Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 child has an elevated CRP (normal range 0-5) hers is 105. She is normal weight. she has an innocent heart murmur. she has had a third blood test today (for cultures). What causes elevated CRP, and why is it a mystery as to what CRP directly relates to? or does it relate only directly to heart? ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can.CRP is sign of inflammation in body and its elevation may suggest certain infections in organism which may or may not be related to heart disorders. You should do some other lab and other tests to look for infections, including lung and urinary infections. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: at my babys 6 weeks check up the doctor said he had a heart murmor and has refferd me to a cardioligist since hes refferd me does this mean it could be bad? My baby does get over whelmd when feeding and gets white feet alot does this mean anything? He is 9weeks and 4 days old... Thanks x ### REPLY: Hi, Heart murmur in babies can be in two cases1. If there is a congenital heart abnormality2. Sometimes it can be seen without any abnormality, it disappears with again case we hear a heart murmur, especially if baby doesn't eat well, and get white feet, echocardiography is indicated. If it comes back normal, then nothing to worry. But it should be done, because in case of abnormalities, intervention is needed. Nowadays, congenital heart abnormalities are detected early, and usually after interventions prognosis is quite good. Hope I could help you In case of further questions don't hesitate to ask ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a productive cough for 7 years. I never smoked but do have asthma and allergies. It ususally starts after I ear or drink and produces clear or milky white phelgm. Also when i am in a car and someone puts on the air conditioner I start coughing. It is very embarassing. Chest xrays just showed an elevated left hemidiaphagm which after much testing proved to be congenital. I have tried nexium as I was told it could be from reflux which i have aslo been diagnosed with and it still no resolve. Allergy meds helped somewhat but not for long. Please advise ### REPLY: Thanks for your question on . I can understand your concern. Your symptoms are not controlled because you are not taking appropriate treatment for asthma. Inhaled bronchodilators and inhaled corticosteroid (ICS) are mainstay of treatment for asthma. 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 mostly improve with regular treatment consisting inhaled bronchodilators (formoterol or albuterol) and ICS (Budesonide or fluticasone). Oral combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) once a day at night is also beneficial.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: Hello Doctor, My son is having diarrhea for the past one month. Consulted 3-4 times due to recurring diarrhea. He was under medication till last week(sunday 14th Sep) . Stools were normal till yesterday. From today, he is passing loose stools again. Culture test and RT were done, and everything is normal. Pl advice what could be the cause of recurring diarrhea Thanks, Mubarak ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that as culture and sensitivity reports are suggestive of negative report. The problem is related to some non-infectious cause. I advise you to check for the lactase deficiency and fat intolerance test. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently have been getting sharp pains near my heart area and it is really starting to scare me i have looked it up online and it says agina not really sure what that is im 14male health dont smoke or drink and can it be deadly i also have had mono for the last 4 weeks and terrified of death ### REPLY: Hello, I have gone through your query. Thanks for using .First it is very, very rare to get angina at the age of 14. You can be sure that your pain is not angina. It must be either muscular 0r due to gas and acid reflux. Over and above this, fear factor is troubling you more than pain itself. You may take simple analgesic like Diclofenac along with Omeprazole for few days. You should be fine, don't worry. 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: my boyfriend had surgery yesterday to remove fluid from around his lungs due to pneumonia. he was taken to the critical care unit after surgery. i was wondering two things. is it normal procedure to be taken to the critical care unit and also what is the difference between ICU an CCU? ### REPLY: Thanks for your question on . I can understand your concern. ICU is Intensive Care Unit. CCU is cardiac care unit. So in CCU, there are only cardiac patients who are having serious heart diseases.Whereas in ICU, there are other seriously ill patients, other than heart diseases. So in ICU, patients who are having lung or kidney or liver or brain related serious diseases are admitted. Fluid aspiration from lung is major procedure. It can cause serious complications. So it is advisable to carry out this procedure in ICU set up so that if any complication arise can be tackle easily. Hope I have solved your query. I will be happy to help you further. Wishing good health to your boyfriend. 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 left cheek looks like a chipmunk again. I have had this many times and was told it is a blocked salivary gland. I take Lysinopril daily and 2 antihistamines that tend to dry me out.I am asthmatic. I chew biotin gum to compensate. Is there anything else I can do to bring down the swelling? it goes up to the eye area? I am responding to an ad that said this was free; no fee. Is that so? ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, as you have mentioned that you have swollen cheek due to blockage of Salivary gland, you should go to dentist go for first Biography for diagnosis of proper blockage of which Salivary gland duct, For this blockage treatment is sialendoscopy for removal of salivary stones, this procedure is performed under General anesthesia or under Local Anesthesia, For Swelling you can do Massage on that area, Apply warm moist cloth on that affected area. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, ive got brownish/reddish bumbs, they are all together its not like i got one in my penis and another one in my sack its like a spot with bumbs, on my ball sack and it itches when i touch it im a virgin so i dont think its herpes. ps, ive got it since i was born. ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have Sebaceous Cysts over scrotum and shaft of the penis. The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac) .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What could be the cause of the pain that I am having. I am a woman, constant pain between shoulder blades for hours , pressure in chest, weird pain heavy feeling in both arms and  neck pain hard to turn neck and pain went into jaw, hurt to breath also. I was online and all these symptoms were on the line of a heart attack.  (46 years old , 5 feet, i have asthma and a vsd) ### REPLY: Thanks for your question on . I can understand your concern. Since you are having VSD (ventricular septal defect) and asthma, possibility of heart related diseases or worsening of asthma is more for your current symptoms. So consult doctor and get done 1. Blood pressure monitoring, ECG, 2d echo and stress test (trade mill test) to rule out heart diseases. 2.  Chest x-ray and PFT (pulmonary function test) to rule out worsening of asthma. On the basis of above reports, you may need cardiac supportive .  So, don't wait at home, consult doctor, first diagnose yourself and then start appropriate treatment. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 23 year old male. I woke up a few hours with a strong pain in my upper chest. it was much worse a few hours ago and I could barely move and it hurt to breath although my breathing is not restricted. It has gotten much better in the past few hours but deep breaths still hurt and it doesnt feel right... ### REPLY: Thanks for asking your question completely understand your question upper chest pain a be due to a variety of reasons but in young age causes are not that serious diseases causing chest pain in young age can be muscular, peptic ulcer, gastritis, or rarely in young age can be a cardiac cause. You need to consult a pulmonologist who can request for a chest X-ray and an ECG, and evaluate the cause of chest pain for now you can take a proton pump inhibitor like pantoprazole once daily if your physician prescribes no need to panicthanksfeel free to ask more questions may god bless you with good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, I had a fever for 4 days straight and felt so weak, didnt get out of bed.  Then I developed a sore throat.  I went to the doctor and tested negative for strep and the flu.  But after blood work, my white blood count was a little elevated, so i was put on tamiflu and augmentin.   I have a horrible cough I cant get rid of with phlegm.  Now, I have a rash on my chest and the back of my neck.  What would cause this rash? ### REPLY: Hello Welcome to  forum Thank you for your query understand your concern regarding your skin problem It looks like you have rash due to infection .it may be due to bacterial or fungal infection .you need to take antibiotic continuously.it will take around 5-7 days to have good result. If you feel your problem increase, better to consult dermatologist. You can apply calamine lotion over rash. I hope I answered your question. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife slipped and fell today And as she fell she threw her hand against a door (the top side) and since then there is a lump under the akin that formed of blood she is keeping it elevated and had put a cold pad on it for a while When will the lump go away? ### REPLY: Hi, thanks for sharing your health concerns with !  I congratulate on you for the basic healthy steps you have already taken to prevent the complications! It was very correct to keep her hand elevated and press ice on it. Further I would suggest not to move the joint or immobilize it for 2/3 days and not to rub it!the lump would disappear by 3/7 days. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your wife 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: Im having sort of a wripple effect in my breathing when exhale and have a tight feeling in my neck - and a headache sort of feeling like a head cold - I do have high blood pressure and I am on meds - but this has come one me for about 2 months and getting worse - My doctor felt it was anxiety - but I dont think it is at this time - ### REPLY: Thanks for your question on . I can understand your concern. Difficulty in exhalation is commonly seen with early bronchitis. So we should first rule out bronchitis in your case before stamping it as anxiety. So get done PFT (Pulmonary Function Test). If PFT is normal then no need to worry about bronchitis. 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 but first rule out bronchitis. 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: Hard painfull luMps deep under skin around my ear and temples also on and under my chin reacurring. Seems almost they are conected. Been happening for about two years becoming larger and more frequent. Facial disfiguration starting to happen from the deep pocket scares some as big as a dime if not alitttle bigger very painfil also now seems to be in my nasal cavity ### REPLY: Hi, If I were your treating Doctor for this case of multiple lumps, I would come up with only one and one possibility that is a sebaceous cyst or epidermal inclusion cysts! Nothing to worry about this and try not to get infected there! I suggest you to go for an FNAC test of the lump for confirmation and to see that these are not lymph nodes! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: had flu for two weeks, which then turned into a cold , practically every time I go out I catch a fresh cold, this has been going on for nearly three months now. im always well dressed eat well drink plenty of fluids, fruits and veg. mild chest pains from time to time. before my flu I know my immune system was pretty low as I was recovering from two episodes of gastro , 2 days later I caught flu. Never had flu in my life rarely colds either. I am 49 years of age. ### REPLY: Hi, Thanks for using . You may be suffering due to lower immunity or due to allergy. Continue your healthy practice of taking nutritious food, .  This will increase your resistance to infection. Allergy can cause allergic Castro osteopathy, allergic rhinitis and also asthma. Since you have some of these symptoms get done one skin test to rule out any allergic cause. Get done complete hologram, HIV and Bag investigation once.  Consult your doctor for examination and management. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. 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: 20 year old male with white coated tongue and reoccurring red spots. I have had this since the end of January and I can t seem to figure what it is from. My doctor said it wasn t thrush and that it was normal, however it just seems out of the normal. I am just concerned of HIV . I was tested negative April 22nd. I haven t had any unprotected sex. What could this mean? My tongue is extremely white and I can scratch the stuff off. The red spots look like burns but I haven t burnt my tongue at all. It always occurs in the same two places. On the right side and the left side of the tongue. The white coating is way more prominent towards the back of my tongue. Any idea what this could be? ### REPLY: Hi, I have read your problem. I think it is because of poor oral hygiene. Ideal oral hygiene rule is to do brushing twice a day (morning and night), use antiseptic mouthwash once a day and clean your tongue with tongue cleaner twice a day when you are brushing. So think over it how frequently you are following this rule. Donor think about bad diseases, Start b-complex for one month along with good antiseptic mouth wash. ALL the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im 28 yrs old and had a blood test on 4th april in which my sgot was found 49, sgpt 111 and triglyceride 229. from that day i stopped eating oily and fatty foods. Now in blood test of 14th april my sgot was found 69 and sgpt 85. I have left consuming alcohol three months ago. I have to bring these parameters to 40 to join my job. what should I do to get them reduced immediately ? ### REPLY: Hi, thanks for writing in. In addition to dietary modifications you also need to take liver tonics. Tricholine citrate+sorbitol combination for 6 months (one tablespoon in glass of Luke warm water in the morning daily)Orbiting compounds for 4 weeks.(one tablet three times a day after meals)Regular exercise for 30 minutes to stimulate circulation. Food additives or vitamin supplements especially b complex vitamins. The above measures will help regularize your liver function and bring your liver enzymes down. 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: Sir I am married aince 2 months and I am facing the prob of ED, I did smoking and drinking for almost 10 ywars and completely left now, my height is 5 9 and weight is 95. I feel tired after office. I am not able to maintain erection during intercourse. i had thyoroid too but that is now under control. please advice me sir. i want a in-person counselling from you. i want the treatment for this since my life ia in danger sir. ### REPLY: Hi, I think you should consult a urologist for complete evaluation.  It can happen due to stress also. But you need to rule out other causes. You may need some blood tests like a thyroid profile, prolactin level, serum testosterone, blood sugars and a lipid profile. A penile Doppler test may be needed.  