Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 ve been hurting for 5 yrs now right side of my ribs comes and goes i had a hida scan ejection done shows working at 93 % dr says it s normal but I keep hurting I m on omeprazole for my stomach it helps with the heart burn and stuff but not my pain I m frustrated with Dr s a few yrs ago i had a endoscope done showed i had sludge then had another one done 2 yrs ago showed nothing i don t know what else to do I m tired of hurting ### REPLY: Thanks for your question on . I can understand your situation and problem. Since your scans are normal, no need to worry about major cardiac and Pulmonary causes. Possibility of musculoskeletal pain is more in your case. So better to follow these steps for symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2.  Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Start painkiller and muscle relaxant .  5. Apply warm water pad on affected site. Don't worry, you will be alright in 1-2 weeks time. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Is it okay to take nordette again? I just took nordette as ecp last march 28. A day after I had unprotected sex. 4 pills in the first dose and another 4 after 12 hrs. I had withdrawal bleeding after 8 days, April 5. We had unprotected sex again yesterday, April 13, he used withdrawal method 4 times but I still want to be sure. Can I take Nordette as ECP again? Please help. Thank you ### REPLY: Hi, Thanks for the query. There should be at-least two months gap between the usage of emergency pills. Repeated usage can lead to menstrual irregularity and other related problems. For more details:http://srsree.blogspot.in/2012/08/emergency-contraceptive-pill-short-term.htmlIf you are having no other option, you can use them. But after that try to use some regular contraceptive method to avoid these problems. For more details you can ask me through: http://www.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: hello sir i am suffering from poly cyctic ovaries disease n grade 1 fatty liver n both ovaries are enlarged in size im now 27 years old married female . now i want to concieve . my DR. adviced me to take obimet*sr 500 tablet 2 tablets per day , n also i m having irregular menstural cycles n thyroid problem , im taking thyronorm 25 mg per day. can u please suggest me , is there any complications to concieve or what? ### REPLY: Hello, Poly-Cystic Ovary Disease (POD) and fatty liver suggests that you may be overweight or obese.  Both the disease are more common obese person. Irregular menses are also common in obese female. Poly-Cystic Ovary Disease (POD) is a very common cause of Infertility. The rate of female obesity is associated in at least 30% of cases with POD, even up to 75% of case in some regions of the world. Obesity related Insulin resistance along with female hormone imbalance is one of underlying cause of it. Weight loss is the cornerstone of the treatment of obesity-associated infertility. Lifestyle changes that encourage weight loss, including dietary modification and exercise should be started. Metformin help to improve insulin function. Bariatric surgery (weight loss surgery) is advised for morbidly obese (very, very obese) female.  Once target weight loss is achieved, fertility rate (chance to conceive) improves. Target weight loss achieved by any mean (diet, exercise or surgery) help not only to conceive, but also decreases the complications to baby & mother during pregnancy and during delivery. Once you lose weight, your fatty liver also improves and becomes to normal literate 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: I was diagnosed with aggressive prostate cancer (4th stage) over 3 years ago. It is outside the prostate, but at that time it was not in the bones. I have only done alternative health care since. No surgery or anything conventional. My question is during that time, I have lost about 2 inches from my penis and do not know what I can do or what has caused it? Do you have any suggestions? Thank you, Dan ### REPLY: Degree understand your concerns went through your details. Whatever could be the reason, losing the length of penis is impossible. Nobody organ grows lesser. Your penis must have shrunken due to the stress and physical problems. It will come back up again when you engage in trouble free sex. Don't worry. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: In March early April, I noticed an itchy bump on my ankle. I thought it was a pimple. After a few days it started to spread. Small red bumps the size of goose bumps but red and itchy. On the inside below my ankle bone and on both feet. I went to the doctor she gave me some cream but it didnt work and started spreading up my leg. I went back and she is sending me to a dermatologist but I have to wait 2 months. Its getting worse. The area where it started , the lote bumps, are huge and purple. Then in other areas the are small like when I first got them. The bumps on my legs and ankle itch bad. The ones on my arms, back, wrist, and even on my bottom dont itch. The purple ankle bumps are clustered. Then as they go up my leg its just spotty large bumps that make the surrounding area sore. I hope you can help me with this. Thank You. ### REPLY: Hi, thanks for writing to . There are numerous conditions that produce itchy lesions on the skin of legs, arms, trunk etc. So a detailed clinical examination is necessary to arrive at a probable diagnosis. The commonest causes are Eczema, hives, psoriasis rose, actinic keratitis or . In the meantime before you visit a dermatologist, use an antihistamine preparation orally and a smoothening lotion applied over the lesions to keep them moist and they won't itch. Hope this information is helpful. 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: Good aftrnoon sir, My grand son aged about 20 months he is suffering with gum motions since 1 month . we visit to pedetric doctor and the same quare temporarily. Last the same was again appear we visit the doctor the doctor adice to check motion test, we are done the above test, the doctor see and more infections in stomech henc he wrote medicines continue the medicines 5 days, then the motions fall down. then last night agagin come the gum motions lightly, but the boy was healthy. we are worry about this again we met the doctor but no suitable response for the same. kindly advice waht remedies we taken to stop the gum motions by my grand son. ### REPLY: As you said stool examination has revealed infection and your doctor has prescribed medication for that, the diarrhea does not appear to be due to teething. Infact teething itself does not cause diarrhea but causes few loose stools which are due to excessive salivation reaching gut due to gum tenderness and swelling of teething. This also results in baby putting unhygienic tethers, objects etc. in their mouth resulting in infection. For few loose motions which are not causing child deny .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello : Recently I had an episode where my left leg lower and feet swelled after a night of drinking. I typically drink 6-8 beers 4 nights a week. I am 6ft 240 lbs. I went to the hospital the next night after the foot went down. All of my blood tests were normal. My UTS showed a slightly fatty liver with no acites build up. The young doctor in the ER told me to cut way back on the intake /exercise and eat right. When I got home I looked at the documentation and it said I had Alcoholic Hepititis : Very serious >>> I called him immediatly , he said I know you do not have that I was trying to scare you to cut back. No I am out of my mind with paranioa ....I do have slight pain under my right breast / also itching ...I am seeing a specialist tommorow ...again all my levels were perfect ...except a small cyst in the scan and slighly fatty liver ### REPLY: HI, thanks for using  Fatty liver implies that there are deposits of fat or fatty changes to the liver. It can be related to alcohol or caused by other causes, in which case it is called non-alcoholic fatty liver disease. Fatty liver can progress to inflammation and further damage to the liver. If the damage continues then liver failure can result. As your doctor suggested, it would be best to decrease your use of alcohol and change your diet to prevent any further damage. In terms of the discomfort under the breast and itching, if there is a rash present under the breast then it can cause discomfort and itching. