Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Connie and I am in decent shape for a 65 year old woman. Not very active but trying to get on an exercise routine . For the past week, I have had this gripping pain, not constant, in my left side under my breast then it goes around and to the middle of my back. Only last for 5 seconds and is getting more frequent .I have been going through a lot with kidney stones lately. Passed one about 3 wks ago. About the 8th one I have passed in the last 40 or so years. Horrible horrible PAIN!!!!!! I ### REPLY: Hello, I have studied your case. Due to compression of this nerve root there can be pain in your back and chest. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello dear sir/mam, My name is Hitesh I am a 18 year old adult..my height is just 5 4...i have infiriority complexity because my freinds are taller then me....i m planning to buy Dr. Ayush Veda or Step up growth formula....so plzz tell me it works or not....and if doesnt works then suggest me something from our Aaurveda...or Homeopathy ....plzz reply as soon as possible. ### REPLY: 1. do you take it as your shortcoming due to feeling of inadequacy or is it a PERCEIVED lack of height, (when you are with your friends, any discouragement or failure)??2. You haven't mentioned the consequences resulting from low height: lack of confidence, aggressive behavior, attention seeking, eager to prove yourself, shouting and talking loudly??3. Any sense of doubts, insecurity,low self-esteem, uncertainty, or anti-social behavior that has come up in your mind due to less height??4. Height of your parents and any history of depression?5. Any medicine-exercise-procedure will work before the fusion of epiphyses cartilage, and moreover height is genetically pre-determined, don't fall for such advertisements (they are marketed to promote their sale and business), idea is to stay healthy, happy and just change the way you think.6. No one is going to view you differently, it's just your perception or cognitive biases, for that consult with a cognitive behavioral therapist for cognitive behavioral therapy, which will help you in eliminating negative thought process and keeping positive affirmations.7. You may gain extra 3 inches by practicing YOGA postures which target the back and spine.8. If height was the issue, Sachin Tendulkar would have never been in the Indian team or by this time he must have been taller than West Indies players. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yesterday I had a fluttering feeling in the left side of my head followed quickly by dizziness and nausea; I almost passed out. When the fluttering sensation subsided I noticed that my vision was blurry. The dizziness and nausea lasted several minutes and the blurred vision lasted several hours. I m 54, male being treated for high cholesteral and blood pressure and I m over-weight. Do I need to see my doctor? Should I be concerned? ### REPLY: Hello! Welcome and thank you for asking on ! I understand your concern and would explain that your symptoms could be related to a cardiac arrhythmia. For this reason, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a resting ECG a cardiac ultrasound- a chest X-ray study-complete blood count for anemia-blood electrolytes for possible electrolyte imbalance-thyroid hormone levels to exclude thyroid gland dysfunction. An ambulatory 24-48hours ECG monitoring would help examine your heart rhythm for a prolonged time and exclude possible cardiac arrhythmia. Hope you will find this answer helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good afternoon Dotor, I am 25 years old suffering from severe acne from the last 5 months.i consulted a doctor he gave me azithromyin tablet for three days and antoxid hc for 3 months,Seba med toner.But there are no visible improvement. i drink 4 litres of water everyday.i realy take care of my diet with fruts and veggies but there are no improvement on my pimples . ### REPLY: Hi, acne treatment depends upon its severity whether it is mild, moderate or severe in nature. In other words, it has to be seen what kind of lesions one is having predominantly that is whether you are having more of comedones or pa pules or pustules or severe nodules cysts and abscesses. The treatment plan changes accordingly. The chances of scarring and pigmentation are more with pustular nodular acne or with cysts and abscesses. In your case, you can continue with tab azithromycin as prescribed, along with topical application of benzoyl peroxide 2.5% in morning and Darlene gel in night.  Use a salicylic acid based face cleanser. Follow this schedule for 3 weeks, if you don't have much of response, then one can think of adding isotretinoin or doing chemical peels(glycolic acid or salicylic peels). For the same, you need to consult a dermatologist. 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 married, on 30 jan 2011.me and my husband decided that we dont use any precautions. my husband come with me around 15 days in a month.but now in july we lives in same place and in these days we did sex about daiy. but till i don;t concieve a baby.so we concienerned a doctor. and i have a mildly bulky uterus. is this reson for me not getting concieving. i am very sad .please help me what can i do for concieving a baby. ### REPLY: HIIT would have been nice if you had provided me some more information like your age, BMI, regularity of menstrual cycles, and whether you have had basic infertility investigations (hormone tests and fallopian tube patency test for you and semen analysis for your husband)What treatment have you taken so far?Don't worry. Mild bulky uterus does not cause infertility. If you have not done the basic investigations mentioned above, first do them. Further treatment depends on the results of those investigations. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three times in a week. If you have any further concerns do contact me through . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 35 and looking to try to have me second child. My last was born in 2005. I have only been trying for 3 months but not luck. Very confused about the calculators I keep seeing and if I should just wing it or if I need to take extra herbs ect. at this age. Thank you. ### REPLY: Hi, I think you should take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound.  When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for 2 to 3 days. Take progesterone for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months. If it doesn't work then you can go for GUI.  Hope I have answered your question. 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: IS THERE ANY ROLE OF SEVISTA IN ADENOMYOSIS RELATED INFERTILITY MY FRIENDS TVS SONOGRAPHY SHOWS FOCAL ADENOMYOSIS OF 4 *4 C M NEAR FUNDUS WITH PRESSURE EFFECT ON ENDOMETRIUM. THE HSG REPORT ALSO SHOWS FILLING DEFECT . HER CYCLES ARE OVULATORY BUT SHE IS UNABLE TO CONCEIVE. SHE HAD ONE ABORTION 6 MNTHS BACK AT 2 MNTHS. IS THERE ANY ROLE OF SEVISTA OR ANY OTHER DRUG .HER CYCLES ARE REGULAR MY EMAIL ID IS : YYYY@YYYY ### REPLY: Yes, Se vista works well in adenomyosis, especially those who want to avoid hysterectomy. So, there is no harm in continuing so, if prescribed by a gynecologist... But as your friend is infertile, here the problem is different. Se vista acts like CONTRACEPTION as it prevents pregnancy. SO, we need to check the adenomyosis in details and then can formulate medical management with other .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 rona from phils but working here in ksa..i got i big prob wen my father got stroke;;;im afraid that i might lost him...he s da great father;;now he s suffering to0 much...he stop his maintenance anyway...this morning ive talked to him...he was telling me bout da mx3?..wat s this med?...is it ok my father will take it as he wanted to0 ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through.MX3 is a new .  