Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 april... I have some questions... I have an operation for my left chronic sclerozing mastoiditis... I cant make operation because my approval doest approve as of now... Im afraid of my condition if the infection inflame in my body and my brain,and will be affect in my health.. I dont know how long i can wait for the operation...What happened if i cannot quickly operate this?? If i can go operation it will be okay as well?? ### REPLY: Hello April! Welcome on  ! I understand your concern and would explain that this is a chronic condition, and it can wait until you will feel better. But, it would be better to discuss the severity of your situation, based on your performed tests with your ENT specialist. I would not recommend waiting too much as this is a progressive disorder. 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: Helllo, I am a 32 year old female, I am 5 7 and I weigh 180lbs. I have been diagnosed with Hashimoto thyroidism and currently takes synthroid daily, b-12 nasally every other week, and vitamin d every three weeks. Around the thanksgiving holidays, I had a stomach virus, but got better. However, it seems as if my bile continues to be a little loose and at times my legs feel weak. ### REPLY: Hello Thank you for trusting  Dear continuous loose motion can cause loss of electrolytes can cause weakness in legs, sometimes viral induced gastroenteritis may cause weakness. Hypothyroidism is due to Hashimoto may cause generalized weakness. Please get it done Serum electrolytes and calcium. Stool microscopy and culture, and tab. Popular thrice a day, tab. Of lox Ornidazole 200 mg twice a day for 5 days, tab. Operative twice a day. If symptoms not improved consult your doctor immediately. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, My mother had heart by-pass surgery two weeks ago. She is still in intensive care on a resperator. She has been diagnosed with R.A.D.S. and her kidney functions are decreasing. She has had multiple dialysys treatments. What might possibly be causing blood in her urine? ### REPLY: Hello and welcome to . As a Urologist, I can understand your concern. After bypass operations, all patients are on anti-coagulant treatment, to prevent clotting.She's on dialysis, due to reduced kidney function. Following dialysis, as kidney function improves, its common to see, blood in urine. The cause for the blood is, due to inflammation in the kidney, called glomerulo-nephritis. As it resolves with treatment, blood is commonly seen, more in people on anti-coagulants. Treatment for RADS, will be tailored according to kidney function. Hope your doubt is cleared. If you've any other doubt, send it as a direct question, to me. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: intense, intermittent pain with constant dull pain in upper right abdomen, right under ribcage. attacks consist of such severe cramping or pinching or pulling pain right up under my ribs near zyphoid process that i cant breathe or talk for a few seconds. rest of the time its constant feeling of fullness, loss of appetite, ocasional nausea, RARELY vomiting. ### REPLY: HI. The most probable cause of pain on the right side of the abdomen are as following:There are more chances of Liver abscess in your case. Cholecystitis- due to gall stones or gall bladder infection and / or stones. Or stomach ulcers or Liver swelling. This is best diagnosed on a simple test of ultrasonography. Return to the hospital, get this and other blood tests for He, WBC, liver function tests, amylase, lipase, kidney function tests and blood sugar. X-ray of the chest to see that the lungs for pneumonia and pleural effusion. Upper GI Endoscopy if the ultrasonography is normal. The treatment will depend upon the findings, If there I sliver abscess, this needs to be aspirated under ultrasonography guidance if there is liquidation. If cholecystitis, surgery will be the best option, rest of the problems can have medical management ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: respected sir, my husband dr satyapal reddy underwent total thyroidectomy +b/l cervical, paratracheal lymphadenectomy in 2005for papillary cancer-followed by i-131 200mci therapy.started on eltroxin 150.gamma scan in 2006 -normal .multiplei-131 200mci given in oct-2009followed by gamma scan which showed uptake in left gluteal ,right renal areas.PET CT -in november 2009-showed PET NEGATIVE lesions in lungs,PET POSITIVE lesions inliver ,right kidney and left gluteal area.USG done showed 1.2x1cm lesion in liver and 2x1cm lesion in kidney ,3x2 cm in gluteal area.,3 nodes in neck.Gluteal mass excised -H.P.E-papillary ca.CAN CYBER KNIFE HELP IN OUR CASE TO REMOVE RENAL ,LIVERAND LUNG LESIONS OR DO WE HAVE TO GO FOR SURGERY  OR   ANOTHER I-131 THERAPY.KINDLY HELP US. ### REPLY: Thanks for your question on . I can understand your concern. Yes, you can definitely give it a try. Cyber knife in experienced hand can be used for liver and renal metastases. Since it is noninvasive procedure, he should definitely opt for this option first. If it don't work then open surgery is always an option. So first go for cyber knife and then open surgery if needed. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. 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 doc,i am 26 year old..i am having pcos...i am trying to conceive since 1 year..after trying 21 days oral pills for 6 months i am not getting my periods regular....henceforth my Dr put me on Duphaston for 14 days...can i conceive with the help of duphaston else  shall i also start taking clomid?if yes than when and how should i take clomid? ### REPLY: Hi, the problem in PCs patients is with ovulation.  So, you need to take some medicines like camphene for the growth of your follicles.  Phaeton will not help in growth of your follicles.  It will only support the implantation.  So, track your follicles' growth by repeated ultrasound after taking camphene and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Be in contact with your husband for 2 to 3 days after injection.  Take phaeton for next 2 weeks.  Do a urine pregnancy test at home after that.  You can try like that for 3 to 6 months.  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: Hi I went to the doctor and My liver enzymes are also 64 count when they drew my blood ,I had a heptatis test done last month for B and C through blood bank and that was negative and I think it tested for other types of hepatitis , Im very scared and worried about my liver what are other causes of this high count and is there treatment to bring liver count back to normal... ### REPLY: Hi, Thanks for posting query. There are many reasons of elevated liver enzymes without elevated bilirubin. Few of the common causes are certain medications (like statin for dyslipidemia, painkiller or NSAID etc.), alcohol, hepatitis, obesity, cirrhosis, Gall stone, pancreatitis, etc. Rarely celiac disease, Wilson disease, hemochromatosis, infection mononucleosis, heart failure etc. may be associated. Yes cure is possible. Consult gastroenterologist for proper diagnosis and treatment. Best Wishes, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 50 and I believe she is bi Polar and an alcoholic. She has alienated her friends and most of the family. She talks in circles, always looking back and cannot look forward. Goes on rants either verbally or in texts. She is unable to care for herself, keeping clean, cleaning her appartment etc. I live hundreds of miles away but want to help her get treatment. Does this sound like bipolar disorder Sorry I left my e-mail out b YYYY@YYYY ### REPLY: Hello, In my opinion, these are symptoms of schizophrenia. In the case of bipolar disorder symptoms are episodes of sad mood, lack of interest in work, navigability, low self-esteem, low self-confidence and episodes of mania during which people have an elated mood, hyperactivity, decreased sleep, increased spending, sociability. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell down the stairs yesterday morning and banged and twisted my right arm. It swelled up one specific area and was very painful, it also came up in a bruise. I left it thinking it was just twisted/bruised, however the pain has gotten worse and what I thought was swelling now looks like a lump and feels hard. I have good movement in my wrist even though it is painful and I have full movement in my fingers. The bruise is not as dark and I would have thought considering how hard I hit it. It is my lower arm on the side with my little finger about an inch below my wrist joint. I hate wasting NHS time and was just wondering, would it be worth visiting A&E for an xray or should I just leave it ? Many thanks for your time ! ### REPLY: Welcome to . 1. I am normal to have a feel of swelling and discomfort when the bandied is fixed - and the swelling could be features of cellulitis seen after a muscle strain / twist.2. But if the pain is unbearable more than 5 on the scale. It's better to evaluate any fracture is there or what.3. Do not hesitate to see NHS A&E, an x-ray is always needed to rule out the fracture.4. Possible very tight bandage can also because which needs to be checked and re-arrange the bandage will in some situations.5. So suggest you to get medical help, and meanwhile take painkillers to relieve the symptoms. Good luck. Hope I have answered your query.Anything to ask do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i have been smoking cigarettes for 3 and half years. I used to smoke around 5 to 6 filter cigarettesper day. Since one month i stopped smoking. Main reason for stopping was cronic cough. The coughhas not stopped even after one month of stopping and it produces little phlem. I also have a stuffy left nose since one year. Recently i had undergone spirometry and lung x ray, and both were normal.I am not clear whether the cough is from brnochus or Upper resipiratory system. Please clarify, thanks ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of chronic cough which is due to upper respiratory tract infection leading to bronchitis/ granular pharyngitis. Need not worry. It happens once a person quits smoking. I would suggest you to do warm saline gargles and take steam twice a day. Avoid use of sharp and spicy food substances. Avoid cold carbonated beverages. Your symptoms will resolve in 1 week. If symptoms keeps on persisting you should consult ENT specialist and take proper treatment. You should get X-ray chest done along with pulmonary function tests. Doctor may prescribe antibiotics amoxicillin or penicillin at least for 5 days along with decongestant. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom had her BP checked at her DRs office.  Her Systolic was 220 in one arm and 202 in the other.  Not sure what the Diastolic was.  Gave her a bunch different meds then what she has been taking.  Shes complaining of having headaches. I know the numbers are high.  What are signs to look for that shes getting worse? ### REPLY: Hello, As you know the mentioned blood pressure range is considered very high. The cause of her Headache is most probably her persistence of blood pressure in higher range. So keep on getting in checked. Now medication should be able to control it fine If appropriate however you should consider visiting the ER or having a talk with your doctor if. There is any increase in the severity of headache. If there is associated vomiting, blurring of vision, Any nasal bleed. Any chest pain or associated breathlessness.  Any decrease in urine output. In all the above situation do go to the nearest hospital for evaluation.  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: What can causes this difficulty in breathing and rapid heart beat? my mother suffers from that although she is healthy, moderate in her weight, and she is in her forties.these symptoms appear when ever she makes any kind of effort even if they are simple ones. she does not suffer from depression. And the doctors said that nothing is wrong with her! ### REPLY: Hello and welcome to Ask a Doctor service. I have reviewed your query and here is my advice. Is her hemoglobin tested recently, any echo done recently, how is her BP or any history of chest pain? So get her hemoglobin checked if not done recently and also get echo done. Ask to do regular walking to increase her capacity, sometimes deconditioning may lead to these symptoms. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a severe cough for a little over a week.  No other symptoms.  It is typically a dry cough.  Sometimes a deeper cough.  Sometimes when I have a coughing fit I feel deep pressure in my chest/lungs, as if I cannot breath, and sometimes when this is happening I get a sharp prickly sensation in my lungs.  Sometimes the deep cough will result in some yellow/green mucus. Curious if I might have bronchitis. ### REPLY: Hi thanks for contacting . Noted your main complaint is cough. Here yes it seems to be bronchitis... But if fever present it might be interstitial pneumonia like case..... So your auscultation done for resp examination ..... Do following investigation for further work up.... Chest x-ray ... Pulmonary function test ... You can get your sputum examination if it comes in morning.... It is advisable to take antibiotic for 5 days... You can keep this in mind and consult doc. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother must be having a sensation like there are nails in her head and she is says that she can pull them out and it feels better but they disappear when she pulls them out.  It starting with her scratching.  She has rheumatoid arthritis and this started after going on medication for it. ### REPLY: Hi, I can understand your concern regarding your mother. The symptoms that you have mentioned are suggestive of somatic delusions/ tactile hallucinations. I would have wanted to know if she is on any steroids as part of treatment of rheumatoid arthritis. The symptoms your mother is having can be independent or as a result of steroids. Please consult your physician who prescribed the medications regarding the same. Further a psychiatric consultation will be needed. Brain scanning might be needed to rule out any other underlying disorder. Your mother will respond to anti-psychotic medications like risperidone, quetiapine, etc. Hope this information was helpful. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I ve had chest congestion for about a week now and I have been very light headed no mucus comes up but the lightheadedness is really sending my anxiety into over drive I went to the doctor before the chest congestion and wheezing started he said I had sinusitis and gave me a week s worth of amoxicillin any help please guys ### REPLY: Hellothanks for choosing  for your query I were your treating doctor I would treat your problem as sinus infection, and certainly I would prescribe you a course of penicillin group of antibiotics like Amoxicillin plus clavulinic acid and cough remedies as the same was advised by your doctor.I would also suggest my patients for some lab investigation like complete blood count, X-ray PNS please do steam inhalation with deep breathing exercises 3 -4 times a day you can also start some antihistamines like tab levocetrizine or decongestant nasal spray hope this will help you regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ? Please type your query here My husband has a small but very painful lump on his distal forarm ,approximately 2 inches from his wrist crease on the anterior aspect of his arm. The lump glides with movement. It appears to feel better with icing but I am not sure if he should see MD. ### REPLY: Hi, Dear,Thanks for your query to . Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, Your husband seem to suffer from-Ganglion Cyst of the Wrist bone-joint on anterior aspect-or Swelling arising from synovial sheath s of the wrist tendons. CT study would rule out the possibility of -Bursitis of the wrist, which is also a gliding painful swelling, but would not be discrete in appearance. Hope this reply would satisfy you and would help you to plan further treatment with your doctor there. Welcome any further query in this regard, which would be replied in next session. 