Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 21 month old has just woken up crying. We ve picked her up to realised she s very warm (she was sleeping in long sleeved vest and fluffy sleepsuit). Stripped her off and she threw up which is her pattern when she gets too hot. Taken her temp - 38.2 . top half of her body normal coloured but legs, especially calves ankles very red, ankles and feet almost dark red. They seem to be fading now whilst she lays on my husband in a horizontal position. She s had a few sips of water and is now laying quietly crying / moaning a bit. She s just asked for her toothbrush so I guess she s cooling down..... just overheated? ### REPLY: Hi, I feel that it is a viral illness and at the same time, this type of differential coloration of the limbs could be because of the differential blood supply in the limbs during a high fever. I suggest that you give her Ibuprofen and Tylenol alternately and if the is getting better you can stay put. But if she is having low urine output poor oral intake or respiratory distress or dull and lethargic then she will require medical attention. 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: hello doctor last year my dad got chest pain and taken to apex hospital and doctor said he is having heart attack and was given treatment after one weak he was discharge an after 2 month he started his job but the problem is after cming frm job dad says he is tired getting lots of stress so yesterday he went to suchak hospital dr ramesh kawar tested him he had done tmt test and said that ur heart is ok u have muscular pain because of that ur having problem question is that by tmt test u can clearify that heart is in good condition and no heart disease problem is there ### REPLY: Hi, Thank you for your query. TMT is a good test to screen for heart disease. However, it is not a gold standard and the patient needs to be further evaluated by doing an Echocardiography. If both Echocardiography and TMT is normal, then further test may not be required subject to normal clinical findings and your doctors' advice. So, I would advise you to get an Echocardiography done for your father and let me know the report. 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 m really sick with something and I dont know what. I ve been having bad allergies lately but I get them every year. Last night I went to town and couldn t finish driving home bc I felt sick. My friend drove me home. I went directly to bed. I don t know how to explain it but every time I closed me eyes I could see things in my head. I was fully aware and awake but it was kind of like I was hallucinating. I had a fever but it wasn t really on my head but on my back and stomach and legs. I kept catching myself twitching. I don t know what it wrong. I took some Tylenol and finally got to sleep. This morning I have a headache, feeling a little dizzy, and I have a sore throat.. (I ve had it for about 2 weeks.. I figure it s because of my sneezing so much.) Does anyone know what could be going on?! ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Simple hallucinations are possible due to continuous extreme stressful situations. You must introspect regarding your stressful situations and find a remedial action. For the time being, you should consult a physician for treatment and then think about going for a fortnights vacation with your family. 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: Hello I have bee severely depressed f or eight months, anxiety anger,guilt fear ,I have been taking Zoloft and gabapentin it seems to agitate me more,I used to take Ativan for many years and narcotics for severe pain relating to several bad fusions and a titanium plate,been t several doctors at emerg and walk in clinic who no longer will prescribe my old regular medications to cope,I moved from my home town and the confusion ,frustration,accusations began, five years ago,now iam sixty alone and afraid of what would happen should I be hospitalized, trazodoned, or something worse and disappear as a vegetable,I ve been to mental health who gave me ability to no avail.i have been on cilopran and others no changei have along history of fibromyalgia low thyroid headaches and never feel rested and secure,I live in canada and resources and options are limited, frightened I,ve been treated horrifacly a few times and afraid of what they will do ,or prescribe.d o you have any enlightening advice.my world is crashing in losing everything that was once dear and necessary,all because I moved and left my home where I was safe but can,t goback now. Any illuminating thoughts .?go ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I am not so happy to read your thoughts. You are 60 and you have life experiences. Every incident in our life, whether negative or positive, teaches us a positive lesson. In that sense whatever happened us is supposedly taught us a lesson for our future. We live today. Not in yesterday. There is no surety that the same thing will happen again. So approach future with positive might, because THERE IS NO ALTERNATIVE. If you are apprehensive about your future, you also lose your TODAY. I am not overlooking your illnesses. You are supposed to have learned by now, what are your problems and started living according to the situations. Once you start adjusting with the problems, cure starts. Forget medicines, concentrate on life. Psychotherapy is the answer. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. 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: hello doctor i have a problem of varicocelectomg but i dont have a child in my family my is in india so hw can u help me or guide me at this moment doctor told me that i have to go for laser operation so is itimportant for this laser operation for me i am 39 yrs old n my wife is 34 yrs old she is in india right now after two months i am going to india what is better for me ### REPLY: Hi, Thanks for writing to . Varicocele is not a proved factor in infertility.  But those having low sperm count with varicocele then its surgery helps in improving sperm count. There are many ways to get surgery done.  Like open varicocelectomy or laparoscopic or laser. All have shown same result. But in laser scar will be less, but it will be more costly.  One thing you should remember is after surgery chances of recurrence will be there and also fluid may collect in scrotum which is called HY . So you can choose to depend upon your needs. Hope I have been helpful. Regards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I m a 48 year old woman having heart palpitations, shortness of breath, but at rest, not during exercise. Weakness , fatigue, weak legs. This has started the past three months, also sort of depressed. I m a light smoker,( I calculated I have about a 6 pack year history) and I jog 3 times a week. I m worried I have lung cancer , or is this perimenopause? ### REPLY: Hi and welcome to , thank you for your query. It is hard to say, but lung cancer is the last thing to think since it is not so common disease and there would be some other symptoms. It more likely indicates heart disease or some other benign lung disease. Perimenopause symptoms may be similar as well but I suggest seeing cardiologist and vascular internist first to rule out heart diseases. Wish you good health. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: docter i think i hav sum prob with me.... frm my childhood i m soo tired nd energyless.. i dnt feel like doin any work and 2day in my collage my teachers told me do u take drugs.. which was really hurtin i dont hav such habits... but i b like ppl who take drusg :(  m sooooo  tired nd energy less nd m 17 years  my weight is oli 48  ppl think i take drugs so i am like this... plz tell me wt is wrong with my body :( ### REPLY: Hello....... Thanks for your query. Based on your history I would initially like to rule out the following:1. Thyroid disorders2. Anemia3. Other endocrine causes the above disorders are ruled out, a thorough psychiatric evaluation would be required to rule out:1. Dysthymia/ chronic low grade depression2. Depressive disorder3. Personality disorders can be followed by suitable psychotropic medication or psychotherapy techniques like CBT/ Cognitive behavioral therapy as required. Active lifestyle, healthy diet and meditation might be beneficial. Wish you good health. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: a small lump has formed near my anus region, though its not visible but it can be felt when pressure is exerted when passing stool and has to be manually pushed inside, i am just 24 years old and due to crazy working hours i eat out daily, is it an external hemorrhoid ??? ### REPLY: Hi, Dear,Thanks for the query to . I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have Intero-External piles. Treatment would be-by High Ligation Excision by heamorrhoidectomy by your ER Surgeon. Consult Er Surgeon who would treat accordingly. So don't build up wrong concepts and self-medicate your self which would increase risks and costs to you.Instead, just ask a query to  and be comfortable to resolve your health issues. Welcome for any more query in this regard to . Write good reviews and Click thanks if you feel satisfied with my advice. Have a Good Day. . N. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, ive recently been taken to hospital because my i couldnt raise my legs, i had a ct scan which was clear, and then had a blood test which showed high gamma gt 690, high phosphates 390 and white blood cells, i have very sore muscles and my bones seem to ache, i feel sick constantly and have nearly fainted on 3/4 occasions now, can u spread any light? my tolieting is normal colour and im not constipated, although my upper abdomin tends to bloat my the end of the day. ### REPLY: Hello, I would explain that it is necessary performing an abdominal ultrasound in order to examine your liver and gallbladder for possible stones. Regarding the leg pain, I would also recommend checking complete blood count, PCR, and ESR for inflammation. A viral infection could trigger all this clinical situation. Nerve conduction studies may be needed, if you feel numbness in both legs in the next days or your situation does not improve. 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: As per the CT Scan of KUB without IV contrast - NO Calculi in right kidney. Mild to moderate degree dilatation of pelvicalyceal system and proximal ureter noted on right side with evidence of small (6.8mm) calculus in right proximal ureter. No calculi/hydronephrosis noted in left kidney - Is this require any surgery or can get rid off with medicines. Does it require immediate action. Kindly clarify ### REPLY: Hello and welcome to . The CT scan report suggests a stone between the right kidney and bladder. This can be treated medically, for about 7-10 days. If the stone doesn't cause recurrent severe pain episodes, fever, bleeding, vomitting, etc. If it does cause these symptoms, just stenting and medical treatment is also possible, as the size is 6.8 mm. Medical treatment is intake of about 15 glasses liquids daily in adults. Anti-spasmodics, and smooth muscle relaxants. Repeat the ultrasound scan at 2 weeks, then decide further treatment. You may send the report to me, for my expert opinion, as a direct question. . Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, My son aged 19 is suffering from Jaundice . His SGOT is 700 and SGPT is 300. His biliburn is 6.4. My question is when SGOT and SGPT reduces then will Biliburn will also reduce. M. K. Gupta ### REPLY: Hi welcome, SGOT, SGPT and the bilirubin level are all coming under LFT once the function of liver will become normal these will come to normal level.Mr Gupta the best available treatment for this (jaundice) will be in Ayurveda. You approach a good doctor at your area along with the medication you have to take some precautions also1-avoid salt2-avoid oily and fatty foods like oil intake3-take rest for minimum 1month4-check the level once in 3weeksif you didn't get Ayurveda doctor at your area contact me with details, i can give you best medicineschristyjoseph1@gmail.comtha ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 unconjugated bilirubin reading is abnormally high, while the conjugated reading is normal. Besides, all other liver function indicators are normal. I had my gall bladder removed several years ago too. What do think is responsible for this unusual readin. Olayinka ### REPLY: Thank you for posting query. Noted that you have abnormally high conjugated bilirubin. Increased bilirubin is termed as Jaundice. Bilirubin is conjugated in the liver. Bilirubin is derived from the breakdown of heme. Hemoglobin is a complex protein found in Red blood cell that plays important role in transport of oxygen/CO2 from lung to tissues and vice versa. Increased breakdown of hemoglobin will lead to increased heme production and ultimately increased bilirubin. These abnormally high bilirubin can NOT be conjugated by liver and circulate in blood. Therefore, high conjugated bilirubin indicates "Hemolytic Anemia" (abnormal (increased)breakdown of red blood cell.) You need to do following test:Complete Blood cell count (CBC)Peripheral Blood Smear Lab results maybe posted here or visit your treating physician / hematologist/ hepatologist.my name" . You may also put a "direct question" to me via this portal or by contacting  admin. Any further questions are welcomed. Wish you good and sound health. Regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a lump on my collar bone for as long as I can remember, I am 17 as of now. Now the lump is getting bigger and now it is painful to the touch. The lump is about a half an inch and is located on my left collar bone. And when I touch it, it moves around. Im not sure what it is, can  you please help me? ### REPLY: Hi! THANKS FOR YOUR query regarding the painful mobile long-standing lump on your left collar bone! Well, as per my experience on the final diagnosis or tissue diagnosis following biopsies of such lesions, I could consider following possibilities in your case:1. An infected skin cyst like sebaceous cyst, bronchial cyst, lymphatic cyst etc2. Inflamed lipoma, neurofibroma or dermatofibroma etc.3. Thyroid cysts like colloid cyst etc4. Acute on chronic lymphadenitis could be related to tuberculosisTherefore, you need a needle biopsy for the confirmation; please ask your doctor today! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is real sore in his legs,back and stomach. also has diahrea. He is on dialysis 3 times a week he has had a bypass and he has COPD. He has also had 2 hernia patchs done and he says it hurts the way his hernia did? He is very stubborn and its hard for me to get him to go to the hospital. What are the possible problems. ### REPLY: Hi. Thanks for your query and an elucidated history. The possible problems are :-The recurrence of the hernia as the patches are held only if the muscles are strong, which is difficult in a Renal failure patient. -The diarrhea and pain in stomach, back and legs is suggestive of an intestinal infection.-Since is he on dialysis 3 times in a week, he must be visiting the hospital three time in a week. You can consult a Surgeon in the nest visit, there is no question of being stubborn. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 stung by a bee yesterday and was feeling ok afterward.  This morning most of my body aches, including glands around my waist and I have very little energy.  I dont feel nauscious but my appetite is gone.  could this all be side affects of a bee sting? ### REPLY: Hi, Thanks for posting in . I understand your concern. Kindly do the following to overcome the symptoms:1. Remove the Stinger by scraping the area with a fingernail or by using tweezers to remove it. Don't pinch the stinger as it would inject more venom.2. Control Swelling by keeping ice-packs on the bite area. If the site is your arm or leg, you need to keep it elevated.3. Treat Symptoms (a) For pain, take an over-the-counter painkiller like acetaminophen or ibuprofen. (b) For itchiness, take an antihistamine like loratadine or cetirizine. You can also apply a mixture of baking soda and water or calamine lotion. It might take 2-5 days for the area to heal. Keep it clean to prevent infection. Hope the information provided would be helpful. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my mom is 60yrs old and recently i came to know through Brain CT Scan that she is cortical and sub cortical atrophy,infarcts involving bilateral MCA territories, predominently on left side. Please help me I will be very thankful to you.Hope to recieve reply soonThanks ### REPLY: Hello, Your mother brain CT findings are indicative of chronic changes to the brain vessels and also repeated strokes. For this reason, I would recommend performing a Doppler ultrasound of the carotid arteries, a cardiac ultrasound and a resting ECG. It is necessary check her blood lipid profile too. A blood thinner is necessary to prevent further strokes or aggravation of her situation. It is also necessary to maintain her blood pressure and blood lipid profile under control. 