Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 itchy rash that started with a small itchy spot on my face near my eye. I had some spots on my stomach, butt, and waist. They are not filled with fluid. I was treated with antiviral and steriod pills. The swelling and rash on my face went away, however, it returned a month later near my eye, lip, and stomach. I am once again on antiviral meds and predisone but I continue to scratch. ### REPLY: Hi Dear, Understanding your concern. As per your query you have symptoms of itchy rash near eye, lip and stomach which seems to be due to angioedema and because of herpes simplex virus infection as it attacks once immunity of body is poor. Need not worry. I would suggest you to visit dermatologist or oral physician once and get it examined properly. Go for skin allergy testing to find proper diagnosis. Start with antiviral and steroid eye .  Take multivitamin tablet rich in vitamin B12. Apply lip balm to keep it moisturized always. Apply Viral ointment on these rashes and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mother-in-law facing kidney problem it becomes weak and kidney working percentage is 35.5% what should we do?Provide me food diet for kidney patientThanks ### REPLY: Welcome to  forum need to see the cause of renal derangement whether it is diabetes, hypertension or else renal infection. Depending on the case, a dietician may be right person to give a diet chart, but overall, a diet for this kind of patients should be low in proteins, higher in carboy .  Fruit juices and low sodium salt contain high potassium and these should be avoided. 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: daughter has what we think are sensitive nerve endings in her stomach. Everything she eats gives her pain. She has been tested reflux. wheat allergies and lactose. All negative. This pain is now causing her to be very tired and uninterested in everday. This has been going on for years. Is there medication to help with the stomach pain since we have tried limiting the foods and types. or is there another possible answer to her pain? ### REPLY: Hi. Thanks for your query and an elucidated history. The most probable cause of pain in the absence of any finding for reflux, wheat allergy and Lactose intolerance are:There can an inflammatory process going on in the abdomen as appendicitis or diverticulitis or lymph node problems. Or there can be narrowing in the upper part of the intestines. I would suggest you the following for your daughter:CT scan of the abdomenEnteroclysis, a sort of Barium studies. I am sure the reason will be found, get investigated and treated accordingly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! good morning Dr. Keerthi. My husband was diagnosed with cerebral atrophy on his left side. He was experiencing so much headaches before he was diagnosed. My family especially the ones that have cancer is undergoing ayurvedic treatment. I know that my husband s case is different from my family s case but will you please advise me on what to do with his atrophy and what medicine should i give him? and what kind of food should i give him. Does he have to undergo a diet? ### REPLY: Hello, Thanks for your query. Cerebral atrophy refers to mild shrinkage of brain, which normally happens as one grows older. The treatment comprises administering .  Paracetamol is one such medication. Even atrial of hyperbaric oxygen therapy may also help significantly. You may take vitamin B12 supplements-methycobal 500 mcg once daily. You can also have physiotherapy sessions, speech therapy, regular exercises and daily walking. You will gradually recover over time, usually in a few months to one year time. I do hope that you have found something helpful, and I will be glad to answer any further query. 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: Please sir ,am having. Something like gas in my chest region and it makes me uncomfortable and causes a kind of pressure in that region and I have met the doctor he gave me gestid and I don t have an ulcer please what do u think is wrong becos I don t seem to understand dis awful experience ### REPLY: Hello dear, thanks for your question on . In my opinion you are having HERD (Castro Esophageal Reflux Disease) mostly. But we need to rule out cardiac cause first as many times this can also give feeling of gas and bloating in chest. So get done ECG and 2D Echo to rule out this. If both are normal than mostly you are having HERD only. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. Try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed. 7. Avoid smoking and alcohol if you have. 8. Lose weight if you are obese. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 small lump @ upper posterior neck (base of skull)/ left side that has been there for 2 days. I have experiencing dizzy spells for 2 weeks. I currently take a low dose of synthroid and cytomel for a lump on my right thyroid. I have also been getting migraine type headache on my right side. ### REPLY: Hi! This is another fairly common clinical situation in our routine patients and not to worry much regarding this! In fact, considering your medicine history along with thyroid lump, I would like to extend my comments as follows:1. There is 90% possibility that the nodule in the nape of neck is a lymph node recently enlarged in response to some inflammation in the scalp, skin, throat, maxilla, ear etc. or related to medication...!2. Some benign subcutaneous tumor-like condition like neurofibroma / lipoma/ dermatofibroma/ inclusion cyst comprises 8% possibility3. Some malignancy or borderline tumor pathology have 2% possibility No biopsy/radiological study of thyroid lump? It must be there; please share that also!Therefore, you have to see your doctor not because you are worried but to confirm what is it and for some tests like needle biopsy...regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i went skating and was just standing and blades came out from under me i landed hard on the ground and my lower back hurts when i bend and feels like something aweful when i try to pick something up. my right butt cheak hurts constantly. what did i do to my self? ### REPLY: Hello, Thanks for your query. The fact that your pain is occurring with movements indicates a muscle strain. Any strained muscle when stretched gives severe pain. I advise you to follow the below-mentioned guidelines -* Give adequate rest to the involved muscle group and avoid any movement that causes pain* Ice packing once in every 2 hours over the affected area* Moist heat application to relax the muscles* Local application of muscle relaxant gel* Analgesic medications as needed do hope that you have found something helpful, and I will be glad to answer any further query. 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 went in today for a pre-surgery check with my primary care doctor (family practice). I am scheduled to have a C3 through C7 anterior disc fusion on April 5. After my doctor checked me out, he indicated that he cannot clear me for the surgery until I see a cardiologist. He gave me a printout of my ekg that says st junctional depression non specific. I am supposed to get the clearance for the fusion two weeks prior to the surgery, but an even bigger concern is the abnormal ekg. I am a 50 year old white male who is treated with medication for high blood pressure and very high cholesterol. Is the st depression indication something that should alarm me? Or is it a common incident in someone of my general health? ### REPLY: Hello, Since this is the major spine surgery you're scheduled for and your family doctor wants to make sure that you don't have any underlying cardiac issues. Though ST-segment depression >1 mm is significant and may indicate compromised blood flow to a specific portion of your heart. But before jumping to any conclusion it's better to visit your cardiologist. He may advise some more cardiac-related tests including Echo and Exercise/Presenting Stress test to get a better view of your heart. And will clear you for your surgery based on the results. Good Luck with the procedure. