Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 tenderness on the left pectoral muscle. It starts right at the top of my left breast . In the same spot on my right side the pain is minimal barely noticeable but to my left its tender and painful to the touch. I ve been using Algesal Diethylamine Salicylate 10%w/w for the last couple of days to massage it. I am on Lercanidipine hydrochloride 20mg daily. Kindly advise please ### REPLY: Hello, Youre complaining of left side chest pain and you're a known hypertensive on treatment. Any chest pain should not be taken lightly unless the cause is found. This becomes all the more important due to increase cardiac risk with hypertension. If it is a musculoskeletal pain than any movement and deep breathing will aggravate it. If the pain is more central and towards the left and radiating to the arms than most likely cardiac pain. Consult your doctor for more help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi....i am having shortness of breath all the time..and there are times it jus goes away. The most difficult part is that i m unable to talk freely due to this. i am unable to speak long sentences and this is frustating me. This is taking a toll and coming in my routine life . i have been to doctors and they have all kind of possible tests and they cant see why. I m really frustated and need to start breathing n talking . Its like when i talk i stop breathing. Thiw has been hapenin since 3 months and i don knw wht to do ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should definitely rule out asthma or bronchitis in your case. So get done PFT (Pulmonary Function Test) first. If this is normal then no need to worry about asthma or bronchitis. Sometimes undiagnosed stress and anxiety can also cause breathing difficulty. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic . Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. 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 just had a severe lung infection and got over it a few days ago. I also have asthma. Today I found a swollen lymph node on the right side of my neck, and a massive lump under my chin just above the hyoid bone. It is painful to tilt my head back. My throat isnt sore, I just have a slight cough. Please help in anyway possible. Thank you ### REPLY: Welcome to  .1. Lymph nodal enlargement is seen in case of infection / inflammatory causes / underlying systemic diseases / malignancies.2. Before treating the lymph nodal mass, one will always look into the cause and try to treat it.3. Howevere if the lump is painful and causing discomfort / cosmetic problem.4. Get an ultrasound scan done and see the extensions of the lump before one can plan anything.5. First see your doctor get your sore throat get treated with a course of antibiotics and follow the doctors needful advise. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Drank a Red Bull now my Spleen hurts, had nausea, now my ankle had a white area pop out I pushed it to see what it felt like, it hurt then pain went away in ankle. Not sure if this is related but I have gained weight in the past 3years and my feet are now pronating inward. Plus for the past 3 years I have been dry coughing when I sit down and lay down. Just want to know if I have kidney failure; diabetes; thyroid problems? ### REPLY: Hi, Symptoms of kidney failure are edema on face and leg, urine problem etc. However, symptoms appear almost after 50% kidney functions are lost. So go for s creatinine level. It gives exact idea. Also, check your sugar level and TSH level.  So you get a clear idea whether you have diabetes, kidney problems or thyroid issue. 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 been having back pain for the past 2 weeks, I am a 33 year old healthy female with a history of scolious.. (38 degree curve in the spine) despite this curve I have never really hard back pain, sometimes i will experience tingling in legs or arms if i over work but nothing major. However I have discovered what feels like enlarged nodes in both sides of the lower spine.. it is on either side movable and feels like a node along with swollan tissue? I have not done anything physical that would of caused back pain. Should I be concerned? ### REPLY: Here when you have back pained along with scoliosis I suggest visiting your doctor and take required test like X-ray or MRI scan then based on report the doctor will suggest you either the surgical or medical with physiotherapy conservative management. Here since you are complaining pain radiating to your legs it must be related witChatDoctorpression of nerve, so I suggest taking an orthopedic doctor view on this. Depending on the type of scoliosis there is a specialized exercise program so I suggest visiting a physiotherapist and take a proper exercise program for strengthening, stamina as well as if possible the correction of spinal Curve. I also suggest to use hot pack or cold pack on your pain full area at your back to have some more relaxing and healing effect on your 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: My 15 year old daughter, 165 height, 65kg weight; on and off for the past 3 years has white puss like pimples with red surrounding, from her ankles to just above her knees.  They start off really itching then begin to feel like bruises.  They have been treated by doctors with acne pills but never seem to fully go away, and seem to flare up every few months. Could you help us on what these may be, what could be causing them and how to treat this. ### REPLY: Hi, It seems that she might be having some local skin infection like dermatitis or fungal infection on the part. Due to itching there might be having super added bacterial infection producing pus filled pimples. Clean local part with plane water and apply triple action cream for few days. If infection is more, she requires one course of antibiotic medicine. As this is since long, consult dermatologist and get examined to rule out edematous dermatitis or other chronic skin condition. Give her Ben . Ok and 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 ve been experiencing back and abdominal pain, nausea and vomiting and a slight fever. I have a history of kidney stones so I thought maybe one was stuck, but I went to my urologist today and he couldn t see anything on an xray. He told me to have a CT scan and come back in 2 weeks. Meanwhile, I m still in pain,, still vomiting and still nauseous. Any ideas would be appreciated. ### REPLY: Hi, Thanks for writing in. Stones are deposition of calcium and other minerals in the kidneys and urinary tract. A stone might cause obstruction to the passage of urine and lead to obstruction. This obstruction of urine might lead to sedimentation and stagnation of urine in the system. When there is pooling of urine and obstruction then there is bacterial proliferation in the urine generated. This might be due to bacteria ascending the urinary tract through the urinary bladder and then involve the ureter and kidneys. Once it reaches the kidneys then it causes infection and bacterial growth. This leads to release of toxins and symptoms of pyelonephritis including nausea, fever and pain abdomen. In severe cases there is gas formation by the bacteria leading to a serious infection called emohysematous pyelonephritis in kidneys. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom has ovarian cancer ...no surgery, the doctor wants 3 chemotherapy sessions before surgery. Her first Chemo was 2 weeks ago. She has just started having a horrible smelling discharge from her vagina ...everytime she stands up it leaks out. It is greenish in color and the smell is like nothing I have smelled before. Is this the chemo killing the cancer or is this NOT normal? ### REPLY: Dear Janna, It is abnormal. Chemotherapy should not cause vaginal leaking. Either it is ascetic leaking or it is vaginal leukorrhoea. You should get it confirmed from the treating doctor. Preop. Chemotherapy is given to reduce the tumor burden to make good surgery possible. Since 3 cycles of chemotherapy are already given your doctor might advise now surgery through which the leak will also be repaired. Ovarian Cancers have good prognosis after treatment. Truly, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: This is the fourth day since I noticed I had itchy bites on my right side of the back. I ve been told there are two punctures in each. They have become red, raised, burning, painful and a rash with the same symptoms has developed under the right breast. ### REPLY: Hi, As per your query you have symptoms of itchy rash on the back and under the breasts which seems to be due to contact dermatitis allergic reaction due to detergent, soap and could be due to an animal bite, or an insect sting. Need not worry. I would suggest you consult a dermatologist for proper examination. The doctor may prescribe an antihistamine, corticosteroid ointment. For now, take Ben .   