Thus, can cause treatment difficult to treat. I advixebuou should test for the Inexpert test. This test will detect the resistant to the tuberculosis bacteria and can give us idea regarding the cure. Please do not discontinue the treatment until you are fully cured. Surgical instruments are usually sterilized before they are used so, there is no chance of tuberculosis by this way. You can keep good local hygiene as this can be helpful for the treatment. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, 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: Hi respected doctor. am male 17 years old. my penis and testis are too dark from the rest of my skin, while the rest of my body is quite fair in color. even if their color b a bit darker would b OK for me but the problem is that they are embarrassingly dark. please help me by suggesting me some easy solution. ### REPLY: Hi, Dear,Thanks for your query to . Dear I read facts of your query and reviewed it in context to your query health issues. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-Its Normal. Just take it Coolly.Don't get embarrassed. The bogosity of the Scrotal and penile Skin at rest is the cause for dark color of penis and testicle. Other causes need to be ruled out . So you have to be careful and need to attend it seriously. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. Need to Check with your Dermatologist- if things don't recover.-Other causes need to be verified with your family GP doctor and Dermatologist-Specialist doctors, as the facts may be different what you submitted.-For this Second opinion from PCP-or GP doctor and if need be with Dermatologist-specialist-is needed who would do proper investigation after proper physical assessment to resolve your health issues.-for early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!!  . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Doctor, I am taking Telekast-L tablet daily at night. I asked my father to get that tablet from a medical shop. He bought Telekast-10 instead of Telekast-L. Is there any difference between those two tablets...? Shall i have that tablet Telekast-10 instead of L? Plz reply me.. ### REPLY: Hi, Telekast-L may be taken in the dose of one tablet once a day. Telecast is a combination of an antihistamine (levocetrizine) and leukotriene receptor blocker (montelukast) commonly prescribed for the treatment of allergic symptoms such as runny nose, stuffy nose, sneezing, itching, swelling, watery eyes and congestion or stuffiness. It also reduces inflammation in the airways and make breathing easier. Telekast-10 consists of montelukast only and prescribed to prevent and treat allergic conditions like asthma, seasonal allergies, and exercise-induced asthma. You may take telecast-10 if you do not have allergic symptoms associated with cold as listed above. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Every night while sleeping, both lower legs become numb and painful. I usually get up during the night and sit up for awhile. This has been ongoing for about 1.5 years. Can you suggest the cause or how to alleviate the pain so I can get a better night s rest? ### REPLY: Dear patient numbness in both legs especially at night may be due to nerve compression at the level of lower spine. Rarely it may be due to cervical myeloma thy. I would like to advise X-ray of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities. Meanwhile, start tab regain x 75 mg one at bedtime for one month. If not relieved MRI of lumbosacral spine with screening of whole spine needs to be done and visit to spine surgeon is recommended. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have been on clarithromycin for about two weeks for a sinus infection. I have been noticing a flutter in my chest, like my heart is skipping a beat. I ve been ignoring it, b/c I can allow stress to impact me negatively. Guess I ve noticed this symptom on and off for a week or so. I continue to work out, notice nothing odd in my viceroys cardio. While resting my heart rate is up a noticeable amount. I ve decided to stop taking this JUST NOW b/c the skipping heart beat was worrying me. I really think this is from the medication, but how many days for side effects to subside? As in, if I notice NO heart Fluttering one day, two days, a week to go away if this is on fact the cause? ### REPLY: Dear Friend. Welcome to . I am .  