Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, Ive been having burning & aching in my arms and elbows hurt. My elbows feel better when I stretch them out.  I was also recently diagnosed with anxiety. Could this be from anxiety?  I did do a strenuous workout a week ago with weights and my arms. Would the pain last this long? ### REPLY: Hithis is anxiety induced nervous disorder, due to which you get tingling, burning, pain sensation in the particular nerve distribution areas or the whole body. Please check out for your sugar, thyroid, vitamin b12, calcium levels. You can take simple painkillers or paracetamol to get relieved of the pain. Please divert yourself in some different interests, to reduce the anxiety. Visiting a psychiatry specialist will help you further. All the best 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 had a toothache few weeks ago and the dentist prescribed amoxillin and it got sorted. But i delayed going back to dentist for the filling and again it started two days back when i bit something hard. The pain was excruciating and there was a bit swelling too. I rinsed my mouth first with salt water then with black label. Went back to dentist next morning and he prescribed augmentin 625mg thrice a day with declofinac 50mg. I used it yesterday and now the pain is relieved unless i bite or touch it there is no pain. But the swelling is there in gums and cheek. I read many ariticles about infection moving to jaw but doc told that the swelling is normal. Should i get a second opinion or should i wait as dentist asked me and meet him in a week. ### REPLY: Thanks for using . Read your query. The swelling is due to the recurrent abscess(acute periapical abscess) formed because of the decayed tooth. This will lead to pain while biting also and applies pressure to the associated areas. Antibiotics and painkillers will help reduce the symptoms, but the complete cure is after having the tooth treated. I would advise you to start the root canal treatment after the radiograph is done. Once the treatment is started, the swelling will reduce gradually. Do salt water gargling. Do not apply hot bag externally. Hope this was helpful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hie sir .i have a problem of granular phyrangitis .because of that i have depressed .thinking about sucide mind changed .negative thinking coming .voice becomes bad .cant sing properly .muscle loses after workout .no result for muscle recovery pls help me ### REPLY: Hi. Relax. Pharyngitis is treatable and just want proper rest and calm down. Depression and suicidal thought due to medical illness are short lasting, and it is like impulsive act. So think before doing any act. So take treatment for pharyngitis, and it will recover soon after proper treatment. Stress make you depressed so require psychological and social support from your family members. Psychological and supportive counseling can help. Take sleep and diet regularly. Keep yourself busy. Hang out with friends and make life happy. Get well soon. Consult psychiatrist for better assessment. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am  using Asthalin 100 inhaler for last two years.  Earlier I used Seroflow 250 inhaler for 2-3 months which gave me quick relief and I need not take another puff for quite some time with a single puff of Seroflow. Now I am using Asthalin 100 which I need to use quite frequently.  Whether I can change to Seroflow 250 now. ### REPLY: Hello. Thank you for asking at . I went through your history and would like to make following suggestions to you:1. Stalin and Aeroflot are different types of inhalers. Stalin is a "rescue" type of inhaler which is to be used only for asthma symptoms/wheezing/breathlessness. Seroflo is a "controller" type of inhaler which is to be used regularly to prevent asthma symptoms.2. I do not advise frequent use of Stalin. If you need to use Stalin for more than twice a week, I would suggest you to use regular Serf lo.3. Were I treating you, I would also add montelukast in your daily treatment.4. I would also suggest you allergy testing, regular breathing exercises and avoidance of dusts, smokes and air pollution. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at . Wish you the best of the health. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m a patient of jaundice now from last four months. actually i have subacute intestinal obstruction n lymph adenopathy. 2 lymph node enlage in porta hepatis area. n my mucodot is positive. then i start att drug but after 25 day i was suffering in jaundice n before jaundice in usg my gb bladder is normal but after jaundice my gb is contracted in also fasting. now usg shows common bile duct is not visualised. n now dr advised hida scan ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. It can't be sometimes visualized since ultrasound is nor so sensitive for bile duct which are small and covered with bowel and in obese people it is not easily seen. You should do CT scan for better disease evaluation. 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: Hello Sir, My question is , i have a daughther of 6 months and she has a cold, cough and when she takes breath her chest make some sort of noise and from last 3 months we are giving her T-minic syrup and sometime tixilyc syrup but both the syrups are not giving relief to my daughter so request you to kindly suggest a appropriate medicine for cough relief. Thanks & Rgds, Muhammed Zarrar. ### REPLY: Hi, your child is suffering from Upper respiratory tract infection(Bronchiolitis). Give her syrup Theoasthalin 3 ml thrice a day, Syrup Kindred 3ml twice a day. This will reduce inflammation and congestion of her chest. Put position nasal .  If possible, give her Stalin nebulizations 6 hourly. Give syrup Cetirizine 2.5 ml once a day at night. This will reduce running nose and give her a good sleep. The symptoms usually subside by 3-5 days. 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: Hi, I am currently undergoing a Personal Training Qualification. Out of interest I decided just to have a try of the equipment and noted a normal Systolic of 120 with a low diastolic of around 52.  I have taken this again today and note that I was 128/52.  I consider myself to be exteremely fit and wonder if this is the reason why the diastolic is so low. Sometimes no knowledge is better a little knowledge and I start imaging things. Thanks ### REPLY: Hello! Thank you for asking on ! I understand your concern and would explain that your symptoms seem to be related to a high pulse pressure (the difference between systolic and diastolic blood pressure). This is a common finding in aged persons. Could I know your age please? Are you taking any antihypertensive ?  As long as you feel OK and have no symptoms there is nothing to worry about. Hope to have been helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I masturbate before I go to sleep at night. Usually nothing is wrong, but (and this always occurs at night, I ve found) after I masturbate, a few minutes,my scrotum usually gets very tightened up, and there is painful feeling above my crotch.and when i urinate there is a blood on my urine but painless and..Usually I just sit there, drink some water until the feeling goes away. ANY idea what this is? ### REPLY: Degree understand your concerns went through your details. I don't think you have any problem. Masturbation is healthy if done moderately. You are young. don't be obsessive towards penis and sex organs. That could cause anxiety and stress. This pain could have come for once or twice, that could be due to your physical stress. If the pain continues, please consult a physician. Take care. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i am 30yrs old and was detected with PCO on 6 months ago. my blood test reports (such as TSH, LH, FSH etc) are within the normal range.now i m trying to conceive for last 3 months.everyday i take glyciphage tablet twice daily.on day 2 to 6 letroze 2.5 mg twice and Humog 75iu injection on day 3 and 8.everymonth i go for folicular study on day 13, 15 etc. 2 times out of 3 months my follicles are ruptured on day 15.but can,t conceive. pls suggest ### REPLY: Hello, for conceiving we should try with dedicated efforts under medical supervision for at least 6 months with full hope SND no worries. You are receiving good treatment have faith in your gynecologist efforts and properly follow the given instructions. From your side you can plan a safe weight program for yourself including healthy diet and regular exercise. This will increase your chance of getting pregnant. Have unprotected sex regularly especially 4 days before and 4 days after the day of ovulation. The day the follicle ruptures is known as the day of ovulation. The egg or the ovum can be fertilized for 72 hours after ovulation and the sperm can fertilize up to 24 hours after ejaculation and mainly 1st 6 hours. Therefore, it is important to have regular unprotected sex for consecutive 3 days after the follicular study shows rupture to increase the chances of fertilization. The male partner should also have his seminal fluid analysis done and be cooperative in this whole process. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: It seems that really tiny blood vessels under my tongue burst sometimes creating tiny (smaller than the head of a pin) red bright spots that go away after a few days. I don t think I am injuring that part of my tongue when chewing or anything. Why might this be happening? ### REPLY: Hello, Thanks for consulting , Read your query, as you have red bright spots under tongue this can be due to fungal infection (mitosis) , large blood vessels called curiosities, due to salivary gland disorder as salivary gland is situated at floor of the mouth under tongue, Nutritional deficiency or if you have habit of smoking it can be related to that also. Don't be worried so much, but you must consult dentist to rule out the cause of bright red spots under tongue. In meantime, you can apply ointment like Colonel or Mugel if the inflammation remains. Hope it 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: hello doc,i am a student, my age is 19, i am having internal pain in my throats, non of my family members or friends have any diseases or cancer, yea i do smoke but twice a week that to now regular, n yea i even take hooka 2 or 3 times a week,, so i wanted to know dat whats d reason behind my pain in neck, yea as summer is going on i was eating a variety of snow with diff flavor on it, so please tell me the reason, n what shall i do... ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some esophagitis or sore throat.  You should go for examination.  If needed to take antibiotics like azithromycin according to your doctors' advice. At age of 19 chances of esophagus cancer are very rare.  So don't worry about that. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have noticed a lump that grows small then into a larger ones later days under my armpits( occurs in both right and left armpits) and even on my thighs(both right and left thighs)...it feels painful when it touch them on their hard surface...when my armpit and thighs rubs against it becomes painful...when it becomes big and i squeeze it, pus and blood comes out....and these lumps comes back again like probably i would say every 7 months once or even once a year....i went to a doctor to remove it...he put an injection under my armpit to make it numb and cut it off...pus and mostly blood came out...the doctor told me it was because of heat...my body was to heat and it seems the reason for the lump to grow...im a gym crazy guy and doctor even told me when i exercise the heat from my body would cause these lumps...the doctor have cut it off like 4 times and it still comes back....im a little worried as it comes back...will this lead to serious problems? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some axillary lymph node enlargement or soft tissue mass like lipoma. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact idea regarding cause of the lump. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Slimy mouth, bad breath and some shedding on the inside of mouth. I can not smell my breath but can tell by peopl s reaction. Went to the dentist but he said my teeth are fine. I am very hygenicn brush teeth 3 times a day, flossy daily n use listerine original mouthwash . The dentist also says that he does not smell my breath as being bad. Don t know what to make of it too many reactions from people so I know it smells. Bad. Advise please. ### REPLY: Hello and welcome, you are suffering from halitosis. This caused by accumulation of plaque and food debris around teeth. The no. Of times you brush your teeth does not matter. Always brush your teeth in correct methodize, in down to up and up to down manner. Hold the toothbrush in 45-degree angles.visit your dentist and get a deep scaling done to remove the hard calcific deposits of plaque called calculus. Also check the salivary secretion. The plaque accumulation will be more in case if the salivary secretion is more mucous in nature. Streptococcus Angus, s.mitis’s.mutant, and actinomyces viscous are usually present microorganisms in plaque. If there is gingivitis and bleeding gums associated, then take tab.microdot.100 mg,once daily for 3 days. Use soft interdental brush and tongue cleaner to clean your teeth. The Listerine which is a chlorhexidine gluconate containing mouthwash will help to remove the microorganisms in the mouth. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Doctor Matthew, I have noticed my pennis slightly curve in the middle of the shaft two month ago, When I get erection. I did not have any relationship with woman for 8 year. And I am almost 50 years old. Doctor, when I was young my pennis curved slightly downward, I was fine. I have no complaints. My question is, why? Please help me! Thank you doctor. ### REPLY: HiT hank you for asking . I have gone through your query. Slight curvature of penis is acceptable as normal. But if there is band like formation or more curvature or associated pain then parodied disease should be ruled out. Cause of this can be due to genetic predisposition, excess alcohol intake can be a reason also. There are various stretching devices for applying to straighten the penis. A consultation with a urologist and ultrasound of penis will be required for definite diagnosis in such case. Hope this may help you. Let me know if anything is not clear. 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 both toe is like senseless( numbness) ,there is very little feeling on it , why ?advise for medication, i am living in u.k. here is cold weather , my fingers of hands always stiff and vey hard to twist it , what is the reason and advise for medication .Thanks for this service. ### REPLY: Hello, As having no sensation in the toe is need to be checked out for any signs of blood supply. As due to cold this may be one of the reasons and keeping yourself warm will be good. Also, if the numbness isn't going away then I suspect it to be spinal nerve entrapment. This may be due to para spinal muscle spasm.  Doing hot water fermentation to the lower back and simple core stability exercise should help reduce the symptoms. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MY DAUGHTER IN LAW HAD BREAST CANCER AND HAD BOTH HER BREASTS PLUS OTHER FEMALE ORGANS REMOVED BECAUSE SHE HAD THE BRCA GENE, SHE HAD CHEMO AND RADIUM AND NOW SHE HAS A LUMP ABOUT 5CM X 3CM IN THE PELVIC COULD THAT BE SOMETHING TO DO WITH THE BREAST CANCER.SHE HAD A STENT PUT IN BETWEEN HER BLADDER AND KIDNEYS AND HAS BEEN VOMITING EVER SINCE THE STENT WAS REMOVED. ### REPLY: Dear Ma'am, Sorry to hear about your daughter in laws problem. Considering her BRA positivity and the history of breast cancer, it is best to get this pelvic mass assessed thoroughly. She should ideally undergo a CT scan, which would characterize the mass further and help in decision-making. She should also consult her oncologist with the findings and probably get a FNAC (needle test) to rule out cancer. Hoping for the best. Rohan KhandelwalBreast Surgeon.docrohan.wordpress.com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hurt my back 3 weeks ago and the Dr said I have server back strain with spasms, sometimes the pain comes around my rib cage and the pain and spasms will take my breath. for over 2 weeks now I m sleeping on the couch up right in one of the corners. any ideas ? ### REPLY: Thanks for your question on . I can understand your concern. Your rib pain is mostly due to spasm of back muscles. Best treatment for musculoskeletal pain is immobilization. So wear rib belt to prevent mobility. Sit with proper back support. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid sudden jerky movements. Apply warm water pad on affected areas. Take painkiller and muscle relaxant . Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve had sore tailbone off and on for quite a while. Its hard to stay off it obviously, but when I really try it starts to feel better. Sometimes when I get up from sitting my bum feels a rushing hot feeling and I also get tingly left foot every so often while sitting. I ve had sore tailbone here and there for ages it feels like. ### REPLY: Dear patient Your symptoms points towards possibility of coccydynia. The is inflammation on tailbone, so you feel pain on putting pressure on tail bone. Pain is not constant. Treatment is to avoid pressure on tailbone by using tire tube and fill it with air. Sit on the tube filled with air to avoid pressure on tailbone for one month. SPITZ baths with mild hot water for 2 times a day. Start tab diclofenac sodium 50 mg twice a day for 5 days. If not benefited local injection of depose .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was in a fatal car crash 2 weeks ago, my seatbelt left a large bruise almost completely covering my right breast. I wear a d cup and sometimes a dd so that s nothing small. The bruise is almost completely gone but there s now a lump- not a huge one but a lump I did not recognize prior to the accident. Could this be a hematoma? Should I be alarmed? ### REPLY: Hello and welcome to , A breast lump formed after trauma is most probably due to organized hematoma. Traumatic fat necrosis is also one of the possibility. However, the history does not point towards any malignancy. A clinical assessment and imaging study of the lesion is required. Imaging will determine the site and probable nature of the lesion. An aspiration cytology will also help. In aspiration cytology, a needle is inserted into the lesion, cells are aspirated, spread on a slide and stained with appropriate stains and examined under microscope. On studying the cells, the probable nature of lesion is known and thus management can be planned. Thanks 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: My husband is deployed to Iraq. Since there he has been bit by bugs thought to be bed bugs initially, then deemed to be another bug (not sure air fleas, sand fleas) leaving bumps the turned red and itched like crazy  Then he was stung by something on the side of his neck right over his gland just under his ear.  The bite stung for 45 mins and swelled up enough for people to notice it and comment on it.  Then he got a swollen gland that did not go away with antibiotics.  The Dr did a needle biopsy and wasnt happy with the results.  He was then sent to have the gland removed and that sent for a biopsy. We are waiting on results now.   Then obvious first assumption is lymphoma.  My question is can all the venom from the incidents also make the gland swell and not got down or disappear with the use of antibiotics?  I am so hoping this could be the reason for the gland issue rather than the other.  He told the Dr but he still went on with the gland removal. Maybe he was just airing om the safer side removing it. ### REPLY: Hi, I would need further specific details to answer your question but however with the currently available details I would try and help you out. Yes, It is possible for a gland to swell up after multiple insect bites. It can persist for longer if there is some local infection in the bite site. It can persist even with use of antibiotics when the infection is resistant to that antibiotic given. So some more information needed to answer this question are whether the doctor tried more than one course of antibiotic. Secondly, If it is a lymphoma, the gland usually does not swell up in a very short duration unless there was a small lymphoma which suddenly enlarged in size due to some RARE complication in the tumor. If that was so then the gland should have been painful and red. Was it the case? If your answer to that question was "He was all normal till insect bite and suddenly there was a large swelling of the gland" - then its most likely that it's not lymphoma ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I m female, 22 years. Last night whilst in bed I was suddenly hit by an excruciating pain in my lower abdomen . The pain was sharp and intense, I felt sick, and very faint. The pain was this intense for an hour and a half, I managed to control the pain by sitting on the edge of the bed with my chest on my knees. It didn t feel like a general stomach ache as I often get these, and definitely not a UTI as again, I have had these quite severely. I was quite scared as I ve never felt pain like it, but I managed to fall asleep eventually. This morning, my stomach feels bloated and tender, hurts to press, walk or sit. I am not pregnant either. Any ideas? ### REPLY: Hi, Thanks for your query. Very hard to put diagnosis just from few symptoms/signs. I noted you have had previously gastric disturbances and UTI. If your pain are correlated with previously condition or not need to be determined by properly check up to rule out above-mentioned conditions. You must think also about premenstrual syn .  However, I will advise you now at this stage abdominal ultrasound, blood work, urinalysis and Gynecologist consultation. Take care and if you have additional queries I will be glad answer 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: okay so under my right pectoral muscle about an inch away from my sternum there is a bump thats a little bigger than a BB and i can move it around a quarter of an inch or so, when i move it it dosnt really hurt my skin or muscle, but a deeper pain like on my bone or something. any ideas? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma or dermatofibroma. You should go for biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi! i have a tight foreskin it retracts only halfway, it doesnt hurt during masturbation but my glans is very very sensitive., i am very embarrased hence me and my girlfrend have never had sex! but when we dry hump the sensitivity is very painful. is it ok? can i have sex? ### REPLY: Thanks for asking in  forum In short: Try retracting it daily once if not successful in this go for surgery(circumcision)Explanation: Usually every males' glans will be very sensitive in the beginning, but it gets reduced and becomes normally sensitive after repeated usage of it. So you need not worry, if your skin is not retracting at all then go for surgery otherwise you can try retracting it fully daily once so that it becomes loose.  You may consult any doctor regarding this without hesitation because most of the males suffer from this one or the other time.  Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I sit in front of the pc for a long time , usually i do not have pain , but today i started to workout , I went for a walk and 5 minutes in to it I begin to feel pain at my lower back . is this because of me sitting such a long time in work in front of pc , about 8 + hours dailyThanks in advance ### REPLY: Hi you are very true. All you need is-1) avoid sitting for long period that is 30-45min, and then get up.2) good diet rich in calcium and it. D like milk and milk product without fat and less sugar.3)posture correction i.e. become a soldier and sit and walk like a soldier.4)regular back muscle strengthening exercises like Surya Alaska under guidance.  And above all It's normal to have pain on day one at work out. Wish you good health and take care of your back. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Briefly, my mother, who is 81, has been diagnosed with bladder cancer in 2010. She was on Warfarin all this time, and recently, her physicians decided to stop the Warfarin completely. She was treated 3 times by a local urologist with the "tuberculin" remedy. The third time my mother went in to the office, she could not hold the liquid. My mother decided to stop everything and eat organic foodstuffs and try to heal herself with holistic remedies. Her last visit to her Urologist confermed that there were 2 more small tumors that have invaded the muscle tissue of the bladder.  Four days ago, she started passing very large blood clots. The blood clots have now stopped and so has the blood in her urine. Can you tell me, how advanced the cancer might be? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She has bladder cancer. Blood in urine is quite common symptoms of bladder cancer. Warfarin should not be taken.  It will increase the bleeding.  She has involvement of muscle layer of bladder, so it is minimum stage 2 or more.  She should go for radical mastectomy followed by chemotherapy or radiotherapy according to need. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear sir, I am having a slight swelling and discomfort feeling(as if the skin is streched from inside)  on the left upper side of the stomach, discomfort feeling increases if i eat little spicy food. I also feel hungry within 3 hours of eating. what should i do. ### REPLY: Hello dear, The symptoms as mentioned in your post can be attributed to Acid Peptic disease. Sensation of discomfort after eating spicy food is characteristic. An Ultrasound scan of Abdomen & upper GI endoscopy will be helpful in clinching the diagnosis. Symptomatic relief can be obtained with intake of Pantoprazole preparation (to be taken twice a day before meals) & antacid gel (to be taken after meals). They prevent formation of excess acid in the stomach & provide symptomatic relief. And it is also needed that you take certain precautions regarding your diet & lifestyle, such as:1. Take soft, plain, non-spicy foods.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 have had 2 misscarriages since december or 09, i woke up yesterday and had a feeling that I could be pregnant again. It is to early for me to test, according to my last period I would be 3 weeks today, since I have had problems in the past should i wait to find out or go to my doctor for a blood test. ### REPLY: Hello dear, I understand your concern. In my opinion the urine pregnancy test will not be able to give you accurate results this early. Usually urine pregnancy test gives accurate results a week after missed period. The blood  can be detected as early as 10 days after conception. So you can go for it. Avoid stress. Take healthy nutritional diet. Start taking folic acid supplements. Best regards... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter(25) was suicidal so went(forcefully) to mental health facility and left with meds thorzine 25mg 3 x day and 2 others less concerning. generaly normal kid but just had a few big crisis in a row sent her over edge. She is struggling on this med and trying to drive long distance to appointments and I in fear for safety on road at this point! Feel this med is way overkill for her situation but feel helpless to be heard..Advice? ### REPLY: Degree understand your concerns went through your problem description. The medicines you were given is quite suitable for your daughter of 25 years who is showing suicidal tendency. Wait for two or three weeks and the medicines should become a habit for your child. But that is not all. I suggest she should not become .  Find out why is troubled and under this tendency. If required get the help of a psychologist. Medicines alone cannot cure such problems. Underlying factors needs to be removed. Therefore, tell her and appraise her of the situation and ask her to cooperate for a visit to psychologist. Hope this clears your doubts. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Loose fitting bottom plates have irritated my gums around the front of my mouth and it is very soremaking it difficult to bite down, I filed some of the lower front edge of the plate and it provided some relief.Is a mouth wash that I can get OTC to get rid of the redness and soreness? ### REPLY: Dear Sir /Madam, As per the question you are wearing a false teeth with removable partial denture in the form of a plate in the bottom jaw which is loose. I suggest you to visit to your dentist and get this partial denture either repaired or get a new one which photo your jaw properly, otherwise it will keep bothering you time and again. For symptomatic relief you can put an ointment by the name of McCoppin, but it is just a temporary cure. Vishal jainVitaldent Faridabad ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 girlfriend is getting a sore in the same part of her month after we make out.  The last three times after making out she getting this sore that gos away after 2 to 3 days.  The sore is on her bottom lip ( in the middle of her lip).  We have kissed before and this havent happen (mouth to mount kissing)  Its only happening when we make out hot and heavy.  Its just wired that everytime we kiss hot and heavy she getting this same ( white sore in the same spot on her inside lip).  I dont have any sores anywhere on me...  Should we be worry about this? ### REPLY: Hi. Welcome to  . As per your query it seems that while being into a state of arousal during intercourse she has a tendency of biting the inside of her lip and due to trauma caused by teeth there is formation of an ulcer in the same spot every time. It does not seem like any infection and physical trauma is the most likely cause, but a confirmation can be done only after a clinical evaluation and investigations if required by an oral physician. As it is a recurring spot and is not persistent I does not seem like anything serious, and you need not worry about it. 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: Hy,I choose egg donation program (my results from amhormon was bellow 0.8)soo  I dont have eggs any more.... But I have the disease of tuberous sclerosis diagnosis how safe is for me to have a pregnancy? I dont have sypmtoms....how ever I was diagnosed 3yrs ago.......(also history of breast cancer 7 yrs ago )Im 39 yrs old. ### REPLY: Tuberous sclerosis is recognized to show wide variability of expression. There are only four cases of tuberous sclerosis in pregnancy in the literature. Two of these had favorable maternal and fetal outcomes and the remaining two presented with serious maternal and fetal complications. These included acute intra-abdominal bleeding due to a ruptured renal tumor, which led to renal failure requiring hemodialysis, and severe preeclampsia with pathologically enlarged kidneys noted at the time of cesarean section. Renal involvement appears to be the single most important prognostic factor in pregnancies with tuberous sclerosis. Renal evaluation should be performed in any patient who presents for preconceptions counseling. Past history of breast cancer is not a contraindication to pregnancy as long as you are in the all clear now. 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 feel like a weight has been hanged to my lower portion of left side ribs near the centre of the chest, it feels like some heavy object is stuck there. On consulting with a physician(MD) I had ecg but its normal. I feel it when I drive my motorbike mostly during evening, while coming back from office. There is no pain but I just feel that very portion. When I sit, the probability of feeling is more. Only once I felt severe pain in this area when I woke up and tried to getup, one morning while I was travelling in an ac coach of Indian railway, but it was not the beginning of this problem, it happened many days after  all this stared. Please, help me to know the reason and the cure? ### REPLY: Thanks for your question on . I can understand your concern. No need to worry about heart diseases because your ECG is normal. Sometimes gastritis and HERD (gastroesophageal reflux disease) can cause similar symptoms. If you are having stress and anxiety then both of these actually further worsen the symptoms. So avoid stress and tension, be relaxed and calm. For control of HERD do following things. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Take proton pump inhibitors and prokinetic .  Lose weight if you are obese. Quit smoking and alcohol if you have these habits.Don't worry, you will be alright. 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: A family friend of mine has been diagnosed with malignant ascites with no definite location of cancer. She s being bounced around from DR to DR. They suspect stomach cancer but her PET scan showed no hot spots. I am trying to help her through this process. We are just confused as to the cause of it. She has an extreme ulcer that she has been dealing with for a year. Original biopsy of ulcer came back negative. They are doing another endoscopy this week with ultrasound and deeper biopsy. She has lost over 60lbs this year and severe muscle mass. Nobody will give her an answer or outlook. Everything I m reading online states that malignant ascites has a bad prognosis. But why doesn t anything show up on a PET scan? ### REPLY: Hi. Thanks for your query and history. Read and understood your concern for your friend with malignant ascites. I hope the fluid from abdomen shows cancer cells as a confirmed diagnosis. PET scam has its own limitations, it may not show up everything. Malignant ascites means stage 4 disease and refs palliative treatment. Some anticancer injections are available to be instilled in the abdominal cavity to help the patient. Take her to the cancer hospital for further advise and 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.. It s the 4th day and my teeth wouldn t stop chattering. The teeth chattering has disrupt my sleep and it gets worse everyday. It s starting to affect the way I talk. I m slurring already and it s beginning to affect my job. Besides that, I also have cold hands and feet . I perspire more than usual. I went to see the doctor and he said it might be thyroid . My sister has thyroid and the doctor said it s hereditary. Besides thyroid, can it be depression? 6 months ago, I have suffered depression. Back then, the doctor prescribed lorazepam and aposertraline for me. I was suppose to take the medication for at least 5 continuous months, but I stopped after 2 mths. Recently, I feel like it s coming back. I m very stress at work and with my life too. Im starting to break things when I get angry... I ll throw and slam everything I could lay my hands on.. I get so angry all the time and emotional too.. My boyfriend is my victim. With this teeth chattering and all, I m getting more stressed up and anxious. I m waiting for my blood test result tomorrow to see if I have thyroid. Meanwhile the doctor prescribes propanalol for me to control my chattering teeth and jaw. It s not working! My whole mouth is still chattering. It s getting worse! I m so angry! Cos I can t believe I was give a lousy medicine. If it s not thyroid, what could it be? My depression? I think I m suffering from bipolar. What s wrong with me? Please help me. I m only 22 yrs old.. ### REPLY: Hello and welcome to . Thanks for your query. It is likely that your symptoms are due to a psychological cause - probably a depression or anxiety-related problem. Moreover, it's clear that you are quite stressed out and are in significant distress.  Also, since you've had a recent history of depression for which you discontinued medication prematurely, you have a risk for relapse of symptoms. So, I would strongly advise you consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or counselling / psychotherapy which will help you overcome your problems. Wish you all the best. -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here...I need to know about Dr.Raja Sri of EV kalyani medical center chennai some say that she is rude. but what about the quality of treatment given in EV Kalyani. I was pregnant but during 12th week scan it was said tat foetus is not having cardiac activity and movements and had to undergo induced abortion. Im 24 yrs old, weighing 64 kgs and height 154 cms. My husband is 27 yrs old.Will there be trouble in next pregnancy, cause doctor said its because of chromosomal problem during formation of foetus. ### REPLY: Hi, I understand your concern.  The mishap you had can be due to chromosomal namely or viral infection in early pregnancy.  Pregnancy consists of union of chromosomes from sperm and ovum. During this process abnormal combination may occur by chance/ by viral infection. This need not happen in every pregnancy, you do have all the chances of having a normal baby in next pregnancy. So stay relaxed.  Though, mostly it's usually confirmed to be normal by chromosomal analysis after one bad experience, Thanks.  . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 55 years old and I have had lower back pain and vomiting for a couple of weeks. i was sent for a renal ultrasound and there are cysts found in each kidney-i want them removed. the doctor just wants to watch them. i have high blood pressure, bottom number 3 digits more often than not and high cholestrol in high 200 s. what do I do// ### REPLY: HiT hanks for posting your query.  I don't feel that your cysts are causing your back pain. You might be having some disc problem which is causing your back pain.  For diagnosis, it better you get MRI lumbar spine and kindly let me know the report.  I don't think your high cholesterol or BP is related but its better you do aerobic exercise as much as you can do. Any clarification feel free to answer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My four year old daughter have started to urinate very often. Sometimes, she goes to the bathroom and in less than 20 minutes she has to go again. Every night she wakes up to use the restroom more than once. Sometimes we have to get out of the car and park in random places so that she can urinate. Sometimes, she would say that she doesn t have the need to do it. While a couple of seconds before she cried because of the need to go to the bathroom. She doesn t take any medication and is a very healthy child. what can it be? Is this something I should worry about? ### REPLY: Dear parent, Many thanks for your question with  .com.  There are many causes for frequent urination in a child.  The most common cause is behavioral.  She may have just got used to going to the bathroom regularly, and you may have to gradually encourage her to increase the time between visits until she increases her ability to hold her urine. However, before you can label it as a behavioral problem, you have to rule out the other, more serious causes of frequent urination.  For this she will need a few tests at your family doctor.1) You need to rule out a urine infection - for this she will need a urine test. 2) You need to check for diabetes - the symptoms of this are usually frequent urination, thirst and weight loss.  For this she would need a urine and blood sugar test.3) You need to check that her bladder and kidneys are all structurally normal.  For this she would need an ultrasound scan.  If the results of the above are all fine, you can then be reassured that it is nothing to worry about, and just work on her gradually increasing the amount of time she can hold her urine. I hope this helps you, good luck with the tests.  If you have any further questions, do not hesitate to contact me and if you found this helpful, please leave a rating! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor,My daughter played with stray dogs opening their mouths before two days. I guess her fingers touched the dogs tongue. Later she unknowingly kept one of her fingers in her mouth. What is the chance of her getting infected with rabies. What should I do to overcome the doubt. Thank you ### REPLY: Hi & Welcome. I can understand your concern for your beloved daughter. Rabies is usually transmitted from saliva of the dog into blood stream of the victim through a broken or by licking open wound. However, . The suspected stray dog of having rabies should be monitored for at least 10-14 days for the signs and symptoms of rabies it may develop following the virus shedding through the saliva. Besides, your daughter should receive 4 doses of anti rabies vaccine on day 0,3,7, & 14. If the dog is found to be healthy on day 10, the last dose (on day 14) may be stopped. Hope this answers your query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: How likely is it that the lungs would be permanently damaged following 2 separate episodes of pulmonary emboli? The first episode was caused by an ankle fracture and went undiagnosed for 5 weeks.  