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with a chiari malformation and elhers-danlos hypermobility type. I have had MRIs done of my entire spine. The only thing that has been found is a 6mm dissention of the cerebellum . No tethered cord, no Syringomyelia , and no Cervical Spinal Stenosis . I have daily migraines, neck pain, mid and lower back pain, right arm tingling and pain, chronic nausea, impaired balance, clumsiness, frequent urination, chronic sever tmj pain, foggy thinking, poor memory and concentration, ringing in the ears, sensitivity to sound and light, and the inability to regulate my voice when singing. I am on 20mg of amitriptylin. Everytime my doctor ups the dose it regulates my migrains for about a month then stops working and my migrains and pain get worse. The only thing that may get me some relief is decompression surgery, but there my doctor does not want to do this be cause I have good CFS flow and there is a possibility my symptoms may worsen. Is there any other options? ### REPLY: Hi, Thank you for posting your query. I have noted your symptoms. It is unfortunate that you have so many symptoms and your migraine is not getting controlled. Regarding migraine, you could also try divalproex or Topiramate tablets to prevent headaches. They would reduce the severity and frequency of headaches. I agree with you that Chiara malformation can only be cured by surgery, however, we can wait before deciding on that. I hope it helps. 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: Hello, I m a 25yo female, 5 4 110lbs. For about one year I ve been experiencing sporadic chest pains that quite literally paralyze me because I cannot breath and feel as if I m being stabbed in the chest. About 4 months ago, for no apparent reason (other than not eating all day), I fainted. I ve never fainted or came close to it before so I was slightly concerned but almost positive it was just low blood sugar. I ve been experiencing excess sweating just in my under arms for about a year as well as chronic cold hands and bruising. I ve had problems with excessive bruising since my teens and saw a hematologist when my general care physician found my PPT was high. The hematologist could not explain the bruising but said I was otherwise normal. The bruising continues today but are now on my arms. Last week I noticed that my first rib was elevated or swollen. It doesn t hurt but is clearly raised on the left side. Today I noticed my collar bone is now swollen. The swelling is in the same spot that the chest pains I referred to occur. I also notice a quarter sized lump on my lower back to the right of my spine. The lump is painless, hard and stationary. I m wondering if I should see a doctor. I recently moved to a different state, haven t found a GC and haven t paid my high deductible for the year. Im not sure considering the hurdles that seeing a doctor would be beneficial. ### REPLY: Hello, I passed carefully through your question and would explain that your symptoms could be related to the lump may be a lymph node or any other lesions. For this reason, I recommend consulting with your attending physician for a physical exam, and an ultrasound of the lump, in order to examine its nature better.  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: hi. i m sara i had a miscarriage last year june almost 8 weeks.and after 6th month at december i m again pregnanat but my baby not growing as yesterday s u/s reported i m 9 week pregnant but sac is only (6+2).i have no bleeding no pain.i feel hunger n gaining weight gradually. i waana ask is every thing ok/ or there r medicines that help fetal growth? plz reply thnx ### REPLY: Hello, and I hope I can help you today. There are two possibilities that could be going on in your situation. The first, is that the pregnancy is actually younger than what would be expected based on your last menstrual period. The second, unfortunately, is that the fetus died during your six week of pregnancy and is just still remaining inside you. The tissue surrounding the pregnancy is what produces hormones that still give you pregnancy related side effects, even if the fetus is no longer developing. Furthermore, there is nothing that can be done to alter the potential outcome of this pregnancy. If it is destined to be a miscarriage there is no medical treatment that can prevent it. So there is no medication that can help the baby to grow or develop normally if it already has been lost. The only thing they can be done, is to watch and wait and see what happens. I would recommend that you have an ultrasound repeated in two weeks to see if the fetus has grown and has a heartbeat. If not, this pregnancy is a miscarriage that is just not passed yet from the body. The positive news, is that even with two miscarriages, there is a greater than 80% chance that the next pregnancy will be completely normal. If this turns out to be a miscarriage, your doctor may want to do some simple tests that can evaluate if you have any other risk factors that mightve caused this to happen. I am very sorry about your situation, and I hope everything works out for the best. 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 recently was treated for shingles after elimination of a bacterial infection & cellulitis. I had all the symptoms except the blisters, my skin was just sore and red; treatment seemed to work.. I am in remission (second time) with DBNHL, and this last time I received a stem cell transplant. The valacyclovir is finished and the symptons are gone, but I have muscle soreness on my upper body torso. I ve tried heat and cold. Neck, shoulders, upper arms, mid/center of back, lower back & hips. With some cramps in the foot, ankle, calf. My doctor explained that the anitbodies are fighting off the virus and these symptoms are the result.....unless I am not understanding correctly. I don t know what this could be. My PET SCAN LAST WEEK WAS GOOD. I would like to understand what is going on. My CBC CMP & lipids are ok for my condition with my WBC a bit lower these recent weeks....2.8 down from 3.7 4-6 weeks prior. Have you any suggestions or questions? Thank you, Janet Matulis ### REPLY: Here you have symptoms of pain in neck, shoulder and arm after stem cell transplant, also you had recently cellulitis and shingles. Along with the cellulitis and shingles while the patient is on treatment for this the bodies immune system is fighting against the infection and so that there will be more inflammation and due to that there will be fever and weakness in muscles and due to that the pain in neck, shoulder and arm is possible. I suggest to check with orthopedic doctor and after examination take symptomatic treatment or needed treatment along with physiotherapy treatment to have relief from pain. And keep using hot and cold pack regularly as well apply pain relieving ointment too after use of hot pack immediately to have some more pain relief. I am sure this will help you if you follow it step by step as per my suggestion. But in any emergency like breathlessness and severe body pain you can also visit your nearby hospitals. 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: A couple months ago we did a lab in school with Ammonia . I inhaled more than what I should have, I was wondering if that could still effect me even through it was a couple months ago. I took a nap and when I woke up I was very dizzy, to where I didn t even want to get out of bed. My eyes were itchy, and the smell of ammonia was burning my nose . Could this be dangerous? ### REPLY: Hi, ammonia causes temporary burning sensation of nose and eyes. You do not need to worry about long term side effects of it. You should take precaution while doing experiments in labs. Next time tell your teachers about the incident and ask her to make it a rule to wear protective goggles while doing experiments. And in case you have another such incident inform your teacher and wash your eyes repeatedly with cold water and go to doctor. 