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am experiencing chest discomfort.  It seems to come and go.  Sometimes it hurts when I take a breath or move.  I find it very difficult to describe the pain as it almost feels like my heart is aching.  It is in the middle to left side of my upper chest.  I have a family history of heart disease so Im naturally concerned that it is my heart.  I am 43 year old female, moderately over weight. ### REPLY: Hello , I have gone through your query. Thanks for using . Your chest pain certainly needs evaluation. You are over weight and have family history so heart pain I.e. Angina should be ruled out. I suggest you to get your resting ECG done. If it is normal then go for exercise stress test. If this turns out to be normal, then you should focus on other causes like Acid reflux muscular pain etc. My 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: Hi I Had a hernia repair ( lower left abdomen ) done back in may but since then I have been numb in the area between my left leg and crotch as well as this I have recently noticed while checking for lumps my left testical does not feel right, where as with the right testical when rolling in my fingers there is a slight discomfort and what feels like a vein/cord attached to the testical yet none of this with the left testical, (it s moving freely in the sack), am I imagining things or is there something behind these symptoms ### REPLY: Hi, Thank you for your query. I can understand your concerns. You have developed some minor complication following left inguinal hernia repair.1. Testicular descent is a complication believed to be related to complete division of the cremaster muscle. The cord structures lose their tethering effect, allowing the testicle to descend into the most dependent portion of the scrotum. Due to the elasticity of the scrotum, time and gravity cause it to elongate, giving a feeling that the left testicle moving freely within the scrotal sac.2. Numbness in the area between your left leg and crotch is due to section of the left ilioinguinal nerve while repairing hernia. Regards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is Darcy Im a 52 year old male. None smoker for 1 year, dont drink or do drugs. Today while golfing I started to get mild pain on the right side under my ribs. It started getting worse about an hour later to the point it was hard to breath. When I got home I decided to lay down and that when its got really bad!! Best position is sitting up. Its been about 4 hours now and its gotten a bit better but when I lay down the pain comes back. (HELP PLEASE) ### REPLY: Hello, You need an urgent Chest X-Ray to ensure you do not have air in the space lining the lungs, called pneumothorax. An ECG to ensure there is no cardiac cause. Sitting up may help, but is not the treatment. If the Chest X-Ray and ECG are normal, then you can try anti-reflux medication such as omeprazole or omeprazole and paracetamol 650 mg to ease the pain. If you still have the pain and think you are sweating, call 911 or the emergency number straight away. 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 husband is 45 fit and in good health but for the last month or so he finding very bad pains in his arms, they feel cold all the time and said has no strength. He is a gas engineer so works with heavy items. On a night he cannot rest properly as his arms are aching and he gets quite a lot of pins and needles in his hands ### REPLY: Hi, Pins and needle sensation is typical in naturopathies or nerve related disorders. Diabetes commonly causes such sensations. Complete blood count and blood sugar levels both fasting and one and a half hour after food should be taken. Further management will be based on the results. Meanwhile, painkillers and vitamin-B12 tablets or injection is recommended. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi ive been to see a doctor about chest pains they come and go also have headaches.If i push in just below my neck on left hand side of chest i can feel pain ,pain also in left arm sometimes in leg also my neck too ?Docs say they cant see a problem but have booked me in for a chest xray your answers would be greatly appreciated ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. In my opinion we should first rule of cardiac cause for your symptoms. Because chest pain, headache and left arm pain can be seen in high blood pressure and other cardiac causes. So get done1. Ecg2. 2d echo3.  Blood pressure monitoring. If all these are normal then no need to worry much for cardiac cause. Get done chest x-ray to rule out lung infection as chest pain is seen in lung infection also. So discuss all these with your doctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: recently i have been experiencing tightness acrossmy chest, i have been yawning a lot as it feels like im getting more oxygen? also at work i sometimes have to walk up 2 flights of stairs and when i get to the top i am out of breath, also when i walk some distance i get difficultly breathing, also recently i have been diagnosed with thyroid cance ### REPLY: Thanks for your question on . I can understand your concern. Chest tightness and breathing difficulty on exertion are commonly seen with bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: how long does it take benadryl to leave your system? I have allergies to soy and took it several times last week and now I have been sick to my stomach every day since and getting worse. Now I am throwing up. This also happened to me in January, and it took 9 days until I felt better, so of course I am never taking it again, but until then, how long to I have to suffer from this? ### REPLY: Hi, once you're allergic to something It's for life. Its better you avoid taking soy again in any form. If you are certain soy is the one which is causing stomach pain and vomiting than you do not need to do any test for allergy, any food item allergy you have to avoid in any form. Also take antihistamine tablets those will give you relief, and you will not feel sleepy also, like cetirizine etc. Bena . Do not worry about side effects of antihistamine just take correct dose. And do not  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 brother who is just 44yrs of age had confirmed heart attack last week, and has been told that he needs to go for open heart surgery since one artery is completely blocked and other two are half,  is there any other way in ayurveda arteries start working perfectly fine ### REPLY: Hello thanks for posting at . I wish to inform you that there is no treatment in Ayurveda that can treat blockages in the heart arteries. Your brother is young and has blockages involving all the three arteries of the heart (triple vessel disease). He is prone to cardiac complications if surgery is not done. Any cardiac episode like a heart attack can decrease his heart pumping function and will considerably affect his quality of life. Please do not waste time looking for alternative Ayurveda treatment because it is simply not going to help. I have seen patients do very well after bypass surgery. Open-heart surgery is very well tolerated by patients, and they usually have a good quality of life. A bypass graft remains patent for 15-20 years. I have also seen patients who were reluctant to undergo a bypass surgery when it was the right time and later suffer. My opinion is to go ahead firmly with the decision of a bypass surgery. Wishing him 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: looking for a blood pressure med with the least amount of side effects been on HCTZ horrible leg cramps and couldnt sleep lisinopril horrible cough cozzar horrible headaches cant sleep weight gain and my anxiety is through the roof and with all of these different ones I have lost over half of my hair ### REPLY: Thanks for your query. Hypertension is a lifestyle disease which requires lifestyle solution and very rarely