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What if I tell you that the only cure for vitiligo is actually SUN.... First thing that my doctor told me when I discovered I have a vitiligo was to avoid Sun. Yes, the thing is that vitiligo is more visible when your normal skin gets darker, but when your vitiligo spots burn , skin starts to recover itself. I experimened on myself, actually on my knees to see what happens when my skin burns. I was not worried about my knees, so what if it gets worse, nobody will see it... I can wear pants all the time.. And you know what happened? My skin repaired after two weeks of exposing to Sun. Of course, I have only few spots on my knees now, and I m happy that I ve found free cure for my vitiligo. I hope so that people will see this, and follow my advice... especially those who have just discovered they have vitiligo. There is no creme or pills that will cure your vitiligo. Don t avoid Sun and don t use protecting cremes, your skin must burn to start repigmentation. ### REPLY: Hi Evelyn, Thanks for writing in. Whatever you have said is true. Sunbathing is one of the treatment for vitiligo. We routinely advise all our patients to take sunlight for treating vitiligo. We use phototherapy in all patients of vitiligo, and it works too. When used with oral or topical photosensitizing agents the phototherapy with sun is effective. You can try topical Morales and sunlight for better faster repigmentation. Hope this helps. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am using momate s cream with meleiro cream with a proportion of 3x1 but my pigmentation again looking same position as before. Last month pigmentation were 80% reduced but this time again in same position. What should I do should I stop the medicine because when I repeat the medicine my skin become more sensitive & redness. Plz tell me. ### REPLY: Hi, Thanks for writing in. Tanning and pigmentation over face are your problems. Momate S and merit cream are very strong creams with potent steroid in them. You should have not used these creams in first place. They thin out the skin and may cause permanent damage. Sun protection is most important for any cosmetic treatment. Use good quality sunscreen. Avoid sun exposure. Use brevity face wash. Apply Bolivia cream at night. Visit a dermatologist for some clinic based procedure like chemical peeling and laser.  Hope this helps. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am experiencing a strange sensation when I cough, it feels as if my brain is tilting slightly, for a brief second. I have a cold and my ears are stuffy. I have been coughing pretty hard due to a scratchy throat and about 15 minutes ago I experienced this strange movement inside my head when I cough hard. ### REPLY: Thanks for asking your question completely understand your problem strong force of coughing can cause such a problem .you should take some cough suppressants and secondly this can be due to sinusitis, that means blocked sinuses can cause such a problem, so u need to take steam inhalations three to four times daily which will clear up your sinuses .it will be better if u add sincerest vocal capsules along in the water before taking steam. Preferably for sinusitis and cough that is upper respiratory tract infections u should take tab lifetime 200 BD for 5 days tab montage x once daily for 5 days steam inhalation this will help to resolve your problems 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 ve had a stabbing pain in my back under the left rib cage. It is intense upon turning, getting out of a chair, reaching in any direction. . Actually takes my breath away. If feels like a horse kicked me. Saw my primary, she gave me an anti-inflammatory injection on right buttocks and flexoril. No significant improvement. Suggestions? ### REPLY: Hello, I have studied your case and I think that it can be back muscle spasm. In this condition there is severe pain in back and patient has difficulty in bending forward and walking. I would suggest you to follow these steps.1. Hot water fomentation.2. Back muscle relaxant like Moral or MySpace.3. Volini gel local application.4. Physiotherapy in for of back muscle strengthening exercises and short wave diathermy is also effective. I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My gum between my superiour labial frenulum and my two front upper teeth is swollen and is very painful. also behind my two front upper teeth is very painful. what can i do to help and why is this happening. I am thirty years old. this has like this for three days and seems to be getting worse. thank you for your time. ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have swollen gums in upper front teeth don't worry it can be due to periodontal problem due not having proper oral hygiene or if you have carious tooth it can be due to Periapical pathology. For this you should visit dentist and go for investigations if it is a periodontal problem then go for Oral prophylaxis and if due to carious tooth then Root canal treatment should be done.  Do warm saline gargle two - three times a day. Hope this will help you. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ABDOMINAL BURNING/ STINGING AND BLOATING AFTER TRAFFIC COLLISION, PERHAPS IT CONNECTED ON STEERING WHEEL ? hello, I was involved in a traffic collision as the driver. I am having severe stinging pain in abdomin, ribs, hips and lower back, down the legs to ankles. My stomach is bloated like I am 8 mos pregnant. I had a hysterectomy 8 yrs ago. help ### REPLY: You need immediate attention of your doctor. Consult your doctor immediately and get yourself thoroughly checked. You need to have sonography of abdomen and X-ray of chest for ruling out fracture and bleeding in abdomen. You can take Arica 30 1 holy until you approach doctor which will help you to prevent complications due to bleeding and also help in stopping bleeding and pain due to contusion, thanks,bigness ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 54 years of age I just had six inches of my large intestine removed a year ago I have not had intercourse in years since like 2007 I have masterbated a few times and noticed I ejaculated yellow semen and had like a sharp pain like a spasm that lasts for like 10 seconds but I noticed I get these spasms all around my stomach area if I turn or reach for something help me figure this out please thank you ### REPLY: Hi and welcome to . Thank you for your query. I understand your concerns and I will try to help you as much as I can. These symptoms indicate in most cases prostate issues such as prostatitis or hypertrophy, and rarely it may be signed of STD infection. You should avoid intercourse for till symptoms persist and .  If symptoms persist it would be good to do prostate ultrasound and check your PSA levels to rule out prostate tumor or hypertrophy and further treatment depends on these findings. In most cases it can be controlled with medications but sometimes, in case of tumor, open surgery is required. And severe benign hypertrophy may be managed endoscopically, so you should consult urologist about appropriate options. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my cat (who is fully vaccinated) bit me hardly on the finger beside my thumb last sunday, it was fully swollen which has decreased a lot now, but it is still numb which is making me worried, what should i do? i live in a country where the emergency room refused to admit me when they knew it s a cat bite ### REPLY: Hello and welcome to  forums. If the cat bite produced tear in your skin or blood has come out, then you have to take the anti Rabies vaccination and tetanus vaccination. Even if the cat is fully immunized, you have to take it because there is no effective treatment for Rabies virus right now. So don't take the risk. Don't approach the emergency department for the vaccination. There are Rabies clinics available as a separate department especially in medical colleges. Hope this discussion will be helpful to you. Have a great 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: Hi, may I answer your health queries right now ?  