Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good morning Doctor or Doctors. here the question..i am having this tight feeling in the middle of my Brest to my throat. am on meds. the only time i have been in the hospital was last oct. for a bleeding ulcer. and they also found i have pfo. not to worry about it..thank you connie ### REPLY: Hi Dear !! Thanks for your query to . Read and reviewed your query and health concerns. IN the given situation of Yours, You seem to suffer from-Acid reflux with HERD. Yours being Known Ulcer case, these complaints of tight feeling in chest and throat-indicates that that acid control treatment needs to be reviewed and changed under expert doctors advise. I would suggest you to have Second opinion from Third party Surgeon/ Physician and review acid controlling treatment which you are taking. Other causes for these complaints-like IBS and IBD/ anal ailments like fissure in ANO/ H. Pylori re-infection / inadequate PPI dosage / Improper diet style/ habits, need to be ruled out before planning any treatment in your case. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question Tod ME, at following  link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at  services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: ive noticed the last five days my tounge has a orange tint to it ..it does not come off with a toothbrush .. by the end of day its darker .. i have not changed any habits of mine .. should i be concerned or is there something that i can do to get rid of this  ? ### REPLY: Hello! Welcome to . Orange color can be because of chromogenic bacterial growth. You did not mention your general health and if you are taking any medication. Do not use caffeinated beverages. Reduce consumption of alcohol and tobacco. Use a mild mouthwash. Increase water intake(3 liter per day). Use a tongue blade and maintain proper oral hygiene. Consult your general physician if this persists more than a week. 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 have a large lump/swelling on the very back of my neck ( inline with spine) its not really soar but when i tilt my head fully back its pritty pain full its been like it for a couple of years and i havnt really thought anything of it should i get it checked? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma or some skin adnexal tumor.  It is common in that area. You should go for fine needle aspiration cytology. It will give you exact idea regarding cause. 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: hello sir, My granpa is sufferring from Cancer, there is a lump in his throat & he has a lot of difficulty in eating food. in fact now adays he is just taking semi solid khichdi and milk. doctors in  govt hospital told us that his cancer is at advance stage and now well have to take him to SUFDURJUNG HOSPITAL in delhi. but i saw that there is no facility for cancer treatment in that hospital however there is one in the AIIMS just opposite to that.. please advise what shuld I do? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He may have esophagus cancer.  If it is advanced stage then surgery is not possible.  Treatment of choice remains chemotherapy and radiotherapy.  For that you should go to fully equipped hospital with all facilities.  You can go to AIMS hospital or other and start treatment as early as possible. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i cant find anyone with my problem...just pieces here and there. I am a 22 year old female. i have a family history of heart disease but my mother and father are fine. I usually have a glass of red wine almost every night and some weekend i go out and drink. Ive had an occasional cigarette when drinking but not any time lately. I work in a stressful job but i dont feel like it is taking a toll on me, the only reason i mention it is because i hear chest pain can be stress related. i get a decent amount of exercise and doctors have always told me i am in good health aside from borderline asthma in high school. I also had a few panic attacks mid high school but havent had any since. for the last two weeks or so ive had bad chest pains in the center of my chest between my breasts. the usual off and on pain through the weeks has felt like my ribs are being pushed or punched inwards and sometimes it makes it hard to breath and i actually start breathing harder. here and there i think ive felt a heart murmer and here and there i feel like someone stabs me in the chest or heart with a knife. its freaking me out and as i type i feel a deep pain ive had for the last 20 minutes. it seems like these pains are getting worse and im in the middle of searching for a new doctor. i dont know if i should wait for something bad to happen to go to the e.r. or if i should just book a doctors appointment and wait out the pain. ### REPLY: Thanks for your question on . I can understand your concern. Possibility of asthma related breathing difficulty and chest pain is more likely. Stress and anxiety give additional effects on asthma related symptoms. So better to consult pulmonologist and get done PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Also consult psychiatrist for counseling sessions. You may need anxiolytic .  Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I put in a friends earring and then it started itching and now it s all swollen and a little yellow comes out of my earlobe where my piercing is. It s hot and in so much pain. Not only does my ear hurt but below it hurts too. Very badly what should I do? ### REPLY: Hello, Thank you for your contact to . I understand your concern. If I am your doctor I suggest you that you can use newsprint powder with small amount of water to fix it. Infection will be cleared soon. If not cleared you can start with oral antibiotics like definite. Maintain good local hygiene will help you more for healing. You can use cetirizine to get relieved by itching. I will be happy to answer your further concerned can contact me. . Infectious disease specialist. 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 just got over the flu about a week ago, I got better a couple days later but then bronchitis kicked in.  It gave me a chronic cough which I still have and I am still coughing up stuff.  I can deal with the bronchitis but my major problem now is that my upper right chest is in pain.  It hurts when I take deep breaths, especially hurst when I cough, and also hurts from some basic movements.  Today a slight stinging occurred.  Could this be something serious or something simple that will take care of it self on its own? ### REPLY: Hello thanks for posting at . Going by your description, seems like you have got lower respiratory tract infection preceded by upper resp tract infection. The lower respiratory tract infection seems to have involved the pleura, the covering of the lungs, hence you get the pain. Please do a chest x-ray to find out about the involvement of pleura and fluid accumulation within the pleura. This will usually settle with antibiotics. Since you mentioned that you had bronchitis, I suppose you were already on antibiotics. But sometimes people get infected with .  It will show what microorganism has infected you and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just got a sudden burning headache that within minutes had burning pain radiating down the left neck, shoulder, and arm and then jaw pain all on the left side. Im a 24 year old female. I don t want to go to the emergency room and don t know if I should. ### REPLY: Hi, As this sounds to me like a cervicogenic headache and due to which the symptoms. If you are a computer worker or having job which demands to sit continuously and work in abnormal position than there might be spasm of the cervical para spinal muscles leading to the headache along with the radiating symptoms. I will advise to take a cervical collar, and apply over the neck. Doing hot water fermentation will help reduce the spasm and also the radiating symptoms. If the pain doesn't come down then an MRI cervical spine might be advised by the local orthopedist to rule out any nerve root entrapment. With conservative management your symptoms can be controlled. Medication and Physiotherapy will be of use with posture correction. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A few days ago i started feeling ill....started with a fever, body aches, and tiredness....i figured it was a bug....as of yesterday fever is gone....i feel fine...excecpt now my chest if feeling a bit heavy when breathing....should i got to the doctor? ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having post infectious bronchitis. It is common after viral upper respiratory tract infection. And heaviness in chest, breathing difficulty etc. are commonly seen in bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system, PUT (Pulmonary Function Test). PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ggmrng sir...Am a 25year old girl...am in a relationship for the past 4 years..and we decided to marry with the family support.Nw we have got prblems...am soo depressed.If am get anger,i could not control my tongue.My parter is always against my decisions and wishes.If he support,them he will sayDont xpect anymore love from me.So my temper increase and ill talk more and more to reduce my anger,the wrdz cuming from my tongue hurts him aloot and again I regeret for that.He never thinks from my side.He is adit to his mom....Hoe could i reduce my anger.He always proke me by not supporting me... ### REPLY: Hello; thanks for the query & I am sorry to hear your problems. Usually relationship problems start to occur when we start taking our partner for granted & stop considering, caring for each other's problems & weakness. Plus use of harsh words, criticism (which both of you are doing repeatedly) only compounds the issue further. Hence, in simple words, you 2 need to sit down & talk calmly with each other preferably in presence of expert mediator like a Psychologist, marriage/relationship counselor where both of you with help of expert help can realize each other's strengths (assets) & weaknesses (liabilities). Ten you can move on to cover these assets/liabilities to have a meaningful relationship once again. When done in supervision; this type of talk therapy (Couple therapy) is successful & I am sure you can soon get back to your old ways of love & harmony. 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: Hello my name is Lauren I have big problem because I feel itchy inside my chest and i don t know what is going on I cannot live normal this problem make my feel upset i take Aprazolam for this and it works .. also i asked many doctors about this itchy and no one cannot help me so what am I suppose to do with this irritation.???please answer me. yes I am a smoker and I work in cleaning service I use a lot of supplies with bleach . ### REPLY: Thanks for your question on . I can understand your situation and problem. Itchiness inside of chest can be due to bronchitis. Since you are smoker and having bleach exposure at work, possibility of bronchitis is more in your case. So get done PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. If it is normal than no need to worry much. You should avoid smoking as soon as because cigarette smoke can cause itchiness in lungs. Also wear mask at work place to avoid bleach fumes inhalation. If stop smoking and wear mask at work place than you will mostly improve, and you will not need alprazolam. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 25 yr old male. I have asthma . And when I travel, because of the exposure to cold and change it climate, it triggers more of it. I have to sometimes use Asthalin inhaler 10 -15 times a day. My doctor had suggested Deriphyllin 150 retard, but it has been causing me headaches after regular initial usage. Is it normal ? Is inhaling that many times normal ? ### REPLY: IF YOU GO TO ALLERGIST THE POSITION IS DIFFERENCETHESE ARE IF TREATED ACCORDING TO ALLERGY WE ADVISE TO GET ALLERGY TEST DONE GET BLOOD SERUM TEST FOR SPECIFIC ANTIBODIES FOR FOOD MILK, WHEAT,RICE, CHANA, EGGAND DUST AND COMMON POLLEN AND DO SLIT FOR CUREMEANTIME STOP ALL MILK AND DIARY PRODUCTSSTART TAB SINGULAR 10 MGM STAB ALLEGRA 120 MGM ODS YP VENTOLIN 1/2 SF APPLY NEWSPRINT H EYE OINTMENT IN NOSE TWICE A DAY SEA WATER IN FORM OF 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: hi.i am student of dvm my right leg is effected by polio. and it is thin then normal has deficiency of muscles and also few inches shorten from left normal leg.                 i feel very weakness while walking. while covering distance of few meter my leg starts spontaneous  contraction. i become very tired and cant further walk ### REPLY: Hi, Thanks for contacting, apply hot pack twice daily along with this do knee strengthening exercises like qua .  And do light resistance exercises also with the help of half kg weight cuffs. And do shoe modification done by any local orthotics, they will increase the height is sole of shoe. It will help in counteracting the imbalance while walking, and you will be less fatigue. Do hamstring and calf stretching exercises and do co- contraction of qua ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently had my lower left wisdom tooth removed 5 days ago and for the last 2 day I have had a cough and stuffed up nose. I coughed this afternoon and now when I drink water I can feel a gum flap loose in back. The dentist never gave me stitches after the procedure. Do I need to worry about a dry socket? ### REPLY: Thanks for using . Read your query. Waa the tooth removal a normal extraction or a surgical procedure ? If it was a normal procedure, suture will be put according to the necessity and by the proper judgement of the dentist. Surgical extraction needs sutures compulsory. I would suggest to just compress the socket with a sterile gauge or visit your dentist to do it for you.Don't try to disturb the flap. Avoid vigorous gargling, though continue with the salt water gargling. Continue with the medication prescribed and visit your dentist to evaluate the healing socket. Hope this was useful. 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: Dear Dr, Dear sir, give me a answer about the side effect of this capsules. ### REPLY: Thanks for your question on . Forecourt is having formoterol and budesonide. Formoterol is Long Acting Beta 2 Agonist (LAB) while budesonide is inhaled corticosteroids (ICS). Both are used in asthma and bronchitis to relieve bronchospasm. So if you are stop taking it, bronchospasm will recur, and you will start having breathing difficulties. And these inhaled medicines are very good in tolerance. Very few side effects are seen like tremors, palpitations etc. But they are very, very rare. So inhaled therapy is practically devoid of any side effects if your technique is proper. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fully fit person of 23 years . hepatitis B virus have come in my blood. i have conducted following tests.HBs Ag             reactiveHBs Ab             non reactiveHBe Ag             non reactiveHBe Ab             reactive ALT                   42         NORMAL IS 25-40 PLEASE tell me about my condition. ### REPLY: Hi & Welcome. Incomplete data like details of liver function tests and serological tests for viral hepatitis, etc. The result of the given lab tests is suggestive of viral B hepatitis. Hepatitis B surface antigen (Bag) is an indicator of active infection whereas Hepatitis B e antibody (Head) is an indicative of active replication of the virus in the liver. I advise you to consult a gastroenterologist for further evaluation and certain lab tests, an abdominal ultrasound and depending upon the result possible treatment with antiviral medications. 