medication. All the medications given for control of BP are made up of chemicals which will cause side effects and create new illness. You have not mentioned your age, weight, what is your job your eating, sleeping and exercise habits. Your family history and the stress levels at work and home what are the tests you have done till now and their results.general guidelines like reducing weight, salt, fats, stop smoking and alcohol exercise daily are only general guidelines which may not be effective for everyone. What you require is personalized advice because triggers for high BP are different in different persons. If you want to reverse high BP naturally with lifestyle and nutrition and no medicines please visit my health and wellness website www.wellness . If you want a personal consult please contact me through  Hope this helped 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 had done my blood test on 8 march 2011.. widal test and i was told that i had typhoid with thypi O being in the proportion of 1:60.. i was prescribed ZIFI -O for 10 days.. last friday i completed my course of 10 days and i am feeling fine with no symtoms as such.. however since i am travelling on 27, i felt a need to recheck my blood and consult my doctor again... to my surprise teh THYPI O is now seen as 1:80.. my doc says that somehow teh medicine seems to be not working hence has revisied the medicine to baloforce 100 for 5 days.. need your suggestion.... thanks ### REPLY: Hi, Welcome to , If you have been diagnosed correctly (tidal test 1:80) typhoid fever then you will have to take antibiotics (cephalosporins in combination with quinolones like definite 200 mg with levofloxacin 500 mg) with other symptomatic treatment. If there is no high tier (above 1:160) here in tidal test then this need to give antibiotics in single dosage for at least 15 days and follow up is taken after repeating tidal test again. The main concern is not only treatment but to prevent relapse and to prevent carrier state is also important. So, better you take treatment from physician only rather than taking from any other doctor or by self. Initially only liquid diet for 5 days then if response is good, then you can go for soft diet till the completion of treatment as diet is also an important factor during treatment. This combination of dietary and medications will cure you completely in proper duration as I have mentioned. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir i had exposer 2 months back weared condom but it was of small size ,after two weeks i developed pain abdomen and diarrhoea, in the initial episodes my symptoms subsided with use of antibiotics( within 2 days )after 2 to 3 days of stopping antibiotics my symptoms restarted ( so restarted those antibiotics and many other drugs for 10 to 15 days ), however my diarrhoea subsided but am having persistent pain abdomen since last 2 months with ocassional loose stools, its crampy pain diffuse, increases with intkae of food only during day time,lost some weight also but no fever ,cough, sore throat, lymph nodes,thought possibility of HIV infection done HIV testing after 21 days HIV PCR RNA - below 20 copies. westernblot - non reactive HIV CLIA -Non reactive so my doubts - 1 Above results indicate am not infected ? 2 How much should be the HIV RNA levels in early infection at 20 days ? 2 Are my symptom persistent pain abdomen with ocassional diarrhoea s/ 0 acute HIV infection ? 3 How commom pain abdomen and diarrhoea in acute hiv infection without fever or other symptoms? 3 Are my symptoms related to medication side effects / food poisoning / anxiety ? please interpret my results and advise further. ### REPLY: Hi.Thanks for your query. Noted your history of sexual exposure but with condom which acts as a good barrier. You developed diarrhea and loose stool which has continued for 2 months. HIV tests, western blot and CIA done all negative. I would advise you the following:First stop worrying about something that you do not know of and follow the advice of your Doctor. Consult the HIV/ AIDS center for counselling and further examination and tests. Another important point you have mentioned is loose stools and pain in abdomen. The possibility of HIV causing this is definitely worrisome, but if the tests are negative, I would advise you the following:Repeat the tests for HIV. Stool tests for three consecutive days. Tests of blood, particularly for thyroid function tests and diabetes are a Matthias will give further lair diagnosis and a plan for proper treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A young child of almost 4 years was prescribed  250mg of Klacid because  of a infection of the chest which caused a continuous coughing, after a week of taking this medicine the cough subsided. The child went to school for just a day and came back coughing and sneezing. How should this cough be treated and with what medicine if a PEDITRICIAN IS TO PRESCIBE MORE MEDICINE TO GET RID OF THIS COUGH. ### REPLY: This looks like an allergic cough or a viral infection.Also, could be asthma.  Child should not take this medication continuously. The AAP recommends that a child less than 5 year old should to receive cough medicine as it stops protective cough reflexes that are protective to prevent build up of congestive secretions and increases chances of pneumonia in these little child . You could look out for sources of allergy-dust mites, pets, smoke or paint vapors. Zyrtec child ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, i am 26 years old and trying to conceive.. my cycles are regular 29 days.. according to clear blue i ovulated on day 14.. but 2 months ago my doctor prescribed me clomid 50 mg 2 pills a day for 5 days.. my period turned to black or just darker.. it lasts 5 days.. which is normal.. but i had hot flashes during night and i started my ovulation test clear blue on 1 febrary and so far itis always negative i am now on day 20.. knowing that i usually ovulate is it possible that clomid delayed my cycle? or i ovulated earlier? does it happen? awaiting your reply best regards, Sana ### REPLY: Haploid is an ovulation induction .  Most women will ovulate 7 to 10 days after they take their last Closed pill. Clomid can cause a false positive in Ovulation Predictor Kits if taken too soon after finishing the prescription. According to most of the manufacturers you should wait at least 3 days before using the kit. Hope I have answered your query. Let me know if I can assist you further. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, Doctor. What do you suspect causes fibromyalgia? I have the worst case I ve ever seen and am on disability because of it. I ve had it since 2005. My symptoms resemble severe MS (minus brain legions). I m 47 and feel like I m going to die it hurts so bad. Thank you for hearing me out. Terri in Maine ### REPLY: Hello, Fibromyalgia is a problem in pain conducting pathway. It may be due to genetic disorders or post-traumatic stress disorder or panic attacks etc. Until examination is done it is difficult to say what it is.  It is treated with antidepressants or antianxiety medications and painkillers. If symptoms not improved please consult psychiatrist he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump on my neck for two weeks it is not painful nor has it changed in size since I noticed it.  I have Rhumatoid and psriosis, the autoimmune disorders.  I do not have insurance and do not take medicine for either disorder.  Since I have these disorders I always feel run down and feverish so I can not really tell if there is a difference there.  I guess my question is should I go to a free/low cost clinic or to the emergency room, which would be better suited to my needs since I have no insurance... ### REPLY: Welcome to  .1.It's not an emergency you can go to the low-cost clinic that will be fine.2. The lumps with your history seems to me like lymph nodal enlargement, they usually give that picture.3. Generall enlargement seen after any local or systemic infection, which you are suffering at the moment.4. So rather treating the lumps in the neck, treat the underlying causes.5. An ultrasound examination of neck will give the exact nature of the lump, its source and extensions - good luck. Hope it helps you. Wish you a good health. 