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, my name is sumit i am a civil pilot .last month airforce doctors put me down because of fatty liver grade as i was 97 kg and height 6 feet .then after that i lost weight now i m 85 kg but fatty liver grade 2 is still there and eating raw veg and fruits no fatty food please suggest me what to do and how long it will take to get rid for thanks ### REPLY: Hi, fatty liver nowadays is a very common finding. Recently doctors are very much concerned about it. It is mainly a lifestyle disorder mainly related to our eating habits. Fatty and oily foods are the most common cause, and if the person is an alcoholic than it is a worse situation. So don't worry. Avoid oily/ fatty diet. Regular aerobic exercises and consume fruits and green veggies rich in antioxidants. Not to worry unless you stick to precautions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 2 year old with Persistent fever & swollen lymph nodes, started with cough and ear infection that have both been treated with antibiotics. Fever remains every few days. Chest x-ray done to rule out pneumonia and CBC done with abnormalities with monocytes &leukocytes. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of persistent fever and swollen lymph nodes which seems to be due to strep throat which is a bacterial infection. It could be due to respiratory tract infection as well. Need not panic about it. I would suggest you to 1) Hot milk with a pinch of turmeric boiled with it at bedtime for 2-3 days as it has antimicrobial action.2) Antibiotics are first line of treatment option in this case. In case of mild fever you can take Cal pol or paracetamol for relief as well as it will relieve throat pain too.3) Sip on lukewarm water and take throat lozenges.4) Avoid spicy and rough food. Take diet rich in soft food.5) Take anti-inflammatory . If symptoms keeps on persisting visit pediatrician once and get it examined. Maintain oral hygiene. Take proper course of antibiotics. Get blood tests done if required. 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: Hello Doctor, I m 73, a woman, a retired Ph.D. from biomedical research. My insomenia began around when I was 70. Now I go to bad 11pm, but would wake up every half or an hour for several times: during my wake up, I feel legs tingling which makes me turning and turning and can t stay in bed ( I hate this tingling feeling), so I have to get up to do something, and then go back to bed, trying to sleep again. I have to repeat this round trip several times every night until 2-3 am, then I can sleep for 2-3 hours, wake up, and then go back to sleep for another 2 hours or so until 8-9 am to get up. (If I get up early, then the day will be ruined.) ### REPLY: Hi, I had gone through your question and understand your concerns. You probably suffer from Restless Legs Syn .  This condition in most people hasn't known underlying etiology (disease), but in few cases' neuropathy may cause it. I suggest you to consult a Neurologist and discuss further steps in diagnosis and treatment of your concerns. Hope this helps. If you have further questions feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had some discomfort the last few days with pain in the middle of my chest feels as though something is stuck and makes me keep burping I sometimes bring clear flem up when it get that bad it makes me feel sick and gag it seems to be getting worse and constant ### REPLY: Hello, The possibility of HERD (gastroesophageal reflux disease) is more likely. HERD is due to laxity of gastroesophageal sphincter. Because of it, the acid of the stomach tends to come up in the esophagus and cause chest discomfort, burping, aging, something stuck in the center of the chest etcetera. So follow these steps for better symptomatic relief in HERD. 1. Avoid hot and spicy food. Avoid junk food.2. Avoid large meals, instead, take frequent small meals.3. Take pantoprazole and levosulpiride combination on empty stomach twice daily. 4. Go for walking after meals.5. Keep 2-3 pillows under the head in bed.6. Lose weight if you are obese. Avoid stress and tension, be relaxed and calm. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright with all these.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I broke my radial bone above my wrist 3 weeks ago and its in a cast - i can move my fingers but when i do i get pins and needles and a vert odd feeling in my wrist. It feels very sore and tight around the wrist area. Is this normal and should i even be flexing my fingers? Many thanks in advance. ### REPLY: Hello, Everything you are describing is normal. Even though you are in a cast, your wrist is still broken, so it will feel weird for a while. You should also keep moving your fingers to make sure they don't get stiff.  This will help you get back to normal when you get out of the cast. Moving your fingers shouldn't affect the break at all, as long as the cast is well molded and the break is stable. 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 was recently in a car accident I was hit from behind at a stop. I believe to have whiplash,the driver of the car took off. That day my neck was hurting and I had a headache also I had tingling in my fingers, I still have headaches off and on and pain in my neck on both sides of it. Also pain in the bump(bone) that connects the neck and my back. I have crackling noise in my neck every time I move it. Should I be concerned? ### REPLY: Hello, I had gone through the case and found that if pain and inflammation increasing then you must be concerned. But as for precaution must go for X-ray of cervical spine, if there might be hairline fracture. Pain and cracking also might be due to muscle spasm which radiate up to head. Do the X-ray and take mild painkiller and muscle relaxant gel for local application. Hope my answer will be effective for you. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got into a car wreck a week ago. Got examined, & they said everything was fine. I had injured my leg but nothing was broken. It was swollen & as the days went on I realized bumps underneath the skin on my thigh. They really hurt if I made the wrong move, turn, or bend. I happened to feel like it was okay to move more freely today, so I bent over & the hard bump area popped. It hurt really bad, and Im not surr if I need to go back & get examined or if Im fine... ### REPLY: Hello! Thank you for the query. It looks like you need to get back to the doctor. Due to injury, sometimes blood accumulates in the soft tissues. In some cases such blood gets infected and turns into pus. It can give formed abscess or tissues mixed with pus. This gives pain, skin swelling, redness and bumps can appear. I suggest you to do not wait with it. Please consult your doctor, have leg ultrasound. Antibiotic might be necessary and some incision. 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: hi, my wife s period started on 30th july 2014 and today the very 6th day we had sex unprotected, though i din ejaculate inside(took out at the time of ejaculation), i wanted to know what are the chances of having preganancy, should she take unwanted72, and , she is 23 years old, and have never taken any pills like that, pleasehelp ### REPLY: Hello dear. Understand your concern.I think, you don't have to worry about pregnancy(no need to take unwanted 72).you do unprotected sex in safe period of cycle so, no chance to be pregnant if your cycle is regular.I advised, do sex in safe period means 10 days after cycle & 10 days before cycle.in this period you have no chance to become pregnant. For more safety, you have to use condoms, it protects you from unwanted pregnancy & also from STDs. Hope this will help you. Best regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a lumbar puncture done 2 weeks and 1 day ago and a blood patch done a week ago today. I have been in SEVERE pain since, I still can t sleep on my right side. My pain starts in my lower back and travels up my right side into my neck and into just barely into my head most of the time and I feel like I am unable to move when that happens. The more severe of the episodes my right leg goes numb from my knee to my foot with the back and neck pain and a head ache so bad I feel like I am going to be sick. Today I started having vaginal bleeding and I got off of my menstrual cycle 1 week ago I am not sure what to do. ### REPLY: Hi there. You could still be losing cerebrospinal fluid (CSF) from your lumbar puncture which causes headache. Also, there may be some compression on the nerves to you lower limb or less nutrition to the nerves due to a possible CSF leak. Kindly lie down with your lower limbs elevated over a pillow.  . Consult your Doctor about this urgently if no relief in symptoms. Wishing you speedy recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my name is Shelby I have this situation it started when i was a little girl where id would be scared to go to sleep i would think someone was going to kill me but when i sleep with someone else in bed with me i dont have this feeling, i just feel like something evil is out to get me. also the stairs behind me i feel like someone will grab my legs and chop them off it went away for a few years for awhile actually. but Its back again but its has gotten a lot worse ive been sleeping on my parents floor for awhile now and im getting a bad back now when i go to bed i have really bad dreams that i m babysitting my younger cousin and she is stolen and murdered so i go home to find my mom and sister running away from this murderer i cant see his face though and i wake up ever time hes right about to get me. can you help me ? ### REPLY: Hi Read your prob do not worry this is happened only due to your thoughts, you're surrounding environment, or due to literature which you read or think. So try to mix up with your parents with your friends discuss all good things with them, try to avoid such type of thought. Along with it, you should start some tab which reduce your mental clouding as per advise of your doc. Do not worry you feel better after starting that tab. . Com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having pain in the front section of my thigh for days now, feels like deep bruise but no colour, and now have had a nose bleed. 3 months ago I had a blood transfusion , 2 pints as I was severely anaemic , should I be worried or just put it down to one of those things? ### REPLY: The most common side effects to transfusion are fever, chills and urticaria. The most potentially significant reactions include acute and delayed hemolytic transfusion reactions and bacterial contamination of blood products. During the early stages of a reaction it may be difficult to ascertain the cause. In case of chill and rigor it is advised to stop transfusion and give in evil 2 cc stat and cover the patient with blanket. Restart transfusion at a slower rate after chill and rigor stops. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a red, flat itchy rash on my neck for 3 days. I have not changed any part of my routine. The rash seems mildly hot to the touch and becomes very hot feeling in the shower. It seems to be spreading at a very slow pace (about 1 in higher up the neck and 1 in further across the neck since 3 days ago). It also is not symmetrical. I am a type 1 diabetic and am looking into any over the counter relief. Please advise. It seems to be almost blotchy looking ### REPLY: Hi, As you said that you are suffering from type 1 diabetes. Diabetics are more prone to fungal and bacterial infections. You may have developed dermatophytes. Usually the infections grow when your blood sugar is not under control. Keep track of that. You can start plain antifungal cream (without steroid) and oral antihistamines. If improvement is not seen or if it aggravates then consult a dermatologist, because secondary bacterial infection may also take place with due course of time. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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...Hi I am suchitra srinivasan ,my husband 35 years old, suffering from some allergies and he is using the same prescription given 3 yrs back. Now i want to consult a doctor who can guide me whether we can still use same prescription or is it some other problem?. At present he is having a severe cough and looks to be weak and not eating like before.can u please help me out with what to do and what to follow? ### REPLY: Hi. Welcome to  . I have gone through your query and can understand. As per your complaint excessive coughing can be due to a number of reasons like allergies, bronchitis, throat infection, asthma, acid reflux etc. The cause can be confirmed only after a thorough clinical evaluation and investigations as per the cause suspected. As of now you can give me cough suppressants containing Dexamethorphan, phenylephrine and Guaifenesin. Doing steam inhalations, warm saline gargles and using a humidifier can help. Suck on throat lozenges and sip on plenty of warm water. Avoid spicy and chilled foods. Stay away from the known allergens and prevent exposure to dust. 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: Good morning ,                         when i woke up every morning i always discharge clear sticky liquid from penis.it has been happening from almost 7 years now days i noticed my right testis shape become different than left testis.kindly advise me an effective treatment. ### REPLY: Hello I share your concern, I will try to help you out in the best possible way. Looking at your description this could be STI or other infection or allergic reaction. I would like further information to help you better Your age and relevant medical history like diabetes or other metabolic disease Any recent exposure to unprotected sex? You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test as well as pus culture of the discharge from the rash you can rule out the possibility of HIV by an ELISA test after a window period of 3 to 6 months about which your doctor knows. Apart from. This blood sugar fasting and post radial and Blood for CBC and liver function test are also advisable. Maintain good hygiene Wash and clean your private parts with antiseptic solution or soap routinely condom during sex Hope this answers your question please feel free to ask for more clarificationThanks 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: Hai, I am staying in Bangalore, but I came from coastal area I am suffering with allergy with cold weather (rain season) and Eosinophils reported 10.5.  I am taking citrizene once in two days for temporary relief last 14 years.  Please suggest Treatment/medicine along with side effects.   VASU ### REPLY: Hello, Welcome to , Hello,Welcome to , As you are having allergic reactions which is evident by your absolute eosinophil count (AEC), this is one of the important indicator of presence of allergic reactions in the body. For the present symptoms I would advise taking tab least, meanwhile consult your doctor to get information regarding skin prick test. I would suggest you to undergo skin prick test for most prevalent allergens in your surroundings like dust, pollen, mite, food and chemicals. This test help us to identify the allergen causing all these symptoms, and you can avoid those allergens, if it is not possible to avoid the allergens you can go for immunotherapy. You can be apt sublingual immunotherapy (SLIT) or subcutaneous immunotherapy (SUIT) depending upon your compliance. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 6 mths old and she has been having feverfrom yesterday but it is not frequent... And the temperature was 99 last afternoon I gave her dolopar on doc advice and the temp came down but her body was warm again in the night and at around 3 am her temp shot upto 100 so I gave her dolopar again... Her temp came down and she doesnt hav fever... Should I tak her to the doc now her temp is normal but am scared where she might get fever again ### REPLY: Hi... Thank you for consulting in . Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15 mg/kg/dose (maximum ceiling dose of 500 mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I already have a bad tooth in the back of my mouth that needs to be extracted but I dont have the money yet. My tooth has been hurting all evening and I told my boyfriend to not point the fan towards our faces tonight because it will make the tooth begin to hurt again. Well, he thinks that sleeping under a fan has absolutely nothing to do with sleeping under a fan because hes done it for years and its never caused his teeth to hurt. Please tell me what to tell him. ### REPLY: Hello, Thanks for consulting , Read your query, as you have severe toothache Donna worry this pain in tooth not because of fan this pain is due to presence of carious tooth or decayed tooth which has infection present in region of pulp it can lead to formation of pus also at apex of root, so I will suggest you to consult your dentist and go for removal or treatment of tooth as early as you can manage. For pain, you can take analgesic tablet like dispensable Paracetamol tablet or Retool DT contemporary relief. Do Luke warm saline gargle 3 - 4 times in day, Maintain proper oral hygiene. Hope it will help you. Wishing you good health.