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 am taking progyluton and my breasts have been tender since my last period and it has not gone away. I am now on my 3rd pack of progyluton nd I get headaches and nauseous feeling and now i am experiencing tummy cramps. are these signs unusual? could i be pregnant? or what? ### REPLY: Breast tenderness, headache,nausea and abdominal cramps are common side effects with progyluton. If the side effects persists even after using for three to four cycles, kindly visit your gynecologist for alternate . Many low dose and newer contraceptive pills like desogesterol are available which has lesser side effects can be tried. Hope that was helpful. Let me know if I can assist you further. 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: sharp abdominal pain I have lower abdominal pain its sharp. started under my belly buton and if a squeeze on my left side it hurts. have not gone to the Dr. ### REPLY: Welcome to , Symptoms of sharp abdominal pain below belly button can be due to a variety of causes. Depending on your age and sex, the causes could be intestinal or genitourinary or even musculoskeletal. It is important for you to get an ultrasound abdomen, especially at the episode of pain. You must visit a general physician who will relate your symptoms with periodicity, if any and perform a proper physical examination. 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: Good day doctors, I workout regularly, looking forward for gains now. So I thought I ll run a testosterone enanthate cycle ( 250 mg x 2/week for 8 weeks) + provironum.but I m worried about dht and estrogen. Kindly advice on what to take to keep these two at bay while I run the cycle ### REPLY: Hi, Note the much larger elevation of blood DHT with transdermal testosterone administration compared to injected testosterone. Studies have shown that supplementation of 5-Alpha Reductase inhibitors to reduce the DHT levels may lead to not much use unless you're suffering from prostate hypertrophy or malignancy. So don't worry about it. But take care, and please take the above medication under your doctors' guidance. 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: My cousin 48 Yrs old got operated for bypass four month ago,2 wks b4 we found he suffering for Hepatic B.His Bilurin increased to 10 & SGOT/ SGPT level above thoused. Now after 2 wks his bilirubin reduce to 1.8 but SGPT & SOPT levels are around 500. Does SGOT/SGPT reqd more time to drop to normal? What diet you suggest? ### REPLY: Hepatitis B positive with SGPT and GOT suggests acute hepatitis B. SGPT and GOT would take 2-3 months to come down, however as long as he is asymptomatic there is little to worry. What is worrisome is a chronic carrier state that can develop in a few patients. Have Bag re-checked at 6 months with ELISA. If it is negative, there is little to worry, if it persists - we need to do further tests. Also have close family members checked for Bag and if they are negative they must take Hepatitis B vaccine for prophylaxis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had throat infection, cough and fever two weeks back. consulted doctor, took medicine and alright in couple of days. Since then I am feeling week and tired for almost two weeks. kindly advise me what could be the problem ad what I need to do next. ### REPLY: HelloWelcome to  Its good that you are worried about your health. When our immunity is down means when we are not in a position to fight bacteria and viruses than different infections occur. Because of infection and low immunity, you will feel weak after recovery also.  .  Honey is anti-infectious so take with lemon juice. Take fresh air, keep window open and live in warm room. Take too much veg soup when you feel great. Do minor exercises and take proper rest. 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: hello i occasionally have blood in my stool and am having severe trouble sleeping, only being able to when my body literally runs out and cant go any longer with out. i can end up staying awake for a couple of days at a time and when i do finally sleep it is usually only for a few hours..... i am under a lot of stress in not being able to find a job perhaps this is related. could the mystery blood be a culprit of exhaustion, if so are there any non pharmaceutical remedies for sleep loss... thank you ### REPLY: Hithanks for using  Blood loss could lead to anemia which can cause easy exhaustion. For this u should get ourself properly evaluated to find the cause and get the treatment accordingly. Consult a gastroenterologist for further help. For sleeplessness, if u don't want to take sleeping pills, there is some relaxation exercise like JPMR that would help u to get sleep and keep u calm even under this stressful period. 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: Sir, I am Mrs  Vanaja Devadoss, 62 years of age, diagnosed for Diabetes II and high BP. I am on a regular dose of Glycomet SR 500 ( 1/2-0- /1/2 ) and Covance 50 , 1 per day morning  along with supplements for iron deficinecy ( Bisfer XT 1 per day ) , Mecoblend ( 0-1-0) and also Eltroxin 100 (1 morning). About a month back, on a visit to our native place , a village in Tamil nadu with mosquito menace, I developed dry cough which became noisy and worse ( barking type ) and one day morning, it was palpitation with heart beat 190 p.m. I was on observation with  monitor and adenosin injection IV in ICU,  and was discharged that evening with the following additional medicines to take for a long time : Calaptin 40mg ( 1-1-1) , Pantocid ( 1-0-0) , Rabium DSR 20 (0-0-1) Montec LC ( 0-0-1) and Teczine ( 1/2-0-0) . More than a month over, the cough is still not subsiding and becomes aggravated on lying down especially by night leading to loss of sleep- too many medicines now- what shall I do ? ### REPLY: Hi, Thank you for your query. I can understand your concerns. It seems that you had an attack of paroxysmal supra-ventricular tachycardia (palpitation with heart beat 190 p.m. controlled with adenosine injection IV)-now on oral Clapton (verapamil 40 mg) three times a day. Since you have cough at night while lying down. Your basic problem is cardiac(incipient left heart failure). You need to undergo 2-D Echocardiography to evaluate pumping action of your heart and diuretics like furosemide may 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: I want to stop taking low dose metoprolol and avalide...My bp is generally below 120/80... I am 5 5 , 150 lbs and 72 yrs old. Can it be controlled by Co10Q, magnesium and hawthorn berry?...and what dosages? I would rather do natural, than medications ### REPLY: Hi Thanks for posting your query.  There are no documented evidences that either Co 10Q, magnesium or hawthorn berry. So I don't recommend you to stop BP medications and go on these.  Instead, what you can do is continue your BP medicines, start taking hawthorn berry, keep doing aerobic exercise and follow low salt diet. Keep a track on your BP. If It's anything less than 120/80 ask your doctor to reduce the dosage of Valid. Keep continuing your diet and exercise and after 1 month of reducing the dosage of Valid if your BP is still less than 120/80 ask your doctor to stop Valid.  After 2-3 months the same can be tried with Metoprolol. Warning : NEVER STOP BP MEDICATIONS BY YOURSELF. IT WILL CAUSE REBOUND ACCELERATED HYPERTENSION. Any clarifications feel free to ask. Happy to answer. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve had a low grade fever for 2.5 months now along with headaches lasting a few days to a week and fatigue. The low grade fever is 99-100.2. I ve seen my PCP and had blood with ruling out infection including anaerobic infection and autoimmune disorders. He has referred me to an infectious disease specialist but the wait is a few weeks and I m worried to wait that long. There has been no mention of what it could be. OTC pain management doesn t help the headache or bring down the fever. Does this sound like cancer? All I can think of at this point is chronic fatigue syndrome or cancer. I also spoke to a nurse and told her about the fever and she simply said I don t have a fever and to take Tylenol even though I told her it doesn t work. The headaches are from a dull ache to throbbing. I recently even got glasses to try to help the headaches and nothing changed. Please give me advice. ### REPLY: Fever is defined as temperature greater than 100.1 Fahrenheit.  