I have read your query in detail. Furthermore, I understand your concern. Yes, Azithromycin and Azithromycin can cause this. So, I would advise you to follow:1. To ask your doctor for a suitable alternative2. To stop Clarithromycin3. To get ECG.ECG is important to rule out any other pathology that can cause this. If this is due to Azithromycin, this should stop with in 72 hours. This is my best advice for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, 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: My 91 year old father was recently diagnosed with vocal chord cancer. He started radiation treatments, then after 4 treatments he got shingles. Since then he cannot keep any food or drink down. He throws everything up. He was admitted into the hospital for mild dehydration and stayed for 2 days and was just released last night . is vomiting a side effect of the cancer or the radiation? Also, any suggestions on what to do to keep food or drink in him? ### REPLY: Hi, Thanks for writing in. Vomiting is a common side effect of cancer treatment. It is possible that he received radiation therapy to his neck region and this caused fibrosis of the thoracic part of esophagus which is located behind the vocal cord. The esophageal radiation fibrosis might cause strictures which cause discomfort in eating and .  The patient might also have pain and difficulty in swallowing. It is suggested that an investigation like barium swallow is done to know if the food pipe has developed any stricture. Then attempts might be made to widen the stricture area and allow the passage of food and liquids. To keep him HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 23 young girl who just feels down a lot no matter what anyone does for me I just take it out on them...I dnt feel good about myself at all always tryin to change my apperience...I lost my father when I was 7 and my mum has a learning disability .. It was difficult grown up but I had a great family support ..Im an only child so I had to take on a big responsibility with my mam... Ive always done everything for here but she doesnt get me at all getting older I realised how different we where she would lie so much about money and always put men in her life before me. I know that she does try her best but we just dnt get along any more.. I was in a relationship for 4 year and I was cheated on and lied to he just made me feel like i wasnt good enough made me feel horrible about myself and Id cry every day and got so paranoid ...I became angry and would lash out and take it out on every one...eventually I got out of that relationship met the fella of my dreams  who has dne everything he can for me ...but I still cant be happy Im still down Ive lied over stupid things which are big to him and dnt treat him nice at all...I always complain I always fight with him I just feel like I can never be happy with me life Im just lost.. my relationship with my mam has gotting so bad I feel like she hates me and talk to me I put her dwn I put my boyfriend down I dont want to be this person anymore I know who I am or wat I want in life but Im angry feel depressed and most days Id feel like they would all be happy if I wasnt here...dnt know wen I became this angry person who hates herself hates life and treats the people she loves so badly I know its not right Ive been unhappy for awhile ...just dnt know what to do or how to come out of this black whole Im buried in plzzzz help ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. The symptoms you provide here do correspond with depression. But you should know that even disappointment in life circumstances can have depressive effects.  These are mental disorders and not diseases. These are mental conditions rather, manifested itself out of wrong perceptions and stimuli. Numerous researchers and researches emphasize again and again on the fact that mental disorders cannot be cured only with the help of psychiatric medicines. You need to alter your lifestyle to suit the requirement, change your thinking patters and maintain positive body metabolism. Psychotherapy techniques, yoga, meditation etc. should help you achieve these requirements. A trained psychologist / psychotherapist can help you in this aspect. If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to overcome your problems. 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: ive been helpless and hopless since may and I always have a stiff neck its always there will it ever go away im on two meds clonazepam 1mg and mirtazapine of 15mg been taking them since july 21st 2014 what can I do to get rid of that pain at the back of my neck ?? ### REPLY: Here I suggest taking MRI of your neck as well if there is pain at back then for back also. And based on result talk to your doctor. If there is severe problem with cervical curve, disc, as well if it's disturbing the nerves over there then the surgical correction will be needed. But if there is no such major issues then you must visit a physiotherapist also and here physio will give you some soft tissue relaxing treatment and some pain reliving treatment too. Do take suggestion on spinal exercises which includes stretching as well strengthening and mobility for spine. You can also use hot and cold pack at home for some more relief and relaxing soft tissues. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Doctor i am having problem of semen leakage, when i starting foreplay when start touching my wife, semen keakage started, and after 4-5 min of foreplay i am almost ready to discharge. Also my intercorse time is very low in seconds due to this semen discharge.... Please suggest ### REPLY: Thanks for asking in  forum In short: It is the pre-cum which is coming not semenExplanation: Whenever you are excited, first it is the lubricating fluid whicChatDoctores(pre-cum) and lubricates your genitals so that you can have sexual intercourse normally.  You need not worry about this. Keels exercise can help you. Stop and start many times during urination to give work to muscles of perineum. You can ask your doctor or search in net for details about keels exercise. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. My sister is 23 years old and is suffering from very low HB that is 3.5. Two years back she had severe bleeding due to fibroids and after that she s on medication. Her bleeding has become better but her HB has fallen down a lot. I am really worried what to do. Should we go for a blood transfusion. ### REPLY: Dear patient. Greetings from  !!!  I am  and shall be answering your question. I can understand your reservations about blood transfusion and when it should be done. Furthermore, I will try my best to answer your question and guide you through the problem. Your sister has an HE of 3.5gm/DL. The normal HE for her is 12gm/DL. Her anemia can be multifactorial, blood loss due to fibroid, nutritional, menstrual loss. HE of 3.5gm/DL is a very low hemoglobin. The body goes into a state of high output cardiac failure and blood is not able to deliver enough oxygen to the tissues. Oxygen is a basic requirement of the cells. Hypoxia leads to accumulation of acids in the blood and the patient feels tired and breathless. Hence, I would recommend your sister be transfused with a total of 3 to 4 packed cells to get the HE till 7gm/DL. She can then be treated for the cause. She can then be given hepatitis, intravenous iron and treated for fibroid if any. Current day transfusions are safe and the risk of acquiring diseases is minimal. Hence, you shouldn't worry about that, I hope this helps you out. If you have any more questions, please do not hesitate to write back to me. Yours sincerely, 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 have an 11 yr old adopted son with XYY.Due to his aggressive and difficult behaviour he is in residential care.In the u.k.doctors are reluctant to treat with meds.but I am a nurse and I am reading about the use of drugs such as olazapine,valporate and oxacarbamaze in the u.s.Do you think I should ask for him to be trialed on these drugs?I am desperate to give him some quality of life..so far that is very compromised.. ### REPLY: Hello Aggressive behavior is common in this age and boys tend to have sense of independence which cause them to defy orders of parents. Most of the time aggression is positive in form of verbal aggression and also physical aggression. Passive aggression is also common. Most of the individuals improve with time but if the aggression is not tolerable and cause significant dysfunction then there is need to consult a Psychiatrist and Counselor. Medicines like Sodium Valproate can be used to decrease aggression but only under expert supervision. Thanks, hope this 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, HAD A CATHERDER ABLATION IN NOV. 2011, DIDN T WORK ,HOWEVER 2MONTHS LATER DEVELOED A BLOOD CLOT WERE THE CATHERTER ENTERED THE VEIN IN THE GROIN . CLOT DISLODGED AND WENT INTO LUNGS SO A VENA-CAVA? FILTER WAS PUTIN TO STOP ANY FUTHER CLOTS. NOW IN MAY I HAD A MILD HEART ATTACK ,ONE ARTERY WAS 95% BLOCKED. A STENT WAS PUT IN AFTER THAT PROCEDURE NEW MEDS WERE PRESCRIBED. I WAS ON FLECANIDE WHICH WAS DISCONTINUED . AM ON RAMAPRIL AND SINCE THE CHANGE IN MEDS FEEL WEAK, LIGHT-HEADED. AND HAVE EPISODES OF SHORTNESS OF BREATH. SHOULDN T I BE ON SOME SORT OF MED. FOR THE AFIB ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given I could say that the symptoms of shortness of breath, light headache, in my opinion these symptoms need to be investigated again for the fresh infraction because you already have stent inside, so you née to go and get done the test that includes, EKG, and Angiography, hope this information helps you have nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: good morning.. my husband told me last bight that he saw some strange little bumbs on the tip/edge of his genital area. We have both been tested for STD before but everything came out ok. He says it does not hurt and it does not itch. The are very little. It sort of looks as though it was part of his skin kind of. ### REPLY: Hello, If you have shared a picture of these lumps it would be of great help to comment however, pearly penile pa pules are also normal.  