Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Curious, if you could give me some answers. For the last 2 months we have been trying to get pg. April 12 had my cycle, so not pg. This month having tenderness in breasts, some items dont appeal to me (smell), queasy, (I havent thrown up) different times of day for last wk. However 6am today woke to spotting when I wiped not normal cycle and havent even used 1/2 of one pad today. Im extremely tired (wore down) today, possibly just cuz Im bummed a little. But any idea whats up with this? Could I be pg, just having Decidual Bleeding or implantation occuring? Thanks for any suggestions, help. CJ ### REPLY: Hi, Thanks for the query. I understand your concern.  There are two possibilities with your spotting around periods along with breast tenderness since few days -In case bleeding is scanty stops in a day or two (unlike routine period) ... and home pregnancy test with a clean urine collected in a clean container .done after an 8 days later turns +ve. You are pregnant.  -OR -Breast tenderness could be premenstrual . the spotting may be followed by normal menstrual bleeding...the menses may get few days late due to anxiety of getting pregnant.  *please don't be scared ...provided both of you are normal (checked for fertility-before planning for a baby) you will conceive in months to come.  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 11 month old son has contracted a hand-foot-and-mouth disease for the second time in one month, but this time the rash/blisters are only on the insides of his hands, and the it his quite severe, hes rubbing his hands raw! Can I use calamine lotion on them to help the itch? ### REPLY: Calamine lotion may be soothing. Talk to his pediatrician about something oral to help with the itching, such as Ben .  You may have to put the lotion on with mittens on so he doesn't keep rubbing his hands raw. There is also the risk of a secondary infection with bacteria if he continues doing that. Your pediatrician may also have other suggestions, such as a topical medicine that may numb up the rash a bit, so talk to him or her. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Yes I have several symptoms going on. It s kind of hard to even know where to begin. For a start, I feel like I have a currant going through my whole body sometimes. My children can hold my hand and even feel it. I get very dizzy at times. I have trouble finding my words. I can t think. I know what I want to say and intend to say but something else comes out. One of the more scary symptoms is I have a strange feeling in my head and it progresses to my feet and hands esp. become frozen stiff like. Like stone. There s many more...that s a few. Can you help? ### REPLY: hi Hope this msg finds u in good health. I have gone through your complaints and understand your concern. U seem to have some sort of vitamin or calcium deficiency that might be causing tingling numbness and sensations through your body. Nothing to worry about. I suggest u should get a detailed blood profile done to know was exactly is the problem. Hope your question has been answered. If u have any follow-up queries, feel free to consult me anytime.thanks Take care god bless ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 34yr old male. Kidney stones run in the family. Went to er twice this year. Took blood ,urine also did ct &ultrasound. I have 3mm stone. Was given flomax& cipro. Still have back pain&abdominal pain,and frequent urination.Urine is clear. Sometimes nausea and dizziness. Could the stone still be stuck. What could this be? ### REPLY: Hi, Thanks for writing in. A 3 mm stone in the kidney is very small and unlikely to cause any obstruction to passage of urine. It will most likely pass by itself and rarely might cause mild pain along the sides and lower abdomen on its way out of the system. Flomax and ciprofloxacin are given to cause pain relief and treat any urinary infection. It is not possible for a 3 mm stone to get stuck for a long time, and it usually passes out with the urine flow. Your nausea and dizziness cannot be explained due to this completely and I suggest you get a blood check done to know there is any condition. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend Markuses ex-wife Kylie has been diagnosed bipolar. They split up five months ago and she has been really nasty to the both of us since she found out were now dating. This includes threats of violence, namecalling, sending insulting textmessages all the time etc. We understood her pain and let her rage thinking it would soon end. Then she started threatening Markus with suicide. A week ago she took some pills, end up in the hospital and blames it all on Markus. Markus is really broken up, he wants to help her. I understand his worry and pain but I think its not healthy for her to see Markus until she is mentally more stable for all our sakes. She has friends and family. What should we do? ### REPLY: Hello, A patient with a bipolar disorder should receive an intensive treatment during the exacerbation, then the patient should receive a prophylaxis treatment such as: Carbamazepine three times per day one hour before meals, he should start with half a tablet before breakfast for three days, then half a tablet twice a day before meal for 3 days, then half a tablet three times per day before meals for three days, then add half a tablet every three days before meals until the dose becomes one tablet before meals three times per day. Fish oil 1000 mg can be helpful for hem, he can take two capsules per week: one capsule on Monday after meal and one capsule on Thursday after a meal. He should avoid stress as much as possible, besides taking psychotherapy. The patient should do liver function tests and a CBC to assess the side effect of the .  Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir, i m 17 and i want to lose weight so I jog at least 5 days of a week and I masturbate almost 3 days a week but only one time in a day....so i want to ask is there any problem of masturbating in the morning or afternoon and jogging in evening.....i feel energy less i know but is there any other problem ### REPLY: Hello. I have reviewed your query and here is my advice. Masturbation is normal, natural and not unhealthy. Masturbation consumes your energy. Masturbation can consume around 150 calories for a 20-minute-long session. Thereby you could feel tired. In that sense, masturbation before physical exercise may cause tiredness during the exercises. But if you are healthy enough and if you have good stamina, there is nothing to worry about. But My advice will be to avoid masturbation before physical exercise. Hope I have answered your query. You can contact me for treatment options. 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 am a 32 year old male and I had Pericarditis 10 years ago.  This morning I woke up with similar symptoms, but definitely not as bad as when I was diagnosed 10 years ago. This morning I woke up and felt a constant pain in my chest like someone was squeezing me.  I took two doses of baby Aspirin today and its helped some of the pain, but when I lay down my chest just throbs for about 5 minutes and my throat feels a little tight and sore.  As long as I am sitting up, I hardly even notice the pain, but when I lay down it hurts on a 1-10 scale close to an 8.   Thanks. ### REPLY: Thanks for your question on . I can understand your concern. Your symptoms might be due to recurrence of pericarditis. So better to first rule out this. So get done ECG, 2d echo and blood cardiac markers like CPK MB and Troponin T /I. If all these are normal then no need to worry about pericarditis. Sometimes, musculoskeletal pain can be the cause. So take painkiller like ibuprofen. Apply warm water pad on affected areas. Avoid movements causing pain. Avoid bad postures in sleep. Don't worry, you will be alright. But first rule out pericarditis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I m 44 years old. going through miscarriage since may 27 when I first start bleeding .I was 8 week (7 weeks and 6 days as the doctors said it s the baby size) I don t have a sign of progress, no bleeding now. I would like to avoid D&C .is there any natural way you can recommend to me.? my hormone level now 32 last week was 39. Thank you ### REPLY: Greetings Madam. I am glad that I am able to guide you. As of my opinion is that if you want to avoid getting complication out of trying any such method in home(which is not at all advisable at any age. But you are already having problem getting conceived & your age is more than 30). My sincere advise is fix appointment with ORGAN, express to her your problem & she may help you in getting out of this problem & also suggest the best methods to get conceived & relieve your stress so that you could lead a happy life ever after.& Note:Finally it's just a guidance. Not a definitive treatment as i haven't seen you personally. You've to realize that these are temporary remedies. I don't know what your exact condition is unless I see you personally. A doctor after personally examining you could help. Hope it helped you & guided you right. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 16 year old daughter has trochlear dysplasia and patella Alta. She has had 7 surgeries including trochloeplasty, MPFL reconstruction, tibial tubercle transfers and other surgeries replacing and removing hardware. Her condition is worsened and the doctor has refused to go back in saying she will just have to deal with it. She is having recurrent patellar dislocations failing even while laying in bed. She is completely immobile and I cannot find a specialist close to me by searching the Internet. I don t know what to do. Do you know of any specialist in Kentucky? ### REPLY: Hi, Her quality of life is suffering; you must locate a pediatric orthopedic surgeon who is more accommodating. Your daughters' history is quite complicated. The best place for her to be seen is a University School of Medicine Hospital.  Patients who have difficult problems are very often referred to major medical centers where the physicians are more capable of evaluating and treating a patient like your daughter.  In your state there are at least two fine medical centers: University of Louisville and University of Kentucky. Before taking her to either, first contact the Department of Orthopedics. Ask to speak with either a pediatric orthopedist who specializes in the knee or to his/her secretary to make appointment. 