Check to see how high the temperature is and if it is highest during daytime, nighttime, or every couple of days.  Have you travelled anywhere during the last 2 months? Some infectious diseases are more common in certain areas.  Have you taken any new medications?  There is a possibility of .  Chronic fatigue does not cause a fever, so that can be ruled out.  Do you have any other symptoms such as rash, itching, stomach pains, etc. You are correct that some types of cancer do cause a fever, but those conditions are pretty rare? 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 am 43 years old and have been going to a chiropractor for 1 year for my back pain.  I was told when I was in High school that I did have a curvature in my spine but they said it was due to me playing sports and carrying my backpack.  I have never had a back injury.  Have worked since I was 7 years old, picking potatoes and working on a harvester in Northern Maine.  All of my jobs have had some heavy lifting and  alot of standing, have never had a sit down job.  What do you think I can do to help maintain my back pain?  I have to go back to the Chiroprator at least once a month.  I do work as an Orthodontic assistant currently which does not help the back pain.  Can you help me? ### REPLY: Lifting heavy weights and prolonged standing can cause chronic back pain. If you have severe pain now take painkiller till the pain subsides. As the pain subsides start on physiotherapy if the pain does not recur continue physiotherapy to strengthen the core back muscles and abdominal muscles along with lifestyle modifications like avoid lifting weights, avoid squatting and prolonged standing. If the pain recurs then you need to visit a doctor get x-ray and MRI scan done to isolate the pathology and treat 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 doctor i m having pcod for the last 4 years. i have clear tubes and the problem is this my periods are iregular and this month the egg size is 20mm on 12th day and the same is ruputured on 14th day. my husbands semen report is good. is there chance to become pregnent this time. i have no issue and history of one miscarriage 4 years ago ### REPLY: Hi, You have 20 mm ovarian follicle/egg size, and it was rupture at 14th day. It suggests ovulation is occurred. Follicle size of 18-21 mm release the best quality egg, and it has high chance to become fertilize by sperm. So there is high chance of pregnancy in your case as semen report is good. You can ask gynecologist for progesterone pill as it will make uterine environment favorable for implantation and support pregnancy. Avoid stress, take healthy diet, . Hope this may help you. Contact further if follow up needed. Best regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I need help! I ve been taking the mini pill(cerazette) for 2 months. two weeks ago i took my pill 15 hours late and now i am feeling like i m pregnant. I ve been urinating a lot and feeling pain under my stomach. I have taken a home pregnancy test 2 days ago and it came out negative. ### REPLY: Hi, Cerazette is a newer mini pill and its 99% effective if taken correctly. It has a window period of 12 hours, that is if you take it 12 hours later than the usual daily time it is still effective. You had a delay of 15 hours, but you did have a negative pregnancy test. You could repeat the urine pregnancy after a week to confirm that you are not pregnant. Also pain in lower abdomen and frequent urination could be a sign of urinary tract infection, you should get a urine routine and microscopy to rule out infection. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good day, my 2 1/2 month baby is bringing out her tongue every now and then even after eating, she cries and dont sleep much. and stopped bottle feeding and want the breast instead. then today she had a green poop but previously had a poop yellowish but when washing i felt it silky dont really no how to put it. pls is it possible she is teething because am becoming scared. thank you ### REPLY: Hello, I can understand your concern. As you have rightly assumed, your daughter is going through the teething process. As new teeth are erupting in her mouth, she feels uncomfortable with the new feeling in her mouth. Because of this feeling, she is sticking out her tongue repeatedly. As she will get used to teeth in mouth, she will stop sticking out her tongue. She might experience excessive salivation and . In addition, because of the irritation in her mouth and sore gums, she might be into habit of putting very odd thing that she can reach into her mouth. This causes stomach infection in many kids. Your daughter might have the stomach infection, too. Her excessive crying, screaming and sleeplessness can also be attributed to teething process as she herself is annoyed and irritated with the process. I would advise you to visit a pediatrician if she develops diarrhea, and you can apply Travel on the sore gums to make teething little easier for her. I hope this information 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: Green watery stool once in a day for a 2 and half month who is more a formula fed and less breasts fed. First month his poop is yellow like normal formula fed babies have but from one month his poop is green and we are giving folic acid drops and d3 drops, he has gas and hiccups.. ### REPLY: Hi, green color stool in a 2-month-old child is normal, but this should not persist for a long time. Green color of stool occur because of less transit time of milk in intestine. As a result of less transit time of milk the bile which is released from gallbladder is not fully reabsorbed resulting into green color of stools. But if the green color of stools persist for a long time then chances of infection are there. For gas problem give colic aid .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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.. For past six months my father keeps his right foot in continous motion....for this dr has recommended valprol cr 200 and Deplett 75 ...will it b helpful since reading online i com to knw that vlprol is used fr epilepsy ...his mri report indicated gliotic changes in perinventricular white matter of left frontal lobe and body of corpus callosum , likely old ischemic and few small discrete and confluent areas of hyperintense signal intensity on FLAIR/T2W images suggesting ischemetic demyelination in periventricular and subcortial white matter of bilateral cerebral hemisphere thanx ### REPLY: Hello, Thanks for the query, I understand your problem Before I respond to your question, let me tell you that the management of epilepsy depends upon the cause and the type of epilepsy. The type of epilepsy that your father has will respond better to medications like carbamazepine, Oxcarbazepine rather than Valproate. The idiotic changes in the left frontal lobe is responsible for the epilepsy. You may consult a local Epilepsy specialist for the opinion.  Hope this clarifies Best wishes .  .com/doctors/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,   My name is Paulo, Im 28 y/o, pretty good health, allegies just to the season or weather, not major allergies problems.My problem is that i have fungus on my feet and i have tried many thing over the counter but they dont go away, they started between my toes but now the problem is not there anymore is on my toe nails what can i do? ### REPLY: Hi Mr. Paolo, Welcome to . Fungal infection of skin and nails are commonly caused by dermatophytes which affect skin, hair and nails. Based on the details mentioned in your query, I am suspecting Tania FEDIS infection whicChatDoctormonly affects feet and skin between toes. This is common in people who wear tight shoes and in athletes. I suggest you get a fungal culture done of the sample from your foot and get antifungal therapy based on that result. Keep your feet clean and . Avoid tight shoes. Antifungal therapy has to be taken for at least 6 months to prevent recurrence. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I have what I m sure are Fordyce spots on my lady region. I noticed them about a month ago, but I wasn t sure what they were. Now I realize they are quite clearly Fordyce spots all over my labia majora and minora. I ve done my research, so I m not terribly concerned about them. However, over the past two days my lady region has been slightly itching. I was wondering if the Fordyce spots could possible have anything to do with it, or if there s another reason for it. Thanks ### REPLY: Hello, Welcome to , Fordyce spots are visible sebaceous glands that are present in most individuals. They appear on the genitals and appear as small, painless, raised, pale, red or white spots on the labia. These are not associated with any disease or illness, and they are non-infectious. No treatment is required unless the individual has any cosmetic concerns. No treatment is required for Force spot except for cosmetic removal of labial lesions if the individual wishes. I would suggest you to consult a dermatologist to confirm the diagnosis of force spot. This can be treated by laser treatments such as CO2 laser and electron desiccation have been used with some success in diminishing the appearance of this condition. Inflamed glands can be treated by topical application of ointment clindamycin. 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: good morning sir i m a 41 year old man due to my personal problems i got vasectomy(2001) operation later my wife died and i married again now i want children for which i got recanalisation in the year 2005 later i came to know my operation was not successful (bcoz my sperm count was zero) later i got operated again(in 2009)now my count is 3million (20%motile) now i met andrologist he asked me to use capsules MiraQule 100mg for 3 months i would like to know any negative impact on my body after using the tablets and for IUI how much count i need to have and how can i improve my sperm count ### REPLY: Hello if you have a count of 3 million, it means the surgery has restored the patency of vas deferens. Now we have to see the process of production of sperms by testis. I would suggest getting a color Doppler study of your scrotum to see if there is a varicocele, and FSH level in blood to see the functionality of testis. I have not seen scientific evidence for Miracle. For GUI, 12-15 million per cc of grade 1 and 2 sperms are needed. You should avoid smoking, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Recent MRI of brain states there are multifocal patchy areas of T1 Flair and hyperintesity in the periventricular white matter, a few of which appear pericallosal, for example series 3, images 6 & 7. There is a moderate burden of these lesions. Abnormal high signal is also noted in in a band like pattern about the 6th general capsule of the basal ganglia on the left. Also states there is a prominent T2/Flair signal change in the right perialtrial region... right periatrial region. Mile to moderate burden patchy perventricular white matter disease, nonspecific. Some of the lesions arepericallosal...possibiltiy of ms/demyelating diseas not excluded. I don t think the neurologist I went to thought that I was smart enough to ask the front desk a copy of my MRI rept....He didn t discuss any of this with me....He told me there were no changes, but then said he had nothing to compare the MRI to. Please note in 1992 it was noted that I had lesions....I was only 41 then, so I am thinking I probably even had lesions before I was 40...so it should not have been an age related situation...my email address: YYYY@YYYY . Thank you Regards Lori Langton ### REPLY: Hi, Thank you for posting your query. I have noted your MRI brain findings. The most likely cause for your lesions in brain could be ischemia (lack of blood flow to brain). This is more likely if you have risk factors such as high BP, sugar or cholesterol. The other common cause is migraine, and multiple small hyperintense lesions are common in patients with chronic migraine. Multiple sclerosis could be also be considered, however, it needs to be correlated to your symptoms. We also need to know if there are any contrast-enhancing lesions or any spinal cord lesions. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, . Ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has been diagnosed with a brain stem tumor. He has been taking gnu for 3 sessions and is receiving avastin treatment biweekly. He also has a shunt in his right side. He is experiencing pain in his ankle and muscle spasm when he walks. Any ideas if this related to the tumor or the medication ### REPLY: Hello ! I read your question and understand your concern. A brain stem tumor can cause different symptoms, like troubles with swallowing, breathing, spastic paralysis of four limbs, imbalance and problems with the gait, double vision, facial numbness, loss of hearing, raised intracranial pressure causing headaches and loss of vision etc. I think that the muscle spasms when he walks are related to the spastic paralysis from the brain stem involvement from the tumor of from the brain damage from high intracranial pressure (you refer that he has a shunt for this problem). This is a very common symptom in cases like this. I don't think that the muscle spasm are related to any medication. So I would recommend a lot of physiotherapy and stretching for the muscles. Baclofen would be very helpful if the pain is severe and the muscular contractions are interfering with his daily activity. Hope to have been of help! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was treated for h pylori and unfortunately thought everything would go back to normal. I drank this past weekend and now I am hurting all over again. My doctor says it is gone but why are the symptoms still here and what can I do to make it better ### REPLY: Hello, Welcome to , and thanks for your query. The treatment for H. Pylori is a triple regimen which include a proton pump inhibitor (PPI) and two antibiotics. If the doctor has given you these, and you had taken them regularly, then you probably do not have it. The way to make sure that it is gone is to do a urea breath test after a month of the treatment. If your pain recurred after . Pylori. So my suggestion would be to do a urea breath test and if it is negative, keep off alcohol and take a PPI for 1 month to help the gastritis heal. I am available if you have queries, Wish you good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an ultrasound performed and it stated my liver was slightly enlarged at 17 cm. I am 31 years old female and rarely drink. I quit smoking over 4 months ago. I am not on any particular medicine except lo loestrin birth control. I am 54 and weigh 158. I walk and jog everyday. Everything else on ultrasound and hida scan were normal. ### REPLY: Hi and welcome to . Thank you for your query.Enlarged liver can be found in healthy people and this doesn't indicate any pathology. If there was no other lesion or you don't have any symptoms you should not worry at all. Holstein has some liver side effects such as adenoid and raising LFT, but this is rare and benign. You should just do once a year US follow up and that's all.  Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have had prickly sensations all over my body including my face for about 4 weeks now. The feeling sometimes makes me want to itch but not severely. I get very anxious and worried and the problem seems to get worse when I do. I started working out which makes me feel better but I ve also noticed muscle twitches for the last few days all over my body as well. No cramping, weakness, ect. ### REPLY: Hi, You may be suffering from anxiety neurosis or panic attacks. Other possibilities like hypothyroidism or hypokalemia or hypocalcemia, etc. Until examination is done it is difficult to say what it is. Use tablet Next LC once a day for two weeks. If symptoms not improved please consult your physician he will examine and treat you accordingly. 