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: Are you or any of your colleagues specialist in treating very accute pancreatitus. Sister has suffered this condition for three months, most of that time in hospital and now in skilled nursing home. She now is fed by tube into her stomach. Still no solid food. We are desperate for a doctor who can address and treat her problem. Thank you. J. Hemenez ### REPLY: Welcome at  I have gone through your and being your physician ii completely understand your health concerns.  As far as management is concerned, first thing is cause of acute pancreatitis is it a GALL STONES?  Or something is else.  Second is how severe is the attack? For this we need to get some investigations like serum glucose, BBC, LDH and AST along with UREA CREATININE and serum CALCIUM LEVELS.  The most important aspect of the management is giving rest to the pancreas by keeping Will by mouth to patient. For this purpose NG tube has to be put in . All necessary fluids have to be given via intravenous route along with ANTIBIOTICS. Studies have shown that EMINEM has reduced the mortality by 70% in these patients.  My advice to you, you should meet GASTROENTEROLOGIST so that you can be counselled properly. As far as home management for this disease is concerned I will discourage you for it and in my opinion patient should be hospitalized until and unless he starts tolerating oral diet... meanwhile stay calm and meet your GASTROENTEROLOGIST.get well soon Hope your query is adequately ad .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 creatine went up to 1.5 3/11/11. I stopped taking 50mg lisinopril today.My Bp is 122/68 .I have a salty taste in my mouth and on my skin.My appointment is not for 13 days,I have a 3mm cyst on my left kidney seen and ultrasound and MRI .Sometimes my back hurts sometimes my abdomen.I assume I am dehydrated,I take rapaflo for BPH.Started 1 hour gym excersises 3 weeks ago.Cardio and Resistance training .What can i do to lower my creatine number . Also frequent urination about every 2 hours.Started drinking 68 oz of water 3 days ago ### REPLY: Hello and welcome to  !! Let's divide your problem1. High great can be due to BPH or due to Hypertensive nephropathy, its just high normal and u have nothing to worry about if you are still having good urine output2. Back pain might be chronic in nature, avoid taking painkillers because your great is a little high3. Pain abdomen could be due to the cyst but since it is only 3 mm it is very unlikely so that needs a USG ABD, USG ABD and pelvis will also tell u about the state of your kidney ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HaiDoctor, My brother in law 34 year old underwent surgery for tumor in left cheek upto back of left ear now he is recomendedto  have radotherapy , now may i know that can he had treatment in adayar centre ,do they do free of cost or is it a paid service. ### REPLY: Hi, Thanks for writing in. Cancer is a difficult condition to treat. It might take months to years for complete treatment and to say that the patient is cured. It is a usual practice to give radiation to a person operated for cancer cheek like your brother. The surgery has been done to remove the bulk of tumor and the radiation is to treat any microscopic cancer cells in the cheek. Radiation is calculated as per the area to be treated and is given with the help of highly precise machines. It will also treat the cancer cells in areas where complete removal by surgery is not possible. Radiation is administered by giving fraction doses over days to weeks. One session can be given over 2 weeks to 21 days with gaps in between. Adayar cancer hospital is a government funded institute and treatment is provided at a nominal low cost to patients. Please contact hospital authorities for exact radiation cost detail. However, is much less than compared to private hospitals. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am having pain in stomoach for the last couple of days that seems to get worse when Im hungry. I have been waking up in severe paint at 4am and had it on/off allday but seems to hurt more when I havny eaten. When I eat it eases a little but returns shortly after and gradually gets worse. It is really effectig my day to day life and have had it for 3-4 days ### REPLY: His per your query, you are suffering from Duodenal ulcer. Please take a good PPI like Omeprazole 20 mg, once daily should avoid spicy foods, junk foods & cool . Stop Alcohol if you are an alcoholic. If you are a smoker, quit smoking should eat in time. If the symptoms still persist, you should get an Upper GI endoscopy and also test for H. Pylori infection. If you come back again with the above reports, i will further clarifying you good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with renal cancer, had right kidney and left adrenal gland removed in May 2014 and Feb 2015 I have had 3 monthly check ups since May 2014 and so far no sign of cancer going anywhere else in my body. I am not happy with my current need oncologist in canberra. And am searching to find another experienced renal cancer specialist. Who would you recommend. Ehsan Ghazi ### REPLY: Hi Susan. I understand that few issues must have caused your dissatisfaction. However public forum is not medically or ethically correct on our part to suggest any name over another. Hence i don't think you will be getting your answer soon. I suggest private message to any of the oncologist will be more appropriate for such situation. I won't be able to suggest any name as I don't know anybody in Canberra personally. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Have been having back pain btwn shoulder blades for 2 months, last friday developed severe chest pressure mid sternal area more towards right. Dr. did a ct chest discovered enlarged thymus gland, and a HIDA scan that indicated a 26% EF, and a non functioning gallbladder. Chest pain so bad I am needing vicodin 750mg Q4, and yesterday and today have had rusty bloody stools. Doctor is discussing with other docs now. ### REPLY: Hi Dear !! Thanks for your query to . Read and reviewed your query and health concerns. IN the given situation of Yours, seem to suffer from-Hepatobiliary Dysfunction -from Intrathorasic raised pressure from enlarged Thymus-causing chest pains. This functional biliary paralysis- as seen from non-functioning gall bladder, is due to congestion of hepato-biliary system, which is caused by enlarged thymus gland, obstructing hepatic venous and lower body venous . Dos Suggested-Consults with Chest Surgeon and planned thymectomize to decompress the raised intrathorasic pressure, to relieve this congestive hepatobiliary functional failure. Other causes need to be assessed and treated along with enlarged thymus. This plan would reduce your dilemma IBS with Anxiety neurosis. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following  link-Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at  services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello my name is Brianna and i am 17 years old. i have been having some pains in my chest and i dont know what it is from. it feels like a really hard pressure or someone is standing on my chest and it has done it twice when i would get the pain so bad that i start crying and i hold my chest its on the left side and it feels like my heart is skipping beats. please help me ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, we should first rule out arrhythmia (rhythm disturbances in heart) in your case. So get done ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i feel numbness and burning sensation on my left lung and left arm.....in march i was diagnosed with pneumonia which was treated and my lungs cleared.so my doctor told me that whatever is happening now nis allergic reaction of which i was given Desloratadine and mefenamic acid to easen the inflammation.the problem now is that i feel alot of cold and the numbness in my arm and left chest is coming back....what could be the problem? ### REPLY: Hello, I have studied your case. Due to compression of this nerve root there can be numbness in your arm chest. Due to occlusion of vessels there can be burning sensation. This can be related to smoking also. I will advise you to do MRI thoracic spine, HRC [CHEST] and EMG- CV [nerve conduction study]For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I had a very severe esophageal spasm and ended up undergoing all sorts of heart tests to rule out heart attack and heart issues. I continue to have discomfort in my chest and some mild spasms plus some burning all inside my chest. I am seeing my gastro doctor next week. What can actually be done for this. I take omeprazole 40 mg 2x per day but it does not fix this any more. What should i expect when I see my gastroenterologist? ### REPLY: Thanks for your question on . I can understand your situation and problem. By your history and description, possibility of HERD (gastroesophageal reflux disease) and esophageal spasm is more. And for this you need to get done upper GI (gastrointestinal) copy. So gastroenterologist will mostly do this. Along with proton pump inhibitors (omeprazole), certain lifestyle modifications and smooth muscle relaxant .  Lifestyle modifications like 1. Avoid stress and tension. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. Avoid junk food. 3. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. 4. Lose weight if you are obese. Quit smoking and alcohol if you have these habits. Don't worry, 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: Dear doctori have a question about my father.Now he is about 60yrs of age and he is not well mentally. when he was about 35yrs.he was suffered from fever and then tiefied and became mad at that time we have consulted some doctors.but now he is become so disturbed and soughting on other person to whom we do not know. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. From the description, I am to understand that your father is not taking any medicines for mental illness. The mental illness of his age 35 needs to be ad .  You have to take your father to a psychiatrist and explain all the details. He shall diagnose and prescribe accordingly. 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: I have pain in what feels like my left hip and when I take a step with my left leg my knee/thigh bends inward towards my groin. Pain is moderate most of the time but sharp pains shoot down my leg with a misstep. This causes me to walk with a severe limp. Any ideas? ### REPLY: As per your explanation I believe it can also be related to sciatica.  You can test it buy lying straight on your back and keeping one leg on ground lift other leg straight up and check with other leg also doing the same.  Here check how much you are able to lift and whether you have the similar feeling again like pain radiating to leg from hip and all.  If yes then confirm it is related to sciatica or back spinal level disturbance.  I suggest visiting physical therapist and take proper treatment along with spinal exercise.  As well do use hot pack and apply some pain relieving ointment post use of it. This will give you good result. Hope this was useful to you.  Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My dad is 73 yrs old and is suffering from NHL. He is undergoing chemo and has completed the first cycle of chemotheraphy. Now he has lost his appetite and has a feeling of bloated stomach even after drinking a sip of water. Due tio this reason he has reduced his diet drastically and does not want to eat due to the bloating of the stomach. Is there any medicine that can help.... ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You have non Hodgkin lymphoma.  Treatment depends on the stage of disease.  However, overall chemotherapy is the treatment of choice.  Anorexia and bloating of stomach is a side effect of your chemotherapy.  No need to worry about that. Just take your treatment regularly. 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: HiI have white spots on both sides of my inner cheeks in the area where molars meet. These spots are about 3x3 mm in size. initially the left side spot had a small harder projection which has now subsided becoming smooth. These spot do not hurt. My dental surgeon says these are due to bruxism and have to wear dental guards. ### REPLY: Hello and welcome to , The white spots arose from the chronic cheek biting habit due to maligned teeth. Improper occlusion of teeth results in grinding of teeth at nigh tie, bruxism habit. Apply pain relieving anesthetic gel on the affected site. Orthodontic appliances can be used to align the teeth properly. Night guards can prevent further grinding of teeth at night. Also use soft-bristled toothbrush to clean your teeth. Maintain good oral hygiene. 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, All day i have been getting throbbing sensation in the left hand side of my chest about half way down and an extremly painful throbbing on the top of my left shoulder near my neck. Also if I push on my chest where it is throbbing my shoulder hurts even more and it also hurts more when i take deep breaths.It would be great if you could help ### REPLY: Thanks for your question on . I can understand your concern. Left sided throbbing chest and shoulder pain are commonly seen with heart diseases. So, in my opinion, you should immediately consult doctor and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test) tools rule out cardiac diseases. If all these are normal then no need to worry about heart diseases. Sometimes musculoskeletal pain can also cause similar symptoms. So take simple painkiller like paracetamol or ibuprofen. Apply warm water pad on affected areas. Avoid movements causing pain.Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have severe cold attack as explained to me by a local doctor at a reputed hospital. Symptoms: I cannot sleep at night without headcap,sweaters and socks thru out the year with No Air conditioner. Also I have little sinus pain when ever this cold aggrevates. I get little hard cough in my throat after I get up from bed in morning , every day. I do not have running nose, no cough or sneezing thru out the year. This cold feeling gets little better for few hours, when I apply mustard oil over my body. This is going thru this since I was 10 years of age, now till now (39 yrs). Kindly suggest , any medication to have to get over this or any food / dietary / supplements I should have to get over this in due time. Thanks shobhan das. ### REPLY: Hi and thanks for the question, its advised that you avoid substances that contain vitamin C at night, vitamin supplements could be taken in the mornings. You should . However, the main stay of your treatment is medical and it's critical. I suggest you meet an ENT specialist for an appropriate clinical evaluation and more appropriate and comprehensive management. Thanks and best regards, Luchuo, MD. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, im 13. A virgin too. After all day of swimming here in Florida i noticed little white spots on my penis foreskin. And the tip of my foreskin is all red. I think it may just be irritated from the chlorine, and i think i have chafed myself too. What do u think? ### REPLY: HelloThanks for query. You have small pots on foreskin which has become red since recent times. This is mostly due to infection of the foreskin (Prostatitis) probably due to contaminated water in swimming pool. You need to take broad spectrum antibiotic like Lifetime along with anti-inflammatory . Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice daily. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve been having headaches nearly every day for over a year now, and lately I ve been having muscle/nerve twitches and dizziness, like the room is spinning, and I have to sit down for a few minutes until it stops. Then, about four days ago, my right shin went numb and it hasn t returned to normal again. My hearing has also been very weird lately, and I ve been hearing ringing in one ear occasionally, which only lasts for a few seconds. Can these things all be related somehow? ### REPLY: Hi, Thank you for posting your query. Headaches and dizziness can be a part of migraine, in fact, that is the commonest cause. However, in view of your recent symptoms such as tinnitus (ringing in one year) and shin going numb, we need to exclude any pathology at cerebello-pontine age, in the region of hearing or balancing nerve (vestibulo-cochlear nerve) of brain.  An MRI scan of brain may be advisable. I hope it helps. Please get back if you require any additional information. Best wishes, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr,i am trying to concieve for last 6 months.my Dr told me to take metamorphin and comid at the time of periods.After that my husband had a semen analysis.He had 11.5 ml but recently after he took UBI-300 he got the sperm count 5 ml.And also no normal sperms.report is below.sperm count:5.0rapid progressive motility:10;slow progressive motility:10;nonprogressive motility:10;non motile sperm:70;live sperm:70;dead sperm:30;amporphous forms-4;pin heads:1;giant heads:1WBC:1.0;I just want to know what we should do as my report shows normal.Can i be a mother or not.Please advise us what to do. ### REPLY: Hello dairy understand your concerns have undergone through semen analysis. Sperm count is very lower motility is also morphology is normal is it difficult to become pregnant with this sperm parameter. I would suggest consulting urologist and undergo color Doppler USG scan, semen culture, urine tests to confirm causeSpecific treatment depend on cause Hope this may help noncontact further if follow up needed 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: Hi... I have had difficulties taking deep breaths for the past 3 days.  My chest is very tight and on the right side of my chest there is a knot.  Also I keep wanting to yawn but cant. Omplete the yawn.  I dont feel any anxiety or anything so I dont think that is the problem ### REPLY: HelloTightness in chest and difficult breathing need immediate medical attention. You need proper clinical examination and few investigations. Investigations include routine hologram, random blood sugar, liver function test, lipid profile, renal function test, chest X-ray (PA view), ECG,ECHO, TMT,upper GI endoscopy. Further investigations can be done if needed. Treatment depend upon findings. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having pain -left side low abdomen. having hard time digesting -I feel full-stools are small-claylike consistency. Pain radiates to lower back or mid abdomen sometimes sharp. I have had this before -ayear or more ago-had ultra sound-no results. I am 63yrs old have had gall bladder removed 10 yrs ago. Can t afford more tests. ### REPLY: Hi. If you can not more tests, there are certain things that can help you. First get examined by a Doctor who on clinical / physical examination can advise you the proper antibiotics, metronidazole, probiotic and if required laxatives. Take these for 5 days and if you get a relief, no further treatment or tests will be needed. If there is no relief then we can think about other tests to have a proper diagnosis and plan a treatment. You may then need colonoscopy and so on as per the results of treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 sneeze every morning once waking up. it would take me 5-10 min sneezing and clearing off my nose . I ve been like this since I was 7 and am now 30! what makes me wonder is that, I ve done changing my mattresses, pillows etc. got no pets at home. not living in a dusty environment nor pollen trees/plants are very rare in our aqea. all these possible causes makes no sense at all since this has been happening to me year round and everywhere! I was even out of the country for a couple of times yet experienced the same thing over and over. every morning about 5-10 min of continous sneezing then voila! sneeze gone and i ll be okay the rest of the day. please help. (you may wonder why now is the only time I had interest figuring out what s wrong. I got used to it! lol!) ### REPLY: Hi, you surly have allergy it can be related to dust or pollen, but its mostly dust allergy because its present throughout the year. How much ever you try you will not be able to control dust mites which is present everywhere, you are lucky your symptoms are only during when you wake up for 5 - 10 min. Many people have through the day full year. If your symptoms are not bothering you that much then you can ignore it if it bothers you, and you need medication then it should be done in step wise manner first if your symptoms is for few months a year like 2-3 months then you start an antihistamine which you have to take daily at night. If your symptoms still persist then your start using steroid nasal spray, it has no side effect, and it controls the allergy very well, and you should start 2 weeks before your symptoms start. If this also does not cure you. Then get yourself tested for allergy, it is called skin prick test you will know what you are allergic to, then if possible you can avoid the allergen, or you can start treatment called immunotherapy. This is currently the best treatment available and your symptoms will easily reduce by 80-90 percent kindly visit you rent specialist he will guide you further. Thank you .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My stomach was hurt so bad that i couldnt stand straight up for a day throwing up that morning before all the pain. It hurted to sit up lay on my side and it felt tight to even use the restroom. the next day it still hurt just not as much and now im bleeding a little whats going on.!? ### REPLY: Hi and welcome to . You need to visit emergency room and do further test including gastronomy. It can be signed of severe gastritis or ulcer, and it should be ruled out. Most commonly it can pass on conservative therapy but sometimes more aggressive approach is necessary. Also, you need to take antacid medicines and change dietary habits. Thanks for the query. Wish you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im 15 years old.. and i was resently (today) sexually active with my ex. We had protected sex but now im peeing a lot and its worrying me. Is this an infection or a disease ? My frist time was five months ago and I didnt have this problem before. Havent seen a doctor in awhile (years) also ? ### REPLY: HiT hank you for asking . I have gone through your query. Due to massaging action on genitalia urine infection can occur especially in young girls. You should better go for urine routine examination. In case of increased puss cells infection is present, and you will need to take antibiotics. If positive for infection and you were my patient then I would recommend antibiotic like norfloxacin empirically and send urine for culture and sensitivity. If these symptoms occurred after weeks then a urine pregnancy test also should be done before antibiotics. A consultation with a gynecologist is well appreciated. 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: hello can i please ask about the trace element germanium .I  would be grateful to know if the element is safe to aply with a doctros supervision as part of a cancer treatment programme .Also are the foods  such a tomato juice and  tuna and garlic a good source of imune boosting foods containig germanium .Thank you ,for reading ,my question and I LOOK FORWARD TO HEARING FROM YOU , ### REPLY: Thanks for your question on . I can understand your concern. Germanium along with other trace elements, needed to boost immunity. Cancer patients are having poor immune defense system. Chemotherapy and radiotherapy make immunity even more worse. So these patients are at increased risk of infection. So to prevent recurrent infection, immunity boosters are needed. And Germanium with other trace elements is useful in improving immunity in cancer patients. So under guidance of doctor Germanium is useful to improve immunity. 