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: my sister has gall bladder cancer that has spread to the liver and now is experiencing fluid build up in the abdomen in which they have found cancer cells and which has to be drained every couple of days  She is very weak and in pain from the fluid buidl up.  She was diagnosed over a year ago and has had chemo since with bad reactions.  Can you please give me a very frank diagnosis of what to expect next and how long she has to live.  Chemo is supposed to begin again tommorrow but she may be too weak to handle it. ### REPLY: Hi, Thanks for writing in. Sorry to hear about your sister who is having gall bladder cancer with liver metastasis. Cancer is a challenging diagnosis, but we have to treat it till the end. It appears that she is having stage 4 cancer. Unfortunately in this situation it is tough for the patient to survive more than 2 years however with expected response to chemotherapy and good supportive care a patient can have a better quality of life. Since she is having fluid collection in the abdomen regularly, it appears that the cancer is going out of control and the fluid generation is taking place rapidly. She is weak for chemotherapy, but that is the only way to extend her life by months. With care, she might survive for 6 months. Hope she is not in too much of pain. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hit by a car 2 weeks ago. I didn t get any bruises but there was swelling in left hand (below wrist) and left leg s calves. X-ray showed no fracture. Swelling is gone now. But left hand still feels like it is crushed. Can t lift or push anything with it. ### REPLY: Hi, thank-you for providing the brief history of you. As you had a car accident which we call it an RTA - Road Traffic Accident. During RTA there will be a high strain injury to the muscle fibers and that lead to weakness as well. Muscles act by providing the support to the skeletal system and its also acts as protective. This looks like a muscle fiber injury, a deep hurt which has led to weakness in the muscle system. I will advise you to perform some exercises, which are simple to regain the strength of the muscles and tendons wrist and hand should be strong again. This is very common to complain I receive in my clinical practice. Most of them respond well to physical exercise. Regards 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: All of my teeth are hurting. I went to Walgreen s the other day and got my blood pressure taken. I take Diltiazem ER 180 MG CAPS (XR-WRH). A couple of weeks ago, I left town without them and didn t take any for about 5 days. I ve been back on it for about 10 days. I forgot the numbers, but i know they were high. I do remember that the top number was 146. Could my hurting teeth be a symptom of high blood pressure. ### REPLY: Hi, Welcome to  .com. I had gone through your question I can understand your concern about your teeth issues. As per your history you are a hypertensive patient, and you had .  Clinically if you have no dental related problems associated blood pressure will bot affect your teeth. But if you have any reversible or irreversible pulpits, here, blood pressure will come into the consideration. If you have pulp infection and also hypertensive the pain may be aggravated by high blood pressure. You need to visit a dentist or write a proper history about your teeth to our domain we will provide you the best possible management. Hope my answer will help you and visit us back if you have any further queries. 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 been told that i have etopic tachycardia. I have shortness of breath alot but am very active. I was told it was from a smaller than normal lower heart chamber but have a healthy heart and will just have to live with it. I have recently been have swelling in my hands and feet and my bp is higher than normal. should i be concerned. And last week i colapsed after playing with my son outside, ### REPLY: Hi, certainly you must be concerned. This swelling is probably resulted of heart failure, and you collapsed probably your blood pressure must have fallen may be because of some arrhythmia. You should get yourself evaluated with from local cardiologist. Also, you should keep track of BP. You should consume low salt diet and regular brisk walking. Heavy exercises you should avoid till evaluation is completed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Doctors, I have no acl intact in my left knee . I went through 2 surgeries on my left knee , I had a miniscal surgery several year a go. I also have a grade IV Chondromalacia in my right knee, i do not want do any more surgeries at the age of 54YEARS. ### REPLY: Hi, thank-you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As the pathology of the knee joint is troubling you, and you also do not want to go for surgery I will advise to try physical therapy. As with physical therapy, your pain and inflammation will be reduced by use of therapeutic ultrasound therapy and TENS therapy. Also, since you have Grave IV Chen .  If the ACL is completely torn then surgery will be advised as the life expectancy of the knee has to be kept into consideration. Also, once ACL reconstruction is done you can later proceed to physical therapy for strengthening exercises and ROM exercises which will help to extend the life of the knee joint. Due to ACL injury, the knee joint enters into faster degeneration, so ACL reconstruction will be advised in my opinion. As it is a small procedure and recovery is also optimum. Also, once ACL reconstruction is done, you may avoid the TKR in the future. To avoid TKR you need to understand that ACL reconstruction is important. Rest I leave a choice on you. In my clinical practice, I avoid surgery for my patient with grade I ACL injury but witChatDoctorplete tear I also advise surgery, post which the knee ROM and strengthening is performed, and optimum results are achieved with 100% of success. RegardsJay In ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello i am 19yrs old and i just had a maxillofacial surgery of my lower jaw last month on 3rd june11 and there is small lump on my left cheek which is nt healing its a bit bulged out and looks swollen and there is also a small wound inside my mouth in the same area which doesnt hurt it looks more like a flesh. my doc recommended me augmentin 625 mg but i have heard it causes diarrhea and other problems . what should i do and is augmentin effective enough for my case ? ### REPLY: Hi ! Good evening. I am  answering your query. Even though it needs to be examined personally, from your history it seems to be a non-healing wound post surgery, with sprouting granulation tissue inside. This could be a foreign body reaction due to an unresolved catgut/suture which would get absorbed gradually. If not, then you might have to get it reassessed by your operating surgeon for advice. Till then, you could go for an antiseptic mouth wash/gargles to prevent further infection though the wound. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir my son is 10 months old and he has fever and cold ( running nose ) i have given him tminic and ome dosage of crocin . what should be the doasge and the frequency of these drops . i have given him tminic at 9.30pm can i give him crocin 9 drops at 2.30am ? he is 10kgs. ### REPLY: Thanks for putting up your query at . I am sorry that your 10-month-old son is suffering from common cold. The dose of Cronin (paracetamol) is 15 mg/kg/dose. For a 10 kg child the dose would be 7ml of Cronin SYR (120 mg/ml) or 1.5 ml of Cronin .  Dominic (chlorphenamine+phenylephrine) is an antiallergic and 2.5ml of the syrup should be given twice or thrice a day to a 10 kg baby. I hope that helps. Feel free to revert with further queries if any. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed of having gallstgones about a tear ago but no medicine is prescribed for it. now my upper stomach is always aching and i suspected it was my gallbstone that is attacking me, Do u think im right with my   suspicion. if it is what is the best pain remedy? ### REPLY: Dear Friend. Welcome to . Yes Gall Bladder Stone can cause pain in abdomen. It can also cause Cholecystitis causing pain.However, a pain in upper abdomen can also be due to acid peptic disease. I would advise you to get ultrasound of abdomen to see for Gall Bladder and stone status. If there is a problem a surgical removal of gall bladder might be required. If you have any further query please ask me. Stay Healthy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 getting really bad tooth pains the dentist has said i need my wisdom tooth removed as it is infected but now i am getting severe pains in another tooth what can i take other than paracetamols? As i have taken alot of paracetamols but the pain comes bak again shortly ### REPLY: Hello, Paracetamol can be used for tooth pain and this can be combined with ibuprofen every 6 hours after food. You can also use cold compresses on your cheek, over the painful area (do not use ice directly on the skin, wrap cold items with a clean gauze before using it on your skin). If you have swelling and fever, then antibiotics are needed, and you need a visit with your doctor and also a prescription to access these. I hope this answers your query and is helpful to you. Let me know if I may assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had blood in my urine and low throbbing back pain..it feel like siatic pain right now...the pain has shifted mostly to the front of my lower tummy way low around the overie into the fold of my leg area and the pain shoots down my leg...it  spreads toward the hip eases up then comes back stronger ### REPLY: Hello, Thanks for your query. The presence of blood in urine with a back pain could be due to a renal infection or a calculus in the kidney. An ultrasound scan and a urine examination will help in detecting the cause. Resting your back is a vital part of treating back pain. You can apply an ice pack covered in cloth for 10 minutes at a time the first three days after your back pain appears. After 72 hours, you may apply heat. Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can relieve pain I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: high carnosine, and anserine levels? My son, 3 yrs. He is devlopmentally delayed and Autism has been cansidered. He had genetic testing and a full blood work up. the results were no chromosome problems. glad for that. However his. anserine was 377 and carnosine at 93. these were said to be high. A blood plasma test has been ran for inborn metabolism disorders. The nurse made me feel as if all this is diet related but I really don t feel we eat tones of meat. Are their any disorders that match those two levels being high? and are they treatable? if it is diet related? shat can I do as a mother to ensure he gets more of the other food groups? A side note. Years ago I was told I could not donate plasma because of a protien being missing. they thought it a mistake and told me to come back in a year. I never did. Could it have been right and related to my sons problem with speech delays. I too was delayed as a child for unknown reasons. sorry for the long question but I m worried. thanks for advice. ### REPLY: High Carnosine and an serine levels in blood have not been co-related with any definite health disorder, as yet. There is no scientific proof as yet to make these levels point to a diagnosis. Diet does not have much to do with it. It is claimed by proponents of alternative medicine that Carnosine and an serine is helpful in treating autism, though there is no such proven clinical evidence, and we do not recommend its use. Have you, by any chance, been giving your child any such supplements containing Carnosine and an serine? This may have led to an increased level. Regarding diet, a child with autism can be given any diet, which contains adequate amounts of all nutrients, just like any other child. The finding of a protein missing in your blood should be looked into, but it most likely has nothing to do with Carnosine and an serine levels, which are not part of the proteins that are looked for when testing a blood sample! So don't worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter is 15, she has been having chest pain. also a headache and nausea or stomach pain before or after the chest pain. she says her heart feels like it is pumping air or hollow. Sometimes it feels like it is pressing on her breastbone. also had some lightheadedness or passing out feeling. ### REPLY: Thanks for your question on . I can understand your concern. Possibility of stress related symptoms is more. But better to rule out heart diseases because of left sided chest complaints. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. Stress related gastritis can cause chest pain, nausea, chest tightness, pressure etc. So consult psychiatrist and get done counselling sessions. Try to identify stressor in her life and start working on its solution. She may need anxiolytic .  Ask her to avoid stress and tension. For gastritis, give proton pump inhibitors and prokinetic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 25 year old woman prescribed with dicorate 750 once a day by my doctor. What are the possible side effects, anything related to pregnancy? will it cause weight gain? will the dosage increase in due course or be a condition where patient is addicted to medicine and will have a tough time coping up? ### REPLY: Hi, Purpose and duration of taking dicorate-750 not mentioned. Dicorate-750 (divalproex) is commonly prescribed to treat various types of seizure disorders, manic episodes related to bipolar disorder and to prevent migraine headaches. Dicorate-750 is unsafe to use during pregnancy as it is known to cause fetal malformations like spina bifida, small face, cleft lip and palate, and multiple defects involving heart, bones and kidneys. Its common side effects include dizziness, nystagmus, .  Its initial dose is 750 mg per day in divided doses. The dose may be increase to 1000 mg/day to have desired beneficial therapeutic effects with a maximum dose of 60 mg/kg/day. This medication is not liable for addiction hence you need not worry about it. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 6 yr old has intermitten pain on her left side above her hip and feels sick of he stomach (upset stomach could be from ibs that she has). She has no visible injury and doesn t remember doing anything to hurt herself, could it be the ibs or just a growing type pain? ### REPLY: Yes it can be due to her IBS --if the joint movements in her left hip are free and not painful .IBS causes swelling of the wall of the large intestine and this can lead to pain similarly it can cause the blood Welles to swell up causing pain. The right action to be taken at this point is to have a ESR done to see the activity of the disease and consult a pediatric gastroenterologist and a rheumatologist to assess the periods of activity of the disease. Best of luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I was diagnosed with a sinus infection by my doctor 5 days ago and have been taking the antibiotic Augmentin. Its been almost 6 days and my symptoms have no improved at all. My left nostril emits blood with the yellowy mucus while my right nostrils emissions are clear white. I still have sinus pain and pressure behind my nose and near my eye sockets. Any idea what the problem is? Thanks ### REPLY: Hi, I have gone through your question and understand your concern. You have sinusitis and as you described painful areas it seems to be of frontal area. In what doses you are taking augmenting, again are you resistant to it. Take augmenting 625 mg twice daily. If it doe snot heal then go for further investigations like X-ray skull AP/Lat, Blood reports etc. For nasal bleeding you can do packing with glycerin. You should add decongestant like cetirizine and can go for saline lavage to improve .