Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 suffered a supposedly MTBI several years ago and was diagnosed with post concussion syndrome, I suffer persistent headaches that come on with any mental effort and cognitive effort i.e. concentration, conversation, especially multiple conversations and sensory overload. I have trouble concentrating and taking in too much information etc. I am hypersensitive to noise, bright lights, visual moving stimulus and touch. I get fatigued very easily. After a year after my head injury I got sent down the wrong track that my headaches may be coming from my neck. I was sent to an osteopath who initially treated me with scaral/cranial osteopathy - he promised his treatments would be very gentle, which at the first few treatments they were. When my headahces didn t improve he stretched all the ligaments downwards on my neck which left a pain in my mid back, about the bra area. Tragically I went back to him to report this and he folded me up in a horseshoe type position and used a violent HVT manipulation techiquen down my entire thoracic spine. I felt and hear each vetrare click. This immediatedly set off intense burning throughtout my entire spine - I struggled to drive the short distance home and lay on the floor , I was in that much pain. Over the next week or so this burning nerve pain , along with violent muscle spasms became widespread throughout my body, the spasms pulling several ribs out of alignment. that happened 12 years ago and I am still in severe constant pain with repeated and multiple rib dysfunctions where my ribs get stuck or dislocated setting off excruciating stabbing pains in and twisting my torso around, when I reach out, up, over, under, behind. I still suffer from my original brain injury symptoms and I am really struggling to cope with the constant fibromyalgic like pain and chronic rib dysfunctions. I am very debilitated, feel trapped and just want to be the high functioning, healthy, independent, athletic woman I used to be . I am also a wife, mother and now a grandmother who struggles with too much conversation, noise, and movement in a simple family get-together. I still need to sleep most afternoons due to headache and fatigue. I am very sensitive to medications and have tried, the gabapentin s, opiates, anti- seizures meds and so forth. I am unable to tolerate anything for my pain........................... please help. I am constantly (having to be driven to a musculoskeletal Dr who uses very subtle, gentle, muscle relaxations to MOBILISE my ribs. MANIPULATIVE TREATMENTS LIKE CRACKING OR CRUNCHING OR FORCING ANY BONES BACK IN PLACE, SHOULD BE BANNED!!!! HVT MANIUPLATION has completely taken my life away.......... I can t even reach into a cupboard, drawer, or make the bed without my ribs getting stuck!! ### REPLY: Hi, Concussion is a mild traumatic brain injury. It presents with loss of consciousness which is temporary and last for less than 1 minute and amnesia. Headache may happen in any head trauma even without concussion but if this is severe or associated with nausea, vomiting and dizziness then you need to visit ER and do head scan to rule out more serious injuries. It occurs post an impact to the head or after a type of whiplash injury that causes the head and brain to shake quickly back and forth. If the concussion is causing headaches, we recommend over-the-counter pain relievers such as ibuprofen (Advil) or acetaminophen (Tylenol). Also, you need to avoid lights, noise and smoky areas for several days. If there is no improvement you can see doctor but in most cases this is not required. Hope I have answered your query. Let me know if I can assist you further. Wishing you all the best.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your querydue to nocturnal panic attac , i have consulted the doctor and he priscribed for epitril 0.5 and feliz s 5 , if i stops using this it will sart again , now he gave the feliz s 10 m . i am using this from last 3 months , is there any side effects for that . hight 5.7 , weight 81 here... ### REPLY: U have been prescribed Felix 10 mg and April 0.5 mg for your nocturnal panic attacks. Feliz is a brand of Escitalopram which is a very safe antidepressant SSRI medication. As a rule every medication has its side effects and so with far.common side effects upon starting it may be some gastrointestinal disturbances like feeling of nausea, epigastric burning, acidity, dizziness, sleep disturbances, yawning, . . But these side effects disappeared with regular use of the  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Have a gradual pain in center of abdomin for fours weeks. Pain in back and now three days ago testicular pain. Stool sample normal but told that all blood work points to gallstones. Pain in abdomin is a level 8 this evening. I am 38 years old 220 lbs and 5 11. What could this be and what can I ask of my PCP to get some answers and relief? ### REPLY: Hi. Thanks for your query and an elucidated history. The reason of the pain in the center of the abdomen and the back can be related to the Gastric Ulcer / Cancer or pancreatitis. Pain in the testicle may be unrelated to the pain in abdomen and may be due to orchids or so. No blood tests are suggestive of gall stones. Ask PCP the following:Get an ultrasonography. Upper GI Endoscopy and Colonoscopy, Blood: Liver function tests, amylase, lipase, CT scan to confirm the diagnosis. The treatment will depend upon the diagnosis, hence getting a right diagnosis is of utmost importance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 15 days ago i developed swollen lymph nodes behind my ear and few days later had some pain in my ears. Two different GPS said its external ear infection. My first lot of medication did not work (antispetic ear drops). I was then given oral antibiotics and ear antibiotic drops. I just finished the course and lymph nodes are still swollen and symptoms all remain. I am on my second round of antibiotics. What happens if this round doesnt work? Could i have something more serious? 15 days ago i developed swollen lymph nodes behind my ear and few days later had some pain in my ears. Two different GPS said its external ear infection. My first lot of medication did not work (antispetic ear drops). I was then given oral antibiotics and ear antibiotic drops. I just finished the course and lymph nodes are still swollen and symptoms all remain. I am on my second round of antibiotics. What happens if this round doesnt work? Could i have something more serious?  Cancel ### REPLY: Hello In my opinion the enlarged lymph nodes should not be of any concern as you are taking antibiotics, and it will resolve once your ear infection is controlled. Lymph nodes usually enlarge as a reactive change to infection from the lymph .  Has the pain in your ears subsided? Once it settles, lymph nodes also get back to normal. Some infections do not resolve to certain antibiotics due to antibiotic resistance. So in your case the second round of antibiotics might help. Hope I have answered your query. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I live in Aurora,Colorado and suffer from many things that cause me chronic pain for the last 17 years. I am now taking 10 10/325 generic percocet after a bad fall landing me against my refridgerator corner causing a fractured pelvis that won:t heal. My current Dr. is an internal specialist. When I saw him 2 weeks ago he told me to go to a pain clinic for my meds but there are no pain clinics here that have a doctor that will prescribe meds. They only do PT...which I have been doing at home for 17 years. I don:t know what to do or where to turn. I have not been able to find a pain Dr. to help me & I can t walk without my meds. Any suggestions? Do you want a list of my problems? ### REPLY: Hello, You told you have got chronic pain because of your fractured pelvis. Medications can do help you, but some procedures will help you greater than you might think.  I am an anesthesiologist basically, and I do epidural infiltrations and many autonomic blocks basically.  In your locality anesthesiologist may be definitely there since they are running all surgeries required. Kindly ask them about the procedure and get it done. It will give you 6 months of relief.  