The second episode was 7 years later and no obvious cause has been found.  Worried about the damage that the clots have caused to the lungs. ### REPLY: Hello welcome to the  For checking severity and proper management plan of pulmonary embolism I suggest you to investigate with D dimer and CT angiography. Usually in acquired cause for five to six month oral anticoagulant .  Congenital cause like factor 5 Leiden mutation, protein c deficiency, protein s deficiency etc. can be ruled out You have to consult pulmonologist or cardiologist for examination and then discuss your case. Take care Hope your concern solved ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I m a 27 year old female and about week ago started gettin big red rash like things with white heads on them mainly on the right side of my body with just a few on left side..went to hospital and they couldn t figure out what they are ...they gave me antibiotic and it hasn t helped I m getting more red rash things on my right arm .. They are really bad on the back of my thigh and butt and arm... Please help ### REPLY: Hello, Thanks for the query. You might have developed fur uncles. These are deep bacterial infections. Treatment is with antibiotics, but the choice of antibiotics should be based on culture and sensitivity tests. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ . Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am suffering from intermittent but severe dizziness after receiving a cervical spine steroid injection over a month ago. It scaring me with all the trouble with the lab that sent out the tainted steroids. My doctor claims that she did not use that lot , but I am suspect - what should I do? ### REPLY: Hello, The blood vessels that supply the inner ears and the parts of the brain that are connected with the balance of the body pass through the cervical vertebrae.  Cervical spondylosis which is the usual cause of the pain in that region for which you received the steroid injection also affects these blood vessels and causes alteration in the blood flow which results in dizziness. Physiotherapy along with the use of certain medicines will reduce this dizziness. 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 had a bilateral cornual block ., i was under akt for 3 months in 2010 march. i lost my belief of getting conceived. then in june 2010 i missed my period--98 days. ( which was 30 to 32 day cycle--bceame regular after drilling of pcods)--i went to my doc and she took a scan and said cant see anything in the scack. then took urine test also but negative. got my periods after 1 week around 100 days and it was so very profuse and with lot of finger size clots. i assumed it to be abortion and did a hsg in november 10 and it said one of my tube is clear and open(block in the left side). now i am on treatment and theygive letoval and without injections i was ovulating and this month they had given injection also. my question is i get my predominant follicles only on the left  side where there is block in the left side tube. what should i do  now?? do i have chance of conceiving?? can my normal tube catch the egg which is forming in the right side?? ### REPLY: Welcome to . I have gone through your question. As dominant follicle on left side and left tube is blocked then there are rare chances of fertilization, follicle travel through right tube has rare chances. Generally follicles develop in alternate ovaries. Wait for right side ovarian follicle, do follow-up ultrasound for right ovarian follicle, and when right side follicle develop plan to conceive, that will help you. Hope I answered your question. Would be happy to help you further. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir i am from india, last 2 nights i have taken Curd and since tomarrow am feeling pain on left side of rib cage and not able to take a full breath. Here is so cold right now a days because of rainy season. Sir, plz tell if anything is serious with my health and plz tell me any solution regarding that. thank you. ### REPLY: Thanks for your question on . I can understand your concern. Bacterial infection is common in rainy season. You are also having cold. So this can cause lower respiratory tract infection (LETI). And chest pain is seen in LETI. So better to get done chest x-ray to rule out LETI. If chest x-ray is normal than no need to worry about LETI. Sometimes gastritis can also cause similar kind of chest pain. So avoid stress and tension. Avoid hot and spicy food. Start proton pump inhibitors and prokinetic .   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: leg tingling i have had three c sections and ever since my last one when i go to sleep at night my legs go numb and begin to tingle when i wake up if any one touches me it really bothers me it is slowly moving up to the rest of my body and i cannot afford to see a doctor is this a serious. problem? ### REPLY: Hello! Welcome on ! Regarding your concern, I would explain that your symptoms seem to be related to peripheral neuropathy or tarsal tunnel syn .  I recommend performing a nerve conduction study and some other blood lab tests (complete blood count, iron levels, vitamin B 12 levels, PCR, ESR, blood electrolytes). A lumbar spine MRI study may be necessary, considering the fact that you have done three lumbar punctures. Hope to have been helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here... i wondering if the test blood pressures at supermarkets (publix for example) are fair, i mean if i can trust on those...i can believe that i have 137... i ussually feel the opposite. ### REPLY: Checking BP requires a quiet environment, you should sit quiet for at least 5 minutes, and you should not be in the midst of talking or listening to music or watching TV commercials .your legs are to be firm on the ground No crossing of legs bladder should be empty No coffee, tea, smoking or alcohol 30 minutes prior to checking widely you should check BP before your breakfast and medications. You should bring your BP apparatus from home and compare your readings with your supermarket readings.since multiple users use the BP apparatus at supermarket there is a slight chance that it may not reflect the correct BP if it is not done in the ideal conditions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I suffered from TB and is cured now.  I am planning to visit Muscat-Oman and require a family visa.  Whetther during tests conducted by GCC approved labs, if any scar is present in the lungs will they reject my visa. Thaks and regards A.K. Balasubramanian ### REPLY: Thanks for your question on . I can understand your situation and problem. Yes, presence of scar tissue on chest x-ray is strong reason to reject your visa. Visa authority can reject your visa due to having possible active chest infection like tuberculosis because of scar on chest x-ray. So we need to prove that this x-ray finding is due to old, healed tb and not due to active tuberculosis. For this you need to consult pulmonologist and get done CT thorax with Contrast and bronchoscopy with BAD (bronchoalveolar lavage) analysis. If both are negative for tube than you can argue with visa authority that x-ray lesions are due to old, healed, inactive scar and not due to active, infectious tuberculosis. So consult pulmonologist and discuss all these. 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: hi doctor i am suffering with a calcified granuloma in the frontal lobe for the past two years. i am on t. eptoin 100mg bid. getting recurrent attacks of headache and seizure. do i need to change the anti epileptic drug or to manage. what drug would you suggest? ### REPLY: Hello, You are not under good control for your seizures, so I would agree that a change in management would likely be in your best interest. If you are not being followed by at least a NEUROLOGIST (better yet, EPIDEMIOLOGIST) then, I would make the request of your PMD.  