They are very small bumps, the same color as your skin, but with a pearly appearance.  They usually appear around the glans (head) of the penis in a row. Again, they are not sexually transmitted, and they don't need any treatment. 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 have just discovered that I have Ventricular Tachycardia. I went to have my new pacemaker of a month checked and adjusted (for complete heart block after an operation) and at the check up the technician noticed a 28 second episode and called for the dr and he consulted the Consultant. I was given Amiodorone 200mg front loaded. My question is: How much useful life have I got left to get things in order and get on with my bucket list? ### REPLY: Hi, Most probably you have slow ventricular tachycardia, which wasn't intervened with your ICD. With your ICD you are relatively safe, it will terminate fast tachycardia, which are life-threatening, slow ventricular tachycardia are not as dangerous. Anyway Amiodarone will help to prevent the tachycardia. Hope I could help nourishing you good health In case of further questions don't hesitate to ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Thank u doctor for your consideration....Nearly 30 years...I have been living with severe itching in my scrotum.Many tests, and various medications have been taken in these very long period. But the result is in vain. Doctors can only conclude u have nothing except you must have to be an allergic to something which you dont know, their common respons is. I married 20 years before and having 5 children , with no problems in having normal sex, as same never heared complain from my wife.     Now still I feel the iching and live having it ...I tried as medicine to use mixiture of oil and garlic.....I do not know what to do...I am 59 years old.....Please help me? I thank you  T. Abraham...02 June, 2011...Height 1.65 cm...weight 70kgNB.Sexually very active at this age ### REPLY: Hi, You have been bothered by testicular itching on and off for years. This itching and possible redness of the scrotum or inguinal area is likely due to a fungal infection. A fungus is an opportunistic infection that grows in places that are dark, warm and moist which describes the scrotal area very well. Your doctor decided to use the clobetasol to control the itching from the fungal infection.  I would recommend that in addition to using the clobetasol for the itching that you also add inaction or Tamil powder to reduce the fungus. In summary1. Clobetasol to reduce itching only2. Add inaction or Tamil for possible fungal infection. 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: Embarrasing as it may be but over the last two years I have found it very difficult to cum to a climax once inside my wife s vagina. I try to relax but the situation has not changed. can you suggest anything that may help me at 54. my wife is 52. Stephen T (UK) ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Premature ejaculation, delayed ejaculation, erectile dysfunction and lack of interest in sexual matters are mainly due to anxiety and lack of knowledge. You are anxious or rather apprehensive. You are worried about your sexual performance. Such worries, rather apprehension . Have faith and confidence. Stop worrying about future. You may try relaxation techniques. Please don't worry about sexual pleasure. Have love and affection. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...I am 31 overweight and I smoke. My mother has heart disease and at the age of 40 she had a heart attack and the result was a triple bypass. Starting late last night I started having pains in the left side of my chest behind my breast and down into my left arm. The pain is still there and my arm feels like it weighs a ton. The chest pain is getting worse.    What should I do ### REPLY: Hello thanks for posting here. I have gone through your description. I would advise you to go immediately to the emergency department s and take an EKG and cardiac enzymes. Please don't sit on the pain. It requires attention. If both EKG and cardiac enzymes are normal then get a 2 d echo done. If all three a normal you can come home, and you skid do a treadmill test after four days. Meanwhile also get your it D and it B12 levels checked. You have three risk factors namely smoking, obesity and family history of heart disease, that's y i m concerned. Wishing you 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: I was started on tegretol 200mg bid a few months ago for this facial pain. Which my Dr thought was probably trigeminal neuralgia.  It did take most of the pain away but for the last few weeks now I ha e been havj g awful emotional breakdown episodes.  For example I may be just sitting down to eat and in middle of eating just ha e this feel I g sweep over me that I need to cry lime something awful happens but nothing has happened.   