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: I was tested positive for hsv1 and 2 but I have never had a outbreak and no one that I have been with has ever had a outbreak do I need to be retested to make sure of my resulted and the s aid week I took 3 different type of antibiotics could not cause a false positive ### REPLY: Hi, As per your complaint HSV-1 or Herpes Simplex Virus 1 infection is a viral infection that is commonly sexually transmitted via oral and genital contact. It is generally confirmed by investigations like antigen antibody reaction [Egg and IGM antibodies], Polymerase chain reaction, and viral culture. As it is a viral infection, taking antibiotics will not alter the test results. You did not have any outbreak as your bodies immunity might be good to resist infection and not letting the virus particles to multiply. But for re-confirmation you can repeat your tests and consult an Infectious Medicine Specialist for further diagnosis and treatment. Hope this information helps. Let me know if I can assist you further. Thanks and regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello...i hv been diagnosed with anaemia (10gm haemoglobin) and for the past three weeks i hv been suffering from severe hair loss and i have started taking dexorange pills to cope with anaemia.is that enough?will I be able to see a reduction in my hair loss? ### REPLY: Hello, welcome explain everything about hair loss in point wise manner1. 100-150 hair fall every day is very normal. So should be considered hair fall if number of hair more than this.2. Generalized hair fall in female is mostly due to stress, poor sleep, poor nutrition and excessive blood loss due to menstruation3. Stress alopecia is also common in which female keeps their hair very tight in certain manner which creates tension in root and cause hair fall.4. Straightening and other procedure also cause weakness of root5. Other condition like fever, typhoid, malaria, thyroid, etc. also cause hair fall(less common)Treatment1. Have good sleep. Food., green vegetables, fruits2. Take iron and multivitamins like collinear at least 3 month.3. Check you blood hemoglobin if it is less iron and folic acid supplements should start.4. Check thyroid and diabetes to rule out other causes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Good day, I have 2 bulging discs (which I have known of for many years) and a posterior annular tear in the disc upwards. This concerns the L5/S1 and the two next discs. What implications does the tear have for my lifestyle? I run frequently and used to be a competetive fencer. ### REPLY: Hello, As due to muscle weakness and degenerative changes in the muscles of the spinal column there will be an injury to the ligaments and the intervertebral discs. Due to which there will be a pain, inflammation, tingling, etc. Recent research studies suggest that exercises have a positive role in the recovery post disc injury. Exercises like - core stability, spinal muscle strengthening exercises, hip muscle strengthening exercises, static hamstring, static qua .  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: 34, 51,164 goiters on thyroid, rt side tyroid removed due to goiters still have them on left. Left throid normal size 1 goiter size 1.1 the other .8mm with a more soild look. when rt side remove no cancer. Family history of thyroid problems mother, Aunt had precanerous and had her totally removed. I take 75mg sthnyroid. hard to swallow should I be concern about cancer? ### REPLY: HI THANKS FOR YOUR QUERY. THE SYMPTOMS WHICH YOU ARE CURRENTLY EXPERIENCING HAVE TO BE SERIOUSLY AD . THEY ARE HIGHLY SUGGESTIVE OF MALIGNANCY....BASED ON THE HIGHLY POSITIVE FAMILY HISTORY IN YOUR FIRST DEGREE RELATIVES.THE MOST LIKELY DIAGNOSIS IN YOUR CASE IS "MEDULLARY CARCINOMA OF THYROID"ALL YOU NEED NOW IS URGENT EVALUATION OF YOUR Tumor VIA BIOPSY AND TRIPLE ENDOSCOPY .THE ONLY CURATIVE TREATMENT FOR SUCH A Tumor IS "COMPLETE SURGICAL REMOVAL OF THE ENTIRE THYROID GLAND ALONG WITH THE REMOVAL OF THE LYMPH NODES OF NECK"....THIS TREATMENT OFFERS THE BEST CURE WITHOUT ANY AMBIGUITY.BUT IT HAS TO BE TAKEN AT THE EARLIEST.CONSULT YOUR SURGICAL ONCOLOGIST FOR EXPERT OPINIONTHANK 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: Right after my boyfriend and I were fooling around with each other (we didn t have sex), my stomach began to hurt and then the next day I got my period. It was really strong. Now, I m on the last days of my period, and my stomach feels hot. It doesn t usually feel hot. My ovaries have a sudden sharp pain to them, and it I could it feel it make bubbling noises. Is it possible for me to feel a pulse down there? Do I have an infection or something? ### REPLY: Hi. It is hard to say is it infection or something else, but this kind of pain is common at woman. If this is associated with your period then some dismennorhea must be considered. Infection would present with vaginal discharge and fever.  Common causes are also ovarian cysts ruptures and endometriosis so at least pelvic ultrasound should be done to rule this out.Also, you need to check your hormone levels too see is there some menstrual disorder. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband is 42 years old and has excess water detention going 20 lbs just lately. he is a heavy heavy drinker and also takes loratabs daily. cant eat,but drinks or eats fruit all day because he is so thirsty. has trouble holding his bowel movements at least 4 times a day. please let me know what to do he wont listen but has nightmares nightly mostly about the bed shaking so gets up in the middle of the night and starts all over ### REPLY: In such problems you should play safe bet by giving Ayurveda medicine like Punarnavarishta liquid and Punarnavarishta Man door to release retention of fluids. Triphala capsules and Mahashankh Vat and Ashwagandharishta and Ashwagandharishta capsules - pure natural - will bring satisfaction at mental level too. He'll start behaving and eating normally in about 8 weeks time. Good sleep will be experienced by him. May seek help of Ayurveda doctor near you or may consult any on net/ . This doesn't require physical presence of patient if you can detail broadly. Hope it helps you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What is the cause and remedy for tingling lower legs only a concern when standing or sitting ,not when l ying in bed. Preasure stockings help controll it. I have had it for years but is getting worse as I get older I now have to wear preasure stockings most of the time to controll it now days ### REPLY: Dear patient thank you for your question. You seem to have a condition known as Prolapsed Intervertebral Disc or Misdiagnosis:A cat scan of the lumbar vertebrae is the most definite way of diagnosis. Acomplete physical examination involving the straight leg raise testReverse lasegue testator and sensory dermatome tested tendon reflex testicle power test will give a diagnosis.The tests are to be performed by your orthopedic surgeon or your GP. The treatment for this condition is:A-Medical1)Initial treatment of lumbar disc disease consists of anti-inflammatory medications including ibuprofen (Motrin, Advil) or naproxen (Alive)2A short course of oral corticosteroids, such as prednisone, can also be of benefit, but long-term use of corticosteroids is not recommended.3) Muscle relaxants like Flexion Mr 500 mg twice a day might helpB-PhysiotherapyPhysical therapists have many modalities at their disposal to assist in the treatment of lumbar disc disease. These include heat, massage, electrical stimulation of muscles, ultrasound therapy, and water therapy) Surgery:Surgery is an option for the treatment of lumbar disc disease in people who do not respond to themedicationsSurgical options include lumbar decompression, lumbar fusion, and lumbar disc replacement. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: The are couple of months now, I have been having difficulty concentration, Forgetful ness, cant talk right sometimes slurred., back of ears to base of neck hot, like fever. I work and its embarrassing when I have to ask someone 3-5 times . Am I lacking something, or is it a condition. Can it be corrected? Please help.Thank you,Vicki Bisher YYYY@YYYY ### REPLY: Hi Vicki Basher, Thanks for using . Your symptoms may be due to hypothyroidism or any CNS problem. Hope you don't have any other problem. Get done thyroid profile once witChatDoctorplete hologram and get examined by your doctor for any endocrine or CNS problem as we can diagnose only after complete examination. It can be corrected once we diagnose it. Get back to us with the values for discussion. Hope I answered your question. Feel free to ask me if you have any further queries. Wish you good health. Take care. 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 there, my dad has been experiencing electric shock type feelings from his neck down his left leg that were originally diagnosed at focal seizures, than the shocks started to spread to both of his legs and cause dizziness. The doctor than diagnosed him with myoclonic seizures. He had an MRI of his cervical spine and from c4-6 there is a compression of the spine. When reviewing the MRI with the neurosurgeon they noticed that not only was the compression present but also a white streak down the cervical spine and partially into the thoracic spine but the MRI didn t show enough of the spine. What does this white streak typically suggest? ### REPLY: Hi, The white streak in spinal cord suggests damage to the nerves. The common causes include 1. Compression over the spinal cord, 2. Ischemia (lack of blood supply to the spinal cord), 3. Declination (damage to nerve covering). Please discuss with your neurologist/neurosurgeon about the likely cause in him and the treatment.  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 want to know how can i get rid of the tension i feel everytime i go to the dentist, im 17 and i dont know how to ease myself when im in that horrible chair looking at the ceiling i just panic and wont let the dentist even touch me is so embarrazing ### REPLY: Hi, I can understand your concern with your problem. Not able to relax before a procedure is quite a common thing, but you can overcome it with effort. Learning relaxation exercises like progressive muscular relaxation and deep breathing will help you relax. Alternatively, use of benzodiazepines like alprazolam or clonazepam just before the procedure can help you relax and be able to undergo the procedure. You can discuss these options with your dentist. In case, you have anxiety and avoidance in other situations too, you should undergo a complete evaluation for anxiety disorder and consult a psychiatrist for the same. I do hope that I was able to help you out with your query. Best wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, I am experiencing very bad chest pains and its very difficult to breath. I went to the doctor and they did two cat scans one was of my chest and the other was of my lower abdomen. They saw that my kidney and spleen were enlarged. I also had swolen limphnodes in my chest.My doctor sais he isnt sure where my pain is comming from so he gave me some pain meds and an antibiodic. please tell me what you think I dont know how much longer i can deal with the pain. ### REPLY: Thank you for writing me, you have some chest enlarged lymph node that may be major cause of your chest pain, it is also associated with large kidney and spleen, so it may be possibility of acidosis, and also if there is epidemic of tuberculosis in your area then tuberculosis is also possibility, two things you can do to rule out in between them1. BUS endobronchial ultrasound and FNAC OF lymph node 2. Blood investigation (level of ACE, serum ANA, RA factor and of course CBC LFT FT)THIS WILL HELP YOU TO REACH YOUR DIAGNOSIS ITS NOT JUST TO SUBSIDE PAIN, TRY TO SUBSIDE DISEASETHANK 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 noticed a tiny bump on my palatoglossal arch for months now. It s size has remained. I don t smoke and don t drink, as well. I also don t perform oral sex (swear). I m in my 20s. Sometimes, it gets reddish and painful, but normally it s just a bump that I feel whenever I swallow food. A doctor advised me to undergo a minor surgery to have a biopsy ... I asked you to also give me more information about my tiny bump. Thank you and may you help more of us in the future. :) ### REPLY: Thanks for your question on . I can understand your situation and problem. Following are the common causes for tiny bump on palatoglossal arch. 1. Vitamin deficiency 2. Infection 3. Friction due too hard to chew food. So before biopsy, you should try these steps first. 1. Start multivitamin containing folic acid, niacin, vitamin b12 and zinc tablet. 2. Do chlorhexidine mouth gargles 5-6 times a day to prevent infection. 3. Avoid hard to chew food.  .  If you are not improving after 1 month then go for biopsy for the diagnosis. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 over on 2nd july and hit my shin. since then i still have a hard rounf lump with redness around.  the bruising has gine, and i am now left with the skin very dry over the lump.  i am 44 and weigh 20 stone with a bmi of 46.  there is no pain, but there is physical disscomfort, and sometimes it feels hot. please advise. thank you ### REPLY: Hi, It seems that there might be having hematoma on local site and now small amount blood remained there and encapsulated. As it is red there is possibility of some infection on the part. But another possibility is there as this injury was on shin where there is less muscle mass-producing some injury to periosteum of shin-bone might give rise to infection on periosteum. Go for x-ray shin to rule out ant osteomyelitis changes in shin-bone. Ok 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: my grandmother has been falling out with her husband for insignificant reasons i no it sound stupid but this is becoming very regular shell strop of and leave sometimes she wont come back till dinner time we have no idea where shes went. She has also started falling out with her daughter (my mother). My grandparents are getting on in years now and my granddad has a heart condition her unusual antics are taring him apart hell stay with her for ages begging her to forgive him (for absolutely nothing) we are all worried that the stress is going to kill him someday. she will also do other things that indicate depression like wanting to sleep all day or not wanting to see people weve asked are gp but he wont give us anything to help her. ### REPLY: His had gone through your query. You have given many details that indicate one of the following diagnosis.1. Dementia2. Dementia with psychotic behavior3. Late lite depression.4. Depression with psychotic feature5. Organic brain syn . In old age there are possibilities of behavior disturbance due to medical problem. But physical and psychological examination is necessary to reach proper diagnosis. Routine test and mental status examination will give more confirmatory idea. It can be treated with anti-psychotic and antidepressant medicines. Choice of  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I was just told today that my 3 yrs old have the problem of bladder wall thickening and one of her kidney is smaller than the other.About 2 months back she had her 1st bladder infection and she was on antibiotic(sulphur)but didnt continue her 10 days course coz she had developed a rash. Just few days back I had to take her for her annual check up and her doctor said she found lot of blood in her urine so she had send it to the lab for further work but they still havent got back.My doctor adviced me to take her to a urologist.Im quite worried.is she going to be OKay? ### REPLY: Thanks to  I can understand your daughter problem according to your narration she may have congenital disorder problem with kidneys please undergo once ultrasonography abdomen or pub, renal function tests antibiotics will cure the bladder infection, but blood in urine is the focus point, so have ultrasound once blood in urine due to kidney infection or bladder infection or stones also ,tumors ,so don't go through all these . I hope in ultrasound diagnosis will come then use antibiotics and antispasmodics for 10 days it will subside ,ok ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has just taken his blood pressure it is 136/98 he is 49 and in good health but under alot of stress with his job.  