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: hi.., iam 27 yrs old , with height 5ft and wt 65kg. i am married since last 2.5 yrs , want to conceive, but have found high levels of insulin in blood. As per doctor , have signs of PCOS, and am also over weight. have twice been given ovulation, olvulation has occured but no pregnancy. Iam prescribed Bigomet SR 500 , thrice a day , and Blong F. Will this help me in getting pregnant? ### REPLY: Hello dairy understand your concerned have PCs sign and cause insulin resistance. I would suggest taking proper treatment under advise of gynecologist after undergoing, reproductive hormone analysis, USG scan and ovarian follicle study. Bigomer Sr 500: decrease insulin resistance, reduce weight, induce ovulation and maintain glucose homeostasis. Blong F also help to support pregnancy pregnancy will not occur then camphene citrate,  shot be sesamoid stress, take small frequent meal rather than large meal, Do regular exercise like walking, running for 45-60 minutes daily in morning and maintain weight according to normal BMI. Hope this may help noncontact further if follow up needed Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. My husband and I had a protected sex on my 5th day of the period.usually my period gets over on 4th day. Bt during intercourse his condom leaked.i had ipill on 6th day within 12hrs. On d same day we had intercourse again and same thing happened. I don t take any contraceptive pill regularly as we are just now married so do I need to take d ipill again or the last ipill will work? Plz suggest something as I am too worried. ### REPLY: Hello, Thanks for sharing your health concern with us. Firstly, you did not need the emergency contraceptive pill as you were in the safe period during the intercourse. Ovulation occurs two weeks prior to the onset of the next period and this is when an unprotected intercourse may lead to pregnancy. The emergency contraceptive pill has a half-life of about 5 days. This is sufficient to cover both the sexual acts. You do not need another pill. As the pill contains high dose of hormone, you may see some with .  Please go for regular contraception if you wish to delay pregnancy. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi....I had surgery on 14 feb 2013..I had full hysterectomy ,my appendix removed, a very large tumer that was discovered on my ovarys was also removed,and also had 30% of my bowel removed.....I am now receiving chemo and am doing really well.but I have this pain in my right side....by my hip bone ..am not taking pain killers it s not that bad and my bowel is really noisy ..is this normal? ### REPLY: Hi ! As you have said in your history, 30 % of your bowel was removed. It may be normal because of reduced transit time for the food you eat unless you have also got some loose motions. Also, the chemotherapy acts on the intestinal cells as well causing some irritation to the bowel wall. If the pain in your hip bone is getting prolonged, then you should consult your doctor, who may advise you for a plain X-ray of the hip bone or a pet scan if need be. He may also prescribe you some calcium and vitamin containing products to adjust for the malabsorption of food due to shortened bowel. I wish 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: Hello Sir, My brother is having very high WBCs count. at present as on 20th oct 2010 total Wbc count is 14800, neutrophils count -16 ,Esoniphils count-49 , as on 30 Sept 2010 total Wbc count was 40800, neutrophils count -15 ,Esoniphils count-71,As on 23rd july 2010 total Wbc count was 48500, neutrophils count -19 ,Esoniphils count-62..In All 3 test Hb,RBCs, Platelets were in normal range. other blood indices also were in normal range. Doctors are not able to say what it is..please tell me why this variation is happening  in Wbc acount. Please help us & tell us what it is & what is the solution for this. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have eosinophilic leukocytosis.  It may be due to allergy, hypersensitivity, parasitic infection, asthma, pulmonary eosinophilic or some other cause.  You should go for further investigation to search the cause of eosinophilic, and then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i am 70 year old person i am suffering from wooping coungh last 5 months.I did not  smoke in my life, but it is not curing i have taken many medicine, after taking medicine my throat pain has gone but  my whooping cough is continue.So what should i do. ### REPLY: Thanks for your question on . I can understand your concern. You are having chronic cough. And common causes for this are chronic lung infection, bronchitis, lung cancer (because of old age). So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection and lung cancer.  PFT is needed to rule out bronchitis. You may need antibiotics, inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I hope you can help me, I m a 49 year old female with mainly left side abdominal pain . It does occur on the right side and back also. I had a episode of diverticulitis 5 months ago recent colonscopy showed abscess had healed, I ve had a C-section , hysterectomy and a abdomio pasty, I cannot sleep on left side hurts to much. The pain is off and on all day. It changes from stabbing to needling to feeling like bee stings. I have diarrhea lasting for days or mushy bowel movements that I have to strain to get started. I have yellow muscus w/blood or heavy bleeding. ### REPLY: Hi welcome to  forum.  Thanks for choosing . F.  As you describe you have left sided pain, sometimes present in right side and back also, if you sleep on left side it hurts, you have diarrhea lasting for days, with mucous and blood. You had C.section, hysterectomy, and abdominoplasty. Recent colonoscopy showed that the diverticulitis of 5 months old has healed.  It appears that the diverticulitis can show some effects depending on the internal tissue condition. Or there may be amoebic colitis with recent infection.  I advise you to follow some diet recommendations as eat only curd rice or bread for few days, when you feel comfortable start taking bland foods without spices and gastric irritants. Avoid taking junk foods, and oily foods.  Wishing for a quick and complete recovery.  Best regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi i am 34 years old and recently had a grand mal seizure lasting 5 minutes it is my first seizure with no previous family history. My MRI showed small high signal foci in the frontal white matter suggestive of microvascular ischemia what does this mean ### REPLY: The MRI findings are likely irrelevant to your seizure episode. Microcascular ischemic WMD is usually noticed in people who smoke, have high cholesterol, diabetes, are hypertension, or have renal disease.  It can also be seen in normal individuals with none of the above conditions and simply as a result of aging which can be detected as of the mid to late 30s as small areas of degeneration in the deep white matter.  If this answer provided you with useful information I would very much appreciate a bit of written feedback as well as a star rating for the response to this question. If you would like more information or have further questions please write to me atbit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I received an abdominal ultrasound and I just got the results through fax and everything looks normal but it says the liver measures 13.2 cm in size, normal in contour with a mildly but diffusely increased echotexture. I was wondering what that meant? Under the impression section is says: fatty liver, normal gallbladder, and the common bile duct measures 0.20 cm in diameter. ### REPLY: Hello Welcome to  Thanks for posting your query I understand your concerns. Your ultrasound report shows that your liver has fatty infiltration. This is quite common in middle age group due to various reasons. Obesity is one of the cause for this. So as you have not mentioned your weight in the question, I would advise you to decrease your weight if you are overweight for your age. Regular work up and diet is very much important. By this your liver size slowly decreases. 