It keeps happening g, these awful downward mood swings.  Is it the tegretol?   Im really scared ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. These mood swings are not of regret. Tegretol is, in fact, particularly useful for people who experience multiple mood swings. You are going into negative mood sometime somehow. That is it. Why do you want to relate it to medicine which is given to you by a qualified doctor? Such things happen when we do not have faith in our doctor. Have faith. He shall not do anything to hurt you. If you have this feeling with the present doctor, change to an experienced acceptable one. Mood swings often occur due to many reasons. One among them is apprehension. Another reason is just by sitting idle and not doing anything and worrying about self. Understood? Do your job with passion and involve yourself in it. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some 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 aunt (40 years) was a breast cancer patient and she recovered from it one year back. now she is suffering from bone cancer and the doctor said that it has spread to all the part of the body. and mainly affected to her hips. and the worst thing is that she is also a heart patient. she is now undergoing chemotherapy. what i want to know is that whether it can be cured and how long will it take to get cured. And i also request you to suggest the treatment procedure so that we can discuss with our doctor and do the best. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your aunt has history of breast cancer. Now she has bone cancer. Treatment depends on type of bone cancer. Whether it is primary bone cancer or metastatic cancer from breast. Treatment options are chemotherapy and radiotherapy. But please send me her all reports so that I can help you further. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, I have rashes on my groin area and on my back(bumps/ass). It has turned red, and has a irresistible burning sensation. I have used zimig, lobate & dermatoid but it coms back now and then. Please suggest a permanent solution. Burning sensation doesn t allow to sleep and its getting worse with time!! ### REPLY: Hi, The rash on back and buttock may be sunburn most probably. You have reddish patches with burning sensation. The cause would be sun exposure. You avoid sun exposure and avoid contact with hot surfaces. Do cold water compresses. Take antihistamines like levocetirizine. If needed, steroids in tampering dose may be taken. Apply mild steroid with antibiotic cream twice a day. Avoid soap bath. You may use detail liquid during bath. I think, you may be alright in few weeks. However, you consult dermatologist. I hope you got my answer. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I think I may have a kidney stone, what is the best option for pain relief or should I go to er if pain gets u nbearable? I read about a tea you can drink, the Neatle tea leaf where can I find this? And if I am passing blood does that mean I am In the process of passing the stone? ### REPLY: Hello, I suppose you are having pain in flank region as you have not specified correctly. I would suggest you to get a USG scan of abdomen to look for presence of kidney stone. If at all its present, the size of the stone, number of stone(s), site of the stone all this information we can get and which can help for proper diagnosis and treatment for the same.  Regarding the question about blood in urine, if stone is present and if It's eroding the wall of kidney, ureter or bladder it can cause blood in urine. So to get answers to all this question I would suggest you to get a USG scan of abdomen and follow as per the report. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a premature baby that has tons of secretions that need suctioned.  She tested positive in the NICU for stenotrophomonas after her tubing tested positive for it.  She has cough on and off.  I am trying to figure out why she may be having so much secretions even after being on antibiotics, etc....any thoughts? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. S. maltophilia is very notorious organisms for resistant to routinely prescribed antibiotics. Premature infant and ventilator in it is the most common cause of infection and secretion amongst newborn baby. I advise you to take your secretion culture and sensitivity done. Because this organism is inherently resistant to routinely prescribed antibiotics. Once the angiogram is available you can take the treatment accordingly to the baby. Please consult the pediatrics doctors before taking the . Please maintain good oral hygiene to the baby. It is equally important as taking antibiotics. Please continue the breastfeeding to the baby. It also provides good immune support to the baby. I will be happy to answer your further concern on 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: Hello i am a 26 yr old female who is 52about 140 lbs. I have been suffering for about 8 years with chronic low back pain from three hernniated discs in my lower back L2-s1. I know the kind of pain that i have and this is not it. Tonight i discovered a painful lump on my right lower back that hurts to touch but is moveable. Its about the size of a nickel. Just wanted to know if any one knew what this could possibly be. I have received shots in my back about two months ago. This painful bump just popped up tonight.  