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,So it appears that my wisdom tooth is wanting to come out. Lately my gym, where the tooth ia supposedly growing, has been swollen and it hurts when I chew on that side. But just now I noticed that I have a small hole on that part of my gum, ita small and when I brushed my teeth, Im guessing it hit that area, and it started bleeding. Is this normal? ### REPLY: Hello, Thanks for consulting , Read your query, as you have wisdom tooth area swollen, and it hurts this can be due to erupting wisdom tooth or impaction of wisdom tooth causing pain it can be due to mesioangular impaction, or distoangular impaction or due to Peritonitis. I will suggest you to consult dentist and go for investigations Iowa X-ray of region of wisdom tooth to rule out the cause of pain. In meantime do warm saline gargle two - three times a day, you can take analgesic for pain like Diploma SP or petrol DT. Hope this will help you. Wishing 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: Hello, I am newly pregnant (my period was due 21st of may) and i took trimethroprim 200 mg unknowingly to treat a urine infection. All the research i have done suggests this increases the risk of birth defects, especially in the my 1st trimester and i now think i should get an abortion. can you help? Does this increase the risk? ### REPLY: Hello and welcome to . The exact number of tablets of trimethoprim taken has not been mentioned in the question. If it is a single dose I do not think there is much cause for concern. In case a full course has been inadvertently administered in the first trimester then the rate of congenital malformation is higher than normal rate as per studies. My suggestion...regularly screen for congenital anomaly in the pregnancy scans. Usually the defects are structural and are easily detectable by ultrasonography. Still if you think that you donor wish to take any risk at all then you may consider aborting the current pregnancy. Please consult with gynecologist before taking any decision. Do write back if you have any queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Gallbladder taken out April 2011, appendix 15 years ago. Had vasectomy October 2011.  I have been having issues with stomach discomfort, feels warm, stool is mushy.  Taking align probitic. Some days I have to run to bathroom to move bowels because instant pain. ### REPLY: Hello and thanks you for your query. I am  and I will try to help you as much as I can with my answer. There are no significant side effects of vasectomy and especially not such that you describe, and you should find another causes of abdominal discomfort, and you should do colonoscopy and abdominal Ct scan. I hope I have answered you query. If you have any further questions you can contact us. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I started with this strong pain on the outside of my right leg, from the knee area down to the ankle. The pain went away, but a burning pain developed right over the fibula and now I have a small soft lump. I am scared to death that it could be a bone cancer. Help me, please. Thank you ### REPLY: Hello, I don't think this is cancer, so please be relaxed. Because cancer cannot be just predicted by all such soft lumps. For now, I will advise you to do icing and simple exercises for the lower limbs to have a balancing strength on both sides. Usually, you get pain and aches if there is any ligament injury like a sprain in the knee and the swelling of the adjacent joints as they take maximum stress for the weight-bearing. Your pain should be fine after icing and simple exercises. In my clinical practice of over 12 years, most cases have a ligament injury in the knee and the symptoms of the tibiofibular joint are examined. With icing and simple exercises for correction of muscle, an imbalance has regained full functions. Hope I have answered your query. Let me know if I can assist you further. 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: Hi doc I was wondering can guys get a boob job. The reason I m doing this is I ve had gyno for five years and both my parents can t afford to fix it. But Recently I ve apcepted my gyno and want actually wanted recentlly breast. I I ve saved up for the past year to get dd boobs. And I was going to ask u should I do this or stop ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much.  There is nothing wrong in getting a boob job done. But you must remember that such a job is unnatural. Therefore, there could be guilt and anxiety related to unnatural happenings. You should take note of this and be sportive. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor, there is a greying on my penis, it s towards the sides and down the middle. I have been getting bits like thrush so i presumed it was that and I got some cream but a few years ago I got drying on my for skin which caused cuts and have had problems ever since, the problems come and go but can u help ### REPLY: Good Day, and thank you for being with  !you might have fungal infection of the genital area. Usually medications would be ketoconazole or any antifungal cream but since these are prescription medicines you may need to see a physician. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ .  Best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doc, I am 33 year old male. I just recently noticed a squishy ball in my belly button toward the top of the button. It does not hurt real bad but is very uncomfortable. The ball squishes in and out and I feel a squishy feeling going in and out of my stomache. The ball is about the size of a nickle. Half of the ball is in the belly button, the other half is above the belly button. The ball is not protruded outward just a little from the top. The pain I feel is like if I were to stick my finger in my belly button and keep on playing with it.. That tickly anoying feeling. I do exercise now and then. I thought it may be ahernia but there does not seem to be major pain. I am thinking it may be a tumor or cancer or something...Can this simply be my belly button??? ### REPLY: Hi. Thanks for your query and an elucidated history. From your very good presentation I can tell you this is called a para-umbilical hernia. IT is a small surgery to correct this as it is small one. It may not progress further as the fat-pad gets stuck inside and does not allow its outgrowth. It is up to you - if you kike to be tension-free get this operated to close the defect. Until then you can wait and watch (this is a medical terminology). Get operated if there is a single sign of obstruction anytime. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im 27yrs old, i weight 124, and im 5,5`` i have been healthy all my life until now, my chest feels tight, it feels like my lungs cant expand all the way out, and i always want to try to take a deep breathe and it always worst when im sitting and laying down on my side any suggestions? ### REPLY: Hi thanks for contacting ... Here according to history no clear-cut one cause found.... Rule out ....-stress induce problem or ...-respiratory causes... If you are taking excess stress then also such presentation can be there. This cause seems most likely. Consult psychiatrist for counselling.... Try to avoid stress. Second rule out respiratory causes by pulmonary function test and chest x-ray...Accordingly, investigated and treated. If still cause not clear stress test and ECG done. If still no cause found there might be simple muscular strain .... Keep these in mind and consult physician. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had this lump behind my ear, right where the ear is attached to my head. It is white, rubbery and the size of a large pea.The lump does not hurt, and doesn t get hot, but my entire ear will flame up occasionally and turn very red. Is this an infection? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. You may have some inflamed lesion or reactive lymph node or may have lymphoma.  You should go for fine needle aspiration cytology of the lump.  Then you should take treatment according to the diagnosis.