He has also been getting severe headaches the last few days,  On Thurs., his bp was 155/99.  At what point do I consider it an emergency? ### REPLY: Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Yes, stress increases load on heart and leads to high blood pressure.2. High blood pressure with headaches is a warning sign. At this age the blood pressure should be around 120/80 mm of Hg.3. Emergency is when it crosses systolic above 180 and diastolic above 110. However, do not wait for emergency, start exercises, weight reduction, diet control and medication. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diabetic for the last five years.. There is family history.. I am 65years old and a female of Indian origin, living in malaysia.I would like to know about the drug Gemer P2..how do I take it? When do I take it? How much? What are the side effects?thank you, SULO. ### REPLY: Hi,Gemer-P2 is a combination of three anti-diabetic medications glimepiride (2 mg), metformin (500 mg), and pioglitazone (15 mg). These medicines are also available in the brands like Tripiride-2, Gluconorm-PG2 or Film Plus-2. If not available you may request your doctor / pharmacist to prescribe individual medicine as mentioned above. 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, ive been treated for a kidney infection on augmentim antibiotica twice but i continue to have a burning pain in my lower back that spread to my leg i notice that my feet are swollen.Can it be that the infection was not proper treated?What should i do know cause the backpain become unbaring. ### REPLY: Hello, I have gone through your query and understand your concerns. In my opinion you need to have a urinalysis done to know if your infection is treated or not. In most of the cases if there are plenty pus cells we will suggest urine culture which shows which antibiotic is suitable to treat the bacteria present. Along with that an abdominal scan is also needed to rule out pyelonephritis. If your back pain is unbearable you can take milk painkillers like acetaminophen. Hope this answers your query. Get back if you have more. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 43years old woman I suffer with relay sore lower back pain and it over around my sides can t walk anywhere with it or stand on the spot it only gets sore if Elaine or standing over away when I sit or bend over I have one leg bit longer than other my doctor just gave me pain killers I can t go on like this it pruning my life ### REPLY: Hello, Thanks for your query. Low backache looks like a positional anomaly. The low backache is a result of muscle spasm which in itself is a protective mechanism body develops so that the back avoids abnormal posture. For pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation). Avoid sleeping on sides and stomach in case you do. While on work don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a female of 39 yrs height 160 and 56 kg.   i have lower back pain since last 2+ months, taken a X-ray , found normal. Pain is not so severe, but it is continue,.  it increases,  when  i change any position, left -right, front - back bending, even continuous sitting or walking. please advise. ### REPLY: Hi, Welcome to . After going through your query I think you are suffering from chronic backache. Treatment of back pain is exercises and analgesics (diclofenac). Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation (weekly with milk) can be taken. Avoid long continuous standing. Sit in a straight posture. Eat milk and milk product, fruits and green leafy vegetables daily. To further investigate MRI of the region is advised. I think your query answered. Welcome to any follow-up query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, I am a 54 yr old man w/ chronjc hepatitis. I have cirrious and have this virus for approx. 35 yrs. I have been through the 1yr of interferion & pills. it failed... my question is I prescribed 10 mg x 3 daily or tid. my davis drug guide said this medicine is not recommend in italized letters not, I repeat not to take these period. I dont drink or drug for 18 yrs now. I have a ten yr old beautiful daughter here and have been doing everything to stay healthy. please if any body out there is reading this, please contact me. I NEED THE TRUTH. ### REPLY: Hello Sir, As you have chronic hepatitis at present and also had cirrhosis liver in the past, it's good that you have recovered from cirrhosis liver, which is your good luck, now you should be always in guidance of Gastroenterologist at your place, and go accordingly and take treatment strictly as he guides you. But one suggestion I want to give you that in recovery of Liver some medicines of AYURVEDIC MEDICINE are sometimes very beneficial, and Diet restriction is very helpful, so simultaneously you can go for that treatment. Hoping for your good recovery from this guidance, good luck 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: heloo,doctor day before yesterday i have done a hair colour allergic test behind my ears.yesterday rashes appeared on that area and nearby areas and has itching too.i am really scared.will it spread?i have appiled coconut oil.it helps me from itching.but still that redness and hives are there.pls help me ### REPLY: Hello After dye you develop rash, redness and itching. This is clear indication that dye is sensitive for you. Coconut oil provided some relief, this is good. When such case visit I advise them to take fexofenadine 180 mg one tablet + tablet deflazacort 12 mg together, and you will get relief. It may happen that you may need 2nd dose. Also apply clotrimazole lotion locally, and you will get relief at once. But be alert next when using dye. Since this is a prescription . 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: Cervical spondylosis with disc/osteophyte complex C5-C6 resulting in mild spinal stenosis. Moderate bilateral neural foraminal stenosis is present. mild flattening of cervical cord, but no intrinsic lesions or extrinsic compression. Is this something that would require surgery? If so, what type of surgeon do you recommend? ### REPLY: Hello, I have studied your case. Due to cervical stenosis pain may remain persistent to compression of nerve root there can be tingling numbness in your arm and pain.Also, there can be large disc bulge which is compressing over spinal cord. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. If nerve compression becomes symptomatically severe then surgical decompression will give permanent relief. Consult spine surgeon for further help. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir i a me  having pcod problem but i had intrested to concieve. i started using ova shiels tablets this month but i get periods without completion of my tablets but i am not getting my periods properly. so please suggest how i want to use this tablets. ### REPLY: Hi, As you have POD problem, you should get your thyroid profile checked. Also do a serum prolactin test. You can also do a follicular monitoring on ova shield tablets and can see for the growth of your eggs. Maybe you will need some medicines like progesterone in later half of your cycle. Contact your doctor. Getting periods even without finishing ova shield is okay. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I had a upper tooth extracted 24 hours back. I am currently taking antibiotics. I just noticed there is some white stuff on the surgical site.Is it pus or infected? If yes then is it normal to have pus after 24 hours of surgery. FYI there is no stitching after surgery. ### REPLY: Hi, I have gone through your query and can understand your concern. As per your complaint white stuff at the site of tooth extraction, of it is present inside the extraction socket then it does not seem to be healing tissue and not pus. In case if the fluid is . I would suggest you to consult an oral physician and get evaluated, and a thorough clinical evaluation has to be done. In case if it is healing tissue then nothing has to be done as it will heal progressively. In case of pus antibiotics will help in its resolution. Hope this helps. 