Phenytoin (generic for EPT OIN) at 100 mg. Is clearly not therapeutic for you since you continue having seizures. If you've not had blood levels checked recently then, that would be the 1st step. Second step: if you ARE therapeutic then, consideration to raising your dose to at least 3X daily should be given as this is a more convenient way for someone to take this medication.  Your continuous seizures may also be contributing to your headaches so by better seizure control may reduce headaches.  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 husband (28) is feeling a needle pricking kind of sensation in his a**hole from last 2 weeks? He tried keeping it clean and dry , applying talc powders but it doesnt seem to get better. Can you tell me what this is and how can it be treated orally ? ### REPLY: Hello appreciate your concern for your husband. Needle pricking kind of sensation in anus might be caused be fissure in ANO, hemorrhoids or infected anal gland and perianal abscess. In my opinion he should apply anesthetic ointment like lidocaine for symptomatic relief. Ask him to avoid constipation by taking laxative or stool softeners like liquid paraffin. Ask him to avoid fatty fried and junk food, advise him to take lots of fresh fruits, vegetables and dietary fibers in his diet. No smoking and alcohol for time being until it heals completely, if he is into it than. Sitz bath or hot water bath will definitely help him. Hope this answers your question, please do let me know if you have any more queries, I will happily answer you. Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a very high ASO of 800.  i had a strep infection and then the level was tested at 800 2 years ago.   i had another strep infection in my tonsils and it was still 800 a year later.  then i had the tonsils removed beginning of Jan and i had the ASO tested the other day and it is still 800.  this is the 3rd year now.  i feel tired, lethagic and unwell ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. ASO rises when we have streptococcus infections. The common site of infection is throat. But apart from it can also infect heart valves, joints etc. So probably you have been operated for tonsils, but the focus of infection may be different. The rise in AS favors the support in that direction. I advise you should think for blood and culture for streptococcus bacteria. Once you receive the sensitivity report for the bacteria, you can take the most effective treatment. Once you take the complete treatment all your infection will be cured. Please take the complete treatment. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is suffering severe pain in his lower right abdomen, radiating towards the lower centre (almost where the bladder is) at times.  This pain can often start about an hour after eating a meal, but not always.  It can then get worse over a 3 day period.  He feels nausea.  He gets to the stage where he doesnt want to eat because he feels unwell.  He gets the feeling that he wants to go but nothing happens.  When he does go, he is not constipated.  The bowel movement is normal but with bright red blood.  Sometimes the movement starts as normal and then ends as diarrhoea, always with blood.  This has been happening for 3 years and I think it is getting worse. ### REPLY: Hi welcome to  forum.  Thanks for calling . Forum.  Your husband had Pain in the right lower abdomen, radiating towards the center, usually starts after eating the food, get worse during the period, nausea, there is bloody diarrhea, this is all for 3 years.  It appears that he had inflammation of the descending colon, rectum, may be due to ulcerative colitis, irritable bowel syn .  I advise you to consult a surgeon for diagnosis and treatment. You may need to have M.R.I. colonoscopy, besides other routine tests for confirmation.  I also advise him to avoid spicy foods, junk foods, and oily foods. Advise taking more of water, and curd.  Wishing for a quick and complete recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sometimes I get a single bump either above or below my belt line. It starts off as a red bump then general looking like a zit. I will take a warm wash cloth ot it to release what is in side and it is a mixture of blood and puss. How do I rid myself of this ### REPLY: Hi, Dear,Good Evening from INDIA. Thanks for the query to . I went through all the details of your query. On the details given by your query, In my opinion you suffer mostly from-on the facts there in-mostly you suffer from-furunclitis with infected pubic hair follicle. Treatment suggested would be-a-Tab NSAIDs x 5 days b-Cold compressesc-Antibiotics if you need be consult ER doctor for the script of . Hope this would resolve your query. Welcome for any more query to  and ME, in this regard. Wishing you fast recovery. Write review ASAP with strong recommendations for  and for ME, for the benefit of other new and old patients. Have A Good Day. With  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 3yo son fell extremely hard hitting his head on a retaining wall. we took him to the local hosp where he had a ct  they advised us no fracture was see. however he still weeks later has a visible 3cm dent to his forehead. should we be concerned? thank you . ### REPLY: Hi, I had gone through your question and understand your concerns. You should be worried but not too much. Pay attention to his behavior and complains. If he doesn't have nausea, vomiting, headache, not faints then it is OK. In other case consult hi at neurosurgeon. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: THANKS! DIDNT REALIZE I NEEDED TO PAY. SORRY !LETS TRY.MY DAUGHTER WAS IN A ROLL OVER ACCIDENT ON DEC 1 2010 AND HAS BEEN HAVING CONSISTANT MEDICAL PROBLEMS. MOSTLY OBDOMINAL PAIN ACCOMPANIED WITH WHITE BLOOD CELLS IN URINE BUT CULTURES THAT COME BACK INCOMPLETE AND HER STOMACH ACROSS THE MID SECTION IS DISTENDED. SHE HAS HAD NUMEROUS KIDNEY INFECTIONS. HAD STAGE 1 ENDOMETRIOSIS REMOVED. BLADDER AND KIDNEYS CHECK OUT HEALTHY. UTEROUS HEALTHY. GALL BLADDER AND APPENDIX AND SPLEEN HEALTHY. DIAGNOSED IN AUGUST 2011 WITH VASO VAGEL DEPRESSOR SYNCOPY SHE HAS BEEN THROUGH A LOTR WITH NO ANSWERS AND NOT GETTING BETTER.SHES STARTING TO BELIEVE SHE WILL BE IN PAIN FOREVER AND DOCS ARE SAYING THERES NOTHING MORE THEY CAN DO...WHERE DO WE GO FROM HERE? ### REPLY: Since the problem started after the roll-over accident, and the pain is continued, I would think of probable causes as follows:: Intestinal obstruction due to post-traumatic stricture or so. AdhesionBack injury in the thoracic spine causing all such problems.  I would advise the following:::Ultrasonography, CT scan must have been done by this time. Enterocolitis under a fluoroscopy control MRI of the thoracic spine; ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ACDF hardware with associated screws are seen from C4 through C7. There is reversal of the normal cervical lordosis. The bone marrow signal is homogenous. C2-C3: No stenosis C3-C4: Right paracentral protrusion of the disc osteophyte complex effacing the thecal sac C4-C5: No stenosis C5-C6: Right uncovertebral arthropathy resulting in mild right neuroforaminal stenosis. C6-C7: Right facet and and uncovertebral arthropathy results in mild right neuroforaminal stenosis. C7-T1: No significant stenosis. The spinal cord is normal in caliber without any abnormal signal changes. No pathologic enhancement is seen. There are no prevertebral or paravertebral masses. ### REPLY: Hi there, welcome to , thanks for your question. By convention, we doctors use several technical terms to describe the alignment of the spine. Lordsis is one such term. When seen from the side our spine has 4 curves. In the neck and the lower tummy area the spine is curved backwards, such a backward curve is known as Lordosis. In the chest and tail. Bone area our spine is curved forwards, such a forward curve is know as kyphosis. With forward facing