Please type your query here...I was on blood pressure medicine for around 4 years Hyrdrothrochlrozide? about 2 months ago I began feeling lightheaded all day, went to Dr and he took me off, did blood work and my potassium was 3.1, put me on potassium pills, week later the same levels, so he double the  amount, levels went up to 3.7, went back 2 weeks later to check levels again and have dropped to 3.1 again, why do they continue to stay low when on the potassium pill? Thanks ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Continued use of HY . 2. Along with it, minimal absorption is possible. Antacids can reduce absorption of potassium3. Potassium binders will be helpful to improve potassium absorption. Discuss with your doctor regarding this medication. Diet improvement with banana, avocado, nuts, fish, eggs will be helpful in improving serum potassium. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother aged 70 has taken complete course of antibiotics long back but even after a lapose of 12 months, her WIDAL is coming postive and on higher side. She takes methotrexate 7.5 mg / per week for RA. I am concerned regarding her widal maintaing positive and on higher side continuously. reasons pl. ### REPLY: Hi, Welcome to ,First, i would like to tell you that tidal test done for typhoid fever may at times show false positive results. If I were your treating doctor, I would have advised you some investigations incomplete blood count and blood culture, Liver function test, ultrasonography whole abdomen, Urine culture. Depending upon the reports, i would have prescribed you medicines accordingly. It would have been better had you mentioned if she got any other symptoms other than tidal positive. I would advise you to go to your local doctor and get her examined along with the investigation reports as she is on methotrexate(for RA). Hope your query is solved, Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 3 year old son has bad seasonal allergies I have tried zrytech and now he is taking allegra which doesnt seem to be helping. The doc also told me to give him benedryl with the allegra but I kinda feel like its to much for him. His little eyes are swollen and red and he constantly has a runny nose because of his allergies. No matter how much anithistimine I use or how long I keep him a cool mist humidifier in his room he still coughs at night because of the drainage, He is also taking breathing treatments to help when he has wheezing . Should I try clairiton I have only had him on allegra for a few days now but I see no change in his symptoms. His eyes look awful becuase he keeps rubbing them and he cant sleep at night because of drainage what should I do? ### REPLY: Atop is really a complicated issue, however few steps can not only give symptomatic treatment to your kid but also prevent further attacks.You’re child suffers from Atop and with some hyperallergic airway disorder. This is typically present at this age group. Family history of asthma or allergies should be sorted out.First u have to take some preventive measures which will help him to settle down while his medicines are working. Make a dairy of all those things which trigger his symptoms like cold weather, pollen grains, certain vegetables in food, dust,etc. Smoking in the house, pets in the house in the form of dogs, cats birds, contruction going on in the neighborhood and so on are known to the precipitating factors. Medication wise start him on syrup minaret AF 5ml three times a day. If he wheezes then he needs a bronchodilator, syrup albuterol 5ml three times a day. Give some steam inhalation and nuclear .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,my name is deepraj naik,from goa india,age 23 years, height 173cm, weight 56kg. Dr. said their is infection in my ankle joint, i have a problem in my left foot from last 8 days, it looks like their is no sense in my foot.. it started from toe and reached upto my knee within 8 days. i really worry about this... i am waiting for your  favourable reply... ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. If you are not feeling sense in the feet than it is the matter of concern. I suggest you to visit the ER immediately. Many a time infection causes anaerobic bacteria to grow on infection site which creates gas and further causes sensation impairment. Such changes can lead to gas gangrene and requires an amputation. So as if you visit the hospital immediately than you can prevent it from spreading upwards. 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: My wife age 72 has been ill for awhile she has gotten worse the last week or so we have to emerg twice and she has been completely out. she has dizziness, nausea, and she has vomiting. also she cant eat because she cant swallow she was diagnosed with bells palsy whereby her left vocal cord is paralized. should take i her back to emerg????? ### REPLY: Hi! Welcome to !  The path of facial nerve is long and complex, so there are many causes that may result in facial nerve paralysis. The most common is Bells palsy, the exact cause is unknown most probably due to viral infection. Bells palsy causes sudden weakness in your facial muscles. This makes half of your face appear to .  Your smile is one-sided, and your eye on that side resists closing. Although for most people, Bells palsy is temporary. Symptoms usually start to improve within a few weeks, witChatDoctorplete recovery in about six months however as the symptoms are aggravating my advice is that you should get your wife examined by a neurologist. During the physical examination, a distinction will be made between paralysis and paresis (incomplete paralysis). Paralysis is far more serious and requires immediate treatment. It must also be determined whether other nerves are involved in the motor defect or not. I sincerely hope this will help! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with type 2 diabetesand have been taking Metformin for a year. My sugar levels are always betwee 4.0 and 7.6 Yesterday I walked to work and I was walking home when my feet went numb and then my legs went numb. I had trouble moving them and then felt like I was going to faint. I just made it to a fence to hold myself up. I was sweating and dizzy. In about 5 minutes everything was normal and finished walking home. Today I have been normal. My friends thought maybe my blood sugar was too low. It was very scary. ### REPLY: Hello, An episode of sweating, dizziness, numbness in diabetes on oral anti-diabetic (Metformin) could be due to hypoglycemia. Alternatively, the episode may be related to bradyarrhythmia leading to near syncope (about to faint). Blood sugar profile (fasting & post-postprandial) and ECG 12 leads with long lead II for 1 minute should be done as initial work-up. 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: My father In law has this intermittent weird swelling and the area Becomes super sensitive and painful. It might be in his foot for a week and go away then reappear later in his elbow or wrist. Then days later his lip may swell. It comes then goes and affects different parts of the body. This seems to happen in the winter months much more so than in the summer months. He has been to many doctors and no one seems to have a clue what it is. Allergy , immune, nuero, circulatory...where do you start??? ### REPLY: In such conditions, Ayurveda approach to treat Data Pitta vitiation by way of herbals have been often highly successful by raising general resistance in body against such allergens as well as curing the conditions. To my own such patients, I advise starting Turmeric and Need leaves powder immediately and add Manisha herbal capsules for controlling the problem. Its harmless and safe. For further guidance you may seek consideration through direct question. Hope it helps your father-in-law too - it will. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Age 40, Wt. 140.  Have some sort of lump inside of mouth close to throat on right side...hurts when swallow...was told it was like a skin tab...but if doesnt go away should get checked out.  Have only seen/felt it the last two days.  Just trying to figure out what may have caused, etc. ### REPLY: Hi Dear, Welcome to . Understanding your concern. Thanks for your query. The bump inside mouth as you mention in query are inflamed subepithelial lymphoid tissues. They are present on both sides at the start of throat. They got inflamed whenever there presence of infection in oral cavity. If there are inflamed sub epithelial tissue present along with tonsil enlargement it indicates bacterial infection. The infection of oral cavity like gum infection, tongue infection or tooth infection make these tissues inflamed. So I would suggest you to consult dentist/ oral pathologist for proper examination and to rule out upper respiratory infection. Doctor may examine oral cavity physically, order X-ray or order blood test. He/she may perform scaling and curettage, root canal or prescribe antibiotics for infection. For now do Betadine rinses and gargles. Hope your concern has been resolved. Get Well Soon. 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: Im 30 yrs old married since last 10 yrs,in 2004 bfor marrage i suffer with tuboovarian for which i had an opration. i took AKT-3, for six mnth. Later after 5 year i oprated for ectopic pregnancy, now im trying to conceive and doing treatment for the same, two cycles of follicular shows follicals became too big n hemmorage yet not ruptured.is it any possiblity to coceive throught ivf. ### REPLY: Hi.in IVF the egg formation is stimulated and eggs are collected and placed in media and then fertilized with sperms outside the body and fertilized eggs are implanted in uterus and tubes are bypassed. For this to happen, ovaries have to be properly functioning and the uterine lining forms the bed for embryo to grow normal menstrual cycle partly suggests that ovaries are good, your age seems to be OK for good results, hormone levels: FSH, LH,ESTRADIOL, AMH would give us the ovarian functioning, hence after the work up, your chances of conception could be tentatively explained ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 old-year old boy had cows milk as a drink for the first time last weekend and several hours later developed a rash across his face, mainly on his nose and hairline and behind his ears. It didn t seem to bother him. The next day he had it on his body, front and back but not on his arms and legs. It looked a bit like a heat rash, was flat and pale. It all cleared up 24 hours after it appeared. Could this be an allergic reaction to milk? He has been having cheese, yogurts and cows milk on cereals since 6 months with no reaction. ### REPLY: Hi, If he was already using cow milk in weaning diet without any issues, the present rash is unlikely a reaction to milk. It might be an unrelated rash, like viral, which is unlikely allergic (as it is flat and non-itchy). Anyhow, since it has already disappeared and was not hurting him, we need not worry. We can evaluate further in case the rash returns, or he becomes febrile. No need to withhold cow milk as of now. 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: i am having severe headaches. My blood sugar level is very high and Diamicron MR (Gliclazide) is recently added to my diabetes meds Metformin and Januvia .  I am also taking Bissoprolol and other high blood pressure meds.What could be the cause of this headache. ### REPLY: HI, thanks for using  Micron is not associated with headaches normally, this is not a known side effect of this medication. There are different possible causes of headaches such as: migraines, tension headaches, trauma, sinus headaches, lesions in the brain, cluster headaches, side effect of medication. Since your headaches are severe, it would be best to see your doctor for assessment to determine the cause. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my daughter woke up this morning trembling and her heart was beating super fast, this had never happened to her. Can you please explain to me if its something serious or just a reaction of the body? I really dont know what might be, pease advice me. Thank you. ### REPLY: Hello and thank you for using . I carefully read your question and understand your concern. But you should not worry, its nothing serious. As you describe, my opinion is that it might be a rhythm issue. Someone can feel strong and fast heart beats for different reasons. It may be a simple sinus tachycardia. This means that the heart is beating faster than 100 beats for minute. Its normal range in a resting condition is between 60-100 beats for minute. When it goes up you may feel a strong heart beat in your chest and a sensation like your body is beating too. Another reason for this sensation might be what we call an ekstrasystol.These is electrical heart impulses that generates in some parts of heart different from normal sinus rhythm. This generates an escaped beat that the person feels like jumping ore bumping. It gives the sensation like a beat is skipping, may experience palpitations or an anxiety sensation that your daughter explains like trembling. This extrasistoles may happen from different reasons from simple emotional stress to other pathologies like anemia, hyperthyroidism etc. So, my opinion as cardiologist is that you have nothing to worry. It is just a simple episode, and it is quite normal in younger ages. Only if these symptoms persist and begins to interfere the daily live, if I was your treating doctor I will recommend some examinations like a blood analysis to exclude anemia, the thyroid hormones, an electrocardiogram, echocardiography and of course a holder monitoring. This will help us to document and see what happens with heart rhythm. At meantime, I will recommend your daughter to avoid coffee, caffeine products because they rise heart frequency and extrasistolic beats. I encourage her to have physical training because sometimes it helps in reducing extrasistoles, tachycardia, even making them disappear. Wish I was helpful. Take good care. Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, i am getting chest pressure and shortness of breath throughout the day on a daily basis.  I cannot run like use to because of this, i am 33 years old.  I have had a chest non contract ct and a xray.  2 of the xrays showed a xiphod opacity on the retosternial (i was told on top of the heart was the location).  What should i do and what kind of specialist should i see? ### REPLY: Hydropressure in chest with shortness of breath need immediate medical attention. It is important to exclude cardiopulmonary causes. You may need clinical examination and investigations. Relevant investigations are routine hologram, random blood sugar, liver and renal function test, lipid profile, ECG in all leads, ECHO,TMT, thyroid profile etc. You may need contrast CT scan of thorax. It is important to evaluate retrosternal opacity. You need detail evaluation by a cardiologist. Get well soon. 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 keep getting stomach pain aim the evening at around 8.00pm. The pain is so bad that I have to curl up into a ball till it goes. I get all hot with the pain. It doesn t last very long around fifteen min to half an hour. It goes on its own I don t have to take anything to make it dissapear, do you have any idea what could be causing this? ### REPLY: Hi, It can be due to many causes sic has peptic ulcer whose pain is aggravated after meals. It can be due to Renal colic whose pain is localized to lumbar region and radiating to the groin. If u have any Symptom related to urination such as burning micturition or increased frequency or else you should have an ultrasound PUB with full bladder for any obstruction and urine R/E for any infection. If the pain is localized to center of the belly You should have and Ultrasound abdomen to rule out other causes of abdominal pain such as stone in the gallbladder or other causes of pain. It may be due to after taking food that is gastritis you can use Omeprazole for that that is antacid. I hope I am successful in solving your query If u have furthered you can ask me Get well footage care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi. my husband has damaged heart muscle fro mwhat we think was undiagnosed heart attack years ago. he is on several meds: toprol, lisenoprel, coreg and newest niasen (sp)..he has been complaining of chest tightness at times, went to see his cardio guy. did stress test came back abnormal at "tip" of heart. he wants to do an angio. he had one and a stress test 2 years back and they were normal. at this point in time, is it worth a 2nd opinion or shoudl he go ahead with angio. dr told him 1 in 1000 patients dont survive?? seems high to me and i am scared for him ### REPLY: Hi, Positive stress test means there is possible blocked artery in the heart and the heart muscles are viable. If he has a heart dysfunction also so I recommend you to go ahead with the angiography as after opening it heart muscle may recover. Risks in angioplasty includes bleeding because during and after angioplasty we give blood thinners. This risk is also very low & very rarely is life-threatening. Medicines along with opening of blocked artery will result in recovery of heart muscles gradually. 