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 I am married since 10 months . I am 35 years old. I had miscarriage ( 6 weeks ) . Doctor advised me not to take chance before three months. Now from march i am trying for conceiving but still not conceived. I was taking folic acid from last two months . Now i started fertyl 50 mg from yesterday ie 3rd day of period .Can i take folic acid with this ? Is there any side effect ? Will i able to conceive again ? ### REPLY: Hi welcome to . Forum. The causes of miscarriage may be in the female or male. When there are repeated abortions then only you have to worry. Both the partners should go to the gynecologist or infertility clinic. Besides you make it clear that you didn't have anemia & other general causes. I advise you to take green leafy vegetables, cereals, fruits, and juices to become fit to conceive. You have conceived & had abortion, so there is ovulation. don't worry you will have a beautiful child soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! I m in 31 weeks pregnant and have gone an ultrasound with diagnosed of single, live, intrauterine pregnancy, cephalic 31 4/7 weeks sonar age with good fetal cardiac and motor activity, anterior high lying placenta grade 2 maturity index. Adequate amniotic fluid volume. fetal congenital screening appears grossly normal. My doctor didn t explain this to me, what does anterior high lying placenta grade 2 maturity index means? ### REPLY: Hi there, I have understood your concern and I will suggest you the best possible treatment options.First do not panic.USG report is showing good fetal growth corresponding to the period of pregnancy. Baby is normal in appearance. Bag of water around the baby is having adequate amount of water in it. Placenta is located at its normal location and is not low-lying. This rules out placenta prefix- a condition that causes bleeding issues. Grade 2 maturity is indicative of ongoing function of the placenta to provide nutrition to baby. So please do not worry about the reports. Please opt for a healthy diet and regular exercise regimen. Include more portions of fruits and vegetables and salads in daily diet. . Avoid refined sugars and deep-fried foods and bakery products in the diet. Please take Iron, Calcium, protein and vitamin B 12 and Folic acid supplementation on regular basis. Think positive. Meditate regularly. Practice deep breathing. May God bless you with a bundle of Joy. I hope this answer helps 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 was just at the clinic with a temp of 100.5, headache, ear ache, mild chest pain the center of my chest.  My BP was 140/92.  Diagnosed with sinus infection and prescribed antibiotics.  Do you think I should pursue the chest pain issue, since my BP was so high?  Or could this just be something as simple as acid reflux, or part of the sinus infection? ### REPLY: Hi thanks for asking question in . Headache and earache is because of sinus infection. The chest pain can be simply musculoskeletal or as a part of generalized muscular pain in viral infection. For pain relief simple analgesic can be taken. Pain can be because of respiratory cause or acidity. Here if in few days chest pain not relieved then x-ray or ECG done for further work up. I hope you understand my concern. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 about 5weeks along and was melting several styrofoam cups in my oven at 250 degrees for 3-4min at a time for about a hr total for a class project. I started noticing the smell was upsetting my stomach so I went outside and got fresh air and drank some water, but I m worried if it has affected my baby? ### REPLY: Hi, thanks for the query. I understand your concern.  Melted plastic (from Styrofoam) releases hazardous fumes for growing baby.  You are running 5th week of pregnancy, which is the period of basic development of fetus... specially the plastic fumes should be avoided. Though you need not worry with a single exposure for few minutes... (thank god you shifted out in fresh air.) Be convinced about it while anomaly scan usually done in 5th month.  But keep in mind not to expose yourself to the risky job. In pregnancy period.  Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife is suffering from "Paranoid Schizophrenia" and it has been detected in the year 2003 and she is under medication (Arzu 15 mg + Flunaxol 2mg)by a private psychiatrist in Delhi who is MBBS and MD from AIIMS. The disease was under control till Sept, 2010. But now it has relapsed and the doctor has changed the salt (Serenace 3 mg) and till date it could not be controlled. It has been confirmed by AIIMS, Delhi. Now, I have some queries regarding this :1. Whether it is curable.2. Is there any test for the disease.3. Whether you advise to visit your hospital. AK Goswami11A, Srijan ApttB-9/8, Sector-62Noida ### REPLY: Hi, Thanks for writing to  .1st of all, let me give you some information about schizophrenia. According to DSM IV TR, schizophrenia has 5 subtypes and paranoid schizophrenia(schizo) is one of them. In paranoid schizo, there are hallucinations and delusions prominently as chief complaints. Schizophrenia occurs due to biological reasons especially involvement of dopaminergic neurotransmitter pathway. Certain brain structures also involved specially basal ganglia. So schizophrenia is also like other physical illness where brain is involved, and other psychosocial factors make impact over illness and its prognosis. Unfortunately, there are no any specific test yet to make certain the diagnosis of schizophrenia, but a good psychiatrist can diagnose the disease by using DSM OR ICD, classical diagnostic systems present for psychiatric disorders. Schizophrenia has long term remitting and relapsing course. Paranoid schizo has particularly good prognosis than other type of schizo. Patient may need to take very long term medications. Sometimes if patient become defaulter for treatment then it's possible that in the future, that molecule may not work. Illness gets worsened after stopping medicines so it's always better to continue the medicines for long run on which patient is stable. There are many . In general population per se, 100 people suffering from schizo then 33 gets completely alright, 33 will have few symptoms but at quiet manageable level and rest not going to improve.in your case, your wife got almost improved in past for 7 years, that itself shows very good prognostic factor. So there are every possible chance of getting almost improved again. Hope I have answered your query, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a fall about a month ago, hurt my back. didn t go to a doctor, didn t seem necessary at the time. Some days I feel good, others...my back gives me pain. I had spinal surgery many years ago (1961-62)). I m wondering if that could be a problem? I am 85 yrs old now. Elaine ### REPLY: Hello, Thanks for your query. It seems you are suffering from degenerative disc disease & it occurs due to repetitive overload or stress to the disc & it increases the risk of disc herniation & spinal canal stenosis. The main treatment of such pain is bed rest along with painkillers and muscle relaxants. Muscle relaxants can help with your symptoms if used in appropriate dosage in combination with a potent analgesic. You can get the appropriate . Meanwhile, you can follow these measures:- If the pain is severe, you need bed rest till the pain resolves. - Get some analgesics prescribed and apply analgesic spray or ointments.- While resting, keep a pillow under your knees if it doesn't bother you.- Avoid lifting heavy objects.- Back strengthening exercises and stretching exercises daily as advised by a Physiotherapist. 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: Hi Doc ,My mom is suffering form pyria(1st ) stage  & doc suggest to have a surgery like flapp surgery or laser surgery so what will be the best and surgery is the only option for pyria ?* she has no pain in teeth * no bleeding * only gums started leaving  teeth please suggest something ### REPLY: Hello! Welcome to . Flap surgery removes the infection below the gums. Laser surgery is very comfortable to the patient as well as the doctor. It is done in a blood less field. However, a scalpel flap surgery is preferred because it is friendly to bone. Consider your mothers general health, age and co-operative status and decide on it. She must visit the dentist every 6 months after surgery for a maintenance scaling session. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im 16 years old. i have had anal sex for the first time. im male. it hurts when i sit(talking about my bottom), have bowel movements, it also burns in that area when i do have bowel movements.. i took a handheld mirror and looked at it. and i see this little red circle(ringworm looking thing but dark red/purplish in the center) and i squeezed it and it feels like a ball in my cheek.. i am in sooo much pain right now its unreal. i am unsure of what my condition is. and i need help..  is there any way i can get rid of it, if you know what it is? ### REPLY: Hi. It could be one of two things. Either it's a fissure which is a tear caused by undue stretching of the anal skin, or it could be a perianal hematoma which is a small blood collection due to the injury or pressure of the penis onto the anal verge. Either way it will take 5 to 7 days to settle down. The pain will slowly go away as the condition heals. You should sit in a pan of warm water 2 to 3 times a day and apply Lidocaine ointment over it after washing and .  You can take stool softeners like Syrup Lactulose at night which will make the stool passing activity a little less painful. If still painful take oral painkiller tablets. Take care and avoid such misadventures in the future. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doctormyself Deepak.i am a 24 year old boy having problem with my digestion.whn i was 22 hen first time i have got stomach and liver problem .after usg abdomen and liver function  test my doctor diagnose me with high level of SGOT,SGPT BILUBARIN(kind of mild jaundice).My doctor prescribed me with some medicine including udiliv 300.after 2 months treatment my liver becomes normal in functioning and stomach was also functions well.but after 2 months again i got stomach infection high level of Enzymes then again gone through treatment and this process is continuous till now repeatedly with some time interval. recently i again having usg  Abdomen and i got fatty liver but enzymes level are normal and having problem in digestion(indigestion is my basic problem started when i was 22  and till now continuous).at present my doctor prescribed me with Udimarin Forte,librax and Mebaspa medicines.i feel very weak at present and less of appetite ad less body growth.i am near about 65 kg with height of 510.i think this is not a good physic value for a young boy.please help me to get rid of this problem permanently because at present i am just 24 and it is not a age for this kind of diseases.please suggest me how to make make digestion system strong and to make my health better with growth and immunity.waiting for your valuable suggestion. ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist (DM). Elevation of transaminase levels requires investigation1. Alcohol if you are taking then please avoid it2. Other common and treatable causes like Hepatitis B and C virus, Serum ceruloplasmin for Wilson disease especially if you are young, ANA and SMA for autoimmune disease3. Lipid profile4. Ultrasound abdomen to see for liver echo texture, portal vein diameter, and size of spleenWhat is stomach infection? Please mention your symptoms and not conclusion or interpretation. However, if you mean by upper abdominal discomfort (dyspepsia) then take a proton pump inhibitor like rabeprazoleI hope I have answered your query and this will help you. Remain in touch and get-well soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Dr. On the 21may of this year i had some heart palpitations. I was admited in the hospital for a week. Bcoz i had vomited a worm earlier the Dr treated me for bilhazia.wen went for a heart echo dey said i have premature heart contractions. I did another which said one of my mitral valves was fibrotic. The problem I have now is that my left leg feels numb wen I walk and my left hand at times is week.I have chest pains and left side of my face gets a bit numb. I was put on aternolol. ### REPLY: Hello! Thank you for asking on ! I carefully passed through your question and would explain that your symptoms seem to be related to possible stroke or episodes of transient ischemic attacks (TIA). I recommend going to the ER for a careful physical exam and a brain CT scan to exclude this possibility. A Doppler ultrasound of the neck vessels would be necessary to examine the blood flow to the brain and exclude possible vessel narrowing. 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: my age is 23. I was affected by polio when i was 3. My right leg is affected, i can walk but not properly i use to put my hand on affected leg while walking. Doctor had said use calliper for entire life. I m not satisfied how can i live on calliper for entire life. Pls give good solution. ### REPLY: Hi, Welcome to . I understand your concern regarding using calipers. But that would be the best choice for you. Polio results in flaccid paralysis of limbs which do not respond so well to reconstructive surgery. Calipers will allow movement and also provide support to the lower body. I suggest you discuss with your treating doctor the option of reconstructive surgery for you specifically and then decide. There have been cases where reconstructive surgery of affected limb has helped but very rarely. I hope I have helped with this answer. Wishing you good luck. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have had this problem now for quite a while and I do not seem to get rid of it even after visiting hospital for a few times and running some tests. I am residing in a third world country called Guyana, medicine has never struck as a strong suit over here. I am 23 years old, male, not circumcised. Symptoms are that I got small white pimple like boils? under my foreskin, on the inside and top part of the skin. They can be seen when pulling the skin down. High/uncomfortable smell after ejaculation, itch/bite in the foreskin area. I used to have this bite feeling quite often or even constantly, burning during the urinating as well but after running some tests first was diagnosed with simply urethritis, prescribed doxycycline as medicine. After 7 days cycle it appeared of as gone but the pimples were still there, other symptoms not. After about 4 days it started coming back, went on a longer doxycyline dose for 14 days, got rid of the issue for a week after and it came back. Did some research and found out that Azithromycin should help on some cases with urethritis , discussed it with the doctor at the hospital and got it prescribed for 7 days, it helped for a week... but now the bite is just appearing as perhaps couple times a day, the pimples are still under foreskin. Did run a test for herpes as the urologist first figured here it could be that, but came back negative. On what he said that perhaps you had it at one point of time and your body fight it off on its own, and this is what left back... Le sigh, I don t even know what to say to explanation like this but I help that you could perhaps point me in some direction where to go from here? I have been fighting this for over a year now and it is getting pretty ridiculous, annoying and I don t feel like I m living . ### REPLY: HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely Force spots or fungal infection. If Force spots then harmless. In such case you can take antioxidants and garlic more. You can apply retinoid cream locally also. But if fungal infection then I advise ointments witChatDoctorbination of antifungal like fluconazole and steroid like quinolone. Hope this may help you. Let me know if you have any further queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: About 6 weeks ago while sitting at work, my pulse started racing, about 120 beats per minute with mild chest pressure. I had the same experience again later that night. I went to the doctor the next morning. She did an EKG, gave me nitro and baby asprin, shoved an IV in my arm and sent me to the ER by ambulance. No heart attack. The symtoms continued and I ended up in the ER again a few days later. I saw a cardiologist - EKG showed an abnormal T-wave. Two weeks later I did a stress test - All good, no heart problems, EKG back to normal. I wore an event monitor for two weeks and recorded several events. From the monitor the cardiologist saw my pulse raise from 110 to 120, resting. She said that since the heart rythum was normal, she was not worried and discharged me from her care. I had a doctor order me Xanex to rule out panic attact. By the way, my chest x-rays were clear, all blood work normal - nothing out of normal other than high cholesterol. At my last visit with the cardiologist, my blood pressure was high 150/99. Now, the racing heart has subsided, but the chest pressure is almost constant. Per doctor s orders, I am checking my blood pressure two times a day - morning and night. It has been high (130+/95+) in the morning and (150+/100+) at night. My primary care gave me something for heartburn - after a week, no change, not better. I haven t felt good for 6 weeks. I know my body is telling me something is wrong. I just don t know where to go from here. ### REPLY: You are in a common predicament. Many problems cause chest discomfort. There are only a few causes that pose an urgent threat to life. You have had testing that looks for those causes. Having found nothing, you can be reassured on no emergency but that doesn't help the sensation go away. The blood pressure is not too disconcerting. Other considerations include musculoskeletal problems (sometimes hard to find), the esophagus (there's more to it than heartburn) and irritation of the lining outside the heart. The best thing is to return to your primary doctor if symptoms persisted. She can help pursue these other possibilities. ### END