At least a fentanyl patch will help you more and can be asked for dosage.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have pain in my right leg on the inside near calf, it has been painfull for the last couple of weeks. its in the same area where i fell a couple of years ago and i had a huge bruise which last about 8 months do you think i should get this checked. thank you Helen ### REPLY: Hi Helen... Your calf pain can be related to the fall, If there is any unhealed inflammation exists in the tendon or bursae. Or a mild strain in the medial collateral ligament. That might give rise to such issues...Don't worry... I recommend you to get your knee checked to find the source of the issue...and start appropriate treatment...meanwhile... I suggest you to kindly icing frequently in your painfully area...Don't strain your knee like running squatting.... Keep your knee wrapped with a compression bandage if possible.... Hope this is helpful for forever back in case you need any further clarification.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 experiencing severe kidney pain, currently have a migrain and fever. The pain radiates down in to my buttocks and legs. I do not have a history of any kidney infections. I have been taking Duromine for 4 days now. I am 22years old, weight 78kg and heigt 1.65m. I am also experiencing some light dizziness and disorientation.Could you please advise me if i need to go see my GP?Thank You ### REPLY: Hi dear and welcome to  ... Dear this pain seems more or less muscular rather than of kidney ....as kidney pain may radiate to Orion not to thigh ...do you have increase urinary frequency or burning micturition, if yes it means there is some infection....is urine color red ? If yes it means renal stone ....I advise you a urine routine test and abdominal ultrasound ....meanwhile take tab numeral on Empiric bases, if pain is muscular it will resolve with this treatment ...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: My father went through a Angiography test today (he had a heart attack on Sunday night).The results show 95.8 percent blockage in one artery.Will it be absolutely necessary to get angioplasty done or it can be taken care of by medication? Please suggest.... ### REPLY: Hello,He'll angioplasty as Early as possible along with all medicine.  He should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then you should be on medicines for it. Regular exercises like brisk walking, jogging according his capacity at least 30 min a day and 5 days a week after angioplasty. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any.  Hope this helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, What does "Increased osteoblastic activity in the left acromioclavicular joint, lower cervical T9, T11-T12 and L4-L5 vertebrae is more likely degenerative in nature" means? The patient was diagnosed with prostate cancer three months ago and had undergone TURP. ### REPLY: Hi I am . .  In my opinion it means increased the activity of bone forming cells called osteoblasts and that's is the opposite of degenerative where bone resorption cells called osteoclasts transform bone to calcium.  Both formation and degeneration cause joint pain and arthritis so I think your acromioclavicular joint mobility is reduced and causes pain when overstretching your muscle origins while your vertebrae may show mild cervical disc herniation so I think you may visit your neurologist for proper evaluation and management. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, im currently 32 weeks pregnant, i had a tooth extracted on monday, very safely and im healing well but I still have 2 at the bottom with big holesin them where my ffillings popped out 3 months ago! Now dentist 1 said to keep the teeth and do root canal when baby is born I went for a second opinion and doc said to try and keep them but also after baby is born! But now today I am in alot of pain not only is it the pregnancy butits very expensive and we can only afford it in 2/3 months anyway..should I just have it removed aswell? Im scared of infections exc ### REPLY: Hi, Thanks for asking the query, Since you are in the third trimester of pregnancy it is better to postpone the dental procedures till delivery unless it is an emergency. Take antibiotics and analgesics consulting to your ORGAN. Superficial caries can be excavated, and temporary filling can be given. Avoid use of x-rays. Take lukewarm saline rinses and antiseptic mouthwash gargles. Maintain a good oral hygiene.  Hope this helps out. 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 think I have recently had high altitude sickness. We ascended to Kangding in China where we were sleeping at an altitude of 2700m for five nights. Over the first couple of days I had a slight headache only when we went on a walk during a day trip which took us to 3700m. But on the 4th night I felt nauseous and had a racing heart. The nausea quickly subsided over night, but the next day the racing heart was more severe and I had horrible chest tightness. I went to the local hospital where they put me on oxygen for 2 hours. And we decided to shorten our trip, so returning to normal sea level heights yesterday. I am resting still today and the tightness of chest has subsided. I still have some palpitations and I feel weak and a bit dizzy. However, this could be also due to the stress as I often get palpitations and dizziness with anxiety anyway. Anyway we are due to fly back to the UK on Saturday/Sunday. Is it risky to fly only a few days after having had these symptoms? We will have on 2.5 hour flight to Hong Kong, followed by a 13 hour flight to the UK following that. Thanks for your help. ### REPLY: Hinoted all your details headache chest heaviness and palpitation with history of high altitude journey points classically towards symptoms of pulmonary embolism, which even can be a life threatening condition....it can be because of high altitude sickness also, but possibility of pulmonary embolism has to be ruled out as soon as possible you have not mentioned your smoking habits, if you area smoker my sincere advice is before boarding the flight just consult a local cardiologist and get a 2D ECHO DONE, once pulmonary embolism is ruled out you can take you flight 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: Hope things are well with you. My Mom was diagnosed with Endometrium Papillary Serous Stage IIIC carcinoma. (This was after she had a total abdominal hysterectomy done a couple days ago)The pathology report points to TNM stage which says T4b, No, M1.They advice Chemo as an option starting within 2 weeks (6 rounds lasting 6 months) followed by PET scan to see where things are at. 1. We need another opinion as to the diagnosis.2. What are the treatment options available at this stage in the progression?3. What is a realistic prognosis ### REPLY: Good morning. Your mom is suffering from carcinoma of endometrium(uterus) which is now metastatic as revealed by your TNM report. She has also completed 6 rounds of chemotherapy so its time now to undergo imaging test like PET scan to look for the response of chemotherapy. Since she has an advanced disease (metastatic) she will require some form of treatment for rest of her life. Treatment will be decided after seeing the response on PET scan. Usually 2nd and 3rd line chemotherapy with some other .  Average survival in a case of metastatic ca endometrium is around 2 years. For another opinion on diagnosis you need to verify her tissue biopsy from any other pathology lab. 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 friend is refussing to go to the hospital because he does not have insurance.  But he is having pain in his arms, hands and legs.  he also has pressure on the left area of his chest from time to time.  Could this be a heart attack?  