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 injured my calf 3 inches above my ankle bone. This is on the inside of the leg. I was running on the tread mill and as I was running I felt the area tighten. I continued to run and then felt a pop 30 seconds later. I was not running hard just a moderate pace. What do you think I injured. ### REPLY: Hi, I think you may be pushing hard on a treadmill. As one should see the Newtons third law of motion, which states every action has equal and opposite reaction. So when you impact on the treadmill the hard surface gives the same intensified force back. maybe you must have hurt the calf muscle. Try taking hot water fermentation and do slow ankle toe moments and little straight leg raise as well. By 3-4 days you should be fine. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dont have money.  I am just an ordinary lady trying to a  child.  My husband has lost his job for the past two years. My husband complains of odur in my Virgina, so i normally put lime juice before sex.  Can it change the motility  of the sperm and prevent pregnancy ### REPLY: Dear Madam, Your suspect is right. Lemon juice is acidic, and it can affect the motility of the sperms and quality of the semen. Please stop using lemon juice for vaginal douching just before the intercourse. Do OT use any deodorants also which are harmful to the sperms. If at all you want to have a vaginal douche before intercourse, you may use plain water. If there is foul smelling discharge from your vagina, there is likelihood of vaginal infection. Please get examined form the doctor, may be at ER and get treated. Even vaginal infection also affects the sperm motility and semen quality. Initially you may try by discontinuing the lemon juice douche. However, still if there is any problem in conception, I do not see you have any alternative that visiting a Gynecologist. 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: i am 26 years old and i am suffering from polio in my left leg. i dont get power to kick through my left leg or push it forward what excercise i should do to get power in my left leg and this leg is also thinner then right one please tell me how to make a proper balance ### REPLY: hither are active and passive exercises of knee, ankle and legs moving in planes each joint has., it is to be proceeded with Clemens oil massage, physical therapy, muscle-nerve stimulation by devices. First show an orthopedic doctor to determine grade of muscle power in leg and knee muscles and foot and if any polio caliper or brace has to be added. Next consult a trained physiotherapist for learning the exercises necessary 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: Due to alleregies, and change in weather I developed a strong cough and more sneezing than normal. I developed a very intese pain with each cough or sneeze under the right rib cage. I visited the er was advised I strained my muscle. That was 5 days ago, the pain medicine helped for a while but the pain remains. How long does it take to recover and when should I make an appointment to follow up? Also taking prescription medicine for the allergies and cough at this time. ### REPLY: Respected user, HiT hanks for using .come have evaluated your query thoroughly.* The pain is in relation with irritation of underlying parietal pleura through coughing.* Takes time according to the load of the pathology and extent of bronchitis or other lung insult.* Suggestions for better outcome - Continue current medicines.- Inhalation of vapors of boiled water with added tincture Benson or Karol capsules morning and evening for 5 min. each with blanket covered over head helps tremendously.- Avoid smoking (active or passive)- Deep breathing exercises, YOGA recover faster.- Follow up with doctor after medicines are over. Hope this helps you. Welcome for any future doubts. Regards dear. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 severe case of bronchitis (2nd time this year and had it last year), am allergic to penicillin, have been on Z-Pack and steroids. Was getting better, but now have finished both and it is coming back. Is there an effective penicillin antibiotic out there that can help? ### REPLY: Thanks for your question on . I can understand your concern. The most common cause for bronchitis is viral infection. And amongst viruses Influenza virus is the most common. You should avoid penicillin group of .  For prevention of recurrent bronchitis, it is better to take adult Pulmonary vaccines like pneumococcal and Influenza vaccines. These will prevent infection and hence episodes of bronchitis. So need of recurrent antibiotics can also be avoided. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had the flu, H1N1 over 3 weeks ago.  I now have severe ringing in the ears, almost constant headaches and waves of pain in my head that get worse at night when I lay down.  Had an episode last Sunday where my head and hands were numb and went to the ER.  They did a cat scan and some blood work as well as a urinalysis and cannot find anything.  The numbness is gone but still having symptoms.  I am 49 years old with high blood pressure and high cholesterol. ### REPLY: Thanks for posting your query to . As I understand you are suffering form some kind of upper respiratory tract infection that could be viral or bacterial .it causes swelling in inner part of sinuses which is responsible for producing such symptom. But don't worry as such kind of infection usually resolve within 7-10 days of period. You should boost your immunity by taking good nutritious date, multivitamin, zinc preparation. Antihistaminic like Loratadine 10 mg once a day can be taken to receive symptoms. Aceclophenac 100 mg for pain relief can be taken. Steam inhalation 2-3 times a day will help in decreasing internal congestion. If not received or complaint increases consult to ENT specialist. Medicine should be taken under guidance of clinician .hope this information will be sufficient for your query .rate me if you are satisfied with my answer .feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been operated at my Achilles tendone and after the 2nd operation they found an infection, after laboratory test turned out to be citrobacter koseri. what does that mean? will this be a permanent damage? can I ever recover completely from it and from the tendon operation? ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. Yes you can surely come out of infection, there is no point of worry in it. Citrobacter Rosario is the bacteria of Enterobacteriaceae group which has treatment with the same antibiotics as do E.cold have. With the culture report you must have sensitivity report also. Taking treatment according to sensitivity report can cure you earlier and rapidly. Please take treatment under doctors guidance, take complete treatment and maintain utmost hygiene. I will be happy to answer your further concern, you can ask me on bit.ly/ .  