Please help!!! ### REPLY: Hi, DEar, thanks for your query to . I studied your query in depth.1-In My opinion the painful movable lump injection-abscess with pains.2-For your age with 3 herniated discs and repeated shots in the back, -Post-Injection-Abscess is the most probable cause for such an acutely developed back lump.3-Hope this would solve your query.4-Wellcome for any more questions on new or this subject also... Have A 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 daughter complains of her belly hurting quite frequently. She can go a couple days or even a week at times with no issues. Then she will complain for a few days in a row again. It can come and go in waves in the same day as well. Tonight she puked and it smelled like sulfur. Should I be concerned ? ### REPLY: Your daughter is suffering from some sort of abdominal infection and digestive problems what I can say from your history. You have not mentioned the age of your daughter, so it is very difficult to say about dosage of the .  Anyway you have to give her syrup oflox-oz 5 ml twice daily with syrup Cyclops 5 ml twice daily for stomach pain with some digestive enzymes like syrup enzyme 5 ml twice daily. Along with give syrup bandy-plus 10 ml stat at night and 10 ml stat again at night after 7 days. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Child has stomach pain not all time .. the pain last for only 2-3 mins Consulted the doctor he asked to take Ultra sound scan of stomach,, taken and the result are normal,then he prescribed the medicine razo easy powder and cyclopam suspension , ### REPLY: Thank you for following up. I advise to get checked for parasites, Celiac disease (gluten), constipation,gases, symbiosis. Does she go to bathroom daily? Visit a pediatric Castro doctor for all this. Do additional tests:-stool culture;-stool for cysts and ova; Give Activated Charcoal 1 tablet/10 kg for absorption of gases; Darolac-1 capsule once a day for 1 month for normal intestinal flora; Zen tel(Albendazole)1 tablet in bedtime for prophylaxis of helminthiasis. Phototherapy -flax seeds and fennel are very helpful-1 tbsp of each boil with 2 glasses of water, take 1/3-1/2 glass of water 2 -3 times a day.  Kind regards Have a nice day ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have undergone ivf frozen embryo transfer on the 26 th of April. I am having regular cramping since day of the transfer. I feel bloated,constipated,burping, and gassy,high body temp,and a altered taste. I did the urine pregnancy test today on 3 rd which is 7 days post transfer and it showed negative.please advice ### REPLY: Hello, Cramping (abdominal pain mostly on left/right sided pain) is usually due to the movement of your tubes after the procedure. Its normal. Constipation and bloating is due t the procedure. Taking high fiber in your diet like oats, fruits, vegetables can relieve your symptoms. Do not strain while defecating. If you suffer from severe constipation, take advice from your doctor on which on the counter enema you could take. Urine pregnancy test does not show results before 2-3 weeks. Wait for a week or 10 days before you take another UPT. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 twenty five. I have been trying to conceive for almost a year now with no luck. I have just recently been diagnosed with papillary thyroid cancer. They have removed the right side of my thyroid where the cancer was and I am returning for surgery again next week when they will remove the left side of my thyroid. They are then going to start me on 100mg of eltroxcin. I am wondering if my fertitilty issues had anything to do with having thyroid cancer or will my fertility chances improve once I am on eltoxcin? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. There are many factors affecting your fertility.  So you should search the cause. You should go for your husband semen analysis and your hormone levels.  It may be due to some other cause.  Search the cause and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi Doctor;

 i have face nightfall problem 3 to 4 time in week last 8 year and i have masturbation last 13 year and loss erection and very weakness in my peniz size. plz tell me any medicine available on this problem. plz tell me. any problem created my sexual life. and my current age is 26 plz help me

 Regrad..............