You may better avoid it for better options. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, i just notice a lump behind my 5month old right ear during bath time. he has no fever but was little cranky, i think it might be an ear infection. seems if you touch the lump he moves his head like it might hurts , please give me some information on this matter! thanks chuck ### REPLY: Hello, I can understand your concern. The area behind ear contains lymph nodes. When ear gets infected, the lymph node in this area swells and causes pain. As it might be minor infection, the child has not developed fever yet, but he may develop if the infection is not treated at the right time. I would advise you to visit a pediatrician or an ENT specialist for clinical examination of the swelling behind ear and further investigations, if needed. If ear is infected, the child may need to start antibiotic course. I hope this information helps you. Thank you for choosing . I wish your son feels better soon. 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: my son met with an accident 3 wks back. got a ddep gash upto his bones on the knee joint. had antibiotics for12 days and is getting dressing done every alternate day now. the wound is healing but he still has pus formation. should it be acause of concern ? ### REPLY: HelloWelcome to . Thanks for posting your query in . I understand your concerns. Pus formation in the wound signifies that it is not yet in the healing condition. The wound appears to be deep. So it needs thorough . Taking antibiotics for 12 days and presence of pus still signifies that your son has developed resistance to the antibiotic. So I would advise you to do culture and sensitivity of the pus and to take appropriate antibiotics depending on the organism present in the pus. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father in law is 61 never had any health problems before in December he complained he was not feeling well.he vomited blood and been already since in 3 hepatic comas the 2 before this one he responded this time he dont respond he has been in this coma for over 48 hours can you tell me anything about this im so sad for him and my husband ### REPLY: Hello, I would explain that his symptoms could be related to acute hepatic failure.  I would like to directly review his blood lab tests and abdominal ultrasound report in order to give a more professional opinion on his medical condition. If the situation is treated properly and ammonium levels are reduced, he may gain conscience again.  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: can you help me?Hello I am a 23year old female. I am 52 and obese. I think I weigh 240 but it does not hinder me. I have asthma and depression. I recently was sick.first I had a very bad cold which I attributed to the change of weather. I was better for a day and then my asthma started up. I couldnt breathe and was wheezing. I was coughing so bad and so much I had stomach pains. Then last week my anal area started to hurt. I noticed it when I used the bathroom but I ignored it,figuring it would go away. It didnt. The pain got so severe that I at guest seemed to couldnt sit,walk,lay down e.t.c... it just hurt. I noticed that my left buttock was swollen. I cant use the bathroom because I cant sit. this is embarrassing for me,but I cant control my bladder because I cant clench my buttocks together. There is no blood in my stool. Ive been sitting in hot baths which at first seemed to soothe me but now its making it worse.  three days ago I started taking Aleve to help with the pain. It helped at first. the pain had lessened and the swelling went down. But I noticed on my left buttock ,starting near my anal entrance there is a large swelling. Im not sure what to call it, but it is huge and I fear that it its some type of huge blister. It Burns. I cant get to a hospital. I cant move. Please its there anything you can tell me about this? I went through a 24 pill bottle of Aleve within three days, I cant sleep, eat e.t.c..I am scared. ### REPLY: Hi, thanks for using  It is possible that the swelling that you notice in the anal region may be a hemorrhoid. This is treated by warm (not hot) site, treating constipation, use of steroid creams to reduce inflammation and avoiding prolonged sitting or standing. If it is on the buttocks itself, then is possibly an abscess which is a localized collection of pus. An abscess requires incision and .  Antibiotics are also needed. It would be best to visit your doctor to determine the exact diagnosis. 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, I have a rash that seemed to start with itchy shoulders I thought it was just from being out in the sun, this lasted about a month, then I ended up with a tick bite on my right thigh, not sure how long it was there, the tick was imbedded pretty deep. I was able to get it out but then my rash spread to my forarms and was very itchy. It was a welted rash that got worse when I would go outside in the heat. It ended up spreading to my chest , under my breast , my stomach and on my thighs between my legs. I went to the doc and they ended up treating me for scabbies, and an antibiotic for lymes just in case. I ended up with a horrible reaction to the antibiotic a week later and quick taking it. They also ended up prescribing me a topical antibiotic. The rash now a little over a week later covers my inner forarms, up under my arms pits, my chest and my inner thighs. It is scabby looking now with some of the bumps with deep centers that are black in color. I have some on the sides of my hands that are really deep. I still feel the flushy itchy feeling when I do outside so I am just advoiding it. I am hoping it heals on its own now but I am worried that I dont know what it is. No on else in the family has gotten it and I am married and sleep in the same bed as my husband. I have photos but dont see where I can upload them. ### REPLY: Hi, It seems that you may be having lichen ultimatum. The cause would be hypersensitive reaction to insects.like ticks. There may be itchy popular eruptions anywhere on the body. Take anti histamines like levocetirizine till, you feel better. If the condition is embarrassing, you may take steroid in tampering dose. Apply combined cream of steroids and antibiotics. Avoid soap bath. Important thing is to be away from insects. For that, you may use insecticide to keep the room insect free. I hope you got my answer. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 30 year old male and I felt a lump under my right breast . It s been about two months now and has increased in size, I ve read online that it might not be cancer and would go away in 2 to 3 years. I forgot the exact name now, but the past few days I felt like it s been a little harder to breathe and sometimes I feel a little pain when I eat, stretch , etc. and now I am concerned since it is actually acting up. I am unemployed and have no health insurance, what can I do to help myself so I can breathe better or take care of the chest pain? thank you I can t afford to pay, I thought this was going to be free.... never mind unless you feel kind enough to send me any helpful info to YYYY@YYYY thank you ### REPLY: Hi and welcome to , thank you for your query. You probably mean that it can be fibroadenoma or other cysts and benign lesions, but you should not take that risk, and you need to at least mammography and ultrasound to rule out malignancies since this is not something that should be ignored. Most common this is not cancer, but you should confirm this by these diagnostic tests. Wish you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: last week semen analysis report Colour - greywhite, Liquefaction time - more than 2 hrs, Volume - 4ml, Viscosity - highly viscous, Reaction pH - 8, Sperm concentration - no spermatozoa seen, Fructose - present. pl help me with detailed information regarding this report.. thanks.. ### REPLY: Hellebore down the detail report as:Color gray white (Normal also gray opalescent)Liquefaction time more than 2 hours (normal semen liquefies within ONE hour at room temperature). If the semen contains gelatinous body, there will not be complete liquefaction. ABSENCE of liquefaction within gel could be a cause for INFERTILITY. Volume 4 ml normal Viscosity highly viscous (normal the . Reaction pH 8.0 (7-2-8.0) normal in your case. No sperm present. This is the main cause of concern (normal 60-120 million /ml). So in my opinion consult an INFERTILITY specialist and get his opinion. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 My 5 year old son was tested +ve for typhoid on 9th july & after that we had given antibiotic as per doctor s suggestion & doing well after 10 days or so but stool passing is twice or thrice a day.can u advise what could be the reason?the stool is semi solid.no blood with stool ### REPLY: Hi...semi-solid stools while recovering from Typhoid fever is very common. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr. - I have been experiencing recently bouts of high blood pressure. It usually associates with serious stomach gases/bloating and a generally lower pulse rate (under 60). I had all kinds of tests for heart, scans, etc - nothing. Yet, these three symptoms continue to come as a company. Any ideas?Many thanks,IK ### REPLY: Hi thanks for asking question. The high blood pressure is nowadays often essential without any specific cause. The sedentary lifestyle, obesity, smoking lead to high blood pressure. As far as slow pulse rate is concerned bradycardia is called when pulse below 60. You also doesn't have symptom of bradycardia like dizziness and fatigue. Low pulse can be because if hypothyroidism or ischemic heart dz. Thirdly constipation here not related to heart condition.sedentary lifestyle, unhealthy food and less exercise contributory factor. I hope my suggestion will help you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: diagnosed with stage 2 copd a month ago. now all tests ,arterial blood gas ect. are within normal range. I have lost 40 lbs. with diet and exercise 270-230, still more to go ! any. Im off oxygen and feel 1000 percent better . Any chance I can turn the copd around if I keep doing what im doing? ### REPLY: Thanks for your question on . I can understand your concern. COPD is chronic, progressive lung disease. We can not cure it 100%. We can definitely halt its progression. And for this, you need to follow these steps. 1. Smoking cessation 2. Inhaled bronchodilators (formoterol or albuterol) 3. Adult pulmonary vaccines like influenza and pneumococcal. 4. Enroll in Pulmonary rehabilitation center where chest physiotherapy and deep breathing exercises are taught. If you follow this then COPD will not progress and remain controlled. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, my name is Amy i from canada so i wanna ask you the biggest problem i had in my life. I always think about my penise size and always worry. I dont have that enough. its too small could you  please tell is there any medical to growth up please.Thanks. ### REPLY: Degree understand your concerns went through your details. You must understand that there is no sure fire way to increase the length of a penis. Please do understand that even a two-inch erect penis will be able to satisfy any woman across the globe. The pleasure nerve endings available in woman vagina is present around the first two inches of the vaginal opening. Therefore, don't worry about the penis size and learn to enjoy sex. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is suffering from Diabetes since last 15 years along with hypertension..Although BP is controlled by medicine but his sugar levels have never been in control. He is taking lots of medicines and injection lanctous ..Since last 3 yrs he developed diabetic neuropathy..Right now he has some discomfort , itching and burning sensations in his tummy. What should I do now to help him ### REPLY: Hi there, the most effective treatment is got the blood sugar lever under control that can b achieved with following things 1. Walk daily for 45 mins. 2. Take in Insulin Regular S/C according to sliding scale to get the blood sugar under control. 3. Do some work up and exercise.4. Modified diabetic diet should be taken. And for tingling sensation take vitamin complex capsules one cap before going to sleep with milk. I hope it helps Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My tooth is out of line with the gum and it is hitting my tongue. I want to know if it is possible to get it back in lined with the other teeth because it hurts to speak at times. The tooth is at an odd angel and the gum is pinker than before. What are my options to get it back in lined. ### REPLY: Thanks for sharing your concern with  ...! Depending on your age and gums health (Periodontal), you can decide to go for orthodontic correction of your teeth. However, there are many alternate treatment options to correct your teeth by prosthodontist correction as well. Please share picture of your tooth to assess remotely / you can consult a good dentist for advise. 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 a question sbut my English in not too good.this was a typoI have a question...I have small purple/blackish  blisters on my pelvis. What can it be?I am 49 years old210lbsI take Lipitor 10mlgs.I have herpes,but it does not look like herpes Are you there? ### REPLY: Thanks for posting you query to .herpes produce multiple painful vesicles on skin.herpes zoster produces lesion along nerve segment it could be unilateral or bilateral on the same region of body. These are painful red heal with a crust formation. So if you are having such feature may be possibility of herpes and if not then could be due to other infection as many of skin bacteria can cause infection to skin for which you need to go to local physician for local examination. Hope you would be satisfied with my answer.  Feel free to communicate if any query.regards, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter (2 years old), woke up this morning with a large red spot on her left cheek, back towards her ear, and even slightly touching her ear. Im wondering what this is. I dont think its an allergic reaction cause we have changed nothing. And I dont see a bug bite. I should also add she isn t teething. I normally wouldnt be concerned but its hasn t faded away all day AND its very hot to the touch. Just that specific spot. Any thoughts? Thanks for your time! ### REPLY: Hi... Thank you for consulting in . Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically.  Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is rahidmy sgot asl    104 u/l and sgpt alt      166 u/l   corr.urin sugar nil 2 hr.breakfast 5.0mmol/Lanti hbs (Qn)      0.47     cut off value : 0.160 sample value : 0.038 and  anti hcv        negativehbs ag         cut off value : 0.106 sample value :0.067        negative what is the problem? ### REPLY: HelloSign GOT and SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. It is good that viral markers are negative. It is important to search for other causes. You may need clinical evaluation and investigations like routine hologram, random blood sugar, lipid profile, ultrasound of abdomen. I suggest tablet ursodeoxycholic acid 300 mg tablet twice daily for three months. It helps in regeneration of liver cells. Avoid alcohol if you take these things. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, I need to know if it is possible for lumbar disc herniations/stenosis/degenerative disc disease can cause frequent panic attacks? I had a hemilaminectomy about 8 mnths ago on my right side, and my left side is also herniated really bad, over the these last 8 mnths i have been getting more panic attacks than usual, i have been diagnosed with a panic disorder and am on meds to help control it, but latley nothing seems to help and they keep occuring, so i was curious if disc herniations could be the cause of these more frequent attacks? please help, i am getting a little freaked out :( ### REPLY: HIT hanks for using  Panic disorder/attack is a psychological disorder, and it could be not possible due to lumbar disc herniation/stenosis/degenerative disc disease. If you are tense due to any physical condition, in that case, it could lead to panic attacks. That may be the reason in your case. Better to consult a psychiatrist for proper mental status evaluation and get proper treatment. In case, you need further help, you can ask. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi yes I have a concern, I keep having a sharp pain just under right shoulder blade when I inhale, just started this morning.  I am 35 5ft tall and weight 110lbs.  I currently have cold symptoms runny nose headace lack of energy?  Any ideas? Thanks! ### REPLY: Hi, Dear,Thanks for your query to . Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-FibromMyalgia with Inspiratory Catch from Flue and Exertion. Tab Motrin x for 5 days would resolve this issue. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! . N. Senior Surgical Specialist. S. Genl-CVTS ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have lower back pain, an aching type feeling  (above the waistline) on left and right side of spine.  No fever, no burning when urinating.  I do seem to be urinating frequently.  Am taking 500 mg of levofloxacin for a severe cold which was mainly head and chest congestion.  Will this med also work for a kidney infection if I have one? ### REPLY: Hi, many thanks for the query! You need to do Urine (Routine & Microscopy) & USG (PUB). This will tell us whether you have any stones in the urinary tract, any UTI, so that treatment can be done accordingly. Yes, if there is kidney infection, Levofloxacin that you are taking will help, but there are some other urinary tract specific antibiotics which we can add once diagnosis is confirmed. Wish you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI on my right side of my face I have aet lump with a mole on it the lump makes my mole poke out fauther on my face the lump hurts just a tiny bit its about the size of my thumb it appears and goes my mole is black and as round as my small pinky finger ### REPLY: Hello! Thank you for the query. This seems to be two separate things located in the same area. First is a mole which is a skin lesion. Second, located deeper can be a debacles cyst - benign lesion filled with whitish masses. As this cyst tends to get infected it can come and go appearing as a red and painful area. As it is close to the mole, I suggest you to consult dermatologist. Both things should be removed and tested. 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 have a recurring rash that shows up on my outer thighs only. It happens every 3 months without any change in environment or stress level. It starts as a minor irritation and grows to cover the entirety of my outer thigh and gets darker in the middle then goes away. I ve tried antihistamine creams and gotten a for Triamcinolone due to my Dr thinking it s eczema. Nothing helps or relieves the itching. The rash itself is also very warm to the touch, red, and is raised off the skin. I have no idea what this is and nothing my Dr has given me has helped. Any ideas? ### REPLY: Hi, Perhaps it is an edematous skin condition. I suggest you use a moisturizer over that area. Use at least 2-3 times a day. In addition, I suggest you use a potent topical steroid e.g., either Clobetasol Propionate 0.05% ointment or Clobetasol Propionate 0.05% ointment, twice daily for 2-4 weeks. I also suggest you to take an oral antihistamine e.g. Tab Cetirizine once a day for symptomatic relief from itching. Hope I have answered your query. Let me know if you need any more assistance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 lacerated my calf musle very close to the archillies tendon. My doctor said he would rather not perform surgery and stich the muscle, instead having me go to physical therapy 2 x a week. pain is really bad and im over 30 days from injury. Is not having the surgery a mistake? had an mri to show the laceration of the muscle and severe nerve pain as well. ### REPLY: Hello, In laceration, there is multiple fragment of muscles which is not easy to repair properly. Our body takes it own course & unite the damaged muscle properly. It may at least 3-4 weeks for complete healing. I know it is painful during recovery. But pain will not last forever you have to bear for few days only. You may ask for a good analgesic cover from your doctor for this period. 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: 58year old man assaulted by gang kicked many times in head and body. treated in hospital for section 18 wounds. lesions to face and dog bites to torso and bruising to torso and head. had concussion was ri scan to head xray of chest ultrasound of abdomen mltiple blood tests on 0000. was already on warfarin and bisoprolel, fumerate and citalopram for heart condition and depression. had niggling pain back right just below ribs on discharge from hosp on 26/3 this has come and gone no pattern has become ore intense in last 48hrs, releif slightly if presses fist into pain area. now disturbingly uncomfortable, please advise possible problem and any action needed. ### REPLY: Hi Call, I would like to know whether you are still continuing wit Warfarin. If yes, do monitor you coagulation profile (Prothrombin Time-international standardized ratio), if deranged these pains could be due to developing hematomas in your wounds. Do take analgesics prescribed for pain, if no relief visit closed Emergency for help for a visual inspection of your healing injuries. Do continue your Escitalopram. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 typhoid last year june from that time onwards continuously ,I m getting fever every month.I consult doctor,I got to know,I m suffering urine infection.I got treatment.but whenever I took drinks( small amount) and had non veg ,I m getting fever.please suggest me,how to prevent? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. There are no condition that can cause fever post alcohol consumption. But you should investigate yourself for the urine and blood infection. You can do culture and sensitivity from the urine and Stool. If you suspect salmonella type or typhoid infection it can be isolated in culture result. Taking the . Please avoid the excessive alcohol consumption. It is harmful to the health. You should eat high protein low fat and low spicy food. It can prevent the perforation in the typhoid ulcer in the intestine. Please take plenty of water. This will help flush the bacteria from the system. I will be happy to answer your further concern on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed from grade 3 fatty liver infiltration and sgpt was 64. and all test were normal ...including cholesterol and sugar. My stats are height 177 and weight 114kgs....my upper bpdy is bulky and have huge side pockets. doctor told me that its due to me being obese...and advice me to reduce weight and liver will be heal. he prescribed me evion 400 (twice a day) and antoxid (dr. reddy s) one in a day for one month. for last 11 days I am on non oily diet and do yoga in the morning and do mild walk 30 minutes each after lunch and dinner. the ultrasound showed that liver of normal size and no liason or damage. so my query is how much time it will take to sgpt be normal and liver to become normal or better(say grade 1). also homeopathy medicine is also going on. History: before being diagnosed I was taking: Rabefit DSR for 40 days Lefit for 20 days Gutrex for 10 days but now stopped. I am tensed about the time taken by liver to heal so that I can be mentally free from worries. ### REPLY: Hi and welcome to . It is hard to answer because liver healing depends not just on medicines but on lifestyle and dietary habits. It is important to know unlike cirrhosis, fatty liver is completely reversible disease, just need to follow recommendations. It sounds easy, but you must be motivated because if liver damage continues, fatal consequences will come. Don't think about treating lab parameters, you need to treat your liver. Results will surely come. Most important are weight loss, and alcohol abstinence. Medicines and homeopathy are less important and without lifestyle changes you shouldn't expect improvement.Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been suffering from mental illness from four years and symptoms of this are headache, palpitations, abnormal heartbeat, trembling, pain in chest and palms and not able to sleep. I  consulted to many doctors and they prescribed me medicines but that does not work. Now i am very worried about my health and not able to do anything. Please tell me a solution about my problem. Thanks and Regards. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. From the description, I can say that you are troubled with anxiety disorder. Possibly Generalized Anxiety Disorder (GAD). For GAD, is a disorder, and not a disease, medicinal treatment may not work. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. 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 the needed 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: The top of my left foot began hurting about 10 days ago. The pain wasn t constant. However it seems to be migrating up my leg. It hurts up above ankle now continuing across of foot. Hurts to walk. Clothing or bed covers, anything touching just tHe skin is painful. Any idea? Never had anything like this. ### REPLY: Hello, As due to injury there will be a disturbance in the microvascular capillaries leading to abnormal sensation to the skin.  This is common thing. Trying out icing and elevation of the foot over a pillow will help the healing to occur.  There is nothing sounding major here but still, if possible an x-ray will be good to rule out any bony injuries. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Can you get thrombocytopenia from a Shingles vaccine? My husband had a normal platelet level in November and then recently had a severely low platelet level. Medications have all been the same. Only difference is the Shingles vaccine. YYYY@YYYY ### REPLY: Hello, Thank you for your question here at . I understand your concern and I want to inform you that the Shingles' vaccine can lead to some adverse effects and thrombocytopenia is not listed among one of them. There are some reports of Poltava vaccine leading to thrombocytopenia, but currently we need more proof and clinical studies to affirm that for sure. In other words your husbands' thrombocytopenia may be linked to the Shingles' vaccine, but we do not know for sure at the moment.Meanwhile, please do not worry as this is a transitory effect and the platelet count will rise to its normal value in around 2-4 weeks if we were talking about minor thrombocytopenia from the start. I recommend another platelet count after 1 month just for your psychological comfort. I hope my answer helped you. Do not hesitate to reply if you have further questions, 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: I have a hx of kidney stones, was having flank pain yesterday. went to the ED, they did a CT scan, was negative for kidney stone. I continued to have pain, all through the night. It has went from my left flank area to my left chest area. I also have a gastric band. I don t want to go back to the ED if nothing is wrong. But I also don t want to wait until something goes wrong. I know its sharp pains, worse when I breath. I took 324mg of ASA this morning, been extremely fatigue and sleepy but serious pain. What could it be? I have read various scenarios. I am a RN, don t want to over think the situation but I also don t want to injure myself by not seeking help. ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have undergone treatment for kidney stone very recently and now have pain in flank. Assuming that you have undergone Extra Corporeal Shock Wave Lithography (ESL)And your CT scan does not reveal any residual stones in kidney or ureter the pain that you have is most likely to be due to trivial injury to the kidney by shock waves of ESL. This is nothing to be worried about. Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like Čeferin along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to . To keep your urine dilute This will help to control dysuria. His will get cured within a week. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 31 years old female, suffering from nephrotic syndrome for the past 3 months. I took defcort for nearly 2 months and now I m going on with omnacort. When compared to previous tests my albumin level reduced from +++ to ++.how long should I take treatement? Will it cure completely? Is it necessary to take biopsy? ### REPLY: Dear Fatima, welcome to . Since steroids are helping to some extent in reducing the proteinuria, you should continue them. Renal biopsy is must diagnose the type of lesion causing nephrotic syn . There are varieties and may guide further therapy. Nephrotic can be treated well and get much better. Duration will depend on many factors including biopsy type.  I think I have answered your query satisfactorily. Please rate the answer before you close the query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am non-hodgkins lymphoma patient. I ended my initial treatment over a year ago and now am feeling these weird "bumps" around my knees and in the front of my feet. I am concerned of  a possible recurrence. What is the possiblity that lymph nodes that were not the original site of the infection of my cancer now be infected and me have a recurrance of my cancer? ### REPLY: Hi, Thanks for writing in. Lymphoma is a malignancy of the lymphatic system and might affect any region of the body. If you are having lumps in different areas of the body then please consult your doctor immediately and get a complete clinical examination done. Recurrence of cancer is more common if there are lumps in various places. It will be important to do an assessment of the entire body by imaging methods like ultrasound scan abdomen and CT scan of the chest to be sure that other groups of lymph nodes or the spleen is affected or not. Bacterial infection will usually give rise to acute signs of inflammation. It is unlikely that you have an infection if there are no features of inflammation. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 my gall bladder out on Monday, and I have experienced itching all over my abdomen, and wher my small incisions are. Today I m noticing that the itching is under my arms, on my forearm, my neck, and sides, including my lower back. Is this normal? ### REPLY: Thanks for your question on . I can understand your concern. No, this is not normal. You had cholecystectomy done. Sometimes, post cholecystectomy, hepatitis is seen. This hepatitis can cause increase in bilirubin level and this raised bilirubin can cause generalized skin itching. So better to get done 1. Ultrasound examination of abdomen for liver parenchymal. 2. Liver function test including bilirubin, SEPT, GOT etc. If all these are normal then vitamin B12 deficiency and allergy can be the cause. So get done vitamin B12 level and if deficiency then you will need supplements. For allergy, take combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, earlier i was going to the cupboard to get breakfast and then when i turned around, i supposedly blacked out/fainted and fell to the floor hitting my head. I mainly hit the bone above my eye and there is a little bruise nothing else, i sat with an ice pack on it for a while. My mother thinks its because i hadn t eaten anything for about 20 hours and thats why i blacked out because i had no energy. But now i have an ache in the back left of my head and i don t want to go to the doctors/hospital and im very afraid of them, please help. ### REPLY: Since you have fallen on your forehead, it is likely that the force might have been transmitted to your neck as well as back side of the brain.  