and TW backward. Such alignment is required for up right posture of human beings so that our head is balanced on our limbs. So the neck area (cervical) we have natural lordosis (back ward bending)In the radiology report you have mentioned the normal lordosis of the neck is lost, that is the spine so no more curved as it should be. This can be as a result of normal variation, muscle imbalance, post surgery finding or owing to long term postural imbalance.However, loss of cervical Lordosis is a radiological term and need not always be associated with clinical symptoms of pain and discomfort. Pain in such cases of post op loss of lordosis can also be due to muscle imbalance or sometimes due degeneration of adjacent level, which is c3/c4 level in the given report. Physiotgerpay with spinal strength being exercises ad medicines should help initially. Further treatment would require correlation of your symptoms and radiology by a trained spine surgeon. Hope this answers your question. All the best. With 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: Daughter is age 13 having gas bubble type pain under both sides just under her ribs. She said when she bends over the left side pain moves down in bottom of her tummy. Gave her gas relief pills. Shes sleeping now. Should I worry or is this probably gas? ### REPLY: Hello! Thank you for asking on ! I understand your concern and would explain that her symptoms seem to be related to dyspepsia (troubles with indigestion) and the accumulation of gas in her intestine, leading to a distension of the diaphragm and pain in this region. A gastric disorder (gastritis or gastroesophageal reflux) can't be excluded. The fact that her symptoms are modulated by the body movement is another argument in favor of these disorders, including possible musculoskeletal pain. If her symptoms persist, I recommend consulting with the GP for a careful physical examination, a chest x-ray, an abdominal ultrasound and some lab tests (complete blood count, kidney and liver function tests, fasting glucose, blood electrolytes) to rule out any other disorders related to this symptomatology.  A fibrogastroscopy may be necessary to exclude possible gastroesophageal reflux. Hope to have been of help! 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: Hi I have my labret pierced and it s healed well but now there s a bump on the inside of my lip where the post part of the bar is. (It s not growing over the stud.) I don t play with it at all. It has no discharge, no pain or anything but it s almost shaped like a mushroom. What is it and is there anything I can do at home to help it go away? ### REPLY: Hello and thank you for your question. From your description it sounds like you may have formed a keloid in the area. This is an overgrowth of scar tissue. Sometimes a doctor can remove this or inject it with a steroid to make it go away. I do not think you can treat this at home. If it has not been there long it may go away on its own. If it has been there for a long time then you will probably need to see a doctor for removal. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: for 6 months i have been having constant pain in my lower leftside of my rib cage. its sever. my ct scan found a small cyst in my liver.my colonoscopy was clear as was my endoscopy. i have  lost 6 stone in 13 months. im also sufferung with insomnia, low blood pressure, trouble swollowing and heart palpatations. my gastrologist has disagnosed ibs. but i am unsure and can find no other ibs suffers with my symptoms. please can you advise me on other options? thanks ### REPLY: Hello and thanks you for your query. I am  and I will try to help you as much as I can with my answer. This is probably small benign cyst such as hematoma and this definitely requires no treatment AR all. Your symptoms are not related to this cyst and may be caused by IBS or gastric issues, so you should focus on these diagnoses, not liver. I hope I have answered you query. If you have any further questions you can contact us. 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: I was admitted to the ER with sharp Lowe abdominal pain. They released me saying that it might have been the IUD I have that irritates me. They sent me home and the pain stopped. After 2 days, I was constipated (which never happened to me because I always have runny stools so this is worrying me). I took some laxatives but feel like the bowel movements were incomplete. I have backpain and tightness in the lower back region. My stomach hurts and feels full (not the bloating type but it still hurts). Help! ### REPLY: Hi ! You have not mentioned if you have got fever or not. It is possible that there is a pelvic organ infection, or a urinary tract infection which is bothering you. Some IUD's do cause such problem, and your doctor may advise you some alternate mode of contraception. I would suggest you to visit your family physician, who may advise you for routine test for urine, and if required an ultrasound of the abdomen. Wishing you an early recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir,i am 47 years old malesince last night i am suffering from feveri have pain in my right shoulder, elbowand right kneereading of fever was 102.2i have eaten two slices of breads and a cup of teafollowed by a crocinplease guide me what to doi am a high b.p. patient and i am taking concor cor 2.5 my b.p is 80-120 ### REPLY: Hi thanks for asking question. You have fever with bone and joint pain mainly suggestive of some viral infection. Do your CRP level. Treat symptomatically. Maintain HY . Take more water. Eat more fruits and green vegetables. Over the counter antipyretic and analgesic can be taken. Take less salty diet. Still joint pain is there then further work up done like RA factor estimation. Just now don't worry much. 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 my son has been coughing alot and today at creche they told me as he walked in he took like a deep breathe  his adams apple like went in he was trying to breathe in he is 5 yrs old he said his chest was abit sore but hasnt complained after that no fever though what could this be ### REPLY: Hi... Thank you for consulting in . Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 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. For cold, you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Pain in my right knee came on suddenly. Behind the knee, the muscle on top of the knee, the inside of the knee. I do have osteoarthritis, have had two arthroscopies. Has been pain free for the last 4 years. I did nothing that would have brought on such sudden pain. Can a cold or infection settle in my knee? I have had a very bad sore throat the past 3 days. ### REPLY: Hello, It looks that you are afraid of arthritis pain. As recently you are having sore throat, in that case it can be associated arthralgia with sore throat. In good percentage of cases there is associated joint pain in sore throat. You need not worry about that this will go away in next 3-5 days. Meanwhile, you may have a good analgesic like ibuprofen for that. 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: Dear i am taking treatment for uncomfortable chest angina doctor prescribed lodoz 5 ecosprin 75 mg elsar 50 mg fibator 10 mg last 4 years i ate this tablets i went to doctor last week i done tread mill test the report is stress mildly postive with ischemia for oxygen demand..the doctor changed the tablets he prescribed concor 2.5 mg still i am not feel fine i am working in abroad countries i am afraid to go there i am lost my job pls advice me about this problem sir ### REPLY: Hello dear, Warm welcome to .come have evaluated your query thoroughly.* The treatment of chest angina consist of- Maintaining HY . - Balanced nutritious diet.- Regular walking in fresh air, exercises, YOGA are of tremendous importance.- Avoid smoking, alcohol in any form.- Avoid stress, anxiety.- Have regular sound sleep of 8 hours.- Continue current medicines and be in follow up with your doctor on regular basis. Hope this will help you for sure. Wishing you fine health ahead. Regards dear take care. ### END