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,I have a unusual issue that causes muscle fatigue, general fatigue, and slightly elevated blood pressure. I have been to the E.R. once, and they checked my blood, but said everything came back perfect . I know the doctor said something about checking for sodium potassium and thyroid stuff. I don t know what else though. I ve had this issue for about 3 months now, and it started simply with slight weakness in my upper legs, then as the the day would progress, it would move into calfs, neck and shoulders, etc. Now, anytime I try and walk up stairs,my legs burn, I have out of breath, and it s just very uncomfortable. ### REPLY: Hi, I understood that you have a concern about recently started muscle ache and fatigue. Also, You have high blood pressure. Muscle fatigue is a very vague symptom. There are various causes from simple vitamin deficiency to complicated as muscle disorder as myopathy or neuropathy. Not to get worried, simple things to do is the consultation with your family physician. Discuss your test with him and decide which test you need to get it done. I recommend the Thyroid function test, vitamin D levels, ECG and A 2D echo gram initially.  If your blood pressure remains high then you need to start medication and restrict your salt intake to 2 gm per day.  I am worried about your shortness of breath if it is frequent and troublesome then it should be ad .  Some muscle disorder such as myasthenia graves or endocrine disorder Cushing disease also should be considered. By the time you get all work up done, you can start some simple yoga meditation and adopt a healthy lifestyle.  Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello . I have been experiencing pains I m my lower stomach . This is normally intensified when I need to urinate. I have no stinging or pain when I do visit the toilet but I have noticed that the tip of my penis stings at times . I have had this for just a little over a week. The pain at times does extend from my lower stomach to the shaft of my penis ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have pain in tip of your penis due to inflammation of terminal part of urethra(Urethritis). Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like Čeferin along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to . To keep your urine dilute This will help to control dysuria. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,i am tejendra chauhan from jhansi, suffering from lever problem.iam unable to digest the solid food and whenever i take anything the next minute i have to run to the toilet.i have got ultrasound in which it shows my lever has gained weight.please advise.thanking you ### REPLY: Hi.thanks for posting query.advise:1. Restrict fat intake and loose weight (if obese)2. Oral pancreatic enzyme maybe ingested after discussing with treating physician3. Monitor fasting blood sugar (if non-diabetic)4. If diabetic, control blood sugar5. Monitor liver enzymes and have ultrasound (abdomen) every 3 to 6 months6. VitE intake after discussing with treating physician wish you good n sound health regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 58 yrs old male,living in northern india  and i am having fever for last 23 days. fever is intermittent in nature and moderate grade, fever comes about twice a day, without any associated symptom. my baseline blood and urine tests are normal, my ultrasound abdomen is normal except mild hepatomegaly and 26 mg prostate. tests for typhoid , malaria ,Hbsag , HIV , and mycobacterial  pcr are negative. x ray chest is also within normal limits. kindly help ### REPLY: Thanks for posting your query to ChatDoctorYou have undergone some investigation and didn't find any abnormality, but I wanted to know your complete blood count report weather it shows infection or not and what treatment have you had so far. I wanted to tell you that in our country Malaria is endemic and many of the time it was not detected in routine test. In such condition on the basis of clinical diagnosis we should treat it. In my opinion your feature goes in favor of malaria, so you should consult a physician in your area and received treatment for malaria along with antibiotics .feel free to contact if any query. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am married n m missing my periods by 8 days;i ate so many papayas but no use i did pregnancy test but its negative but no periods yet n it never happnd b4 ,i dnt wna get pregnant please suggest something .. i dnt wna get pregnant m so worrired pls helo ### REPLY: Hallow Dear, Papaya causes termination of pregnancy is a myth and misconception. In fact, it is a very good digestive food and should be consumed during pregnancy. Urine pregnancy tests are reliable after about 8-10 days of pregnancy. You may repeat the test after a couple of days. Still if it shows negative results, you have the following options:1. Beta  tests are very specific and sensitive tests. You may try it. 2. By this time ultrasonography will give you direct visual evidence of the status of pregnancy. If you are pregnant and do not want to continue pregnancy, there are simpler, safer and easier ways to terminate the pregnancy. Mifepristone and Bisoprolol are the two medicines taken in combination is a good, reliable and safe method to terminate the pregnancy up to 9 weeks of gestation. However, these are not over the counter medicines and need to be taken only with a Gynecologists advice and prescription. If you are not pregnant, take some Progesterone preparation like Devilry for 5 days with doctors prescription. Within 4-7 days after that you will get with .  Please follow scientific methods. Wish you best of the health, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have multiple cavities on about 3 of my top left teeth in the back of my mouth and they have been infected before, the dentist said I need a few root canals but I couldnt afford it so after i took antibiotics I just left it alone. This was almost 2 months ago, a few days ago the pain came back and so did the bitter taste, after taking ibuprofen for a few days the pain has subsided but the teeth are still sensitive and produce a bitter taste and odor. Im pretty sure they are infected again but I havent gone to the dentist now Ive had chest pain for 2 days on my left side and also have felt short of breath do you think this is related or just anxiety? Do I need to go to the ER? ### REPLY: Thanks for your question on . I can understand your concern. You are having caries teeth. And this can cause aspiration pneumonia and lung abscess. Both of these can cause chest pain, shortness of breath. So better to consult emergency room (ER) and get done clinical examination of respiratory system, chest x-ray. Chest x-ray is mist to rule out these conditions. If chest x-ray is normal then no need to worry, anxiety is more likely to cause such symptoms in your case. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic .  Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my name is madhavi latha age of 32 i was married in the year of 2002 as of know i have no baby i went for many doctors, two times i was concive and aborshan , my problem is bicornuate uterus and vigenal septem the operation has completed successfully in CMC hospital vellore in 2011 but no concive as of know we are planning to go for ivf what is the success rate of this ivf my husbend age is 39 he is dayabatic patient but it is control what is your suggestion ### REPLY: Hi, Since you are already under treatment of gynecologist it will be best you discuss it with your doctor. Evaluation of your uterus and tubes should be done by H S G to know the tubes are patent .your husband to be evaluated also doing semen analysis. Bicornuate uterus is known to have recurrent abortions, and you will have to be under care of your doctor throughout from conception when it occurs expecting the best outcome. In case both the partners having normal parameters and normal sexual activities I V F may not be advised for conception. Hope you get result with treatment and pregnancy continues to full term or at least to viable age when a premature baby can be taken care of in well-equipped I U C attended by efficient doctors and nurses. Treatment to enhance fertility will be helpful for conception. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear sir           One of my friend is suffering from Acute-on-Chronic Renal failure (Glumerolunephritis) from last three months. She is 26 yrs old. Before 3 months she had fever and local Doctor prescribe her higher antibiotics for 8 days. After some days, suddenly she is having stomach pain and admitted to hospital and above disease is diagnosed. Doctor has suggested 6 weeks hemodialysis, twice in a week. Now they want to continue the dialysis for some more time. Is this disease is 100% curable? Can she live normal healthy life again? Please kindly give suggestion. ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. There are many type soph glomerulonepritis and its prognosis and treatment is greatly variable, so it is hard to prognoses anything. In many cases there is permanent disease which is controlled with medications such as steroids and antibiotics and complete cure is rarely achieved. This is possible only through kidneys transplantation. I hope I have answered you query. If you have any further questions you can contact us in every time. 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: I have a lump on the outer side of my knee that comes and goes. It seems like it appears when I am on my feet for long periods of time or I do a lot of climbing. I did a lot of snow shoveling today and now its back and is somewhat painful. What could be the cause of this? ### REPLY: Hi, If I were your treating Doctor for this case of a lateral-of-knee lump, I would come up with only one and one possibility that is varicose veins or bursa! Nothing to worry about this and try not to get infected there! I suggest you to go for an FNAC test/USG Doppler of the lump for confirmation and to relieve your concerns! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello.. I was in the contraceptive pill cilest... I get migraines, my bp increased slightly and i have water retention in my right foot. Could all these side effects be related to the pill? What other pill could i take instead if cilest is the reason for all of this ### REPLY: Hello, Yes, Vilest pill can cause these side effects. Vilest is a combined contraceptive pill containing an estrogen and progesterone. The most common side effects of combined contraceptive pills like Vilest include headache (migraine), high blood pressure, swollen feet (fluid retention), breast tenderness and the most serious one being an increased risk of getting a blood clot in a vein, such as a deep vein thrombosis (clot in the leg) or pulmonary embolism (clot in the lungs). All these side effects appear to be due to estrogen present in the pills. To overcome these side effects you may start taking the progesterone-only contraceptive pill (after consulting a doctor) which does not contain any estrogen and hence less like to cause those side effects listed in your query. 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 husband has been vomiting for four days. I finally took him to the hospital. The first hospital that we went to, told us that he has chronic heartburn which he does, then they gave us Omeprazole and Zofran to stop the vomiting. We went home later that night he started to vomit again, not even water would stay inside of him. I took him back to the hospital and they told us the same thing again. I took him home and watched him suffer. I decided that I could not watch him suffer anymore, so I took him to a Private hospital. The first hospital was public. The private hospital ran a bunch of tests and they determined that he has very bad ulcers and it is actually blocking his stomach. This is the reason why he cannot keep food down. They decided to put a tube inside of him in order to get the gastric acids out. My husband stopped vomiting and he is now sitting in the hospital with this tube. The second thing that they told us is that he has fistulas in his gallbladder and it is communicating with other organs. They told us that although he does not have an infection, this has to be fixed. They also told us that he is a very strange case because he is so young, he is 26 years old. They also told us that he has two foreign objects inside of him, then after the endoscopy they told us that it might be ulcers that calcified. They told us that they are not able to deal with his case and he has to be transferred. My husband has been waiting to be transferred for two days and the big hospital stated that they do not have a bed yet. My question is, are the doctors lying? Are they simply trying to run experiments on him because he is rare? Why wont they show us his Cat Scan? ### REPLY: HI thanks for your question. The doctors might be right(taking decisions based guidelines), not experimenting, some patients based on my experience can be complex. I usually like to discuss results of investigation with patients and their partners if they don't mind, ask doctor to show results it's your right. You need help from experienced surgeon (gastroenterologist) and your husband might require surgical intervention as soon as possible. Hope I answered your question, will be happy to help you if you have other 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: hello doctor,.i have problem under my foot,its very itchy and when contacts with water,it will be blisters and watery..its becoming bigi have went to hospitals,they said it is skin prob,and they gave some medicine cream "LAMISIL",but but no improvement....it hurts nad also woundedhelp me doctor ### REPLY: Various dermatological conditions have been associated with itching and erosion of skin. The areas need to be observed under a dermatoscope to look for changes in color, texture, hair follicles and others. For the itch, any anti-histaminic medicines both orally and topically, also topical steroids (creams) would help. Also mention if the source of water is same every time you're experiencing the itch upon exposure. It could be a fungal infection as well if the water is contaminated. Consult your dermatologist to know exactly what condition you are suffering from. We'll then help you understand the disease and guide you accordingly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got this pain upper left side of my stomach, it started 2 yrs ago I went 2 the er and had an ultrasound done they told me its just some fat Ive got there, usually it starts as a sharp pain then it goes away, especially if I eat spicy  or greasy food, I dont eat junk food anymore but now it hurts all the time, its this very irritating pain, upper left stomach, and upper left ribcage, please tell me what to do... thank you so much ### REPLY: Hello user, As per your history, I feel that you are suffering from gastric ulcer/erosion, as its pain aggravates when you eat spicy food !! I don't think that pain is due to fat in your abdomen. If you are a bit obese and old age I advise you to do an ECG (Electrocardiography) done of your heart, to rule out any pain related to heart ! Most of the ulcer pain resolves after taking an antacid . Take some anti H. Pylori medication from your nearby Physician as it is the bacteria mostly involved in gastric ulcer/erosion, and pain is still not relived, get an Upper GIT Endoscopy done !!!hope my info helped you regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have bn married for 4yrs, but i havnt conceived, my menstrual cycle is sometimes painful and i feel some lump under my abdomen but they are not painful. wat causes m not to conceive is it these lumps please help doc, desparate need a child ### REPLY: Hi welcome to . I have gone through your question. As you have pain during menses. I would advise doing ultrasound scan for ovulation profile, thyroid profile, and do histosalpingography HSG. These will help in finding the cause. Then consult gynecologist with these reports. Also get done semen analysis of your husband. Hope I answer your question. Would be happy to help you further. Take care. ### END