Depending on the cause, treatment is available. Also try to relax for some time. Don't take stress too much. Hope it 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: Hi... need some advise on lower back pain, it is actually on the right side on the lower back just above hips. Also my left knee muscle (the one which can be felt under knee when sitting on chair) pains badly if i am sitting in chair or on ground or after driving for more than couple of hours. Please respond on YYYY@YYYY ### REPLY: Hi, You are having low back pain which can be due to a disc prolapse or any degenerative changes of your spine the most possible reason is less of exercise and doing a lot of static position like long time sitting. Due to Disc prolapse your nerve is getting compressed and there is this radiating pain that you feel on your calf muscles. You can take hot packs to relieve your back pain. Start activities like walking, swimming, avoid bending moments also can use a back pillow while .  Hope this helps with your back pain and solved your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hI I have been having pain in chest and abdomen, I have been to the doctors and the ER and its not my heart but I get the pain every day and this morning I awoke feelIng malaise I feel like I am falling apart I am 32 I dont drink or smoke I am moderately active I also been fighting anxiety ### REPLY: Thanks for your question on . I can understand your concern. In my opinion you are having stress and anxiety related HERD (gastroesophageal reflux disease). HERD causes chest pain due to acid reflux and abdominal pain due to hypersecretion of acid. Stress and anxiety are common causes for HERD. So first of we need to control your anxiety. And for this you should consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. For hyperacidity and reflux, take proton pump inhibitors. 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 was told my 3 year old daughter has stye s in her eyes yesterday. She came down with a fever on Friday (102 degrees) and has had the fever since. She woke up yesterday morning with small blister looking irritations on both eyes and again this morning she has more. I don t think it is stye s I think it is something else. She was prescibed Erythromycin Ophthalmic Ointment 0.5% but it doesnt seem to be helping. I am also putting warm compresses, when she will let me. What else could this be? Also, I had an irritation in my nose last week (still fighting it) small blister like, red, painful. I have had shingles in the past and it almost felt like the same pain. ### REPLY: Hi, It would be easier if you can send a picture of the eyes. Acute onset fever with painful blisters probably indicates herpes infection, a highly contagious disease. From your description, probably you had the illness first as cold sores, which then transmitted to her. She manifested the disease as herpes ophthalmic us. Uncomplicated style is unlikely to be associated with fever and should respond to the treatment given already (during initial visit, signs might have been minimal and non-specific). Herpes needs anti-viral treatment with .  Kindly review with your doctor. An ophthalmologist will be better. 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: My 2 month Old daughter has a dark spot on her face (left cheek) about the size of a half dollar coin. She wasn t born with it, it popped up on her face when she was about 3weeks old. Also some days it looks like its clearing up, some days it looks dark. What could it be? ### REPLY: Hi...by what you quote I feel that if you could be a transient fungal infection. But, skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was prescribed MethylPREDNISolone yesterday for a persistent allergic reaction (skin rash). I am suffering insomnia side effects. Is it safe to take an anti-anxiety pill to combat the tachycardia thats keeping me awake? I am also taking a very low dosage of birth control, am 51 and weigh 115lbs. No known allergies to medications, and the source of the allergy this prescription is meant to treat has not been identified. ### REPLY: Thanks for your question on . I can understand your concern. Your insomnia, anxiety, stress etc. are mostly due to methylprednisolone (oral steroid). Steroids should be given as a first line treatment for allergies. Instead of methylprednisolone, you should take combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast). This is gold standard for allergies. Once you stop methylprednisolone, your current symptoms like tachycardia, anxiety, insomnia etc. will also subside. So no need to take antianxiety .  Better to change methylprednisolone and start safer anti-allergic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: its been almost 14years i m suffering from severe anxiety and severe panic attacks.i ve consulted many psychatrists and psychologist but result iz zero.they gave me antidepressants. i m still in severe depression and anxiety stage.all the time i m feeling shortness of breath and it seems like i m going to die.it happenes almost every day an d i m fedup from my disease now i had also left my job because i was unable to fullfil my responsiblities over there.everytime i am i thinking that i am going to die.i have fear of dying .please help me ### REPLY: Hello..... Thanks for your query. I can understand your concern with the panic attacks. I would like to clarify that panic attacks are not life-threatening and are self-resolving. Effective antianxiety agents are available in addition to psychotherapy (e.g. cognitive behavioral therapy) for management of panic attacks. You can request your psychiatrist for either an alternative medication or psychotherapy. In addition, you can practice meditation/yoga/breathing relaxation exercises. Hope you found the information useful. 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 My child is 4 1/2 years old.He had a fever of 101 at 4pm so we gave him crocin 8ml.After giving crocin also the fever came up again to 101.5 at 8pm.So we gave him a dose of Meftal 6ml.At 12:30 am now there was a high fever of almost 102.05 so we sponged him and also gave another dose of Meftal.The fever has still not gone down below 100 and is changing frequently.He is breathing heavy as well.Can u suggest what should i do incase the fever rises up again. ### REPLY: Hello, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between two fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably a viral illness and it doesn't require antibiotics at all. Once the viral fever comes it will there for four to seven days. So do not worry about the duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: recently about 5 months ago i have noticed that I have to take deep & long breathe after every 5 minutes,as such now last night before going to sleep,I got a smell of volini pain relief spray.after a few minutes I felt as if I am unable to breathe in,I tried to take deep breathe but then also I felt like suffocating.Can u plz tell me what it could be? ### REPLY: Hi thanks for using  From the symptoms it looks like some kind of allergy. Your respiratory system gets hyperactive with some factors. But usually we get cough along with breathlessness, which is not there. Still it could be a mild allergic manifestation. Please do a routine blood investigations to look for eosinophil count etc.:Please do a Chest X-Ray and ECG... Even anxiety also can cause these symptoms. Consult a physician a get a medical examinationThank you..... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son had A.L.L when he was 5 years old, he went into remission after 6 months... after is treatments of 4 years is there a chance the cancer can come back.. he is now 23 years old.. but for some reason he has been getting large bruises that cant be explained ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  He has ALL in the past.  There is chance of recurrence in acute lymphoblastic leukemia.  He should go for complete blood count test. He may have Bruce due to low platelet count or some coagulation disorder.  Furthermore, he should also go for complete coagulation profile test.  Then he 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: I am having  severe back pain seems to be sciatic nerve.  It initially started on the lower right back about six months  back and now it has started on the left side as well.  