Thank you. ChatDoctorInfectious diseases specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been in a relationship for 6 years with someone who fits the description of narcisstic personality disorder and OCD. He is never wrong, shows no empathy or remorse and does selfish and impulsive acts without consideration of the consequences to others. I am always put down and made to feel worthless. When he does something wrong it is somehow turned on me that I caused the problem and Im the one treating him poorly, even wen I go out of my way to do a favor he is very ungrateful. This began some years ago he isnt the same person and it has been occurring for 5 years. He has lied and keeps things from me. When he asks me a question he automatically believes Im lieing.  He also has compulsions to wash his hands and repetivly do things a certain amount of times such as flicking the light switch, turning the bathroom tap, standing up and sitting down a certain number of times before he sits and Im always asked to repeat a sentence he has said if I dont get every word correct he becomes agitated and angry. Does he have a personality disorder, if so how do I approach him about it as he is very defensive and proud? ### REPLY: Hello, The symptoms you mentioned are suggestive of OCD and personality disorder.may be mixed type. It is difficult to treat personality disorders as they don't feel they require anything usually. The parents of such people (who have some authority over them) can make them go to doctor forcefully. You can however try to make him realize that his repetitive actions are suggestive of OCD and make him read some literature on it (on net)- this may trigger some realization in him, and he goes for treatment. Such personalities have the tendency to blame and trouble people who are near to them and whom they can command all time; they can.be thankless because they can't relate with other feelings. Always obeying them and fulfilling their demands will only make them behave like this more. Hope you understand the issue. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just returned to the office from a quiet lunch. On the short car ride back, phlegm in my throat began to develop-like a frog in your throat you can t cough up. Also, my chest feels tight and taking a deep breath is difficult. Is this an allergic reaction? I was in the garden on my lunch break fixing my sprinklers. Thanks. ### REPLY: Hi thanks for contacting ... You have bronchitis like respiratory infection... It could be viral or allergic reaction.... You have congestive symptoms ....so decongestant like antihistamines taken.... Steam inhalation and . ... Hot water best if taken... If secondary bacterial infection suspected by thick yellow phlegm then antibiotic like Aeroflot given... You can add eucalyptus oil 2  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 31 year old mother of two.  I have been on a combination birth control pill for exactly one month.  I took my pill every night.  I am on my second day of "inactive" pills and I have not started my period. I had sex with a condom once.  Another time my partner just barely penetrated and I made him stop in fear of pregnancy.  Should I be worried? ### REPLY: Hallow Dear, If you are so regular with your birth control pills, the chances of pregnancy are very rare. Moreover, you had only one intercourse, that too with condom on. If you do not start your menses while on inactive pills (2nd pill), you may continue with the next pack as per the instructions - this is what WHO recommends. You may get the menses by the time all inactive pills are consumed. Sometimes it is noted that women may not get menses after inactive pill. To sustain the effect of birth control pills, it is advised that you start with the next pack if you are very regular with the previous pack. Even after the second pack inactive pills also if you do not get periods, then you may have to report to the Gynecologist for further investigations of pregnancy or nay other cause. I 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: My wife has been diagonosed with UTI due to E-Coli infection (colony size: 10 to power 5). She is 18 weeks pregnant. She was complaining of white particles of visible size in her urine since almost an year and the doctors advised several CUE and C&S during this period. In the last C&S she was detected with E-Coli growth.The doctor looked at her reports and suggested that she can take 7 days dose of Augmentin 750 & Citralka syrup (considering them safe during pregnancy). We got a repeat scan after the dosage completed. But she still was sensitive to same components and the growth was still the same. This time she was advised to take Taxim-0 200 alongwith Citralka for 10 days. She has already completed about 7 days of it but she still feels the same symptoms of UTI and has lot of white particles.>What might be the cause that she is not responding to the medication even though she is sensitive to it Also, is this something to worry about - can it harm the mother or the baby in any manner before or after birth by taking so many antibiotics?Please advice. ### REPLY: Hi, welcome to  the doctor has prescribed you the antibiotic which is safe in pregnancy, if she is not responding then better get the urine culture and sensitivity repeated, you can talk to the doctor and put her on some iv antibiotics where the infection is cured faster, in normal cases we can wait and use the higher antibiotics but in pregnancy trying out with other higher .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ever sense I had aroot cannal I have had allergy symptons, I am 70 years old and never had allergies for seven years all I do is snezz,runny nose watering eyes. had every test possible, Ithink it is caused from the cement they used to fill the rootcannales? wht do you think? ### REPLY: Welcome in . Regarding your query for possible allergen in your allergic problem I would like to say that there is possibility of the filling material in your teeth may be allergic to you but if after root canal treatment it is not giving any allergic inflammation at concerned gum than one cant be sure about its allergic nature. To confirm this you may do-1- Skin test for allergy and asked the person concerned about this suspicion.2- Consult your dentist for removal of this filling material and refill with some other inner material and see the effect. I hope your query is answered. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son has been coughing for 3 months now, right after his dental visit.  He had 2 glass ionomeres filling that release fluoride.  He is only 5yrs old and I am so worried.  Weve seen his doctor 4 time regarding this and still cant find out what causes it. ### REPLY: Thank you for following up. It seems he has allergic cough. I suggest-1. Hypoallergenic diet-avoid chocolate, nuts, flavors food, strawberry,honey, lots sweets etc.2. Antihistamines(Cetirizine, Allegra) can be used according to age for 10 days.3. Ambroxol 2 mg/kg/day, divided for 2 times for 5 days4. Check blood test, do throat culture and sensitivity to antibiotics.5. Steam inhalations6. Rince gurgle with Chlorhexidine.7. Zincovit 1 tablet for 1 month.8. Charcoal 1 tab/10 kg for absorption of allergens Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 21 year old female, 5 10, maybe 155lbs. I have noticed slight numbness in hands and feet that comes and goes, and just noticed swelling behind my knees it is not painful. In addition my arms and feet have become more prone to totally falling asleep. Medical history includes heart problems- I also just moved to china where it is difficult to eat well. ### REPLY: Hi, I think you should get your spo2 checked in both upper and lower limb very week. If it is below 90% you should consult vascular surgeon. Because if there is decrease in blood flow it may cause numbness in hand and feet. You have not mentioned parasthesia and pain. If you have that than should met MRI spine and vitamin B12 level check. 