Occipital headache can arise in both.  This needs to be sorted out.  For the time being you can try soft cervical collar and veteran 75 mg twice daily after food.  But I suggest you should see a doctor.  There is nothing to be afraid of doctors.  Most are good people. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 name is sklldhu from chennai got married last 6 yrs back taking treatment around 4 yrs but still i didnt got conceived  due to my left fallopian block and the pcod problems can i get preganant by IUI trearment or IVF since i belongs to a poor family  we are having IP facilities in my company i can avail medical treatment upto 1.5 Lakh may it is possible kindly reply me. ### REPLY: Hi, Welcome to . If you are ovulating normally and if your one tube is open and functioning normally then you may get pregnant with GUI. GUI also don't guarantee 100%. You may try 5 to 6 cycles of GUI with ovulation inducing .  If GUI fails then next option would be IVF. IVF is costlier. And as such infertility treatment is costly. So you need to make up your mind also have positive attitude and be stress-free.  I know its depressive situation.  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: My son was at a birthday party this past Friday where the children were out doors at a spring fed river. The next day, he wasn t feeling well (stomach didn t feel well, and headache). He has had diarrhea since Saturday. This was Friday evening and today, he has foamy light brown poop. What could be wrong? ### REPLY: Hi, Thanks for writing to . I am . I suspect that your child is having Acute gastroenteritis, may be secondary to infected food, or the river polluted river water. Kindly keep a watch on fever, repeated vomiting, too many loose motions, blood in motions, decreased activity and decreased intake of food. This would be signs to visit your pediatrician. Presently you may give the child ORS, 1/2-1 glass after each loose motion, Spy ODEM 5 ml 1/2 hour before food 3 times a day for vomiting.  Thanks. If you have any more queries I am happy to answer them. Else, please rate this answer and close the discussion. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 bottom thooth extraction two weeks ago a couple days after i ended up getting an infection on the extraction site went back to dentist they cleaned the area and put antibiotics in the extracted thooth,that night the area started hurting again and couple days after ended up getting ulcers on my tonge they were so painful couldent eat or sleep rang doctors had appointment for next day in meanwhile i used clorcydle mouthwash .went doctors they gave me antibiotics and adviced i continue using clorcydle mouthwash.after a week al my ulsers went and my extracted thooth is so much better.i have noticed a white spot on my gum near the extracted thooth when touched it hurts a bit .and also my bottom back thooth and upper back thooth when they touch and pressed hard it hurts .wanted to know is it normal ? ### REPLY: Hello, thank you for consulting with . Actually sometimes the gums become pale, and they look white, till then there is nothing problematic, but as you are mentioning that it is hurting also in that condition it can be possible that it is an abscess which is occurring because of the infection in the adjacent tooth which is also hurting. You should visit a good dentist, for the problem. Hope it will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have undergone 2 renal transplants. Im very fond of weight training. Recently i have seen my uric acid levels at 7.8. is it because of the weight training? im i allowed to do some weight training or no. blood pressure is normal at 130/80. pulse goes up to 115 immediately after weight training. should i stop weights? is this the cause of high uric acid in the blood. i do sweat a lot while working out ### REPLY: Hi, Thank you for your query. I can understand your concerns. Hyperuricemia (serum uric acid level > two standard deviations from the mean or > 7 mg/DL in males or> 6 mg/DL in females) may occur due to under-excretion of uric acid (renal impairment/ Chronic renal disease). Hyperuricaemia occurs in 5-84% of recipients of solid organ transplants. In transplant recipients, therapy with microsporic (cyclosporin) is an additional risk factor. Exercise-induced hyperglycemia may result from decreased renal excretion of uric acid, increased synthesis of uric acid, or a combination of these two factors. It has been demonstrated that the main cause of exercise-induced hyperglycemia is not the decreased excretion but the increased synthesis of uric acid, which is a result of excessive adenine nucleotide degradation in skeletal muscle. Intense muscle contraction leads to adenine nucleotide degradation and further to the formation of uric acid precursors, inside and hypoxanthine in skeletal muscle. High uric acid levels after vigorous exercise is due to the prolonged release of hypoxanthine from skeletal muscle that leads to the prolonged production of uric acid in liver. Since you are already having risk factors for hyperglycemia, you are advised to do only aerobic exercise, not weight exercise. 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 m 50 years old , thought I had pulled or turned wrong last winter pickin up grand daughter, went to the chiropractor for 2 months , still had the pain , went to the drs ,told it was sciatic in my left side lower back, had xray told severe arthritis ,need advice on pain relief ### REPLY: Dear patient. When you didn't get relief from back pain for last 2 years, we need more investigation to confirm diagnosis first. I would like to do your MRI of lumbosacral spine with screening of whole spine. This would help in diagnosing arthritis, disc prolapse, infective pathology and instability. At your age arthritis be degenerative or inflammatory. Treatment for both conditions are different.I would also advise radiography of lower spine lateral view in full flexion and extension to rule out instability. Please do these investigations as soon as possible so that we can suggest you better treatment. Meanwhile you can take tramadol 37.5 mg twice a day for pain relief. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ido have a combination of ocpd, ocd and add.  I am recently recoving from a three year depression.  It is like waking from a coma and realizing how much I did NOT do or care about when I was depressed.  Clutter of papers everywhere, etc.  I am exhausted from managing my disorders and also the physical ailments that I am also dealing with.  What can I do?  I have a great family doctor, a psychologist, a psychiatrist, a urologist, a gynecologist and orthopedic foot doctor that I am juggling.  I am simply exhausted. ### REPLY: Hello, Thanks for choosing  for posting your query. I have gone through your question in detail and I can understand what you are going through. Well, the fact that you are feeling exhausted and overwhelmed itself suggests that you are still having a depressive symptom which need treatment. You have not mentioned the medication which you are on, otherwise we could have suggested if anything is missing. As of now we would suggest you to keep continuing the treatment. The treatment for OCD and CPD is more or less the same with SSRIs like fluoxetine or fluovoxamine etc. ADD may require methylphenidate or bupropion etc. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I got baby4.5 month she had watery stools for 2.5m with strings poo color tacky haven t started weaning yet it doesn t look like worms, but am not doc so I wouldn t know, she been shooting milk back for awhile doc in hospital didn t wanted to do intolerance test cos that s what we been suggested from aptamil ### REPLY: Dear use rat first I would like to tell you that vomiting and diarrhea is very common problem in infants, and you need not worry about that, but you should do simple steps.......vomiting and diarrhea may have more than one cause but the most common cause in that age 4.5 month is viral infection of the intestine ....viral infection causes severe watery diarrhea with vomiting and may lead to complication as deny . .....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: This past Sunday I apparently had a seizure of some sort early in the morning. This was the first seizure I have ever had. I have never even fainted before. They ran blood and other tests. My diagnosis was HCC seizure and hypophosphatemia. I had just recently gotten back from 3 back to back weeks on the road for my job in sales, so there was quite a bit of client and customer entertaining, without the best diet. Could this be the cause? I have also slept very poorly this past several weeks. I guess my immediate question is, how quickly can I reverse this and get it turned around. I am 43, and in otherwise good health. I mountain bike and ride my road bike regularly and get a good bit of cardio. 6 -1 , 196lbs. ### REPLY: Brief Answer:There are several reasons of such seizures, but low diet intake of calcium and phosphate may be one of them. You should take some calcium supplements in order to prevent recurrence of seizures. Detailed Answer:Hello, Thank you for using . There are several reasons of such seizures. Your poor diet during these last weeks, may have caused low blood calcium levels which stimulates parathyroid gland to produce more PTH (parathion), stimulating the kidneys to eliminate more phosphates. This leads to low blood phosphates levels, which in your case developed the HCC seizure. I suggest that you take some calcium supplements in order to prevent recurrence of seizures. This will help to correct not only calcium level in blood, but also to raise up your blood phosphate. In a month, you can have another blood check up of academia, phosphates and PTH. Hope this is helpful. Let me know if you need more clarifications. Otherwise, please close and rate the answer. Kind  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What is it called when I have pain under my chest when I laugh sneeze cough or bend or breath in or lift my arms up on my left side it hurts really bad I went to er they said musclarskelatol chest pain but only prescribed me ibuprofen and that do not work ### REPLY: Thanks for your question on . I can understand your situation and problem. You are having typical pleuritic pain. It can mostly due to pleurisy (inflammation of pleura). Most common cause for pleurisy is lung infection. Lung infection can be seen after upper respiratory tract infection (URI) like cold. So we need to first rule out lung infection in your case. So get done chest x-ray. If chest x-ray is normal than no need to worry about lung infection. Possibility of musculoskeletal pain is more. Ibuprofen is anti-inflammatory. You will definitely improve witChatDoctorbination of painkiller and muscle relaxant .  Also apply warm water pad on affected areas. Avoid movements causing pain. Don't worry, you will be alright in 1-2 weeks. But better to first rule out lung infection. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am Indian female 26 years old. i have had bad skin from a very young age.now almost more than 7 years. doc said its hyper pigmentation.i have met 7 dermatologist . When i stop using them my skin goes more bad. now i m nt takin any medicine but i still suffer from hyper pigmentation. my cheeks are darker and upper lip and the temple of forehead . please help. only my face skins bad.. ### REPLY: Hi there. You did say you have met 7 dermatologists.am surprised you still count :) We are not a very large group in the medical fraternity but am sorry we have not been of MCH help thus far...am sure they will have tried. Your problem my dear will require a more in-depth assessment. First, one needs to know the depth of your pigmentation.superficial, epidermal or deeper dermal? A woods lamp examination will be useful to help out or a periscope or nowadays, facial scanners with IR etc. give you a map of your face. Next, underlying hormonal or endocrine causes need to be ruled out. Then accordingly a treatment regime needs to be started that varies from creams to lasers depending on your case. You may check our portal for a different dermatologist in your area using our  website doctors ad .  Chess & Good Luck! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have lower abdominal pain, and just now started seeing blood in my urine, a few weeks ago i noticed some pain in my kidneys when i was running, not sure if these are related. And i just spent a weekend camping where i consumed very little water. im thinking stones, but need another opinion. ### REPLY: HI. Yes you may be right but stones causing such a problem do not develop in such a short span. They may be pre-existing stones with super-added infection causing all this. The blood clots do cause a sever pain as they cause obstruction to outflow. I would advise ::ultrasonography and blood and urine gesturing culture and sensitivity. You need to start antibiotic treatment under a Care of a Doctor and take plenty of oral fluids. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 battled my blood pressure and after years of exercise and eating right I finally lowered it to within the healthy range but now whenever i take my blood pressure I get that blinking heart on my final read out. I looked it up and it indicates irregular heart beat. Did i trade in one risk for another or did my high blood pressure leave me with a faulty heart valve? ### REPLY: Hello, I understand your concern and would explain that an irregular heartbeat could be related to different possible disorders: a cardiac arrhythmia, an electrolyte imbalance, anxiety, chronic anemia or thyroid gland dysfunction.  For this reason, I would recommend performing some tests: - complete blood count-blood electrolytes- thyroid hormone levels- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia.  A cardiac ultrasound would be necessary in case of cardiac arrhythmia, in order to examine your heart better.  You should discuss with your doctor on the above tests.  Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi l m sadiq.my uncle having a brain problem.the CT brain(plain) observations........................................... CEREBELLUM: there is evidence of large hypodense areas seen in most of the left cerebellar hemisphere & small patchy area in the right inferior cerebellar region suggestive of subacute infarcts. .I don t no this pls tell me.& what s the treatment for this ### REPLY: Hi Mr Sadiq, Thank you for posting your query. I have also noted the CT scan report findings of your uncle. This report suggests a blood clot in cerebellum, located in the back of brain. This is due to blockage of blood supply there. The common risk factors for this brain stroke are high sugar, cholesterol and blood pressure. Treatment requires use of aspirin (blood thinners) and statins (cholesterol lowering .  In addition, any risk factor also needs to be controlled. In some patients, there could be severe swelling of the brain. In that case, a surgery may be needed to save the life. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 bruises on the crease of my left hip, bruising behind my left knee and my 11th and 12th right rib is tender to touch also? I did not fall, walk into anything for this to happen? I am a massage therapist so I have to be aware of my body at all times! I believe that they are trigger points, but when trigger points are deactivated there isn t any bruising... This is very strange. Maybe I m abnormal ### REPLY: Thanks for your question on . I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. Since you are massage therapist, muscular strain is common in you. But better to rule out internal lung causes for your chest pain. So get done chest x-ray first. If chest x-ray is normal then no need to worry about lung disease. Your pain is mostly due to musculoskeletal pain. So avoid strenuous exercise and heavyweight lifting. Avoid movements causing pain. Avoid bad postures in sleep. Apply warm water pad on affected site. Start painkiller and muscle relaxant .  Don't worry, you will be alright in 1-2 weeks. Hope I have solved your query. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a spinal fusion in 2003 and reinjury last June. MRI shows facet arthropy at almost all lumbar levels but at l2-l3 and l3-l4 mild disc building facet arthropathy with mild thecal sax compression and mild inferior foraminal encroachment. L3l4 also has central canal stenosis and bilateral foraminal stenosis l2l3 has ligamentum flavum thickening also. Found a almost 4cm ovarian cyst involving the nerve roots of left lumbosacral plexus also. I am having left leg pain, severe pain, burning when I stand up straight at all today, problems urinating, and now numbness of my right thigh last week and now left thigh yesterday. Help!! Now have left lower stomach pain and nausea/vomiting. (previous arachnoditiis diagnosis) are these new symptoms of urinary retention, thigh numbness into groin area stomach pain nausea and inability to stand up without severe burning pain in mid back possibly from the new ovarian cyst? Had pelvic ultrasound done today and sharp pain in left stomach overy area noe instead of dull!! ### REPLY: Hi, I read through you question attentively. I understand that you had an MRI that showed different problems to your vertebral colon. Fascet arthrosis and l3-l4 stenosis explained several of your symptoms like: leg pain, difficulty standing and walking, urinary problem. The latter is very important, and you should not delay to discus it with your doctor. Yes most likely your lower abdominal ache has to do with ovarian cyst which could have ruptured explained from your sharp ache (it is seen on abdominal echo). Hope this could help, feel free for any other information ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 14 year old son has been having nose bleeds the past few months. and he all so gets chest pains. He looks and seems more tired then he should be. He dont seem very happy any more eather. what can be wrong? I called to get him in to see the Dr.but they cant get him in tell Sept. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you should immediately take your son to emergency room. He is having epistaxis, chest pain and tiredness. And all these are seen with pneumonia. So he needs clinical examination of respiratory system and chest x-ray for the diagnosis of pneumonia. He will need intravenous antibiotic, fluids and other supportive .  Don't worry, he will be alright with all these. But don't wait at home, consult emergency room and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have right lower side abdominal pain which goes all the way to my lower back. Saw a GP 2 weeks ago and did a sonar which showed a small cyst  my right ovary. I finished my antibiotics and the pain comes and goes. Im nauseous in the mornings and late at night. Oh, I had hysterectomy 3yrs back. What could be the problem? ### REPLY: Hi Right sided lower abdominal pain can be due to Appendicitis, Right sided kidney stone, Right ovarian cyst etc. But, a 2cms cyst will not cause such pain. As kidney stones are ruled out on scan, it can be Appendicitis. Unless appendix is grossly enlarged, it cannot be seen in ultrasound scan. Sometimes, after surgery there will be adhesions, and it may cause pain intermittently. If there is distension of abdomen, vomiting and constipation, surgery should be done. Get a CT scan abdomen for correct diagnosis. My first possibility is AppendicitisWish 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: Hi, last year I was diagnosed with Endometriosis and had two polyps removed from inside my uterus and still have 1 cyst remaining on an ovary and was told to come in every 3 months for unltrasounds to moniter my endo and continually check on the size of the cyst. Well last night my husband noticed a large lump and several smaller lumps within my vaginal wall and its quite large. What could this be? Another cyst or more polyps? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have multiple polyps or endometriosis or some other mass. You should go for excision biopsy of that lumps and histopathological examination. It will give you exact diagnosis. Then take treatment accordingly. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a medical today examination today I am 24 and male i m 6 2 and weigh 70kg or 155 lbs. I am concerned that my blood pressure was 148 over 78 and that my resting heart rate after several tests was 117 am I right to be concerned over these results? ### REPLY: Hello, I would explain that a single high blood pressure value and high heart rate value could be related to anxiety and does not indicate any serious medical disorder.  For this reason, I would recommend you to closely monitor your heart rate and blood pressure values in the next days.  If high blood pressure values persist, I would recommend performing some other tests: - a resting ECG - complete blood count, PCR, ESR for inflammation- thyroid hormone levels for thyroid gland dysfunction- blood electrolytes- fasting glucose-kidney and liver function tests.  You should discuss with your doctor on the above tests.  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: Hello Dr Prasad I am an Indian resident and I am 22 years old. Have been developing inner thigh rashes since the last one month. Tried applying Itch guard but that helped in no way. In fact, it has become worse. The skin has become scaly and has developed a reddish brown colour. Scratching results in whithering of white scales from the skin. A little of these rashes have spread from the inner thigh are to the sides of the bladder as well. The skin sometimes burns but mostly gives an itching sensation.Please provide me a medication prescription or suggestions of how to treat this severe problem. ### REPLY: Hello, Thank you for posting on . It seems you are suffering from Tina courts and corporal, a kind of fungal infection. I would suggest you to consult your dermatologist for proper management of the condition. I usually recommend proper course of oral antifungal .  You can additionally use antifungal dusting powder containing ketoconazole during daytime and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistamines for itching as required. Maintain hygiene over those areas and avoid wearing tight undergarments. Hope your queries are resolved and wish you best of health. Kindly spare some time to rate my answer and  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yesterday I had pains that felt like Labor Pains. I am not pregnant. I have 2 children and took Chlomid with my first one. I had a virus on Tuesday and then didn t go to the bathroom from Wednesday - Saturday and then Sunday I went alot and then starting get these pains. Nothing I did helped them. Even when I went to the bathroom, they still hurt. The only thing I could do was lie down so that i would feel better. ### REPLY: Hello, from your brief history of symptoms the stomach pains are probably due to an infection either bacterial or fungal.I would suggest get a urine test done and a high vaginal swab due to the recurrent yeast infections and would also advise a pelvic ultrasound done to rule out fluid accumulation in pouch of Douglas which is next to the urinary bladder. Get reviewed by a doctor and be started on antibiotics or antifungals as necessary. Hope to have answered your query. Wish you a quick recovery. ### END