Back xray and sonogram shows no remarks.  Feel it may be due to adhesion resulting from abdominal surgery about twenty years back, is it possible.  If so whats real solution, would lap surgery eliminate the growth of tissues resulting from adhesion and if so what are the odds the treatment surgery itself wouldn;t cause additional adhesion? ### REPLY: Dear friend, Thanks for posting your query on this website. I fully appreciate your concerns. Firstly, Sciatica results from compression over the sciatic nerves by bulging spine discs. Your symptoms do not suggest so. Post-operative adhesions can lead to dull pain later on in life. It would help me immensely to pinpoint the exact origin of pain and deciding the right course of action. Kindly revert to me with all details; nature of pain; any other joint pains/swellings; your age and sex; family medical history etc... I am confident that you will certainly benefit from the advice. May I assure you that I am always available for your assistance and will try my best to cure your condition to the best of my experience and knowledge. Please feel free to revert to me in case of further clarifications, if any. HAVE A NICE DAY AND A SPEEDY RECOVERY. Fond .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hv obstructive phulmomnory decese since 20 days facing acute obstruction in respiration specially morning. thin excretion and little cough time to time. if after cough secretion come out then ok otherwise incse no secretion comeout or even partial secrets resultin respirotory problem which resumes in few seconds; pl advise what should i do ### REPLY: Thanks for your question on . In my opinion you are having acute bronchitis. It is a type of Obstructive airway disease. I advise you to consult pulmonologist and get done1. Chest x ray2. PUT (Pulmonary Function Test). This will help in diagnosis as well as to know severity of the disease. According to severity, you may require antibiotic, antihistamine and inhaled bronchodilators. So better to consult pulmonologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: LAST NIGHT MY BF ASKED ME TO GO GET HIM SOMETHING TO EAT SO I DID AND SOON AS I WALKED IN THE ROOM MY WET HANDS DROP A BUTTER KNIFE AND IT SLIPPED OUT MY HAND AND HIT HIS TEETH. SINCE THIS HAPPENED FOR SOME ODD REASON HE STARTED FEELING A LOT OF PAIN RUNNING THROUGH HIS ARMS. HE SAY IT FEELS LIKE A TINGLING NUMBING FEELING, WHAT COULD IT BE. ### REPLY: Hello and welcome. Thanks for sharing your concern. As per the history posted here, the tingling or numbness feeling is due to direct injury to his teeth. It can damage the nerves in the teeth. Now please let me know is he having any fractures too?does he have any injury on gums as well? Any mild to moderate bleeding or swelling? After examining these symptoms, if you find them then please visit your dentist for a simple x-ray. This will show if there is any underlying fracture or not? Rest there is nothing to worry. He can just wait and watch the current symptoms. They should subside with time. But in case there is persistence of symptoms for more than a week, Then it requires to be treated by dental surgeon. Hope it helps. Thanks. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My friend whos age is 22yrs old she is having very less hemoglobine means 5 to 6 percent only.she is having this problem from childhood and now she is facing some problem like tired easily very less stamina.please help us how to improve hemoglobine without any side effect to comeout this problem.Thanks & Regards,Nilesh ### REPLY: HAI, hemoglobin around 5 to 6 is considered as severe type of anemia.it needs certain type of iron based medication as early as possible. In mean time start taking fig, dates,pomegranates and meat regularly to increase the hemoglobin level. Folic acid containing foods like spinach, sprouted pulses will help in increasing iron.I suggest you get an opinion from a hematologist to rule out the cause. Thank you Hope I answered your query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, I just happened to notice a relatively big black dot on my testical..anything to worry?And 2nd question, recently i noticed something under my skin (kind of like a gland), feels like a peace of rice..doesn t hurt or anything..in the area between anus and testicles.. ### REPLY: HelloThanks for query. The dark spot on scrotum and swelling (Gland)in perineal region are mostly Sebaceous Cysts. The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Take Doxycycline twice daily for a week. If persists you will need to consult qualified General Surgeon for clinical evaluation and further treatment. If needed he may advise you to get it excised in Toto (Completely) .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: three month before my father heart 1 stant angeoplasty ,but he feel more wekness .what is the reason. her  ragular diet normal. and take medicen.report say her vsd is 9mm but secont report say two month after vsd 7mm. vsd left to right. her age is 65 nearly. ### REPLY: Hello, I have gone through your query. I hope there is typing error mentioning HER for your fathers' history. Well you have raised 2 different question I shall answer each separately.1.weakness after angioplasty may be because of heart attack he might have sustained. Was angioplasty done after heart attack, or it was done before he had attack?I need to know this and exact information to guide you properly.2.variation in size of VSD may be variation judged by an observer. I also need to know whether VSD was present since birth or it developed following heart attack ?I would be glad to guide you further if you provide me details I have asked for. 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: I have been diagnosed with ITP last month. My platelet count at that time was only 4000. After 1 gm Prednisol Injection for 3 days, i was put on steroids (Wysolone 65 mg) as per my body weight, My dose is being tappered every 8 days, This time i am taking 45 mg wysolone.......I am not seeing much improvement in platelet count...After Prednisol injections Platelet count was 0000, After taking wysolone it dropped to 0000, Now it is 0000......Guide me to some better Doctor..................My all tests are Fine except one i.e H-Pylore..I am taking medicine for that ### REPLY: Hello there!  What is 0000? I believe its 10 thousand.first ITP is diagnosis of exclusion. So let's assume you have been ruled out for all other possible causes of thrombocytopenia, here is what we gonna do but first did u have any bleeding episodes? Severe hemorrhages etc.? Airways breathing, were they ever needed to be maintained with external aids?have anyone ever checked your intro cranial pressures?have you ever lost hemodynamic stability (blood loss enough to give you a shock. Low BP etc.)I will say HAE your self checked by a neurosurgeon for assessing intro cranial hemorrhages risk, and a hematologist to reconfirm the diagnosis. sometimes It's too early to say its ITP.as you are not responding to the meds. Now consider you are diagnosed correctly, and you are not responding to the treatment it means your case is bit resistant. So steroids won't be enough for you. You need platelet transfusions right after the dosages of Ivies(intravenous immunoglobulins) this will help reduce the lysis. Add some thrombotic agents to your diet(platelets producing stimulators) like proact(eltrombopag) and Plate (Romiplostim) .and if these medications fail too which I am sure they wont you will need to get rid of the spleen after vaccination for calculated organisms. Spleenectomy will solve the platelet lysis issues and will help the recovery.let's hope medicines are enough to get you out of your miseries.cheers. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 has experienced nausea and loss of appetite since 2008. She was told it was parathyroid disease. She had the surgery. Nothing improved. Now, she has pain in lower side near colon, still nausea , tired and has all kinds of tests. Could it be cancer? ### REPLY: Hi. Thanks for your query. The history provided by you about Mother is suggestive of a chronic disease, one of them is cancer and Tuberculosis. Nausea with loss of appetite with pain in lower abdomen is more suggestive of tuberculosis. I would advise :::Contrast enhanced CT scan of abdomen, Enterocolitis, Colonoscopy and the gold quantifier test for TB. A clinical examination by a Surgeon plays an important part in early diagnosis as well as a proper history. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 4 year old autistic grandson has a constant cough. His father has advised me that it is allergies and to give him 4ml of Childrens Benadryl. He has a dry cough with a clear runny nose. At times his cough is so bad that he acts like he may vomit. I took him to our small town and talked to the pharmicist and he also said 5ml of Mucinex Children which I have given both to him every 4 hours for the last 9 hours. Still no relief and sobbing because his throat most be raw from coughing so much. ### REPLY: Hi... Thank you for consulting in . Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. For cold and cough you can use Cetirizine at 0.25 mg/kg/dose every 12 hourly for 3 days. If cough is very severe you can give Promethazine syrup at 3.5ml twice a day dose for 3 days and see. For nasal block, plain saline nasal  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a question about my sisters lifelong behavior. My sister is 28 years old , has never been able to hold down a job without getting fired after a little while, she has never been a responsible adult , steals alot, argues alot even with confronted with the truth. She can never keep friends for very long before she ends in them kicking her out or completely burning her bridges. She has always been overweight and always been sexually promiscuous. She is very moody and doesnt like talking to anyone about " whats been going on with her " . She calls family behind our backs and lies and tell them she is in trouble and needs money . Since she was a little girl she would lie to her friends parents about abuse in the house and there never was. ### REPLY: Hi, Welcome to  forum.  As you describe it is difficult to classify her into a disease, It may lead to a disease, may be the schizophrenia. Otherwise it may lead to the depression, etc. I advise you to consult a psychologist for diagnosis and treatment.  She should receive love and affection, in spite of her behavior. And must have balanced, and nourishing food.  Wishing her a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, Back in october of 2012 i had a minor electrical shock in decemeber i kept having these symptoms of constant vertigo. Not so much of the room spinning but that i was atcually moving. I had gone and seen a nuerologist that did a brain MRI . It came back normal ive had 6 EKG s all said my heart was normal. Ive had chest x-rays done that were normal.i do suffer from elevated blood preassure and do take medication for it.. i was wondering if the vertigo and tinitus that happends at least 5 times a week is in any way related to the vertigo. Im not getting any useful information from other doctors. And its been a year already if it is from the shock how long will these symptoms last and what kind of specialists should i go and see?? ### REPLY: Hi, Thank you for posting your query. Your vertigo needs evaluation, as it has lasted for a long time. You need to consult an ENT surgeon, and a neurologist. The two main causes for recurrent vertigo are related to the ear- BPP (benign paroxysmal positional vertigo) and neurological related to brain or cervical spine disease. A normal MRI of brain, however, rules out serious causes for your vertigo. In the meanwhile, you can take betahistine tablets for symptom relief. I hope it helps. Please get back if you require any additional information. Wishing you good health, . 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: My 9-year old daughter has been clearing her throat contstantly. I thought she has post nasal drip - but there is no evidence of that. I also thought she might be allergic to something around the house ( Spring allergy). However, we were out of town for 6 days and the problem persists. I looked in the back of her throat and her uvula is enlarged and tilted to the right almost touching the tonsil. I am calling the doctor tomorrow but was wondering what you think. She has no sighns of a cold or infection. Thanks in advance. :) ### REPLY: Hi...by what you quote I feel that your kid might be having a viral sore throat or a streptococcal infection. I suggest you see your pediatrician and get a rapid streptococcal antigen test done. If it is positive then she will require antibiotics. If it is negative then it might be viral illness and doesn't require antibiotics at all. Cough and cold are viral 95% of the times in child .  For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15 mg/kg/dose (max ceiling dose 500 mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. 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 mum had a small lump on the back of her leg which they did an ultrasound and said it was a bakers cyst now 2 years later they dont think it is a bakers cyst and sent her for an xray now shes to go in for an mri scan does this mean they think she has cancer or could it be something else? if they thought she had a tumour would they have her in straight away? ### REPLY: Hi.your doctors are probably doing those follow-up diagnostic imaging to further evaluate the mass. It doesn't necessarily mean she has cancer. But it could be of help in characterization and extent of the mass. If there are indications, further investigation, such as tissue diagnosis/biopsy might also be needed. Thru this, you'll know specifically what kind of lesion it is. Depending on the results/ findings, your surgeon would proceed accordingly. Hope this helps. Good day!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had hyper thyroid for 5 years that then transitioned into hypo thyroid and have been on eltroxin 50/100 for 10 years... After a blod test last week my doctor moved me to 150 but now I sweat easily, have trouble sleeping and am suffering from some anxiety. Does it take time to get adjusted to the new level ? I felt better at 100 Thanks Chris ### REPLY: HiT hanks for using  In your case, anxiety symptoms could be due to high level of thyroid hormone in blood. In that case, you should get your thyroid profile done and consult your doctor for dose adjustment. If you were feeling well at 100, then you can carry on with the same dose or increase it up to 125 rather than 150 mg. Rest, you can discuss with your doctor. In case, you need further help, you can ask. 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 doctor, i am 31 year guy and working in factory as an accountant.from last 1 year i am feeling buring on back side under my blade areas.the burning is usually in morning when i woke up and set in my car seat and at night when i m going to bed for sleeping.Rest of the day during my working hours i don t fell such burning feeling.i visited 2 times to hospital and doctor told me that is because of long working hours and i am not doing physical exercise and they have given some Relaxon and diclofanic tablets.when i am using such tablet then i feel good and when quit taking tablet the burning again started.please advise me what is the real problem.i am worried about my health.personally i am feeling that, it is due to smoking please advise me.....Thanks and have a nice day.. ### REPLY: Hello there, welcome to . Since you experience pain at rest and not during activity this is not a case of mechanical disturbance/ irritation. As per your data scapula (blade) has no articular surface on the thorax. Scapulo-thoracic joint is known as a functional joint rather than an anatomical joint. So we can not think of any inflammatory arthritis as a cause of your burning pain. There are no bursae in that part of the body which could have been a case also. Since there is no complaints of lack of muscle control/ weakness, numbness, radiation there is no chance of neuropathic, nerve root irritation. There are no signs of vascular conditions also......Hence, Your burning pain is a cause of deficiency in vitamins/ minerals/hormones/calcium or frostbite..... So supplements rich in these things whether in natural form or in tablets would be more helpful for you. Wish you a pain free back soon..... have a nice day..... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, MRI says: liver parenchyma is coarse and midely heterogeneouse enhanced. liver at right lobe and medial segment are atrophic and lateral segment of left lobe and caudate lobe shows compensatory hypertrophy . what does it mean? is it dangerous? what do you suggest? ### REPLY: Hello Coarse echo texture of liver may indicate liver parenchymal disease. Findings may indicate cirrhosis. Normal echo texture of liver is homogeneous. You may need clinical examination and few more investigations like routine hologram, viral markers, random blood sugar, liver function test, renal function test, urine RE/ME. Liver biopsy and fibrosis can be done if needed. Liver biopsy can assess true nature of disease. Treatment depend upon findings. Avoid alcohol if you take it. 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 dentures on the top of my mouth. When I removed them two days ago there is a bump in the middle of my upper gum area. Is this caused by the denture or should I be worried. I dont have any insurance and I am hoping there is something I can do at home to get rid of it. It feels like a pimple and hurts when I press on it but when my denture is in it doesnt hurt and I cant feel it. ### REPLY: Hello, Thank you for consulting with . This bump which you are mentioning, can be a sinus opening, it occurs because of infection, can be a tooth infection or a bony infection. But you can go for full mouth x-ray to get it diagnosed, for which you have to visit a dentist, as these conditions can be treated on your own. You can start with a topical anesthetic ointment till you visit a dentist, to apply on the bump. Hope it will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am not mental of holding a job and go to a pschariast regularly she has digonosed me with ,Adhd,sever psychosocial stressors ,delusional disorder,deppressed ,rage out burst i have to see a different pschariast for a ssi exam , will that doctor take in consederation my regular Dr notes i am to bring with me to the exam ### REPLY: HiT hanks for using  I think, you should consult a better psychiatrist for diagnosis. While making diagnosis, we consider past history, but if we see that past diagnosis is not accurate, then we try to ignore it. In your case, I would consider to personality assessment. That would help to make proper diagnosis. Maybe you have borderline personality disorder. In that case, all your previous diagnosis could be hidden. In case, you need further help, you can ask. 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 I am currently seeing a neurologist I have had MRIS CAT SCANS EMGS and my Dr s cant find out what is going on with me. I have migraines everyday my eye droops so the Dr. told me I had complex migraines 7 yrs ago my face for the most part went back to normal until 5 mo ago my face has stayed the same eye droop and a little in my mouth area. I have also had shoulder elbow and hand pain and weakness and my right hand . I also have numb feet while standing and shooting electric like pain through my legs and arms and its weird my tail bone hurts . I have had so many symptoms and the DRs cant find what is going on I pray that you can help me. Thank you ### REPLY: Hi, Before resolving your question, I have a query. Are all the symptoms located on just your right side of your body or on the both side? If this is just on the right side of your body what you are having are signs and symptoms of a stroke it can be a slowly developing stroke, you need to get your blood pressure checked as soon as possible and have ECG done. And if it is present on both the side of your body and also your tailbone is hurting, you need an x-ray of your lower back to rule out any kind of infection in your spinal cord. In both the cases you need to visit your nearby Neurologist who will help you in diagnosing the condition. Hope I have answered your query. Let me know if I can assist you further. Get well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i feel like i am pregnant but i am on my normal period but i was over 15 days late then i started and now i am not sure i do have some signs though. my nipples are darker and the bumps on them are bigger and the nipples themselfs have grown. They are also very sensitve but not my boobs. i am haveing sever cramps and i am getting head aches, running to the bathroom, but i dont have any morning sickness or nothing ### REPLY: Hello, and I hope I can help you today. Pregnancy symptoms can vary widely between women, and the symptoms of headaches, tender swollen breasts, morning sickness, food cravings, and fatigue can also be produced by an abnormal menstrual cycle, like when your period is late. The most common symptom of pregnancy is actually a missed menstrual period. So the fact that you are on your normal period is reassuring that you are not pregnant. If you desire, you can perform an over-the-counter urine pregnancy test which is just as effective as the ones performed in the doctor's office. If this test is negative, it really is not possible that you are pregnant. So in conclusion, you may perform a pregnancy test if you so desire, but I am sure that all of your symptoms will resolve by the time this menstrual cycle concludes. I hope that I was able to adequately answer your question today, and that my advice was helpful. Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been experiencing hip pain/upper thigh pain that was intermittent and now is consistent.  It is more of a burning type pain.  The pain disrupts sleep and is painful while sitting still. I am a 53yr old female, 175lbs.  Last year  blood work shows my white blood cell count to be slightly elevated but I have seen a oncologist who didnt find anything.  I also have been very tired and have been getting frequent headaches.  I was recently diagnosed with a autoimmune disease Vitilago.  I have seen a dermatalgist and endocrinologist.  No one has any answer.  Where do I go now? ### REPLY: Hi, thanks for writing to . Hip and upper thigh pain which is of burning nature and is occurring more in sitting position especially in obese individuals (as in your case) is suggestive of NEURALGIA PARENTHETICAL. This condition results due to the compression of Lateral femoral cutaneous nerve (pinched nerve) at the level of groin fold. A few conservative measures which are effective in treating this condition includes - wearing loose clothing (avoiding tightness at the level of the waist and groin fold), Losing weight, taking OTC pain relievers such as acetaminophen (Tylenol) ibuprofen (Advil) or aspirin, Physical therapy to strengthen the muscles of the legs and buttocks etc. Other causes arising from the Hip joint are also to be excluded by having X-rays and MRI scans, which may also present with similar picture. So, I suggest you to consult an orthopedic surgeon for a detailed clinical examination and further management. Hope this information is helpful. Good day ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got bit by a Japanese beetle aprox,10 years ago.on my leg.there appeared a quarter size circle that was red and itched awful.it stayed there for 2 years then one day just went away.now it is reappearing in the same exact place on my leg and itches and is red.do you know why this is? and does this sound normal for a Japanese beetle bite.p.s. I tested negative for lime disease ### REPLY: Hello, I understand your concern. I am , Infectious diseases specialists, responding to you. It is suggestive of infection to you. The bites are infected and so red circle is started. I advise you to take polypoid cream over it. Also take cetirizine and paracetamol cream as and when required for itching and fever. I will be glad to answer your further query. Thank you for your contact to . Wish you the best health. Thank you, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Was diagnosed with bacterial sepsis from a open wound last wed. Dr did not hospitlize me ohly gave me Levofloxacin. It took care of the redness and infection at the site.  