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a small purlpe hard lump near my hip bone. Painful and has a burning feeling. I have seen multiple doctors and they don t know wkat it is. They all asked if I had a surgery incision at the site becausebthey thought it was a stitch but I have never had surgery. Also not sure if this is related but my lynph nodes in my arm pit hurt and get a burning sensation as well ### REPLY: Hi ! Good morning. I am  answering your query. Painful lump points towards either inflammation or towards a fast-growing pathology. If I were your doctor, I would refer you to the ER of the nearest hospital for a specialist clinical assessment and related investigations like FNAC/MRI as the case may be for appropriate management. Till then, you could go for an anti-inflammatory . I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 13 year old son went to get a physical today and was told his blood pressure 124/84 he weighs 101lbs ht 62inches pulse rate 66 and he is a very active person drinks lots of water doesn t drink much soda but alot of powerade and Gatorade and water what could be causing this and could it be just a onetime thing? ### REPLY: No one should reach a diagnosis of hypertension on a one-off measurement of the blood pressure. Please do not worry for now. Check his BP with the same physician using the same instrument after proper relaxation in the same position (sleeping/sitting/standing) on THREE separate occasions on THREE DIFFERENT DAYS at the same time of the day. If this reading is seen on all three occasions, you will need to consult a medical specialist for further guidance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 daughter is four years old.recently she had an acute stomach infection. Her doctor gave her 1250MG of inocef injection through a saline intravenously for 7days. Now she has watery stool.I am giving her probiotics and Zantac but it still has not helped. I am trying to keep her hydrated but she had 9 loose motions today. Please help! ### REPLY: Hi... Thank you for consulting in . It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, couple weeks ago i got my 3rd tattoo on the next day i woke up and i had really fast heartbeat i had to go to the hospital cause of that i got scared cause such thing never happened to me before i felt horrible for over 10 days i got tested every possible blood test and everything was ok since then i cant finish my tattoo cause im afraid that i will have this heart attack again.. whats the cause of this situation?.. after all its my 3rd tattoo and im not allergic to the ink. ### REPLY: Hello! Welcome and thank you for asking on ! I understand your concern and would explain that your symptoms may be related to anxiety. Is your tachycardia persistent? What is your actual heart rate? What were your blood pressure values, during having a fast heartbeat? An allergy would not cause just tachycardia, but also other symptoms like skin rash, itching, low blood pressure, etc. Based on what you refer, from your repeated blood tests, an infection which could be related to tachycardia has been excluded. So there is nothing to worry about! You can continue with your tattoo. Hope to have been helpful! Greetings! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor, i have a habit of masterbutation for the past six years, now my sperm releases simply during night. and i am suffering this for the past seven years. what to do, is their any cure for it and im not married yetnow im 22 years old. Please help me ### REPLY: Hello, thanks for the query. First you need to relax & not to think of nocturnal emissions or night falls as pathologic or some form of disease. Nocturnal emissions usually occur in unmarried males in response to .  They are simply manifestations of minds desire to have a fruitful sexual intercourse. As you might be aware that masturbation or sexual intercourse causes release of endorphins or relaxing chemicals in brain which causes a sense of satisfaction & sleepiness/sluggishness. Hence, masturbation is considered as a taboo in society & in effect having night falls is also considered to be a sign of disease or weakness. Relax & don't worry. Do revert if you need further help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I had my wisdom teeth removed four days ago. I been having chest pains and a sore throat off and on for two days now. I also cant swallow any food without having chest pains. When I drink liquids its not as bad though. I called the doctor yesterday and he said stop taking the ibroupoen, but keep taking the other pain medication, the antibiotic, and the rinse. I also threw up my lunch today. I dont know whats wrong with me ### REPLY: Thanks for using . Read your query. In the query, the antibiotic is not being mentioned. Antibiotic related gastritis will sometimes cause these effects of vomiting, nausea and pains. I would advise you to take the antibiotics on full stomach and if you have history of gastritis an antacid would be of help along the antibiotic. If the symptoms increases, I would suggest you to call your dentist office and get the antibiotic changed. Continue with salt water gargling. Hope this was helpful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear sir i Karthi form tamilnadu, India, 29 yrs old i have problem in my  scrotum..ihave pimples  in that area. when i squeeze it some pimples are breaking but some pimples are not breaking..please give me the solution for this as much as possible.thanking you. ### REPLY: Hello, I have gone through your query and understand your concern. I suspect these are Multiple sebaceous cysts in scrotum that is why you do not able to squeeze them. They contain the cheesy white materials. These are not pimples, and they are arising from swollen hair follicles. Further these are very common in men and at this age and also in scrotum. Another possibility is as you mentioned pimples because skin is moist and more lot of friction from the skin of the thighs, which can lead to irritation and predispose to pimple formation. Do not prick or squeeze these cysts, it may lead to infection. It usually does not need any treatment, unless infected or for cosmetic purpose. If it is infected, you may need antibiotics and NSAIDs like Ibuprofen for pain and swelling. If you need to remove, then complete excision is advised. My advice is do not prick or squeeze these cysts, and you may get infection. Maintain good personal hygiene. Hope this helps. Please write back for further queries. 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: do Oxycodone pills have a life span? ### REPLY: Hello, All medicines come with expiration date. Beyond the expiration date, if the pills are taken, chances are there that they will not produce the desired effects or even worse, they may cause adverse reactions that can complicate the health status or cause complication. Thus, Oxycodone pills should not be taken if they have passed the expiration date, and you should go for a new prescription and batch of pills. I hope this answer helps you. Thank you for choosing . Take care. 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 my 13 yo niece has just started speaking quickly and is making a gasping sound just before she starts speaking. She is also having trouble sleeping. There is a family history of bi polar and no history of asthma etc. I m not sure if this is something physiological or phycological. Any help would be much appreciated. I am very worried about her. Thanks. ### REPLY: Hello and thanks for your query. I understand that you are concerned about your nieces' speech difficulty. From your brief description, this symptom of speaking fast with gasps in between could be suggestive of anxiety. Some child .  