I gave him medicine for his fever 101.8 ### REPLY: Hello! Welcome on ! I passed carefully through your question and would explain that his symptoms are not related to any heart attack. So, relax and don't worry about it! He seems to have an infection, probably a viral infection. This is causing chest pain and muscular pain in his limbs. But, if the fever persists, he may need to take antibiotics. Performing some lab tests is necessary to investigate for a possible infection: - a chest X-ray study-complete blood count, PCR, ESR for inflammation- kidney and liver function tests- a urinalysis. He may need to take antibiotics. Hope to have been helpful! Wishing good health,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a 16 mo old who has a skin tag on his gums on bottom and top on right side. i thought he was cutting a molar, though it looks to be a little farther back then where the next tooth should be coming in. is this normal? i have a 4 year old and never noticed this when he was cutting teeth. ### REPLY: Thanks for your query, I have gone through your query. The tissue tag could be because of the erupting tooth. When the tooth erupts, it penetrates through the mucosa or gums and comes out, during this process there might be formation of tissue tags like this. Nothing to worry if you have pain You can take topical anesthetic and analgesics like Anabel gel. If the tissue tag is too much then it has to be removed surgically. Consult an oral physician for complete examination and needful. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 8 month old boy with impetigo caused by staph aureus on cheeks, chin, back of head, nipples, and rectal area. Had allergic reaction to Septra after 10 days, currently applying mupirocin and cortisone 2% 2 x day. Symptoms of impetigo began 4 months ago. Has been treated by family dr and dermatologist. Symptoms were getting better when on septra and mupiricin with steroid cream. Any suggestions for treatment ? Dermatologist said she has never seen impetigo this bad in 15 years of practice. ### REPLY: Hello, Welcome to , Impetigo is a bacterial infection of the surface of the skin. Impetigo is a contagious superficial infection of the skin caused by Staphylococcus and Streptococcus bacteria. Impetigo is contagious and spread via direct contact with someone who has it but sometimes from famines. It is diagnosed based on the clinical appearance. Impetigo is not serious and is treatable by applying antibiotic ointment mupirocin. Oral antibiotics like tab Augmenting is very helpful in treating this disease, and it will reduce your symptoms. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was playing with my friend s dog, and it accidentally scratched me with its nail. It has all its shots, and the scratch was very shallow. Two hours later, I can only see a faint red line under my skin. Am I at risk or rabies/ any other diseases transmitted by dogs? ### REPLY: Hello, thank you for your contact to . If I am your doctor I suggest you that as dog has d received all the shots there is very minor or nil chance of acquiring the illness. But take good primary care at wound. Like soap water washing will reduce chance further more, so practically you have no chance of acquiring the disease. Do not forget to take the TT shot. If you have to ask me anything you can contact me. . Infectious disease specialist. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i hd sex with my gf lst mnth 24 nov.wearng two condom.and aftr sex she take unwanted 72 within 1 hour.and after that day she get period.it was her period day.her bledng was 7 day.aftr 7 day it was stoped.nw it is 26 dec.she has nt getng her period why.plz hlp me.soon. ### REPLY: Hi, There is no chance of pregnancy because you used two condoms. It prevents entry of sperm into vagina. Unwanted 72 was taken with in 1 hour, and it is highly effective (up to 95% effective) in preventing pregnancy. Ideally if you used condom, and it was not broken then no need to take unwanted 72 pills. Your bleeding was due to progesterone with .  Your next period may be delayed by 1-2 weeks. So wait for period to come. If period will delay by more than 2 weeks from normal expected period date, then consult gynecologist. Meanwhile, avoid stress, healthy diet,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 burnt my mouth on food earlier in the night and immediately rinsed my mouth with cold water however around 2 hours later, I have a blister in the burnt area. The blister is quite large in size and feels full with liquid. I keep knocking it accidentally with my tongue etc and worried that it may burst. If it does burst, what shall I do? ### REPLY: Hello thanks for your quarry. Saliva - effective antiseptic, is helpful in dealing with mouth burns. A burn in the mouth-heals 10 times faster as compared to other burns. Use some simple remedies to treat it -1) to reduce the temperature of the affected area - suck on some ice cubes and direct them to the roof of your mouth. You could also .  Some stinging will result, but it will give relief from the burning sensation. On an average healing should take place in a matter of 7 days. Eat food only when it has been cooled and cold milk or soy milk. Refrain-foods with edges & sharp like chips and toast. Also avoid spicy food, hot beverages like hot chocolate, coffee or tea and using oral hygiene products like mouthwash, as they contain chemicals that may worsen the condition of your burns. Take vitamin B in your daily diet-helps a lot. Even if the blister bursts open ,donor meddle with the raw area.avoid all the things mentioned above, and also apply topical anesthetic to reduce the pain.thereby you could consume food. Hope it helps,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 am 25 yr old female. Yesterday i had an asthma attack. I took seroflow 250 as per prescription. Usually it works but yesterday after taking medicine i had fever then my pulse went up racing so fast that it made me very anxious and uncomfortable. I had this thing going on for 2-3hours straight. Then i took some more puff at night, took famtac 25 to reduce any gas/acid problem and also calpol for the fever. Since today morning i have some existing chest pain, less palpilation but some numbness feelings has started on my palm and feet. This is new. I am having asthma for 4-5 yrs now , my right nostril is blocked by extra growth of bones i suppose as per the CT scan, and hence I have blocked sinuses almost all the year round. But such an acute asthma attack never happened before. Can you help me identify these new symptoms? ### REPLY: THE ALLERGY MEDICINES AFTER LONG TIME START LOOSING THEIR EFFECTS AND THE ALLERGY GO ON INCREASING WITH SAME MEDICINES WHICH CONTROLLED IN PAST NOW THE SINUSES HAVE INVOLVED YOU GO FOR SINUS TREATMENTBETTER CONSULT ALLERGY SPECIALIST WHO WILL BE ABLE TO CONTROL EVEN ASTHMA AND SINUSES TOGETHERTILL THEN YOU CAN Take SINGULAR 10 MG BD ALONG WITH OTHER MEDICINESAPPLY NEWSPRINT H EYE OINTMENT BD IN NOSE SEA WATER 2 .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I wake up very anxious from time to time... I often feel that I can t swallow properly or I m not getting enough air... I m reluctant to go back to sleep incase something bad happens... Today I woke in the middle of the night with painful pins and needles in my hand and extremely dehydrated ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Waking up anxiously is not a singular cause. Such incident happen because you slept with anxiety. Stress, worries, anxiety etc. carries on with the sleep during the sleep and surface with waking up. Sometimes we never sleep consciously. Unconscious mind is awake, worrying, anxious, stressed. Then we get up worried, stressed and anxious. You should learn to relax before sleeping. Meditation before going to sleep shall be of great help. Relaxation and breathing exercises should help you feel good. If you require more of my help in this aspect, 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 further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was kicked by a horse on Saturday . Went to clinic .this morning after seeing the swelling in my leg . Xray shows fracture, fibula shaft left ,closed . They put me in a walking cast and added a set of crutches . What is typical recovery time ? I have a horseback trip planned for a week in late July . Will that timeline work ? Thank you ! Doug H ### REPLY: Hi, Thank you for providing the brief history of you, As you have mentioned the mechanism of injury and the X-ray has revealed the fracture of the shaft of fibula. You have also taken Care for it. It is good now. Now the healing of the Lower limb fracture takes about anywhere between 6-8 weeks. This time duration you should strengthen the sound limb, I mean to say that you can start performing exercises for the non-injured leg. Also, you can Do some simple exercises by taking advice from a physical therapist, as you are in a cast it will not trouble the healing and anywhere in between 6-8 weeks your cast will be removed. Exercise will help you avoid wasting of muscles and will get back you in action soon. You can discuss the same with your physician. As most sports injury cases are seen by a physical therapist from day one to get back to action soon. I wish you a speedy recovery. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son, a 2 years old, had cyst on the eyelash. we brought him on a physician and he gave us an eye drop, oral drop and a bottle that must have a warm water inside and compress on his eyelash as his treatment. the cyst gone. is there a tendency, if we stop taking the treatment, the cyst come back? ### REPLY: Hi...by what you quote I feel that your kid might be having a STYLE (an infection and inflammation of the eyelid glands) or a Magician gland inflammation. But any of these can recur again due to cross infection to the surrounding glands which would have taken place insidiously when the infection or inflammation would have been active. I suggest you consult with an ophthalmologist if it recurs again. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son 5 years old had severe cold with asthma last week and got cured. After two days again started with high fever n grinding teeth during night n crying sometines telling no reasons. Please suggest me what can be done. I give ventoline and doliprane regularly. ### REPLY: Most often respiratory tract infections in child .  Antibiotics are ineffective in such a situation. Some antiallergic generally provides relief. Steam inhalation is helpful. In case if childhood asthma or wheezing is associated, inhalation of some bronchodilator like Ventolin or Albuterol might be required. It is the best given using a spacer device. Coltrane (acetaminophen) will help in bringing down the temperature and should be given on when fever is present. Grinding of teeth in child ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 mom has fallen on her knee and it swells with activity and is very sore to walk on. The swelling is just below the knee cap (We believe). The bump is roughly the size of a half dollar. Should we see a doctor? Has she fractured anything possibly? ### REPLY: Hello, Injuries to knee are either of the bone or of the surrounding ligaments or a combination of them. Anything intra-articular would present as swelling of whole of the knee and not only a part of it. You need to get an x-ray done, which will be diagnostic, if not proven, so you have to wait with conservative management till the time swelling subsides, and at that time. If the symptoms persists you have to go for a MRI. Till that time you need to give rest and support to the knee with the help of a brace and do cold fomentation until the pain and swelling subsides. 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: recently we are constructing house in first floor and we are in the ground floor. It started during Jan month. But now recently my mom got affected with severe cough after which i got it and then my 4 years old son too. Eventhough it is not severe to my son, it is very sever to both of us. My mom consulted doctor , got even antibiotic injection too with lot of tablets and cough syrups. But nothing works out. This cough is completely different from our orginial cold cough. We both cough in same way. Giving more pressure to throat and cough give us relaxation but it is not continous. some irritation happens as if some smoke is inside our throat and then we get cough. We got even flu inside chest whicChatDoctores when we cough. Am 35 years old but this is the first time i got flu in my chest. Please advise ### REPLY: Thanks for your question on . I can understand your concern. Construction dust can cause bronchitis and this in turn causes .  So in my opinion, you both should consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You both will improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you both will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to both of 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 am a 19 year old female. I dislocated my patella 5 years ago and have had 5 surgeries. I have been through countless times of physical therapy tried all types of braces had injections and also tried medicine. I still have severe pain with my knee and it is hard to complete daily activities. ### REPLY: Hi, There seems to be a cartilage injury present at the time of dislocation which over time will lead to patellofemoral joint arthritis. A cartogram proves to be diagnostic, MRI can be used also. Only after the confirmation of diagnosis and its extent, we can choose between conservative management such as intra-articular hyaluronic acid in to surgical management such as arthroscopic debridement to joint replacement. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor,I am 24 yrs old and my Husband is 30. I am trying to conceive from last 3 -4 months. I had a abortion in May2012.reason came out is Tourch was -ve. I have completed the Tourchnil tablet course for 3 months as well.Currently taking the Furtisure from 3 weeks. Are there any side effects for those tablets?. What other tablets/ supplements would help me to conceiving soon?. ### REPLY: You should not worry much at this moment, as you are trying to get conceive only for 3-4 months .we do not categorize it as secondary infertility. As you have mentioned that you are taking furniture I think it is a herbal vitamin supplement, you can take another tablet which helps in fertilization that is-tab Along(pyridoxine+folic acid tab) and increase your frequency of coitus in mid-phase of menstrual cycle. If even after 2-3 month you are unable to conceive than consult your doctor for complete evaluation. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was told from a CT and ultrasound that I have a "slightly echogenic liver".  And there is also evidence of "most likely benign hemangiomas". I have had my gallbladder removed due to gallstones and continue to have upper abdominal pain.  My BMI is 31, I am not diabettic and do not drink.   Should i be concerned? Do I need further treatments or test? ### REPLY: Thanks for query on . Benign hematomas do not require any active treatment at present. Keep regular check up for liver. Upper abdominal pain is the most like due to indigestion, it usually occurs after gallbladder removal. Your BMI 31 indicates obesity grade 1. You have to take care for your general health. Take simple, high fiber diet, . Avoid oily, spicy,high calorie diet. Try to reduce your weight. Go for exercise, yoga,swimming, cycling. Keep in touch with your doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: due to nervousness my hand always get sweat & vibrate ? & due to this i always depressed & fear, i always try to avoid everything in my life ? ### REPLY: Nervousness, sweating and vibrating are due heightened sympathetic nervous system activity. Anxiety can cause these symptoms.  Try these lifestyle modification: Eliminating caffeine, start an exercise program, improve your diet, and get support from family and friends.  Try some relaxation techniques like Yoga, meditation, and deep breathing exercises.  Dealing with worries is also one technique; like learning to postpone worries, and learning to accept uncertainty in your life. If nothing works there are some medications which reduce sympathetic activity, like propranolol. Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had soreness in the right side of my back in the kidney area. I thought it was a pulled muscle. Then today I had excrutiating pain in my left back radiating some to my side and front. If it didn t ease off enough too tolerate the pain I would have had to go to ER. I have no insurance so I can t go to doctor or ER. Any ideas? ### REPLY: Hello, Thanks for sharing your concern with you might be having pulled muscle, or You may have a kidney infection, infected ureters (tubes from kidney to bladder), bruised kidneys-if you got hit in the back recently, etc. Taking muscle relaxants in combination with mild painkillers will help you. Doing a hot fomentation and applying a local analgesic gel on the affected area will also help in providing a relief. Taking calcium and vitamin D 3 supplements will also help in early recovery. You can get these prescribed from your orthopedic. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter age 17 has no symptoms. Family doctor, camp checkup, found cyst in abdomen Wed Jun 20. had x-ray in lab, then ultrasound at University Hosp LHSC, shows size 24 cm x 10 cm in London, Ontario Canada (thats 10 inches x 4 in). First said urgent, no sports, no camp, stay in town, likely surgery. Now waiting to see gynecologist, family doctor says not that urgent??? This girl loves her sports, booked for kayak week early in September, now lying on sofa doing nothing. Cant it cause other problems being this big? How urgent is this? ### REPLY: Hi there, I understand that your daughter loves Kayak, however, her health condition is more important than sport. What worries me is the cyst found in her abdomen. If I was her caring doctor would find out first what is causing the cyst and its location. If her doctor has scheduled an appointment with gynecologist, I believe the cyst is found in her ovaries. So, be patient until the consultation with gynecologist. At least, you should be happy that your daughter is not having any serious symptom. 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: The incident happened about twenty four hours ago. Long story short. I was masturbating with cotton like material, the fillings that you would find in stuffed toys. I was able to remove most of the material on my penis, but I am worried about having some cotton strands in my urethra. Should I be concerned? As far as urinary track/bladder issues, what are some signs that I should be aware of? Should I get a Urethra opening and a Uroflowmetry test done ASAP? ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have left cotton strand in urethra while attempting masturbation with cotton like material. Since there are chances of the remnant of cotton being passed with urine you need not worry at all. Observe for any signs and symptoms of infection (UTI). You may take broad spectrum antibiotic like Čeferin along with anti-inflammatory . Ensure to  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 19 and work at a golf course. I just did my laundry using new laundry soap and I live in resort employee housing with Phili[ino foreign exchange students. I am American, and now have a red rash that looks like mosquito bites or spider bites on my belt line. Any ideas of what it could be? ### REPLY: Hi, It may be most probably lichen ultimatum or popular urticaria. It is due to a hypersensitivity reaction to insect bites. Consult the dermatologist for the perfect diagnosis and proper treatment.  I would recommend you to take tab Cetirizine daily and to apply a mild steroid cream. If needed, you may take oral steroids in tapering dose, but after consulting your doctor. 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: 4 1/2 year old burned hand and wrist with hot wax from a candle. The area is red and irritated, but apparently no blisters.  We ran cold water over it for a few minutes then applied an ice pack.  Dont have aloe vera in but we do have liquid for applying to sun burns, and honey ### REPLY: **1. Since application of cold [water+ice] has been furnished, examination of the burn is necessary, since treating the burn properly requires evaluating the extent of the damage.PS. Since percentage of burnt area is different in child . 2. Since blister formation is not there, you can safely remove any remaining wax [since odds of infection will be minimal on removal], you may remove the wax by spreading it with petroleum jelly and once removed apply vitamin E or aloe vera gel on the injured area which soothe the burning sensation and promote healing of damaged skin. 3. Honey has natural antibacterial properties that helps prevent skin infections.  If your burn has not healed in two weeks, or shows signs of infection (such as increased redness at the burn site or foul smelling discharge seek medical assistance immediately. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 constant throbbing, ache and sharp pains in the lower right abdomen , I had cysts on the overy removed in November which seemed to ease the plain for a while, now it s back even worse. They thought for a long time it was ibs , until that was ruled out when no medication worked, it s a constant pain that doesn t go away? I m considering asking for an X-ray of the full area to see it there is anything untoward? ### REPLY: Hello! Thank you for the query. Abdominal X-ray (if this is what you are thinking about) is good for bowels obstruction and perforation diagnostic. Urinary tract stones are sometimes also visible on it. In other cases it is completely useless.  As you have had ovarian cyst before, another one can appear. Especially if the symptoms you have are very similar to those caused by ovarian cyst. If the laparoscopy have been performed, adhesions caused bowels obstruction is possible. However, it usually gives nausea, vomiting, diarrhea or constipation, abdominal cramping. Lower right abdominal pain can be also caused by urinary tract infection, stones, appendicitis (only if the pain has appeared recently), inguinal hernia. If you are 50 or older, large intestine polyps or cancer should be always ruled out. I suggest you to have some diagnostics. You should start with blood work, CRP and abdominal ultrasound. Gynecologist consult, and transvaginal ultrasound should be also done.  Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a blood clot, DVT in 2007. It was discovered I have the Factor5 Lieden chromosome, and is susceptible to DVT. Anyway I am currently on warfarin daily since the incident. My problem is the leg that the clot was in is larger than my other leg. It also has a darker color in the lower extremity, and when I run on the treadmill, it becomes to painful after 30 minutes. I was wondering if it would make sense to surgically remove the clot or try to dissolve it so there is no blood constriction. I am worried it will get worse as I get older. ### REPLY: HI, thanks for using  A DVT is a clot that occurs in the deep veins. In the veins in the legs there are two sets of veins, the superficial veins (closer to the surface) and the deep veins. Normally blood goes in one direction towards the heart and there are valves that prevent blood from going backwards or staying in the legs. When a deep vein thrombosis occurs, the back-up of blood can cause damage to these valves and dilatation of the superficial veins. Because blood is no longer efficiently flowing in one direction, there are permanent issues with swelling in the leg. This also contributes to the change in color. What you are seeing is due to the damage caused by the clot that was there previously and does not indicate that a clot is currently present. There is no likely anything to dissolve. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi Am 26 Years Old & Marreied I Just Want To Remove The Upper Skin Of My Pennis Even Having Sex After Marriage For several Times I Not Able To Open The Upper Skin Of My Pennis it might Be Becoz I Had Sex With An Lady Before Marriage I Fucked Her Continously For three Hours Which Caused Me A Lot Of Pain For Few Days I Consulted With An Doctor For This He Gave Some Cream which Works But Still Am Unable To remove The Upper Skin Of My Pennis, ### REPLY: Hello welcome to the  You might have balanoposthitis like condition in which fibrosis can occur In fibrosis foreskin cant retracted back on shaft of penis For that you can Consult general surgeon or neurosurgeon... Initially for mild fibrosis topical steroid cream can be tried If cream not effective than undergo circumcision in which foreskin removed and frenulum is released Take care Hope your concern solved ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: am feeling pain at lower left abdomen from past 4 years..no doctor is able to identify the exact problem. some doctors are saying that its an ovarian dermoid and some doctors are saying that its normal...i delivered a dead baby in 2009 feb and have underwent c-section for that delivery...and till now i dint planned for kids due to my health problem...please suggest me... ### REPLY: His you have undergone C-section, you might have asked your Doctor to search for any abnormality in the left ovary like Desmond cyst. Your doubt would have been clarified.Anyhow, it is seen in Ultrasound abdomen. Or you can plan a Diagnostic Laparoscopy by your Gynecologist, where in the entire abdomen can be visualized by keyhole method. Then, you can proceed accordingly. Please coma back with the above findings, i will clarify further. Nothing to worry. Wish you good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I went to the dentist earlier in the week. I had a tooth that was hurting and swollen gums . The xray revealed nothing and he thought it was my bite. He filed down the tooth and sent me on my way. I am in allot of pain now. I take aleve but have trouble couping. I will have to miss work tomorrow and see my dentist again. My gums on the upper left side are very swollen, painful and may be infected. My jaw is throbbing and I still think the tooth may be infected. What do you think? Thanks ### REPLY: Hello, Thanks for posting your query. Since your gums are swollen, there is chance of periapical infection. Usually x-ray will reveal such infections. If periapical abscess occurs, teeth has to be root-canal treated, the abscess has to be . Deep scaling and root planning has to be done to prevent gingivitis. Maintain good oral hygiene. Brush your teeth twice daily using toothbrush. Rinse your mouth after every meal. Chlorhexidine mouth rinses can prevent plaque accumulation. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son is 1.4 months old now. I m worried as he is vomiting from past three days and not eating anything except milk feeding. I ve noticed few symptoms like: vomiting, not eating, increased thirst, fever sometimes. he is on Lanzol, soventus, and nemocid. please please he ### REPLY: This young child has vomiting and fever, if he does have diarrhea then problem is solved, and then he has a gastroenteritis which is the infection of his intestines usually caused by virus. And doesn't need all these medications.Landon is a proton pump inhibitor which decrease the acidity in stomach, an 1.4-year-old child doesn't have acidic reflux for sure, so discontinue it Solvents is a cough syrup, you didn't mention any upper respiratory tract symptoms, if he coughs after vomiting it's a normal physiology and doesn't warrant any cough syrup Removed is an anti-emetic . Again, if you child doesn't have diarrhea, and he is having vomiting and fever for 3 days, then we should worry about other diagnosis, and he should be visited his pediatrician, beware of deny ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having tingling, numbness and occasional pain in my toes. They also get very cold. My feet hurt so badly most of the time. My lower legs and feet swell. I take Lasix 40mg/day for that. I had bilateral knee replacements 3 years ago. What would cause my feet to hurt so much? ### REPLY: Hi, Thanks for your query. Most likely cause for numbness in feet is peripheral neuropathy. I would recommend you to get vitamin B 12 levels done. There are chances of Reynolds phenomenon. In this condition, people will experience numbness in feet with similar cold feeling. Cold stimulation test confirms it. We should also rule out hypothyroidism where few patient experience similar symptoms. Get T3, T4, and TSH done. Sometimes vascular occlusion of lower limb vessels also causes similar symptoms. To diagnose it we need to do Duplex ultrasound of lower limb vessels. 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: I am 23 yrs old guy, I face erection problems a lot of time. At the time of sex, I end up ejaculating very early. It is spoiling my sexual life. When I masturbate, even then I ejaculate very fast. Secondly I am worried about my penis size also. Please help me ### REPLY: Hello, Certain foods and pelvic floor exercises can improve your sexual life qualitatively. You can also take certain medications like sildenafil for erection but before that I suggest you to visit your doctor for prescription. Penis sizes varies with race, ethnicity and regions however, average flaccid penis is of 3.6 inches and erected penis is of 5.1 inches average. If yours is in this range its normal don't worry about it. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here... Hello, sir. I want to ask you about my mother. blood is coming out of  her mouth with sliva. Earlier, it was coming after few months, then few weeks, right now it come after one week. It was pure blood. Can you tell me what is reason behind it? Reply Please. ### REPLY: Hello, Thanks for consulting , Read your query, as your mother has bleeding from mouth this blood in saliva can be due to some reasons like poor oral hygiene, due to deposition of food debris in sublingual areas of gums, may be due to periodontal problem, age related periodontitis. Don't be worried so much I will suggest you to consult oral surgeon and go for oral examination if there is any gingival or periodontal problem then you should for its treatment. Hope this will help you. Wishing your mother 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 a stomach ache earlier in the day then came home argued with my husband about the dog peeing all over the house & then colored my hair & then had back pain in the mid back area & chest pain. I m being treated with physical therapy for ribs that keep coming out of place from a few falls I had over the past few years. I am concerned I could be having a heart attack. I m 40, on Glumetza 500 mg bid to keep my blood sugar low because I was pre diabetic, also take 125 mcgs synthroid Recently lowered my cholesterol. I m also on Wellbutrin for depression. I am also taking a supplement with Green tea extract in it. Maybe too much caffeine?? It hurts to take a deep breath in front of chest straight through to my back. ### REPLY: Thanks for your question on . I can understand your problem and situation. In my opinion you are having HERD (gastroesophageal reflux disease) mostly. But since you are prediabetic and had high cholesterol, it is better to rule out cardiac cause first for your chest pain. So get done ECG and 2d echo. If both are negative than no need to worry much for cardiac cause. GERD seems more appropriate cause in you. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms like central chest and back pain. Try to follow these steps for better symptomatic relief.1. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals.2. Avoid stress and anxiety.3. Start proton pump inhibitor.4. Go for walk after meals.5. Keep 2-3 pillows under head in bed to prevent reflux.Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 blood pressure is different from each arm, i have 120/100 in left and 130/100 in right, i am not feeling anythingm no symptom associated. I just woke up from night duty, i am working 12 hrs sometimes night shift and alternate with morning. I am only 24 years old with normal bmi. Should i worry about this? ### REPLY: Hello, Usually, there is a difference between blood pressure in two arms and in the same arm at different time intervals. The largest value is taken as reading. Diastolic 100 is not good. Usually, night duty staying awake increases blood pressure. If the diastolic is persistent above 90 mm then you need treatment. Avoid tea or coffee. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi during my first pregnancy at ( weeks foetus heart beat stop and i have to remove it ; now i go through  TORCH test in which Rubella IgG is 191.37 & Cytomegalovirus IgG is 10.51 which is high but IgM is normal. My doctor said that no treatment is needed but im confused. ### REPLY: Hello, THX to contact us. If I am your treating doctor I would like to advice you that IG G is the antibody of immunity, that antibody developed as a result of the immunity towards the disease. So in your case you developed IG G to both the mentioned viruses. In contrary to Egg IGM is the antibody developed when infection is ongoing, that is for killing the virus, that is negative in your case so do not worry about the lab results. If you have anything else to ask please contact me. Than.