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 9 month old has excema, and it came to a stage where a strong steriod cream had to be used to help it. Im using it along side diprobase. I have been told to use the steriod when it gets bad, however, sometimes a period of only 7 or 8 days go by before i use it again? is that too soon? and is it ok to apply to the nipple area, as thats where she gets excema too? ### REPLY: Hi!there is no harm in using the steroid when your child eczema worsens; as it greatly controls the condition and relieves your children discomfort. It can be applied in the nipple area too, but make sure you don't exceed the amount recommended by your doctor. Steroids are better just applied and not to be rubbed into. Concentrate more on applying airbase. Apply liberally, just after you give your child a bath with a mild soap. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: okay so im 43 and my whole body shakes all over when i start to get up and it feels like some 1 is standing on my chest the world feels like its shaking fast its hard to see my eye sight is becoming poor it feels like there is a fog in my brain and and i feel like im going it faint my heart beats really fast then suddenly slows to like 2 beats light and my heart feels heavy and arms and limbs are really weak some tomes when im out about i get small shake but i got to tell myself not to bend down this has been getting worse since march 2011 ### REPLY: Hello! Thank you for asking on ! Your symptoms could be related to orthostatic hypotension. I recommend consulting with your doctor for a physical exam and some tests: - a Head UP Tilt test for orthostatic intolerance- complete blood count for anemia-fasting glucose and HbA1C for diabetes-blood electrolytes- thyroid hormone levels for possible thyroid dysfunction- cortisol plasma levels for possible a .  You should discuss with your doctor on the above issues. Hope to have been helpful! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have numbness from my bottom/ lower tummy right down both my legs to my feet. I do have IBS.  I am on a ranch of meds from my own doctor for alot of side affects I had from a Iud i had put in 15 months ago but was removed due to side affects.  Im taking codeine/tramdol/diazepam.. which are all doing there jobs. The numbness just started from my bottom first then over 3 days right down to my feet ### REPLY: Hello! Welcome and thank you for asking on ! I passed carefully through your question and would explain that the numbness in your feet could be related to different possible causes: an electrolyte imbalance, peripheral neuropathy, adverse effects related to your current therapy, etc. I would not recommend taking for a long time codeine, tramadol or diazepam, because they can cause addiction and tolerance, beside other adverse effects. Besides, codeine and tramadol may aggravate IBS. I would just recommend consulting with a neurologist and performing some tests : - complete blood count-blood electrolytes- a nerve conduction study. I would also encourage you to stop taking codeine or tramadol, and see if your symptoms improve. This would implicate these .  Hope you will find this answer helpful! Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Have chronic bronchitis copd 5 weeks. On 3 different steriods and new armour thyroid med. Lungs will not clear. 3 antibiotics. Stopped dexamethasone yesterday. Feel horrible. Adrenal insufficency too. Now tongue is burning and dark. Could I be in a crisis from stopping steriods abruptly. Now Stomache is three times its normal size. Should I take some prednisone? Red rash on chest and face. ### REPLY: Hi, Welcome to . I have reviewed your query and here is my advice. Yes, steroid with .  So better not to stop steroids abruptly. And best treatment for chronic bronchitis is inhaled treatment. Since you are not receiving inhaled treatment, you are not improving. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilators (Formoterol or Albuterol) and inhaled corticosteroid (ICS) (Budesonide or Fluticasone). ICS are far better than oral steroids because they ICS are devoid of any side effects and there is no with ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HELLO, I HAVE CPK LEVELS THAT HAVE PEAKED AT 2900 AND CURRENTLY ARE AT 1585. I HAVE SEVERE MUSCLE WEAKNESS PARTICULARLY TRUNK AND LEG MUSCLES. I ALSO HAVE MUSCLE TWITCHING CONSTANTLY (LEGS TRUNK GLUTEALS ARMS) .ALSO THERE ARE SEVERE MUSCLE CRAMPING WHENEVER THE MUSCLES HAVE TO DO ANY TYPE OF HEAVY WORK RESULTING IN PAIN IN THAT PARTICULAR MUSCLE. WHENEVER I DO ANY TYPE OF MODERATE TO HEAVY EXERCISE SUCH AS SHOVELLING SNOW OR USING A CHAINSAW TO CUT FIREWOOD MY BREATHING AND HEART RATE INCREASE SUBSTANTIALLY AND I BECOME VERY WEAK. I HAVE BEEN EXPERIENCING THESE SYMPTOMS FOR 2 YEARS NOW. I HAVE BEEN TESTED FOR ALS, I HAVE HAD A MUSCLE BIOPSY(RIGHT THIGH) BOTH WITH NO ABNORMALATIES SEEN. THIS CONDITION?? IS STARTING TO BECOME DEBILITATING . the second character in my email address is the number 0 ### REPLY: Serum CK levels, along with careful physical examination, may be used to monitor myositis Other muscle enzymes that may be elevated include the following:Lactic deny .  Occasionally CPU levels may be normal because of patchy involvement. Although there's no cure for polymyositis, treatment can improve your muscle strength and function. The most commonly used medications to treat polymyositis include:, Corticosteroids, RituximabPhysical therapy. A physical therapist can show you exercises to maintain and improve your strength and flexibility and advise an appropriate level of activity. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife is suffering from Bells palsy right side of face.dr.prescribed Tab Benfomet plus,Tab Evion LC and Ecosprin 75 mg..she developed vertigo after one single dose of all above tab.we stopped medicine after consulting Dr. What is further action.please inform ### REPLY: Dear patient bells palsy is mostly idiopatChatDoctoreans without any reason, so treatment is physiotherapy and multivitamins. It recovers in most cases fully in 6 to 8 weeks. Till physiotherapy should be continued.  Avionic is vitamin E and should not cause vertigo.esprit is given for thinning of blood and does not cause vertigo. Other reasons for vertigo needs to be ruled out, and you need to consult your treating physician as soon as possible. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a tobacoo addict for the last 15 years. Recently I have developed oral cancer. I was operated and the biobsy showed that the tumor cells were removed marginally. I also took radiotherapy(electron radiation) for further safety. But soon  adain a swelling appeared at the neck which was re operated.  but still again  more swellings are appearing on the left shoulder. i have gone for chemotherapy but its not helping. plz advice me. ### REPLY: Thanks for your question on . I can understand your concern. Oral cancer can spread to cervical lymph nodes and bones. So possibility of malignant lymph node enlargement in neck is more. This can give rise to swelling in neck. Bone metastases in shoulder can also cause swelling. So better to get done PET (positron emission tomography) scan to rule out metastases in neck nodes and shoulder. 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: hi my baby is 2 yrs old & right now he has cold & cough & has difficulty when he swallows he had fever this morning & even now i gave him crocin but seems like his fever goes for temporary he has even become anaemic don`t know wht to do ? i have seen almost 4 doctors for him ### REPLY: Hi, He had initially a viral cough and now there is secondary throat infection causing pain in swallowing and fever. He might have become week and also anemic because of reduced food intake. For fever, you may continue to give Cronin syrup 10-15 mg /kg SOS 6 hourly if there is fever. It will also be a good idea to let your doctor check his throat before starting any antibiotic. Take care. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi this is safia here, i have suffered from tuberculosis and completed my course in the year mar 2011 for one and half year, i have taken ayurvedic weight gain tablets, still i m continuing. But i have seen my complexion is becoming dark. Please advice to get back my fair complexion. ### REPLY: Hello, Thank you for posting on . Complexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. You can get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycol peel, retinol peel, cocktail peel etc.)Also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. Also, at home you can try using cream containing comic acid, betray . Always use broad spectrum sunscreen before going out in sun. Use a plain moisturizer like detail DAM on daily basis for healthy and HY ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 are some signs of blood poisoning? I have either poison oak or ivy. It spread to my arms and neck but my legs are TERRIBLE! Especially my right foot which is almost purple from the rashes and swelling. Also, my right foot is almost 1 and a half times bigger than my left! The whole right leg is swelling and poofy. Do i have blood poisoning or is this just a symptom from poison ivy? ### REPLY: Hello and welcome to , A history of exposure to poison oak or ivy is the probable cause of allergic symptoms. The rashes and swelling developing on legs is an allergic reaction to the poison oak or ivy. This allergic reaction is different from blood poisoning. The allergic reaction is mainly tissue reaction and not blood reaction. You need to consult your primary healthcare provider for clinical assessment and treatment of the allergic reaction. Anti-histaminic is the group of . Consult your primary healthcare provider for further work up. Thanks and 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, 3 days back I develop very tiny small blisters in mouth , Today morning I saw them turned white in color, look like small patches like tip of pimple.They are not very painfull but they cause some in comofort.I am really worriedPlease adviceshould I meet my dentist or I should meet another specialist? ### REPLY: Hello, Do not worry and try to rinse the area with warm salt water. Avoid extreme temperatures, spicy and acidic foods.  Take some anti-inflammatory medication and try a gel with endocrine to control discomfort. Keep the area clean and give a chance for healing to occur. See your dentist if continues or gets worse. Allow a week, but make sure to schedule a routine dental exam if you are not up-to-date on your dental visits and report all symptoms to your dentist. Possible causes include trauma such as biting your cheek, hot temperature burn, allergic reaction to food or change in products used. You may have a mouth ulcer. These can be viral, bacterial or fungal. Your dentist can best determine cause with a clinical exam. Thank you for your inquiry. I hope of feel better soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there, I recent was involved in a rear end collision, I was hit at a dead stop on the freeway at 50mph. I experienced extreme burning like someone lit a firecracker in my upper spine and neck after impact. It s been three weeks since and I am still unable to tilt my head either direction, I also am experiencing intermittent nerve pains in my extremities, spasms, weakness and fatigue In my upper body and constant pain in my neck and shoulders. There is also an awful crunching noise in my neck now that hasnt gone away. I had X-rays and they said everything was normal, but it definately doesn t feel like it! I m worried I might be permanently damaged! Im looking for the next step to take in this long healing process? ### REPLY: Hi, Thank you for posting your query. Based on your symptoms, we should exclude a diagnosis of central cord syn .  In this condition, due to whip lash injury, the central parts of cervical spinal cord in injured, resulting in symptoms similar to what you have. However, it is reassuring to note that symptoms improve with medical treatment and surgery is not required. MRI of cervical spine may be done to confirm the diagnosis. Pregabalin capsules may be taken for symptom relief. Please get back if you require any additional information. Best wishes,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 4yrs son has abdominal pain which is intermittent, mild fever last 15 days n cough since 1month,doctor diagnosed as bronchitis but not able to diagnose the cause for abdominal pain,and his blood report has RBC COUNT,MCV AND MCH ALL ARE RAISED, please let me know about it? ### REPLY: Hi. Thanks for your query. The most probable cause of pain in a child -Tummy tonsils-meaning enlargement of the lymph nodes of the abdomen.-Appendicitis- by default this has to be ruled out in every case of pain in -abdomen of a child.-Worms. The best diagnosis is a high resolution ultrasonography. Some blood, urine and stool tests. A therapeutic trial with a course of an antibiotic, metronidazole and probiotics under the guidance of a pediatrician / Surgeon always helps to solve the problem and to get a diagnosis. Also given is a dose of medicines active against worms in intestine. I hope a consultation with a Pediatric Surgeon, investigations and a course of an antibiotic and metronidazole should solve the problem. If this is indicative of appendicitis, please go for the surgery of appendectomy. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Alan.I was playing golf last night and when i returned home my arm had swelled up and i had bite marks oozing puss from them.Today my arms are painfull and feel very warm and continue to weep from blisters.can you advise on what insect would cause this? And is it dangerous? Im in a lot of pain and my arms are throbbing.your help would be much appreciated ### REPLY: BED BUGS DUST MITES OR SCABIESTHESE ARE COMMON INKED SHEETS CAUSING PRESENTED TO TAKE DOXYCYCLINE 100 MG BD FOR 2-3 WK TO COUNTER PUS AND SKIN INFECTIONAPPLY ANTI INSECT BITE LOTION ON SKIN OVER WHOLE SKIN AT NIGHTIE MORNING CALAMINE LOTION OVER AREA AND CLINDAMYCIN GEL MIXED WITH MOMETASONE BD ON SKIN DD NONALLERGIC BASTING 10MG ODOR BD ACCORDING TO ITCHED TO TAKE 3 WK RE USE CLOTHES AND BED, MATERIALS AFTER BOILING IN WATER ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 given diag od pseudoseizures but my periods have become extremly frequent 3 weeks out of 5 and the activity during this time is really severe always on the edge of episodes and many episodes including through night w legs paralzing and unable to walk doing everything i can to recover from this including sleep study next week eeg normal mri normal could there be something i am missing ### REPLY: Hi, Thank you for posting your query. Pseudoseizures refer to seizures of psychological origin, and are also referred to as non-epileptic seizures. They result due to underlying mental disturbances. A psychiatric consultation would be useful. Since your MRI and EEG are normal, we are most likely not missing anything serious. Please get back if you require any additional information. Best wishes, . 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 there. Discovered a swollen lymph node last night, only because it hurts a bit when pressing on it. I had it before and it disappeared after a while. But this one doesn t move really. Left of my bikini area where the left leg starts. 24 years, female, 1,63m 54kg. Not taking any medication, no birth control. ### REPLY: Welcome to . 1. Lymph nodal enlargement is generally seen after any infection or inflammation, which can be localized or systemic.2. The other possibility of lymph nodal enlargement can be due to the lymph nodal pathology itself - lymph adenoids.3. As an investigation - get an ultrasound examination of the lump - which will assess the status of the lymph nodes solid / cystic / degenerative status.4. To assess further - an FNAC - fine needle aspiration cytology for assessment of nature of the cells involved.5. If you are known to any infection or systemic pathology - get it treated, the lymph nodes will disappear on their own.6. I would recommend seeing your GP, get examined and treated according to the examination and imaging findings. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I really need to know ASAP if I can crush plan b one step into a spoon filled with a bit of water and take it that way. I have never swallowed a pill before because I have difficulty. I dont wanna try with this pill cause I only have one and I dont want it dissolve on my tongue if I try to attempt to swallow it. I tried practicing with candies: unsuccessful. I tried calling plan b one step operators: they lady didnt know at all. PLEASE HELP SO I CAN TAKE IT. THANK YOU ### REPLY: Hey Dear! There is no issue to crush the tablet ad swallow it by mixing it with spoon water. Because this is what will happen to this tablet inside your stomach. Just go ahead with it. On a side note let me tell you how to swallow a pill. Take out your tongue out fully and just at the root of tongue put tablet or capsule. And when you will retract your tongue inside your mouth tablet will be almost near to your neck. Just one sip of water will be enough to take the pill. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 cyst removed from my neck a couple of years ago. It has now grown back with some black in it. It is not painful, I m wondering do I need to see a Doctor to have it removed again and why is there black in it? Thanks Of course money grab. Well thanks anyway. Goodbye ### REPLY: Hello, thank you for your contact to . I understand your concern. If I am your doctor I suggest you that cyst in neck with relapse has many causes. I suspect it is cystic aroma. But definitive treatment for cyst in neck is always surgery. I advise you to visit nearby surgeon to get operated. Do not forget to ask your surgeon for radical cure, so it won't relapse again. I will be happy to answer your further concerned can contact me. . Infectious disease specialist. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I noticed a few weeks ago a small rough-feeling spot right inside of my left cheek. This was shortly after burning the area with coffee AND biting it while chewing gum. Alos got poison ivy right around the same time, which is spreading, and I am going to the doctor today. The area is small, painless, can t see anything really, although I feel it has spread a little and now I can feel it all the time, not just when I check it with my tongue. When I woke up this morning it felt like I was sucking on that side/area of my mouth. I am panicking .. what is this??? I am 49, healthy, 5 4, 145 lbs. ### REPLY: HI, Dear,Good Morning From INDIA. I studied your query with all its details and understood your health concerns. Causes of pressure lump on the left cheek--Causes in your case are-i-Poison Ivy -rushing oil irritant has -astringent effect and has increased the edema and swelling though painless due to ivy -astringent actionii-Dont panic iii-Take bland liquid diet iv-Bplex with it c supplements for 1 wkv-Xylocain / byte gel locally to sooth invite NSAIDs if-need be.vii-if it still persists for 3 was or more-Do FNAC Biopsy and consult ER Surgeon -to rule out fear of cancerous changes as feared by you. Hope this will help you to recover your urgency. Wishing your fast recovery. Wellcome for any further query in this regard. IF you get relief-write a good review and recommend my  clinic to your foes and friends. Have a good Day. With Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi am 37 years male having pain in top of my head from laidt ten dsys have done ct scan and mri of brain which are absolutely normal . Am also feeling weak felling and feel unstesdy walking although i walk straight and walk three km daily. I feel head pain on top of head and not really a headache.pls help me as i have read so much on net and worried. ### REPLY: Hello, As you have already undergone the CT and MRI which has revealed to you that the reports are normal, I feel there is nothing to worry. The weakness and imbalance occurred to you are sad to hear, as you do not have any specific lesion in the brain issue. This could be related to temporarily headache and needs to check once if you had an injury in the past or present taking to the head. At many times we avoid such small injuries and feel it's not major at all. Well, if you have not met any injury then as per me, you do not need to worry. The age you mentioned is 37, which is pretty young to have any kind of major disorders if you are not a smoker or an alcohol .  How about your blood pressure? Have you ever checked with it? Sometimes due to high blood pressure and tension people may suffer a headache which is called a tension headache. The imbalance may be due to lack of confidence sometimes. So I do not think you should worry more. You can start doing morning jogging and some basic general exercise along with cycling should help you feel more balanced. Hope I have answered your query. Let me know if I can assist you further. 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: My father has told me he has cancer and was told 3 months ago that without treatment he has 12 months. He doesnt want chemo but has told me there are some tablets he can take which will prolong his life but he can only take them once the symptoms have started. Is that right? How long could these potentially prolong his life? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your father have cancer. Treatment, prognosis and life expectancy all depends on type of cancer. There are many types of cancer with good life expectancy without any treatment. Some cancer are fatal with very short life span. SO please send me details regarding type of cancer and stage so that I can help you further. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . 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: Weakness like sexual weakness. Feel weak all the times. Testicular ultrasound with Doppler came normal. But still feel weak after ejaculation . Free testesterone level in range 127.4. I m male 39 years old. ### REPLY: HIT hank for asking to ChatDoctorI can understand your problem what ever test you go for that all will come unremarkable because you do not have any disease all you have to do is control your negative thoughts, keep your stress level low there is nothing wrong with you just take it easy your weird ideas, otherwise you will have to see the psychiatrist, hope this information helps you have a good day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...My wife is a 8 year cancer survivor. Her most recent PET Scan showed a suspicious area near her pectoral muscle region which lit up on the PET Scan. She has 1 small cluster 3.4cm. How can this be determined if this is cancer or not? What would the treatment options be if it was confirmed to be cancer? Can it be surgically removed? ### REPLY: Hi, Thanks for writing in. There are many signs and symptoms of cancer depending on the organ involved. In your wife there is a bright spot in the pectoral region therefore for it to be a cancer it should have grown aggressively over last 6 months with or without development of pain and. Most cancer appears like a lump in the chest and will be fixed to the chest wall. If it is bright on PET scan then it is not confirmed to be a cancer and biopsy is to be done to confirm it. There are other acute and chronic inflammatory conditions which might cause bright area on PET scan. PET scan is a technique by which the glucose metabolism is studied. Cancer cells and non cancer inflammatory cells might be seen on PET scan. It is suggested that in a 3.4 cm area the doctor does a CT guided biopsy and then the diagnosis is confirmed. If confirmed to be cancer then surgery is possible. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have been told I have Bursitis in my hips I have osteoarthritis have had trouble walking for nearly five years had MRI scan for back results disc do not need surgery yet, I am 50yrs old not over weight Hairdresser in constant pain, I broke my leg when I was 7yrs which I have found out in the last 3yrs that leg is longer which I have insole can you help thank you Stephanie ### REPLY: Hello, I have studied your case. Trochanteric bursitis can lead to lump and which is usually cystic [soft] and painful. It should have been visualized on fresh MRI.FNAC [needle aspiration cytology] may help before going for biopsy procedure. 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