 sachin s.............. ### REPLY: HelloThanks for query. You have been indulged in frequent masturbation since many years and now facing problem like Erectile dysfunction. Frequent habitual masturbation practiced over years causes problem like ED and Premature Ejaculation. You need to restrict this habit which requires self-determination. Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports, reading, social work etc. so that you will not get free time to masturbate. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have been having a lump on the left side of my neck right by my jugular vein. It s movable, round and aches sometimes. It feels like the pain connects to the far back of my tongue and when i protude my tounge I can feel a pulling , uncomfortable type of pain that feels like its connected . The cyst has not gotten smaller or bigger is size. I have had about 3 tonsillitis infections in about 4 years. Should I be worried? thanks. BTW : I have been to 2 ent s and an otolaryngologist and nobody seems to be willing to do a biopsy or further testing. I can t feel at ease until I get CT scan. ### REPLY: Hello and welcome to . I am . I have read your question and I can understand your concerns. I will be answering you. What is your age.?? For how long the lump is there.?? Is it hard, firm or soft.?? Is it increasing or decreasing in size.?? Does it pulsate.?? Are you loosing weight.?? Does it cause pain when you eat.?? Does it move upward and downward while swallowing.?? Any family history of submandibular gland tumor.?? Any history bad odor from mouth(halitosis).?? If were treating you in my clinic I would have examined that lump to look for its consistency and its relation to structures such as muscles, mandible and submandibular gland. I would have examined your oral cavity to look for any stone formation in the tonsils(tonsillolith) as you mentioned that you have chronic tonsillitis. Stone can be removed by forceps and for chronic tonsillitis causing problems, tonsillectomy is the treatment of choice. I would have palpated floor of your tongue to look for any stone formation in the duct of submandibular gland(war thins duct).this condition is known as sialolithiasis. In this condition the duct is closed by stone formation and thus the gland swells and lump is felt under the mandible. For its diagnosis kilogram is the investigation of choice. The stone can be removed surgically. I would have done fine needle aspiration cytology of the lump to look for the cause of swelling, whether it is benign or malignant, whether it is lymphadenopathy(enlarged lymph nodes caused by tuberculosis, lymphoma,leukemia or any head and neck infection.) or mass arising from muscle. I would have ruled out lipoma, sebaceous cyst. In fine needle aspiration cytology it will be evident whether it is benign or malignant condition arising from submandibular gland.other conditions to rule out are aneurysms which are abnormal dilatation of arteries. I will suggest you to meet an otolaryngologies or a general surgeon for a second opinion.in the meantime remain calm. Thanks. Hope the answer is helpful. Feel free to ask further questions. 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: As far as I can remember, Ive always enjoyed eggs for breakfast, regardless how they are cooked.  I dont know what happened, but, One day, I had an egg sandwich and 15 minutes later, my stomach feels like it was in a vice grip, with every minute passing - the pain got stronger.  I thought it was an isolated incident, but the next day - it happened again and again.  I even thought of changing what kind of egg I ate (i.e. scrambled, omelette, etc).  But it didnt work.  Ive tried eating egg beaters, but it happens just the same.  I can eat other regular foods, but eggs.  After 5 yrs now, I concluded that im allergic to eggs - which baffles me.  Is there something else really going on in my stomach that im not aware of that would do this?  I read that ulcers could cause these kinds of symptoms. What possibilities could cause this? ### REPLY: Hi. Thanks for your query. The most probable cause of pain in abdomen after eating an egg sandwich are : Now you have developed an intolerance to the egg-protein. Hence, in spite of what type of egg preparation you eat you are going to have the pains and spasm.This is nothing to be baffled about. May people get allergy to different types of proteins like for the fish and nuts. No, ulcers do not cause such symptoms, please do not be under wrong impression. The only treatment is not to have eggs in any form again. ### END