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: On the left side of my gums, towards the back between the two back teeth, I have this bump that has formed. It started probably 5 days ago it hurt to chew on that side but I thought maybe something got stuck there or possibly a cavity. Yesterday I noticed my cheek was starting to swell and it was in pain even when not eating. If I touch the bottom of my jaw it is very sensitive and hurts. It even feels like the left tonsil or lymph node is swollen. My whole neck is sore now and Im experiencing headaches. Today I noticed a bump starting to form in the back and it is constant pain and it feels like my cheek has grown. I am hoping to get into the dentist tomorrow but Im not sure what it is and if I should worry about waiting. ### REPLY: Hello, Thank you for consulting with . According to your symptoms it looks that one of your tooth is infected, and the infection is forming an abscess in the apex of the tooth, so it was forming a bump 5 days ago and now the infection is spreading towards the soft tissue that is cheek and even in the jaw. In this condition you should visit your dentist earliest and get the root canal treatment of the tooth done. 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: My 9 week old son is getting these little red bumps all over.  It appears to be related to either lotion or dryer sheets.  They are especially bad right around his mouth.  I am assuming because it is wet around his mouth quite frequently due to his new found fascination with putting his hands in his mouth.  Any suggestions to narrow it down or to make sure it is an actual skin reaction and not more serious? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint red bumps over the body and around mouth of an infant can be due to causes like Contact Dermatitis caused due to allergic reaction to any soap or detergent that you are using while can be due to causes like any food while can also be due to Eczema. It can also be due to Neonatal acne. I would suggest you to consult a Pediatrician and get evaluated and a thorough clinical evaluation and investigations like blood tests, microscopy of scrapings from the lesions can help in diagnosis and treatment can be done accordingly. As of now you can give Ben . . Hope this information helps. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 37 yrs female unmarried and diagnose Echo as Mild ms 1.8 cm in august 2013 and advised inj.Penidura 3 wks,and tab. embeta TR 50 x od, tab.Lasilactone x od kindly let me know the side effects of injection and necessity of the same I have problem of low hemoglobin is that due to the same inj and what step more is required ### REPLY: Hello, I have gone through your query and understand your concern. From your query I understood that You are suffering from Mild Mitral Stenosis and on injection Benzedrine Penicillin G and Tablets Metoprolol and Furosemide with Spironolactone. You are given Injection Benzedrine Penicillin G prophylactically to prevent infection in heart called Bacterial Endocarditis. And also you also prescribed Tablets Metoprolol and Furosemide with Spironolactone to control blood pressure. Any of the above . So the cause could be something else, and it needs further work up. Some common causes are Poor Nutritious diet, Blood loss, Malabsorption and Chronic diseases. To identify the exact cause, You need to give detailed history as well as thorough physical examination and further investigations like Stool test for occult blood, Complete blood count and other blood parameters, X-ray chest to rule out any Tuberculosis, Vitamin B12 and folate level, etc. If the hemoglobin deficient is mild to moderate, then dietary changes are sufficient. You should take iron rich foods like dark-green leafy vegetables, such as watercress and curly kale, iron-fortified cereals, whole grains, such as brown rice, beans, nuts, meat, apricots etc. Take vitamin C rich foods. Vitamin C helps the body absorb iron. Good sources of vitamin C are vegetables and fruits, especially citrus fruits. Citrus fruits include oranges, grapefruits, tangerines etc. Avoid Coffee, tea, milk (Contains Calcium) as these may reduce the absorption of iron. If hemoglobin level is very low, then you need Injectable either Intramuscular or Intravenous form of Iron to correct the hemoglobin level as soon as possible. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 4 year old son developed a non-productive cough 2 days ago while visiting with my in-laws in Northern Virginia. They returned home to South Carolina last night, and he woke up this morning with a raised, splotchy rash all over his body. He s been on Benadryl throughout the day, and he just woke up from a nap with a fever of 102. I m not sure what s going on. ### REPLY: Hi... Thank you for consulting in . Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. By what you quote it should be an urticaria or a simple skin allergy. You can use HY .  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I mastrubated and ejaculated in my hands. Then I washed my hands twice with dettol soap and then dipped my hands in diluted liquid dettol and then again washed with dettol soap.After 30 mins I fingered my girlfriend. Is there any chance of her getting pregnant? ### REPLY: Degree understand your concerns went through your details. With the explanation and procedure you gave here, I can be 100% sure that your girlfriend cannot be pregnancy. Sperm dies within minutes in room temperature and normal atmosphere. Sperm only survives within vagina. Secondly you had washed your hand thrice using soap. Sperm cells die immediately the moment it comes into contact with soap molecules. No need to worry. Your girlfriend cannot become pregnant. 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. 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 m having lower right back pain. On and off but mainly throbbing. I had a lot to drink last evening could that be causing this pain? Then I work myself up thinking it something serious and life threatening and am having panic attacks and tightness in my chest. ### REPLY: Thanks for your question on . I can understand your concern. Yes, .  This kind of pain is even worse by panic, stress and anxiety related HERD (gastroesophageal reflux disease). So better to quit alcohol as soon as possible. It is not a good habit. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. Also enroll in dead diction center where counselor is available. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son has a hard vein under his arm going down to his ribcage and is very very painful.He has had xrays but the dr. just said it must be scar tissue.It is very swollen and they gave him no antibiotics. He has no luck and im sure we have a law suit on how he has been treated,not just this time but several other occasions and they still give him a run around.He is twenty five and they are taking advantage of him and very disrespectful to me. Im very worried it might be his spleen,he finnally got a good job and cannot afoord to loose it thru our hardship.....thank u you ### REPLY: HiT hanks to ask your quarries. Hard veins with pain are called thrombophlebitis. Since localized thrombophlebitis is usually caused by trivial trauma and other reasons. I would suggest you to consult a General surgeon and discuss getting a Doppler flow study of the region and other venous system around. This is unlikely to be a splenic problem since it would cause a lot of other symptoms. Simultaneously he might suggest for routine blood test and USG abdomen as necessary. Since it is localized it can settle with pain medication with time but if the pain persists there is always surgery to extirpate the vein and don't worry he won't lose the job. I wish you and your son good luck. If you have any more doubt you are most welcome to share it. Thanking you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doc, I?m 39 year old with repeated gall bladder infections. means i have pain on right side of stomach, vomiting high fever, loss of appetite. is it that? What causes this infection? What are treatment options? ### REPLY: Gallstones are solid accumulations of the components of bile, which occur when the components of bile are not in correct proportion to each other. A gallstone blocking the outlet from the gallbladder usually causes acute gall bladder infection, so that bile cannot get out. The bile can become concentrated and infected, causing the condition. Chronic gall bladder infection occurs when the gallbladder walls have become permanently damaged by repeated attacks of acute gall bladder infection. Rare causes of gall bladder include severe burns or injury, massive systemic infection, severe illness, diabetes, obstruction by a tumor of the duct leaving the gallbladder, and certain uncommon infections of the gallbladder including bacteria and worms. To treatment includes removing the gallbladder, either immediately after diagnosis or after the patient has improved. Occasionally, patients witChatDoctorplications require surgery immediately after diagnosis. Patients who have infection with no gallstones have about a fifty percent chance of death if the gallbladder is not quickly removed. If the patient has other serious medical problems that may increase the risks of gallbladder removal surgery, the surgeon may decide to leave the gallbladder in place.  