I was on 500 Mg 1x a day. I take my last pill tomorrow. But as of Sunday my right knee started aching dr said side effect from the med. Now it has spread both my knees hurt left one feels stiff, muscles in my calf ache all the way down to my ankle bone on both legs. Is this a reaction to the meds or does this have something to do with the septis in my bloodstreat ### REPLY: Hi, I had gone through your question and understand your concerns. With such presentations in my clinic, I would first rule out serious condition as septic arthritis in the knee joint from the general bacteremia which usually present by pain, redness and hotness. Knee Ultrasound could help you to confirm infection. Also duplex ultrasound should be done to exclude any vascular insult can cause painful calf muscle. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir/Madam, before 10 years mere frount teeth me chot lag gai thi jiske karan mujhe apne teeth nikalbana pada.or age ke do daton ke sahare caping karbai is caping ko lugbhag 6 month ho gaye hein. ab jin dato ke sahare maine capnig karbai ab unme dard or pani lagta hai. Please provide solution for this Thanks Regards geeta rani ### REPLY: Hello Greta! You surely have some problem in the teeth which have been used to support the bridge. Possible reasons for your problem could be:- improper make of the bridge with inadequate coverage of the tooth- a decay in the teeth - sensitivity you must visit the dentist and get your self checked at the earliest or else you may end up losing those teeth used to support your bridge and the condition can be worse...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, taj with u i have aquestion my nephew 14th years got sick with possible viral fever doctor still not find any reson all the report is normal cruntly he is in the icu on vantilation please can u suggest any vaccacine that can help him to recover soon he is in kolkata india please help me ### REPLY: Thank you for posting your question. Before answering your question, I would like to make two points. Firstly, viral fever per se is a very vague terminology and doesn't really point towards any specific disease process. Secondly, most of the viruses do not have any specific treatment and . However, for a child aged 14 yrs who is on a ventilator with normal reports and doctors suggesting its viral fever, I can think of two possibilities. One of them is viral encephalitis which is a viral infection of the brain. It is a condition with varied presentations often requiring ventilator support. It could occur due to a variety of viruses, most of which do not have any specific treatment, except one. If a herpes virus encephalitis is suspected a  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 name is jessica and im 20. I was diagnosed with Tuberous Sclerosis when i was born, i also have epilepsy as well as some Cognitive issues that go with thinking,learning,logic and everyday life. Im not sure if i could have some type of Mental disorder of some kind. I know Ive had a problem with it since i was young. I would always keep to myself, shy,quiet, hard to start conversations, my thinking is slower harder to process and learn things i have a slight stuttering problem cause of it. I also dont learn as fast, i have terrible problems with my body language and tone of my speech. I am terribly always been clumsy as well. Ive noticed it for the longest time just never been diagnosed and not sure if it is a disorder or not. Like i could be talking to someone and to me i sound normal and to them i sound like im whispering. Or i think i look fine then im told i look pissed or mad with my body language . I hope  you could possibly help me. ### REPLY: Hello! Thank you for asking on ! Regarding your concern, I would explain that Tuberous Sclerosis and epilepsy can cause mood changes as well as cognitive deterioration. I recommend consulting with a neuropsychologist for a careful examination and some cognitive tests. Consult with a psychiatrist would also be helpful in excluding possible depression that may interfere with the cognitive functions. Hope to have been helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last 2 days I have felt pain on my face under my nose. I rub over it with my finger and it feels bruised. My front teeth (2) have been capped over 3 years ago. I floss around them as well as my daily routine dental care. But this pain has me worried. I do have allergies since spring has started, but I have never had this type pain. What could it be? and what should do? ### REPLY: Hi. Can understand your concern. As per your complaint pain and bruised feeling under the nose with the history of capped tooth can be due to any infection in the tooth as there can be dissolution of cementing material between the cap and tooth or Ill fitting cap can lead to seepage of food debris into the cap and can cause infection in tooth which can progress below the root tips of tooth and cause pus formation, pain and bruised feeling. Inflammation of gums can also cause such symptoms. In case of activation of Sinusitis or allergy can also cause pain in the region below nose, so it will be better to consult a dentist and get an x Ray done to rule out for any dental infection. In case it is not ruled out you should consult a physician to rule out allergic reaction or sinus inflammation. Hope this information helps. Thanks and regards. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A 54-year-old Type-A male business executive had been experiencing migrainelike headaches . One afternoon he also experienced light-headedness, slurred speech and mildly impaired motor function on his right side. One of his colleagues rushed him to the emergency room of a nearby hospital where blood pressure , blood gases, electrolytes, and an ECG were run. His blood pressure was 195/100 mm Hg, which he said was typical of what he had experienced during the past two years. Blood gases and electrolytes were normal. The ECG showed no arrhythmias but did demonstrate a left axis deviation. The gentleman was admitted to the hospital and a cerebral angiogram was performed which showed left cerebral hemorrhaging. 1. What is the diagnosis of this individual s disorder? 2. What are the major contributing factors to this disorder? 3. What could have been done to prevent this problem? 4. What are the early warning symptoms prior to the complication? 5. Why did the ECG show a left axis deviation? 6. Why was there impaired motor function on the right side from cerebral hemorrhaging on the left side? ### REPLY: 1. Hemorrhagic stroke.2. High blood pressure (and atherosclerotic disease (exacerbated in part by stress))3. Control vascular risk factors... such as High blood pressure, high cholesterol, obesity, stress, smoking, diet, systemic inflammation, oral hygiene... however if there is a family history, this is an unavoidable risk factor.4. Few, that is why uncontrolled hypertension is so dangerous as the symptoms of headache or mild chest pain are so non-specific.5. Likely old heart blood vessel infarct.6. The left side of the brain controls the right side of the body and vice versa... anatomy. Stress has been proven to shorten life span and increase the risk of heart disease. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, so i have some questions. My dad has been in the hospital for about a week now with an infection on his hand between his thumb and index finger. They ve had him on antibiotics but they haven t diagnosed exactly what it is. it had swelled up to his wrist but with the antibiotics it went down. Now its only swollen between his thumb and his index finger and its leaking some white liquid which i think is puss but the doctors have not taken any sample of the puss to try and find out what it is. ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you to do Grams staining & culture and sensitivity of the pus coming out of the swelling. I advise you to take antibiotics as per the report generated. Maintain the local cleanliness and hygiene. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: For a few months now I have right shoulderblade spine pain off and on. I eat greasy or unhealthy foods or get full and have to immediately have a bowel movement. Cramping painful nausea sometimes vomiting. Then goes away leaving dull ache in lower left abdomen. ### REPLY: Hi, Firstly you need to control your diet. Eat a nutritious diet ... opt for roasted and grilled food and soups instead of fried items. Take lots of fibrous rich foods like green leafy vegetables and citrus fruits. Avoid spicy foods. Kindly get an ultrasound abdomen and pelvis done. Sometimes shoulder blade pain occurs due to inflammation of gall bladder or due to gastritis. Kindly take Omeprazole(proton pump inhibitor) one tablet every morning at least half an hour before breakfast for at least 3 weeks. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 an addiction for TRIKA.25 with AVIL25 OR 50 .as i feel that my efficeiency is reduces. IF I DONT TAKE THEM , THEN I WLL NOT BE ABLE TO SLEEP .DUE TO SOME RESONS I STARTED THEM TAKING 4-5 YRS. BACK. BECAUSE I WAS NOT CAPABLE OF HANDLING MY STRESS AND TENSION . BUT NOW I HAVE NOT A SINGLE PERSON IN FAMILY SO I HAVE TO COPE WITH MY OWN ,I DON;T KNOW HOW TO COPE THIS MAJOR PROBLEM. KINDLY HELP ME . ### REPLY: Hello It is really very difficult to leave something suddenly especially if you ate addicted to it for so many years, but you have to do it. You reduce the dose, of whatever tablet you are taking, to half initially and continue this for couple of months. You will have problems initially to get sleep but eventually your body will accept this lower dose. Sleep is a natural process, and it has to come. Along with reducing the dose, you start doing regular exercises which will help you a great deal. After 2 months you again reduce the dose to one fourth and then after 2 months start taking one forth of . This will take 6 months, and you should be out of your addiction, but you must display solid will power to do it. 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 59 yr female, had adnormal ekg by insurance co at home then followed up with pcp and it came back adnormal, also. Referred to Cardio guy and he did a echo and nuclear stress test which said both test were good. I work out about 5-6 days a week and have at 58-60 pulse rate resting. The cardio said the ekg did show some adnormalities but not to be concernce with. I had a heart work up about 3 yrs ago with same cardio and it was good also, they checked the last one in compairson and the ekg there also show some adnormals in it-- nothing to worry with. Still wondering why my ekg is showing adnormal all the way around. Is there any thing to be concerened with. I talke high blood pressure linsiporl 20 m 1 @day. my blood pressure was 117/75 at time of echo and for the stress test started out high at 140 over 80 the 1st number got up to 178 and the bottom went down to 77.... ?????? ### REPLY: Hello, If I could have a look at your ECG then I would give you a definite answer. However, if your echo and nuclear stress test results came back normal, then absolutely nothing to worry. Also, you should know that the increase in blood pressure during the stress test is normal, and the top number sometimes can go as high as 200. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have periods of having sore, slightly swollen itchy lips and when they arent itchy they are a little sore. same feeling trough the roof of my mouth at end tup for tongue and a little in the throat. when I flip my lips up they are red (redder than the usual pink) but my teeth dont hurt and so far no gum issues ### REPLY: Hi Dear, Understanding your concern. As per your query you have symptoms of sore lips and palate with swelling. Need not worry. Take combination of analgesic and anti-inflammatory .  Use Anabel gel and McCoppin gel to prevent pain and inflammation. Do warm saline gargles at-least 3 to 4 times a day. You should start with antibiotics like Azithromycin. Apply colonel on soft mucosa as well for rapid healing. Avoid hot, spicy and sharp food. Take diet rich in vitamin C. If your condition does not get resolved consult an oral physician once and get it examined and start treatment as per diagnosis. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, I have hepatitis b , but is inactive, I don t know how I got it, because my husband is my only sexpartner, and he doesn;t have it, and my parents doesn t have it too, and also do I still need to be vaccinated against it , or it doesn t help me anymore since I am already have hepatits b, and is there medicine that I can take to keep it inactive ? but can the virus be active in later years ? ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist (DM). Vaccine is not required as you are already infected with hepatitis Bin inactive phase no medication is recommended. What you need to day is regular follow up with Gastroenterologist. You require getting GOT/SGPT every 3 monthly and HAVANA every 6-12 monthly. Once they will be increased then you may be considered for treatment It can be active in later years that's why you require regular follow UPI hope I have answered your query and this will help you. Remain in touch and get-well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...im pregnent by 4 monts when i went for chek up HBsag reactive found by 13.53% plz suggest me wht shd be my precation for me and wht shd be do for my upcoming child plz help.... ### REPLY: Hi, you have bag positive, but it does not mean that you are infected at present.  You should go for complete liver function test as well ash hepatitis b profile like he HBC etc. Then take treatment accordingly. Because many times bag is positive due to past infection or vaccination. And to prevent the spread hep hepatitis b yo your child you should take all the precautions like go for vaccine and go for Asian etc. Consult your doctor and take treatment accordingly. Thanks for using . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 pimple like thing just above my anus and it bleeds. it just happened to me this week and Ive tried to wash it or wet a napkin and press it but the bleeding comes everyday. Also my anus has been bleeding before that for some time now. i have no idea what to do. ### REPLY: Hello! Thank you for the query. The lump you have near the anus is hemorrhoid most likely. It must have been there before, just was hidden inside the anus. Bleeding is a very normal thing for hemorrhoid as it is build of enlarged vein. To make it stop bleeding and become smaller you should avoid constipation (increase fiber rich products and mineral water intake), do not push hard on stool, have site baths with Oak Bark twice a day and start hemorrhoids suppositories. If this won't help, please consult a surgeon and consider surgery. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My teen daughter has fatigue, flu like symptoms, slight depression, joint pain and general feels bad. she spent time in the Yukon last year and has not been the same since. she came back with lots of mosquito bites and tick bites. Could she have something because of this.... ### REPLY: Thanks for posting your query to  .yes off course insect be can leads to transfer of some kind of parasitic or viral illness .flu like symptom may be due to some influenza like viral illness .you need to undergo some investigation to make diagnosis :Peripheral blood smear examination for parasite 2. Complete blood count.presently you can give her paracetamol 500 mg for fever and pain with water as and when needed or 8 holy after meal.review me after investigation report. Feel free for any further query. .  ### END