Also, underlying stress (due to problems in the family or at school) could also be a possible reason for her speech problems. If this has happened recently, and it is severe and distressing the child, then you can take her to a child psychiatrist for a detailed evaluation. It would also be a good idea to speak to the child privately and confidentially, to see if she is stressed out or anxious about anything. You can also gently suggest her to speak slowly by taking sufficient pauses between words and phrases. Speech therapy from a professional therapist may also be quite helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Just above my right collar bone, my neck is swelled. It has been swelled for some months, but now is larger and a bit tender. My neck muscles are also sore on that side. I also have a swelled area on the left side just above my collar bone. Could this condition be related to my lymphatic system? ### REPLY: Hayes, It's possible to be lymphatic pooling, although there should be screening by MRI for stomach growths, mediastinal glands' enlargement, A CBC blood count, looking for liver, spleen enlargement and microcytic series studies of blood cells, platelets additionally be explored. An x-ray chest would also be of help. You may consult a physician. For complete evaluation, ccause finding. If neighboring nodes' enlargement, an FNAC biopsy may be done 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 am having very sharp pains in my abdomen.It usually happens when I have my period then goes away but now I believe I am going through menapause and haven t had but a few spots of a very black discharge. I am almost 52 years old and live in a very rural area of East Texas. I am having trouble finding a doctor that I can afford to drive back and forth too. I don t know if this is normal or if I should drive 40 miles to a medical clinic? Hot baths usually ease the pain but not this time, Keeping pressure on it seems to help. Can you give me some advice? Nothing personal but I m afraid of most doctors ### REPLY: Hi, welcome to  forum.  The pain in the lower abdomen may be due to the pelvic infection, urinary tract infection, or stones in the ureter near the bladder.  I advise you to consult a gynecologist for diagnosis and treatment. You may need to have an M.R.I. for diagnosis.  I usually prescribe to my patient with such symptoms, fluconazole, lifetime, dicyclomine HY .  Wishing for a quick and complete recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am a 29 years old female, I was down with a severe flu for 7 days, post which i had a loss of appetite, discoloration of urine & nausea. I was hospitalized & diagnosis with Viral Hepatitis, though it did not belong to any of the Hep (a,b,c,d or e). Bordeline hepatomegaly & serum bilirubin total of 1.62 ### REPLY: Hellowelcome to , i appreciate your concern. There are other viruses leaving HEP group like Aden echo filo microRNA enter they can cause hepatitis too. They have the same symptoms as hepatitis A viruses. The treatment is totally supportive and gives good result. Continue the medications advised to you from the hospital. Hope you find this helpful. Post any other queries, and we are happy to help you.regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear doctor,I have a slight tingling throughout my right leg and there is an area of skin 4 by 5 inches or so, that feels senseless, at the top of my thigh on the back (top of hamstring). There is no pain or functional impairment.I did come back from a long airplane flight 3 days ago, I did wear pressure-socks up to the knee. Also, i did do some physical labor 2 weeks ago that still bothers my lower back a bit every now and then, like a brief pain shoots through.Not sure if these details are possibly related.What do you advise? Thank you in advance,Chris ### REPLY: Hi, Chris,welcome to  forum.  You have tingling in the right thigh, after a long air journey. You had hard work, 2 weeks ago, and the back is still paining.  Hi it appears that you have lumbar spondylosis, due to long journey there was a pressure on the sensory nerves coming out from the spinal cord.  You may need to have M.R.I. of the spine for diagnosis, so I advise you to consult an orthopedic surgeon for diagnosis and treatment.  Wishing for 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: Hi there, I have been battling what I believe to be bronchitis for about 10ish days now. I am on Clarithromycin and am experiencing severe bladder incontinence! I have been coughing and peeing, but now also when I am just standing urine will just leak out. Would the clarithromycin have anything to do with this? I m just wondering when my antibiotics are done, will this improve? Thank you. ### REPLY: Thanks for your question on . I can understand your concern. No azithromycin can not cause urinary incontinence. Constant coughing cancer cause urinary incontinence. Coughing causes rise in intro abdominal pressure and this can cause incontinence. So if we treat your cough, your urinary incontinence will also treat by itself. Bronchitis needs inhaled treatment, and you are not taking it, so you are not improving. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilator and inhaled corticosteroids (ICS). 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: Hi I am 29 years old, recently I was suggested by a dermatologist for my skin allergy with medicine, Terbest + Zyxal, since last three days I started this medicine, I feel tiredsome and drowsy with slight head ache, already I had cold since last week and now I have developed a heat boil inside my nose and I sleep for 6 - 7 hours daily as my routine, I want to know whether I can use any tablets for my cold now during this course, and does zyxal+terbest are the reason for my head ache, please let me know how to go about it. ### REPLY: Hi, 1. Your tablet may be Rizal and not Zyxal2. Rizal is sufficient for cold, no other medicine to be added.3. Rizal and Tersest are not reason for headache4. Please take Veteran SR 75 mg two times a day to relieve pain and Fusion cream to apply over Heat Boil.5. Add Cap Augmenting 625 mg Two times a day for 5 days. Take care. 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: The other day I hit my hand on the corner of a counter. The area I hit was on or around the knuckle of my pointer finger. Now my hand has some swelling, bruising, and there is a burning sensation through my hand when I move my pointer finger or thumb. I have full mobility in my fingers and everything, but the swelling, even though it isn t extreme, isn t just on my knuckle where I hit it. So I m a little concerned even though the pain isn t severe. The pain is pretty mild as long as I don t touch the spot I hit. There is some swelling up my pointer finger, as well as down from the knuckle to the area between my pointer finger and thumb. I get bumps and bruises all the time, but I ve never had some a simple one have such a spreading of swelling or have the burning sensation. Do you think it more than just a bruise? ### REPLY: Hi thanks for writing to  yes it can be more than just a bruise. You can have a fracture inspire of full mobility. You should follow these things:1. Apply ice packs 4-5 times day.2. Give rest to your hand by using a cock up splint.3. Avoid hanging down your hand, you can also put it in a sling4. If pain is too much, you can take anti-inflammatory like ibuprofen or naproxen.5. If doesn't resolve in a weeks time you might require an x-ray of your hand take care. Hope I have answered your query. If found helpful please rate my reply. 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: Had to go for a full body check up for a comprehensive insurance scheme for my company and the results are thus: 1. SGOT: 69.7 U/L 2. SGPT: 27.2 U/L 3. Total Cholesterol: 218.3 mg/dl 4. Triglycerides: 219.4 mg/dl 5. PCV: 48% 6. HB: 16.0 g/dl 7. WBC: 10,400 cmm 8. ESR: 6 mm/hr Saw values of SGOT/SGPT seemingly higher than what is shown online. Though the doctors didnt say much on this, and only mentioned elevated cholesterol, I seem worried. Is all ok? ### REPLY: Hi, Thanks for using the . I am happy to ad .  The normal range of values for ALT (SGPT) is from 7 to 56 units per liter of serum. AST (GOT) is normally found in a variety of tissues including liver, heart, muscle, kidney, and brain. It is released into the serum when any one of these tissues is damaged.  The interpretation of elevated AST and ALT levels (which are not significantly high) also depends upon the entire clinical evaluation of an individual, and so it is best done by physicians experienced in evaluating liver disease and muscle disease. If there are no other symptoms hence he would have mentioned only on your elevated cholesterol which could be affecting your other organs, hence control on your cholesterol and a re-test after few months can be evaluated. Hope I have answered your query. If you have any further questions I will be happy to help. 