In this case, an operation called a cholecystostomy may be performed to remove obstructing gallstones and .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 experiencing light headedness, tingling in fingers. Numbeness in fingers, disalated pupils. Nervousness, fatigue, and a bulge in the left part of my stomach, feel like i cant breathe and like  almost stop breathing in my sleep but i seem to catch myself...help! ### REPLY: Hello! Welcome and thank you for asking on ! I read your question carefully and understand your concern. Your symptoms seem to be related to anxiety. Nevertheless, it is necessary performing some tests to exclude other possible causes (like chronic anemia, thyroid dysfunction, a . ). I would recommend performing: - a resting ECG- a chest X-ray study-blood lab tests (complete blood count, PCR, Sedimentation rate, thyroid hormone levels, cortisol plasma levels, fasting glucose, blood electrolytes, kidney and liver function tests). If all the above-mentioned test result normal, the main cause of your symptoms would be just anxiety. A nerve conduction study would be necessary to examine for possible polyneuropathy. Hope to have been helpful! Greetings! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have an icd. yesterdayng it felt like my pulse was faster than uual and whked on my bp machine it would show 9103 one tim and thenbackin the 70 with higherbp next. This M it got to 106 on one measurement and down to 70s on te next . the irregular symptom wasshowin on the high readings. Should the icd resolve this? ### REPLY: Hi, ICD usually resolves 2 things:1. It intervenes in life-threatening arrhythmias and stops then2. It intervenes when there is very slow pulse and makes the heart beating normal. In your case I think there is nothing related with ICD work. If you continue to have those symptoms I would advise you to see your doctor to revise your medications. 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: My father, age 78, has been diagnosed with avascular necrosis due to steroid treatment of cancer . He also has a broken hip. His team of doctors cannot find any way to help him since he is not strong enough for hip replacement surgery. He has had a couple of heart attacks and quadruple bypass about 14 years ago. He also has an abdominal aortic stent . As you could imagine, he is in alot of pain and looking for relief. He is planning on trying medical marijuana to alleviate his pain and in hopes of increasing circulation to the femoral tip. Is this a safe for him to try? He is very determined to try it immediately. Please help me to know how to help him. ### REPLY: Hi, Sorry to hear about your fathers condition. Chronic use of steroids can lead to problems like avascular necrosis of femoral head, in this case surgery can only relieve the pain. You should better consult all the specialists like cardioanaesthesiologist, orthopaeditian, cardiac surgeon for discussion regarding possibilities of operation, otherwise you may also consult pain specialist for chronic pain management. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 from hyderabad my wife not with me last one year, so i will not control my sex so i have daily shaking pennis and removing sperm but my body very weekness know my hand n leg very weekness and also body this type of doing is correct or not and plz tell to how can i get ### REPLY: Hi, I read your query and can understand the dilemma that you are facing. First, masturbation in normal and doesn't lead to any physical or mental weakness. Once a person becomes sexually mature, its physiological that either he has sex, or masturbate, or he has nightfall (wet .  So, you need to stop worrying from that point of view. Now, regarding your weakness, it might be possible that you may have some other problem that is causing it. Anxiety itself can lead to weakness. Many medical disorders can lead to it. I would suggest that if your problem regarding weakness is persisting, seek a psychiatric consultation. You might need to undergo some baseline investigations like complete blood count, blood sugar, etc. and proper treatment for any cause need to be instituted. 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: PE in 2006 due to traffic accident, no liver disease , high ferritin level, 729ng/ml Mar 2011, increased to 939ng/ml in September 2011, Decrease to 679ng/ml last week. Chinese, transferrin saturation at 42%, bad life style. zero excess , high red meat intake. over weight . pain at liver area only at running , no other symptoms.liver function normal, full blood count normal. done liver ultrasound,showing fatty infiltration within the liver , with an area of slightly reduced echogenicity adjacent to the porta which measure 3.5cm in maximal dimension. It may be a small area of focal tally sparing but follow up ultrasound of the same is indicated.no other significant findings identified. Gallbladder, common bile duct , aorta, spleen, pancreas and both kidneys appear normal. report attached. my questions is: is any possibility this could be cancer related? thank you ### REPLY: Hello David. Lee, high ferritin level-seen in iron storage disorders-hemochromtosis, hemosiderosis, porphyria or chronic disease process, alcoholic liver disease, adult onset stills disease, hemophagocytic lymphohistiocytosis, hemolytic anemia, sideroblastic anemia, autoimmune disorder, chronic infection - In USG-fatty liver-increase risk of diabetes, hypertension, obesity, dyslipidemia, with reduce echogenicity- may be seen in so many diseases, in hepatocellular carcinoma- hyperechogenic &hypoechogenic area present, in metallic carcinoma of liver diffuse loci present in liver from breast cancer, colorectal cancer, advice-CT SCAN with contrast if doubt MRI, PE(pulmonary embolism)- risk increase in prolonged bed rest, or cancer investigation-D-dimer test, CTpulmonary angiography, your history is not proper, you want to rule out which cancer, can you mention, hope my advice is useful to you, thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has had an itchy forearm which quickly blistered and watery fluid came out when it burst . now she has a circle shape on her arm which is like a red ring with a paler middle . She has had this before over a couple of years and it is always the same symptoms only one appears and it leaves a nasty scar ### REPLY: Hi... By what you quote I feel that it could be an eczema or an allergic reaction of the skin or urticaria. But the description you give - a circle shape on her arm which is like a red ring with a paler middle - is suggestive of Erythema Multiform and I suggest you should see a dermatologist for this. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi there, I have an abscess under my right arm pit. I went to the doctor he prescribed anti bioctics and said to go to th emergency room 2 days later. I went to the ER and whilst I was waiting the thing burst. I saw the doctor any way who advised that I should squeeze it and keep taking the drugs. And should it return or the redness get any bigger I should return. I have drained it all I can but there still seems to be a large hard lump. There is no more pain but the redness does seems to be getting bigger? I have had many abscesses in my time, do I need to get this one looked at again or is it on the mend. Will the larger lump eventually drain? ### REPLY: Hi, Dear , Thanks for the query to My  Clinic. I studied your query in details and understood your health concerns. In my opinion-the cause of your abscess in the armpit -a-Incomplete and improper . B-I would advise FBS and PPS- to rule out any diabetes as the cause of the rec curing abscesses in the past-as told by you.@ For the Rec curing hard red lump getting bigger- -As the lump is not going to  ### END