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor, i m 47yrs old and gone under Uterus removal operation recently 25days bak.i still have pain in mylower adminal part and feel pressure on middle lower bone while sitting. my stomach is loosened and falling on my stiches that is also creating pain.unable to walk n sit properly. pls suggest. ### REPLY: Hi! Good evening. I am  answering your query. The post-operative discomfort might stay for some more time. I would not suspect any major problem if you are having your normal diet and normal bowel and bladder movements. I would definitely advise you to make efforts towards reducing your weight to hasten up proper wound healing. You could go for an abdominal binder for support to prevent your abdomen falling on your stitches. Also, a gradual and controlled supervised exercise program could also help you in relieving your symptoms. If I were your doctor, l would also advise you for a routine, microscopic and culture/sensitivity test of your urine and treat it if need be. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. 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 doctor, my son is 3yrs now we are living in dubai . now the season is changing lastweek onwards.today morning onwards my son went to urinen more times compare to previously . today he did more than 15 to 20 times . regularly he did 8times . is it any problem in physically he like sweets also i get tensed PLEASE REPLY ME ### REPLY: Hi, Did he complain of any pain or discomfort while passing urine? Frequent urination can indicate a urine infection. Here, child will pass frequently but in small amount. If not associated with fever, abdominal pain or pain / burning while passing urine, wait for 2 days and keep a watch on water intake. If this persists after 2 days, with no excess water intake, kindly get his urine routine examination done to rule out urine infection Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife 47 year old with createnine ranging from 2-8---2.4--2.2--2---2.4 in last six months. recent check up uric acid is in border line urea getting higher at 62. take regular medicine for calcium , selcal os, renhold, febutus, high pressuremedicine tezloc 40 am. urine is foamy. last two days her ankle and knee of left leg is swealing. She had earlier slip disk problem. left knee join cant move forward and backward. What sort of test and medicine should be taken. already started taking neurobion injection. after one inj not relieved ### REPLY: Dear Concerned., Thanks for writing to us. Let us analyze each of the reports., (A)The uric acid is in borderline therefore the Gouty Arthritic problem is ruled out. But refrain from Alcohol and high Protein Diet (Boiled Veggies are good for her)as the uric acid may raise if they are not stopped. Colchicine and allopurinol need not be started at this juncture.(B)Serum Urea and Creatinine are definitely high indicating Target Organ Damage due to uncontrolled HT/Hypertensive Nephropathy. Foamy Urine is mentioned but no report of Luminaria? It could be due to Luminaria. The ankle and knee swelling are due to pitting type of Pedal Edema.©For PIED(Prolapsed InterVertebral Disc), Consult a Physiotherapist for SWD and Traction//Usual preventive measures like not bending, not squatting/using hard bed rest/Lumbosacral belt/not lifting weights have to be followed. Pls consult a Physician and Cardiologist/Nephrologist for assessment of Cardiac Status// Kidney Status//any change in class of medications required. Wishing you a speedy 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: i am taking a course of Amoxycillin due to having dry socket after teeth extraction. I have noticed little red dots on the glans of my penis. I am recently single and I did have an encounter a couple of nights ago. Otherwise, the antibiotics has been causing diarrhea. ### REPLY: HelloThanks for your query. You have been taking Amoxicillin for dental problem and have noticed red bumps on glans penis. These bumps are likely to be due to sexual encounter that you had very recently and not due side effects of Amoxicillin. The diarrhea is known side effect of Amoxicillin. And will get cured after you stop the . Use topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: multiple personality disorder? I have trouble remembering things that I do, I have a weird mood swings that my friends and family tell me that it is not me ,I am normally a loving, caring, kind, person so when I get into this mood of being inraged with anger and remember any of it even when Im not in a great mood and I am in look on moon I still have 3 blackout ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. From your description it is very difficult to say that you have multiple personality disorder. People do behave erratically at given circumstances when emotion overwhelms them, and they do not remember what had happened. This type of behavior cannot be termed multiple personality disorder, but just emotional outbursts. This type of behavior happens mostly during extremes of anger and sadness. Please ask your family and friends, during those three blackouts, what was the behavior you produced? Ask them to describe it fully and truthfully. Once you hear it, you should know how normal the behavior is. Or else, please post the entire behavior pattern here, and I shall help you diagnose it correctly. If you require more of my help in this aspect, 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 further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr. I met with an accident in January and injured pubic diastasis and left sacro iliac joint disruption sustained. Treated skin traction bilaterally (6 weeks) and currently taking Osteo Surbex Tablet (advised for 3 months) and asked me to do some physio exercises. My question is: Is there any complication in future for this joint disruption? How long I have to continue the exercise? Is there any side effects on Osteo Surbex tablet? Is it possible to do the jogging or other exercise: When I can start? ### REPLY: Hi You had public diastase and Injury to (L) Sacroiliac joint treated with traction. How much was the public diastase in centimeters?. Normally There is no future problem in public diastase and Sacroiliac injuries unless the diastase in large at a younger age. Exercises that you have been prescribed should continue for at least one -two years and usually there are no side effects with Often Sure tablets(it contains It D and Calcium). You can start mild jogging fret you feel comfortable on brisk walking. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: from few day i was suffering from stomach pain in left side when i make a ultrasound in its report my liver is fatty with focal sparing and small calculas of 3mm seen in left kidney so pls tell me what can do for these problems and advice medicines or diet which i should take or not ### REPLY: Hi, Welcome to  forum.  The pain might be related to the calculus in the kidney.  The calculus can't be removed by surgery, or crushing. So medical treatment is preferred.  I usually prescribe to my patient with such situation, an Ayurveda preparation, neeri to dissolve the stones, but it will take longer duration.  Fatty liver is a precursor of many chronic problems, i advise you to consult a gastroenterologist for diagnosis and treatment.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello , i want to ask what is the medicine of falling hairs?i am a woman which i just have a problem of falling hair since after i delivered my baby last july.every time i take a bath it was a handful of falling hairs especially when i combed my hair after taking a bath.Doctor, what is the best thing to stop the hair fall bec. i was scared to be bald now? is that there is a home remedy tha i can use?pls. help ! thank you. ### REPLY: Hi, It seems that probably you may be having halogen effluvium. Kindly consult the dermatologist for the perfect diagnosis and proper treatment. There may be some cause like...tension, worries,stress, anaemia, vitamin and mineral deficiencies, thyroid dysfunction or other internal disease. After thorough examination and investigations, your doctor might give proper treatment. I would suggest...