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: is coq forte good for sperm count because i am suffering for low sperm count. i am working in UAE too much hot here and also i am drinking everyday. doct advised to stop drinking and smoking and prescribed coq forte for better count. my friend told X-FERT-MF is also very good. pls give me the correct answer . after one month i am going vaccation. and i need one child. i have varicosil on my left side. pls advise me ### REPLY: Hi thanks for contacting  ..... You have smoking and alcohol habit. They can adversely affect sperm... So avoid it.... The prescribed tablet COQ forte can be taken... Zinc supplementation also given.... Here you have mentioned varicocele problem.... That itself can lead low sperm count. So correct varicocele repair surgically ..... Take healthy and balanced diet..... Fruits more..... Regular exercise one. Junk foods kept minimum..... Consult surgeon for varicocele repair. For sexual problem you can consult psychiatrist.... 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: Dear sir,i am from Malaysia and i have been a hep-c carrier since 2004. I would like to know if there are any treatment medicine which can  guarantee a  total cure for this problem. As of now my viral load count is 20,000,000 iu/ml. I have early cirrossis of the liver and my liver enzymes are more than 100.Please advice Thank youPhilo on behalf of Paul ### REPLY: Hello dear. Welcome to . I am .  I understand your concern but no one can guarantee complete cure for chronic Hepatitis C infection. You need to understand following aspects of hepatitis c infection. 1) There are many cases (15-20%) who after having acute illness gets complete cure on their own by their immunity. 2) Even in cases of chronic hepatitis as there are very good established as well as new  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 is a whole body yeast infection? I have j ust been diagnosed and have been feeling awful for agaes, ffatigue, bladder infections, digestive problems, insomnia, rashes, vaginal itch and buning that I cannot cure. How did I get such a severe fungal infection? Thank you! ### REPLY: Hello mam....(1) you are suffering from the infection of a fungus known as CANDIDA ALBICANS which is the most common yeast infection found in humans...(2) candida Africans is present in small amounts in human body in almost every human which is thus very normal BUT the problem arises when there is EXCESSIVE GROWTH of candida which may occur due to many reasons like decreased immunity/diabetes/certain . .(5) yeast infection is not dangerous until it enters blood so don't worry your infection is very well treatable (6) take a single tablet of FLUCONAZOLE 150 mg at night (7) other measures - maintain proper hygiene / don't just take shower rather stay in bath tub for 15-20 minutes as it would wash away the yeast around your genitals/clean properly until  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had unprotected with my girl friend..bt she take the I pill within 3 or4 hours after unprotected sex...bt her periods are not coming even after 40 days after unprotected sex...nd one more thing I had unprotected sex with her just after her period ends...her age is about 19....is she is pregnant ### REPLY: Hallow Dear, Let me answer your last question first. The possibility of pregnancy due to intercourse immediately after the end of period is almost nil. Since she has consumed I-pill within 3-4 hours of the unprotected sex, she is well protected from pregnancy due to this particular intercourse. I-pill is a reliable post-coital emergency contraceptive pill when taken within 72 hours of the unprotected sex. These pills have some after effects:1. Few days after the consumption of the pill, some bleeding may occur which is self limiting and does not require any medical attention. 2. The following period may get delayed by few days to a weeks time. This is what has happened in her case. However, since her periods are delayed rather for a longer period, for confirmation, she may perform pregnancy test on the overnight morning first urine sample. Alternatively, she may opt fore Beta  test. This will confirm the pregnancy status. If she is not pregnant (which is the high possibility), you may just wait for few days for appearance of her menses naturally. Alternatively, you may report to a Gynecologist for some Progestational or Estrogen+Progestational preparation for with .  I hope this helps you.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had pimples on my face and now they have left marks.what can i do to remove them? ### REPLY: Hi .dear user -welcome to . Marks after pimples are called Blemishes in medical term., this is called Post Pigmented Inflammation...it has very good treatment...1) Frequent washes of face by Triclosan and zinc oxide soap (CNIL, Acnelak).2) Topical treatment is.morning times Sunscreen lotion (Sun cote, Sunk are, or Rearguard) evening times....lightening creams i.e. Kojic acid with it C or Combination of HY . .i.e 70% 3) Inexpensive procedure...RF-Demelanizing technique... Using RF (RadioFrequency) remove all black marks after using Lightning creams .70to 80% results 4) Expensive treatment like LASER treatment...here giving 1064 nm of Q Switched ND:YAG Laser and Ideal Laser is Long and continuing mode with heavy and bulky Laser system i.e. Q Switched Ruby -carbon dioxide combination will deliver a flat topped beam utmost perfection ... now days commonly used Laser....hence choose the treatment., do accordingly... ok... good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dr. I am a desperate mother. My daughter is suffering from Atopic ezema and asthama. Now when her skin has subsided her astma is giving her a hard time. I have taken her to a astma specialist and has prescribed these medicines.the problem is not better but she is very very tired and cannot walk or stand for long. She alsways wants to lie down. The medicines are - Ketasma 1mgRabium-20Acebrophylline capsules 100 mgMontek-10 mg plus an Inhaller.Are these medicines making her tired ? ### REPLY: Hello. Thank you for asking at . I went through your daughters' history. I would like to know more about her like - What is her age? Since what age has she had asthma? Does she have allergic rhinitis (nose symptoms like nasal congestion, running nose, sneezing, etc.)? What type of inhaler is she taking? What is her frequency of her symptoms? Has she ever been tested for allergies? Does she have anyone in family with asthma? Is she regularly exposed to dust/smokes/air pollution? From your given history, I would like to make following suggestions to her:1. As per your query, Plasma (Ketotifen - an antihistamine) can cause sedation, . 2. Personally I would suggest her to check her hemoglobin levels and allergy testing for common foods and air-borne allergens prevalent in your region. I would suggest maintaining her hemoglobin around 14 go. If she tests positive to any allergy-causing substance, avoidance measures can be suggested which may help to improve both atomic dermatitis and asthma.3. I would almost agree with her treatment as mentioned by you. However, I would like to review her technique of using inhalers as if it is not correct, adequate amount of  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 small (3-4mm) lump under the skin at the base of my index finger where it meets the palm. It is not painful and cannot be seen. I m 27 years old and don t think i ve injured my hand. I do a lot of typing though (work in IT). It feels like the lump is next to, or part of, that finger joint, and as i straighten out my finger, it feels like it retracts slightly into the joint. Not completely though - it s still there even then. Quite hard to feel though - you have to use your finger nail and rub up and down the joint. If you use your finger tip, or rub the joint sideways, you cannot feel it. I definitely don t have it on any other fingers. ### REPLY: Hi, Welcome to . I studied your query. I understood Your concerns. Based on facts of your query, Dear you seem to be confused, or it could be typing mistake-that your lump seems to be painless from your history. In My opinion you seem to have a Ganglion Cyst of the base of the Index Finger, or tendon sheath or from the joint of the base of index finger. Get the USG/CT study and this would help you to treat it. Treatment-Is by Surgical Excision of the Ganglion Cyst, which is coming from joint could recur, hence through excision is needed. Hope this reply would satisfy and would help you to plan treatment with the right consultant doctor. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! . Senior Surgical Specialist M.S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im 15 and I have tight foreskin, also my Frenulum is red and seems inflammated at the Urethra opening... I feel awkward to ask my parents about it and go to the doctor to check it out.. But is there any chance that theres some home remedies for it? Thanks :) ### REPLY: **1. History provided by you requires urgent examination from a surgeon, since problem is with genitalia, most probably fibrosis/paraphimosis2.  Majority of boys will have a retractile foreskin by 10 years of age and 95% by 16-17 years of age, [15 years age of you] so even if 2 years are there, still you have to go to a doctor to straighten things out.3. Long-standing infection of foreskin [balanoposthitis] may also lead to said condition of contraction. [so surgical opinion/examination is necessary PS. A swab may be taken to confirm the nature of infection4. Since it is an urological emergency, thus do not try to reduce/manipulate yourself, seek medical help.PS. Failure to remove the constricting band will result in necrosis of the glans. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 petechial rash on my inner thighs and am having a lot of join pain in my hips and knees. What could cause this? I am a 68 year old female who has had colon cancer and melanoma of the left eye both have been treated and arrested. I have also been have approx. yearly injection in the left hip for bursitus pain. ### REPLY: Hi, The petechial rash could be due to a bleeding abnormality. Bleeding abnormality, in turn, could be a primary disease or could be a secondary effect to an autoimmune disease. Also, make sure that you are not on any .  Hip pain and petechial together may be associated with an autoimmune disease or could be not related to each other. I recommend you to consult your Dermatologist as soon as possible for further workup. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have fibromyalgia and chronic headaches since I was born and tonight my migraine feels super bad. Myhead hurts on every part of my head all the time, but the major pain is on my right side and right jaw.The pain has been on going for an hour.I have taken a bc powder about thirty minutes ago. I also took my usual nighttime meds which are two Zzzquil liquid caps, 2.5 mg of Melatonin, a probiotic, and a fish oil. Advil and Ibuprofen do not work on me as do similar medications. Should I just go to sleep and see how I feel tomorrow? ### REPLY: Hello ! I understand your concern. I would recommend you to take an antidepressant like Duloxetine if you don't have problems with your sleeping. If you have problems with sleeping I would recommend Amitriptyline or Fluoxetine. Amitriptyline can cause constipation, hypotension, heart problems and an EKG should be done before starting treatment. The treatment with one of these therapy should be started slowly, with gradual increase of the dose up to an optimal dose, and should last for at least 3 months. During this period you can keep taking occasionally also Acetaminophen or Ibuprofen for the pain. I am sure it will help you a lot with your body pain and headaches. Hope to have been helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Since yesterday evening I have had a numb finger tip on middle finger of left hand. It also goes slightly done the sides of that finger. It feels a little like it might spread to the other fingers on the hand. If I touch anything withthatfingeri get pins and needles. Started after carrying some heavy shopping. What is it? ### REPLY: Hello, As you carried heavy shopping bags this has led to a spasm of the muscles leading to nerve entrapment and so does the symptoms of tingling and numbness.  Doing hot water fermentation to the cervical spine, an exercise which includes strengthening of the muscles of the neck and triceps is advised. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a large what I think is a sebaceous cyst in the middle of my back. I ve had it for a few months. The past month it has gotten bigger (ping pong ball size) and it is sore. Today I rubbed it and some clear and then slightly bloody liquid came out. What should I do to treat it? Thank you ### REPLY: Hi, Dear,Thanks for your query to  virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns. Cause of the health problems you queried-There are many causes of the lump in the middle of your back-like Sebaceous Cyst(with a central puncture or pit)/chronic Boil with subacute/asymptomatic lump/Epidermis Cyst/Fibrous/Lipoma etc. As the clear fluid came out of it with bloody liquid coming out later on, it is to be worried and needs to be ruled out for the tumor possibility and Hence I would advise you to consult ER Surgeon.-Cause of such a lump which got sore after rubbing, seems to be Sebaceous Cyst, which got clear fluid from the rubbing trauma with blood in it, which caused clear fluid with blood in it. But it is necessary to rule out other causes of such back lump.Also, I don't have any first-hand information or a photograph of the part. So I suggest you to consult ER Surgeon, who would rule out other causes and would treat it according to the cause of this sore lump in the middle of the back. Remedy-So till the time you consult ER Or tho Surgeon and get his definitive opinion after above investigations, DONT WORRY AT ALL but you need to be worried as it would complicate into some infection and other problem associated with it.In the meanwhile, Cold Compresses to reduce any swelling rise. Take Anti-inflammatory .  Hope this would resolve your query with full satisfaction. Welcome for any further query in this regard to ME by direct question at . Write excellent review and hit thanks, to narrate your experience, which would improve my rating for many other visitors to . Wishing you fast recovery. Have a good day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Do I need to pay for this service?  Im a 298 year old woman.  Became obese in the past year - gained 40 lbs.  Having tightness in my chest, and am easily fatigued.  Having some shortness of breath but not bad.  Some heart burn.  My shoulder and neck are hurting.  Ive had these symtoms on and off for the last couple of months.  Dont know if Im just having some sort of anxiety attack as Ive been depressed lately. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Tightness across chest, easily feeling tired, having shortness of breath, heart burn and neck and shoulder pain are all common symptoms of anxiety and stress. But they are not the symptoms of anxiety alone. Therefore, it will always be useful and helpful for you to consult a general physician and get advise. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am terrified that I have a mental illness, I am a mother of 7, 3 are biologically my children 4 are my step children, I have never been without any of my children for more then a few nights and this year for the first time they are all gone at the same time for 10 days. I am lost, hopeless, directionless, and it is only night 3. is this my own anxiety or something more serious? The last time I felt this way was 2 years ago when my bio childrens father got 3 overnights a week, I never got better, just shut down until they were home until my step children moved in, then I was still mom and was able to cope or forget that some were not here. ### REPLY: Hi, Thanks for using . I have gone through your history. You may have mild adjustment disorder for which you may consult psychiatrist for detailed evaluation and management. Doctor may advise you to go for psychotherapy and counselling sessions to control your stress. You may get benefit by doing stress management, relaxation exercise like yoga, meditation and breathing exercise. In extreme cases, doctor may prescribe antianxiety agents like clonazepam or alprazolam or anti depressants Ike paroxetine. I hope It will help you. Thanks. ### END