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: iv been on microgynon for about 6 months now and havnet missed any pills but have been late taking them a couple of times (only a couple of hours out) and have been on antibiotics once during that time but more often than not we use condoms as well. for the last 4-5 months iv been suffering from pregnancy like but still getting bleeding on the right days and only had negative tests so far (iv taken about 6 over the last 4 months), im wondering could it be the pill causing my symptoms or do i need to go get ChatDoctor blood test done. i would prefer to avoid the blood test since im phobic of needles but i need to know so i can try get prepered for 3 children if i am pregnant ### REPLY: Hello dear, I understand your concern. In my opinion there might not be any chance for pregnancy in your case. The following points favor the above statement:-1)There was no irregular intake of pills. Taking pill a few hours late doesn't alter the effectiveness of pills.2)You got the periods on time and there was no delay.3)All the urine pregnancy tests have been negative. Though antibiotics effect the birth control pills all the antibiotics might not do so. Only a few like rifampicin, rifabutin effect the hormonal pills. So relax. There is no need of any blood  testing. If there is any pregnancy it would show up on urine pregnancy test also though later than blood test. So nothing to worry. Avoid stress. Stress regarding the thought of pregnancy also makes one to feel the pregnancy symptoms. Hope this helps. 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: I been getting these like dehydration nerve episode well not sure what it is I start to panic I start to get really hot and delusional my both hands start cramping and going numb so badly they shut tight and its painful hole body is just in pain my neck and right side of body from my hand to my elbow shoots half down my back to my neck then all around the rest of my neck like my nerves tightens up ### REPLY: Dear serve understand your concerns went through your details. All the given symptoms could be related to panic attack as well as underlying anxiety disorder. But I need to have proper diagnosis and for that I need more information.  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: My dad fell at work about 7 months ago and shortly after that he starting complaint about severe stomach pain, so he went to the doctor (kaiser) and so far they have found nothing to be the cause of the pain, he has had an ultrasound , mri , bloodwork, and a colonoscopy . Also after walking a short distance he gets shortness of breath and when he urinates he thinks he s done and a minute later he still needs to go again. ### REPLY: Hello, Thanks for writing in. I suppose your dad is an elderly gentleman who had a fall 7 months back. In elderly men, the prostate gland often enlarges and creates a sensation of incomplete emptying of the bladder. It is located at the base of urinary bladder and when enlarged in size, causes obstruction to the outflow of urine. In such patients, MRI, colonoscopy and rest of ultrasound findings can be normal. I suggest you get your dad to take another ultrasound keeping in mind the evaluation of prostate gland. Also, pre void and post void urine volume is to be assessed. You can consult a urologist for further diagnosis and medication. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello sir,,i feel very uncomfortable and i could not breathe properly and i feel little pain in center of my chest! I also have Gastric problems for couple of years! Will this lead to Heart Attack? What should i do to avoid this uneasiness due to gastric problem other than taking medicines. I feel very tired when i get this kind of pain in center of my chest! Suggest me some ways to get out of gastric trouble other than using tablets.And also i have burps every time which makes me even more uncomfortable. I am 21 years old.Thank You. ### REPLY: Hello, Thanks for the query to . Forum. Gastric producing reasons are following as, Stress (Tension), Spirit,(alcohol)Strain, Smoking, Spiced food, Sedentary lifestyle, Hectic hurried life, Over eating (feeding), Untimely eating, Strong coffee & tea, No proper rest after meal. Your query is without tablets, treatment of gastric trouble. As I have mentioned the causes of gastric problem. If you want to get relief, please avoid these reasons. Hope, you have received your answer. Is furthers any question I will be happy to answer. Wish you good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother-in-law is smoker with COPD; 60 years old. Now has new symptoms of unilateral lower foot swelling with blisters; Then his right hand spelled up, went away with a few days, then had unilateral face swelling down to neck. I m concerned about superior vena cava obstruction. Do you have any ideas about this? I am advising him to see Cardiology. ### REPLY: Thanks for your question on . I can understand your brother-in-law s situation and problem. COPD is risk factor for venous thrombosis. But other possible causes are 1. Right sided heart failure 2. Renal failure 3. Hypoproteinemia. If he is being .  And all the above-mentioned conditions can cause dependent edema. So consult cardiologist and get done 1. 2d echo 2. Renal function test 3. Serum protein level. First diagnose himself and then start appropriate treatment. Wishing him 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 am feeling an itchy sensation when i cough. It feels really good when i cough, almost as if I am itching the inside of my rib cage. I think it may be assoicated with asthma? I was diagnosed a few years ago but they were different symptoms more like shortness of breath. The symptoms went away and now it appears the symptoms have changed. Do my new symptoms sound like a form of asthma or is this non-related? I feel like when i breath in, almost like my wall is closing and there is not enough air getting through, at the same time, i feel like my rib is itching  on the left side and when i cough, it feels great but after i cough it burns as well! Help please ### REPLY: This is allergic asthma when there is itching and cough your allergies are to be treated not go by itself so your symptoms have changer you start with montage FX busy genus 2 SF tossup tossed 1 SF night and Astoria 1 SF bayou can take for 3 wk now and can take off and on for many days for many times but you consult allergeologist who can good you for allergy tests and immunotherapy to completely eradicate your allergies ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir my mother age 52.Principal diagnosis: DM/CAD/OLD IWMI/SEVERE LV DYSFUNCATION/SVD-RCA ATTEMPTED PTCA/STENTING TO RCA-ABANDONED.HISTORY: Admitted for PTCA/Stenting CAG and revascularizatiom. CAD/OLD AWMI/Sev.LV dzsfunction with SVD-RCA.No history of HTN/DM/COPD/TIA/CVA/Drug allergy.Bowel and bladder habits normal.On examination:HR 70/MINBP 120/70 mmHGCVS-S1 S2 +RS-naormal. ### REPLY: Hello Thanks for posting at . Going by your description it is evident that your mother has sustained a heart attack in the inferior wall of the heart which is supplied by the RCA. The RCA which was blocked and caused he attack was attempted to be scented but was not possible due to chronic total occlusion or calcification. Because of the heart attack, the heart muscle in the inferior wall of the heart sustained damage, that's why the severe LV dysfunction. Since RCA could not be scented, there is only the option of medical management. Bypass surgery is done only if there is involvement of the LAD. So she has to be on medications like two blood thinners, cholesterol lowering medications, diuretics to decrease load on the heart and other medications like beta blockers which prevent the remodeling of the heart after a heart attack. She should do well if she is compliant on the medications. Since RCA could not be opened and the past of the heart supplied by the RCA is already damaged, there is no need to re attempt the stenting. Wishing her good health. 