- treatment of the disease- supplements for vitamins and minerals - biotin 10 mg twice a day for few months - apply mild steroid lotion on the scalp- ketoconazole shampoo, if there is Dan . .otherwise herbal shampoo may be used twice a week-oiling the hairs with almond oil hope this might help you in improving the condition. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi...my child is 1month old.and due to insufficient breast milk I m feeding dexolac..but there is no change in his weight and as soon as he drinks milk after burping he vomits ...as days passing he increased vomits..I m tensed with this vomits.sometimes he gets milk from his nose .is that common in infants. Now I thought of changing from.dexolac to lactogen as its gains weight and digests we ll.please help me with this.. ### REPLY: Hi... I understand your concern. I do not think the problem is with your breast milk or any of the formula feeding. Furthermore, I feel that your child is having gastroesophageal reflux or regurgitation, which is very common in this age group. As he is not gaining weight properly he will definitely require evaluation and anti-reflux therapy. I suggest you get in touch with your pediatrician regarding this. 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 got a small scratch(from teeth) on my hand from a pet dog of my friend 3 days back. It did not bleed.But today the area around the place where i got scratched appears to have turned blackish. Do i need a rabies vaccine?Should i consult my family doctor ? ### REPLY: Hello, Welcome to , Rabies is a disease which is also transmitted by bite of the monkey, it is a 100% fatal disease, but it is 100% preventable by proper and adequate treatment. As you were bitten by a dog on the hand, and it has not led to any bleeding, according to WHO categorizes it has been categorized into Cat II. Cat II requires active immunization with antirabies vaccine on days 0,3,7,14 and 28 (if the dog is healthy you can stop the vaccine after the third dose). The vaccine should be taken to the shoulder by the intramuscular route. You need to take a shot of tetanus injection too. The aforementioned treatment will protect you against developing the disease rabies. 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 have a question about kidney issues. Brief background: all my life, I ve had chronic stones; 4 years ago, 1 kidney failed; I was just hospitalized at the end of Oct/ beginning of Nov for extremely high triglycerides, very swollen pancreas, & erratic heartbeat. At that point, it was discovered that my other kidney had started to shrink. How bad does this situation sound? I m worried because I still have children at home to care for. Also, I have very little access to medical care ### REPLY: Hello and welcome to . As a Urologist, i can understand your concern. You must write age and sex. By now you must've been referred to a nephrologist, for kidney failure. A solitary functioning kidney with shrinkage, is a sign of failing function. Check the following :1. Urine routine, culture,and ACR; 2. Blood routine, creatinine,RBS, uric acid, LFT,platelets, lipase and electrolytes. Repeat lipid profiles, ECG and echo scans as advised.3. Ultrasound scandium, with residual urine (THUS, and PSA, if male). If you've any doubts, send a direct question to me, with all reports. .  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: i am living in pakistan, my nephew aged 17 years is suffering from allergic condition and has been treated by all kinds of medication including steroids antibiotics , anti-allergics with no response whatsoever . Symptoms include severe cough which excerbates and become severe at times and subsides itself but coughing continues . consulted ENT, PEADERIATICIAN AND PHYSICIANS and undergone various test all negatives now its been almost 16 months with same condition . can you guide us what to do. ### REPLY: Hello. Thank you for asking at . I went through your nephews history and understand your concern. I would like to know more details about his symptoms like - Does he have nose allergies (nasal block, running nose, symptoms), asthma (wheezing, difficulty in breathing) or both? If asthma, what is the frequency of episodes of wheezing/breathing difficulties? Does he smoke? Or is he exposed to smoke/dusts/air pollution? From your given history, I would like to make following suggestions to him:1. Were I treating him, I would suggest him regular montelukast for at least 2-3 months.2. If nose allergies, I would add an antihistamine like cetirizine/levocetirizine to above treatment.3. If asthma, I would add inhaled corticosteroids with metered dose inhaler to the above treatment.4. I would also suggest him allergy testing which will help him to identify the substances that he may be allergic to and also to avoid them.5. In general, I would suggest him to avoid exposure to dusts, smokes and air pollution as much as possible.6. Personally I would suggest him regular breathing exercises and a diet rich in vitamins & minerals (adequate green leafy vegetables, fruits, sprouts, etc.) which will help him in a long run. Hope above suggestions will be useful to him. Should you have any further query, please feel free to ask at . Wish your nephew the best of the health. Thank you & Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a pituitary tumor. Have a hump in back of neck, gained fifty pounds (although I don t eat and differently and work out everyday),moon face, fatty pads on collar bone, extended abdomen, muscle pain, memory loss, and stretch marks.Blood test show high dhea levels. I believe I have Cushing s. ### REPLY: Dear User, Anti-gluco-corticoid and antihypertensive medications, along with steroid inhibitors, can be used as adjunctive treatments. Lowering cortisol can be at least helped by switching to a whole foods, anti-inflammatory foods diet, reducing stress levels, and changing the level of exercise and physical activity. Best to take Foods rich in vitamin B, Potassium, Magnesium and calcium. Intake of high protein food helps burst stress naturally and keeps active. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: We are in Florida. Our 8 year old daughter have a couple o rashes on her leg, looks like bug bites. Further she has a blister clear to light yellow, size of top of my tum. She developed this 1.5 days ago while in Florida. Right now a bit of fever as well. What should we do. Worried! ### REPLY: Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY .  This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My friend has a painful red lump on back of head just above her right ear,a doctor vist and doctor said oh you were bitten by a bug and gave her a salve to put on it.no sign of a tick,redness larger than a half dollar and she can not bear the pain,tender to touch,doctor ruled out things other than a bug bite. now she complains her whole head hurts,she also has a small lump now on the throat below her chin?? any thoughts ??? thank you ### REPLY: Hi, Dear,Thanks for the query to . I studied your problem in depth and I understood your concerns. Cause for the lump in your head and throat-In my opinion both these lumps are differrent-One on the head above right ear-is diagnosed by your doctor as but bite-and is being treated accordingly. The bite seems to be infected with secondary infection.Hence, I suggest it to consult ER Surgeon, who would treat it accordingly. Other lump -on the throat-is a separate lump and is not causing the headache you have. Headache you have is due to the infected bug bite and needs to be treated by antibiotics with your ER Surgeon. For Final Diagnosis and treatment needs clinical data from a Doctor.It's not thyroid as you think -otherwise Your doctors would have asked you to do USG and other tests to rule it out. And Hence for further treatment I would advise you to Consult ER Surgeon, who would treat it accordingly. This advice is based on the facts from the history you give and needs further clinical check.Hence, I would advise you to check with ER Surgeon. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you. Hope this would relieve your problem. Welcome for any more query in this regard to . Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day. . N. ### END