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 a 25 year old female. I have 3 lumps in a line under the skin along my femoral vein (artery?) in the upper part of the crease of my left inner thigh. The first is about the size of a walnut, 2nd a marble, 3rd dime sized. They are getting bigger by the day and just overnight a 4th has come up under the skin on my thigh above the other 3. They are very tender and sensitive to touch. They can become very painful after sitting at my desk at work for more than an hour or when i wake up the mornings from sleepng sometimes it hurts to walk on my left leg. Any ideas what this ould be and what i should do? ### REPLY: Hello! Welcome to .This seems to be enlarged inguinal lymph nodes. The site you mentioned is classical for these. Do you have fever? As nodes are usually enlarged & tender when there is infection, which also causes fever. Source of infection needs to be ad . In my clinic, after clinical examination I advise CBC, urine routine, blood sugar level to such patients.FNAC - fine needle aspiration cytology is advised to confirm the diagnosis. Treatment is done accordingly. Hope this information is useful to you. Wish you healthy life. Thanks. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I was diagnosed with scabies recently and treated myself and family with permetherin. My vaginal area has become very itchy inside my labia and clitorous. I m not sure if it s scabies or if i have developed a yeast infection. The area is very red and itches all times of the day. I m not sexier active. Can I place permetherin in this srea? ### REPLY: Hello, Thank you for your contact to . I understand your concern. If I am your doctor I suggest you that permethrin is very toxic compound do not use it without doctors guidance. I advise you to do Grams Staining from the icy area to diagnose and then start the treatment. If you have taken the permethrin once it is not requiring second time in such a short duration. I will be happy to answer your further concerned can contact me. . Infectious disease specialist. 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: Im a student, 16 years old, i have a history of stomach pain, really strong ones, I had a virus called helicobacter pylori, I became alergic to milk after i used lots of medicines in order to destroy the virus , The virus is now dead but im left alergic to many things. i dont eat those things and yet im having stomach ache and suddenly im freezing no matter how hot the temp is. The doctors cant tell what is wrong. Maybe u can ? ### REPLY: Thanks for posting you query to . First I want to correct you about H.pylori as it is bacteria not a virus. Pain in abdomen with fever suggest some infective etiology in abdomen .if is associated with nausea or vomiting there may be several causes like:food poisoning, Appendicitis, Pancreatitis. Colitis etc. If I contracted a patient like you, I first rule out history for consumption of any contaminated food and sent him for ultrasound examination of abdomen as it will help in making diagnosis. I suggest you to consult general surgeon and undergo Ultrasound abdomen and local examination of abdomen.treatment will be decided after diagnosis. Hope you would be satisfied with my answer.  Feel free to communicate if any query.regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My sister had a stroke 2 years ago and lost her speech.  On friday she was in hospital for a replacement knee op. After the op she was in recovery and had a heart attack.  They have put her in an induced coma and are bringing her around today, how long does it usually take please.  She had Spinal Aneasthetic and was fine after op having a cup of tea ### REPLY: Howell come to ChatDoctorI really appreciate your concern, in such case prognosis is entirely depending upon the coma score and that can only be judged with clinical examination and over all clinical condition here no clinical findings are given, so it is a bit difficult to say anything comatose condition is very uncertain patient may remain in vegetative state for long time over all what type of and which part of brain is damaged is matter of concern, I would suggest discussing this with treating medical team or neurologist hope this information helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: After planting tomato seedlings outside, I experienced rather sudden nausea, runny nose, and nasal congestion.....what would cause this? The only allergies I m aware of is to wasp venom. It got better after diphenhydramine 75 mg., Compazine 30 mg, and a shower. ### REPLY: HI, thanks for using  Allergies can occur to any stimulus whether environmental, food, soaps/lotions/detergents etc. This means that the reaction could have been due to something you were exposed to in your environment whether in the soil or on the plants that were planted or surrounding plants. If you wish to definitively determine the source of your reaction, you would need to consider allergy testing. This can be in the form of blood tests or skin prick testing. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son, 11 y/o, coughs hard in the middle night for about more than 3 weeks now. A pediatrician said my son has an allergy. She gave him a prescription of co-amoxiclav for 1 week and 5 tablets of cetirizine for 5 days. My son finished the prescribed medicine but he still coughs hard in the middle of the night. He doesnt have any known allergies before. ### REPLY: Hello, You need to get him tested for allergies - without further deliberation as cough is a sign of hyperreactive airways' disease that can progress to asthma. Skin prick testing or specific IGE tests to aeroallergens will show what he is allergic to. Blood tests include: complete hologram (He TC DC ESR), IGE levels and lung function tests (pre-and post-bronchodilator) will be required. Long acting antihistamines and Alone nasal spray will help with the allergic cough; and bronchodilators such as Stalin or Step 2 Budesonide 200 2 puffs twice daily will be required if there is asthma on lung function tests. I hope that was useful. 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: My mother is 101. She feels that she has lived long enough. She had a pacemaker inserted about 8 years ago. She is asking if the pacemaker is keeping her alive because she wants it to be taken out. We ( the children) have no answers for her but said we would find out.Beris Holding YYYY@YYYY ### REPLY: Hello, I have gone through your question. As a doctor it is difficult to advise that pacemaker can be removed. At the same time I need to know which country you belong to? Because Laws of different country are different. If the law permits such action, then after completing legal formalities you may approach doctors for removal of pacemaker. In my practice of more than 2 decades I have not experienced such situation. So please respect wish of your mom only if law permits. I personally am man of science but I believe in spiritual science as well. So I suggest that we should allow nature to take its own course, My 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, My baby is 1 month old and she has lost weight from 2.8 kg to 2.6 in a month. doctor says it is not normal , but after urine test and the observation of feeding methods they are not sure what caused this weight loss. one recent observation we saw was that immediately after feeding (within 10 mins) baby go motion ( excretes) . is this normal and any action from parents side to overcome this so that baby gradually grows as normal babies. ### REPLY: Hi... Thank you for consulting in . What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. When the baby takes milk, the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastronomic reflex. Do not worry. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: good morning,i am 25years old and i got married 6months before. On June beginning i came to know that i am pregnant but two weeks before i had to do key hole surgery because they found out that i had tubular pregnancy. But today i noticed,white fluid. Am i having any problem,should consult doctor for this,as i am asked not to conceive baby after 3months. ### REPLY: Thank you for your query some amount of white fluid is normal after a pregnancy. However, if it in copious amounts, foul smelling, with any itching, burning or pain, it is better to get your ORGAN to see you to rule out vaginosis bacterial or fungal). After the surgery, have you been advised or using any contraception to avoid pregnancy for 3 months. This is important as any level of pregnancy even an ectopic one depletes nutrient stores in your body. Having surgery exacerbates this. You need to give your body time to recover and replenish these stores in order to support the proper development of you baby when you get pregnant next time. I hope this helps. Please get back to us if you need further clarification wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I gave for a baby girl for about 1 year and 2 mons now.. last august 10, 2010..... While Im teaching I cant breath and my left arm starting to feel numb and heart has fast rate..and about to faint... Im hospitalized... bacuase my bp is 150/110  ... after a while my bp is 110/70. the doctor said its stress and over fatigue and panic.. im 25 yrs old... after that incident im having panic attacks and disorders..somtetimes i cant sleep because my heart beats fast... whats happening to me.. ### REPLY: Hello, I hope your physician has investigated you properly, I mean your cardiac and thyroid functions. If not, please get your ECG and thyroid function tests done immediately. Also, keep monitoring your blood pressure and blood sugar levels. If the tests are normal, then you are suffering from panic disorder. The medicine of choice for this condition is paroxetine. This will relieve your anxiety as well. Usually there is autonomic hyperactivity in panic attacks which cause b.p. to rise. 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 have 1 yr old baby girl, been giving Calcium supplements (Calcarea Phos.) to her. Recently doc advised to give Iron also as she is Anaemic. Yesterday she had loose motions, doc advised to give Zinc suspension for 2 weeks . Please advice can i give Calcium, Iron and Zinc all together. or should i stop giving Iron till Zinc suspension is over. ### REPLY: Hello, You can give those vitamins all together. In fact, trying to increase those in her food would be best. Is she not ?  Also, if she needs calcium she probably also needs vitamin D. Milk is the easiest solution to that (or yogurt, ice cream, cheese). Will she take mushed up prunes for iron? Lentils and nuts are good for zinc (if she doesn't have allergies). Sometimes It's so hard to get a 1-year-old to eat a variety of healthy foods, isn't it? 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: Ive been having a pain in my left chest for the past 2 years ive gone to the doctor and they cant find whats wrong with it. While i was in mexico they heard a wierd sound but here they never heard it. Im scared it might be my heart because i get shortness or breath, and also i have recently been told i have asma. The pain feels like if somebody is stabbing me from the inside i cant feel in on the outside but i know its deep inside my left chest. It hurts at anytime. When im running,sitting,or doing nothing. It hurts for about a few minutes and it goes away on it own. When its hurting and i breath out it hurts more. I have an appointment with the cardiologist soon but they dont know when yet. ### REPLY: Thanks for your question on . I can understand your concern. Yes, you should definitely rule out cardiac cause for your left sided chest pain. So get done ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Uncontrolled asthma can also cause similar kind of pain with breathlessness. So better to consult pulmonologist and get done PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You may need longer acting bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone) for better control of asthma. Avoid stress and tension, be relaxed and calm. 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: My age is 25. my last period august 5. doctor gave letoval for 5days from 2nd day of period. They do scan on 12th day and told i have polysystic ovaries. Egg size 1.2. Doctor prescribed me metformin in morning,folic acid in middle for 1month and duphaston in night(10 days). Whether I have chance to conceive this month... Pls reply. How many days I have to take medicine for pcod.. ### REPLY: Hi, welcome to  thanks for the query yes you follow your doctors' treatment regimen. Instead let oval it's better to take closed. Because It is not to be used (contraindicated) in young pre-menopausal women all over the world. Research on 150 pregnancies has shown that babies born to mothers who had consumed metronome to increase fertility have suffered from bone malformations, cardiac stenosis and cancers. India is the only country where the . It is now used for breast cancer. Try to maintain sexual relationship during period of ovulation. Your doctor will tell you the ovulation period from scan generally ovulation starts after 5 to 7 days after the last tab of closed you ask today your doctor about let oval take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a wierd feeling in my left palm. Close to the area between the thumb and pointer finger (sorry, I m forgetting all the correct terms) It s almost throbing at times, and then I almost get some sort of itch and not only do I just scratch it, I end up biting and pulling with my teeth to get rid of the feeling. I think it happened before, and got better later. Never lasted more than a day. But this is probably the third time it happened, so I m wondering if there s a bigger issue? ### REPLY: Hello, I read carefully your query and understand your concern. The symptoms can be related to many medical conditions. One of the common causes is dermatitis of the palm. I suggest using an antihistamine such as Cetirizine 10 mg daily. I also suggest using a steroid cream for local application. If the symptoms continue, see your physician and get evaluated. Hope my answer was helpful. If you have further queries feel free to contact me again. 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: Recently, I had a rocephin shot and was on bactrim for a week for a UTI . After I finished the bactrim I had a rash on my waist and back. Dr said probably a reaction to bactrim and put on a prednisone dosepak for a week. All that went away, but the inside of my bottom lip feels dry and very leathery. Could this, too, be some kind of reaction? Wednesday will be 2 weeks since I finished the medicine. ### REPLY: Hi, After reading your history it appears that you might have developed allergic dermatitis over the area. I advise you to not pinch or pop the area. You can apply an antibiotic cream such as gentamicin cream. Antibiotic tablets are must such as ciprofloxacin and metronidazole under medical advice. If itching is present then can take Ben .  You can take painkiller like Ibuprofen or paracetamol or diclofenac according to the pain severity. Consult your operating surgeon to look for the exact situation and treatment of the problem. ### END