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 am recently married and purely a virgin.. me and my husband are new to physical relations. I only have a small doubt, let me be straight, he inserted his to mine but not fully only to the tip but he came inside me.. not a drop came out, is there a possibility for me to get pregnancy.. should the penis be completely inserted to get pregnancy?? Im not worried either but just we are not yet planning to any baby.. so just a doubt.. can anyone please give me correct answer.. ### REPLY: Hi, It is possible to sometimes get pregnant with just heavy petting. This is very rare. The best way to find out if you are pregnant is to get a pregnancy kit and test yourself. Wait till you have crossed 7 days of your ovulation date. Ovulation is the 14th day after your periods start approximately if you have a regular 28-day cycle. If not it is 16 days before your expected date of census. So 9 days before the start of your census, you can get tested. If that's negative, you can check again after 5 days. If that's also negative, Then there is no chance that you are pregnant. You will also get your periods shortly after the second test. I hope this helps. Wishing you the best. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: masturbation me  4-5 year se  masturbation kar raha  ho . i want  to leave it  i have tried  many times  hardly for  10 days  or  15 days i leave it . i hve tried  to keep my self  busy but only these  thinnking  comes in my mind  till i dont  masturbation. bcoz  of  this  i m not able  to study. plz  help me  or  give  some  advice, ### REPLY: Hi, The masturbation is safe and pleasure giving procedure. The masturbation at 10-15 days as usually mentioned not harmful and no problem in that. It is not called over masturbation and will not lead to any side effects.  However, to get rid of masturbation you can practice yoga and meditation. Avoid porn watch and magazine. Focus on study and make goals. You can interact with a relative and keep yourself busy. You can take the help of psychiatrist if needed.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I gave my boyfriend oral last night and I woke up today with a cold sore. I didnt have any symptoms of it last night because I wouldnt of done it if I had. Is it possible I have passed it on? Should he get checked out by a doctor? He is very worried. Please help :( ### REPLY: Hi. Welcome to  . I have gone through your query and can understand. As per your complaint the first thing that I would like to tell you is that the cold sore is a viral infection caused by Herpes Simplex Virus and there is an incubation period that is the period between the time of exposure to the virus and appearance of symptoms of disease and in case of herpes it takes from 2 days to 12 days after the exposure to the virus that the disease will show symptoms. So in case if you had an exposure last night eruption of cold sore so early does not look convincing, and it can be a simple bacterial infection or an acne that has occurred. You should still wait and watch and if there is formation of clusters of small fluid filled bumps you may consult a Dermatologist and get evaluated and after a thorough clinical evaluation and running tests proper diagnosis can be made and treatment can be planned. As of now you can apply an antiseptic ointment and do cool compresses. Hope this information helps. 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: Hi there, my name is Natalie. I am a 55year old working full time in a retirement village at present. About 2 months ago I had a Gall Bladder attack which I sort medical attention for. After doing blood and urine testd the doctors confirmed blood in my urine. I had to go for CT scans on my kidneys of which they found nothing. I had another urine test which still showed blood in the urine so I was sent for Ultra-sound tests. Still nothing? Although I feel okay at present, after long periods of reflection I remembered having these pulsing sensations in my mid back(where the kidneys sit). I still have these sensations now. I often get a dull ache throughtout the day as well. On reflection I recalled having Brights Fever when I was 2yrs old. I also developed Rhuematic Fever at the age of 11 which lasted through to around my mid 20s. I am a person who likes to keep fit and I very rarely take pharmacutical drugs, I take natural products instead. I have been wondering if the Brights fever could be connected to this condition that has developed now with blood in my urine? And I do now frequently get up to the toilet during the night. ### REPLY: Hello and welcome to , Hello and welcome to , Blood in urine suggests renal pathology. Some renal diseases can cause blood in urine. A renal biopsy will help to diagnose the condition correctly. Further management will depend on the finding of the renal BIOS. The pulsing pain on the back can be secondary to the cardiac problem. You need to consult your cardiologist for further investigations and management. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have had chest pains in spurts it feels sharp and jolts down to my stomach then my down to my left foot. Also three days ago I had a bad stomach cramp that lasted for two hours. The next day I had back lower pain and still percists. Can you please help. What should I do? ### REPLY: Thanks for your question completely understand your question cheat pain on inspiration and radiating to stomach can be an issue in many diseases, and you need to get a chest X-ray done and consult a pulmonologist. This type of pain can be in peptic ulcer in which you have to take a proton pump inhibitor like pantoprazole.secondly chest pain which is sharp and catchy on-deep inspiration can be in pleural effusions. For now, you can take an analgesic plus a proton pump inhibitor / antacid and consult a pulmonologist.thanks/ regards feel free to ask more questions may god bless you with good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has had a lump behind her ear on her head for years now. Its moveable, almost fatty like and doesnt bother her. It hasnt gotten any bigger over the years but you can notice it when she has her hair pulled back. Her doctor says its a shotty lymph node or something. It looks like this http://dermis.multimedica.de/bilder/CD054/550px/img0100.jpgIs it normal for nodes in this location to stay permanently noticeable because when looking on the Internet it always scares you. ### REPLY: Yes, This is scary. The best way is to for ultrasound and FNAC- fine needle aspiration cytology. This just confirms what is us. There are chances that it may grow someday and cause more ugliness. Why not excise it There are two benefits= one you become disease free and secondly one gets tissue diagnosis. I hope I have tried my best to explain. These swellings are usually lymph nodes pr sebaceous cyst or a lipoma. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 boyfriend had a tooth that was infected pulled a couple of weeks ago. He had pain for a couple of days but it slowly went away within the week after the extraction. Now he is having it where there are certain times during the day when he will feel really lightheaded and dizzy and needs to sit down for almost an hour at a time. Can this be caused by the tooth extraction or is it something else that could be causing it? What can he do to fix it? ### REPLY: Hello, I suggest calling your dentist to report these symptoms. Your dentist will review the medical history and most likely Schedule a follow-up visit to check the extraction site and further diagnosis any problems. Continue to rinse the area well with warm salt water. Are there any symptoms such as soreness, swelling, .  Take some anti-inflammatory medication such as Tylenol or Advil to assist healing. Make sure a proper diet with balanced vitamins has been resumed. Blood loss, if excessive, can result in 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: Am I Pregnant? Im 15 Im on the Depo shot been on for a lil over a month now first time on it. I had sex 5 days ago without protection and he ejaculated inside of me...... Yesterday I thought I had my period it was pinkish, brownish real light it stopped within 5 mins.... Ive been emotional, urinating ALOT, VERY tired, back aches, stomach feels weird...... Could I be pregnant? ### REPLY: Hi, I have gone through your query and understood the concern. Since you have been on the hormone contraception, your cycles are protected. However, during the initial months, it is preferable to use additional protection. Menstrual disturbances ranging from heavy and/or prolonged periods, inter-menstrual bleeding, scanty periods and absent periods can be seen. This corrects once the body adjusts to the altered hormone levels. Your symptoms are not specific only for pregnancy; they can also be seen with hormone imbalance. Please get further help from your health care provider. 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 mom caught a mole today that she has had for seven months. it turns out it is cancerous and she is going to the doctor tomorrow to discuss surgery to see if the cancer has spread. if she caught the mole within 7 months, what are the chances she caught it in time? ### REPLY: Thanks for your question on . I can understand your mothers situation and problem. Yes, a mole can develop into cancer in seven months time. Skin cancers like malignant melanoma, squamous cell carcinoma etc. can present as cancerous mole on skin. Usually prognosis is excellent if early detection and surgical removal of mole is done. So better to get done staging of this cancer. And if it is localized cancer than surgical removal with negative margins is curative. Seven months duration is sufficient for spread of tumor. If she has undergone biopsy earlier than early detection was possible. So first get done staging of her cancer and then decide treatment strategy. Hope I have solved your query. Wishing good health to your mother. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i had pleurisy in january and have had problems since, in april i was diagnosed with asthma, i still get the sharp pain in my right side of my chest ,and it goes into my shoulder and under my arm, i  explain it really well. i still get  short of breath. i dont smoke,i was running last year, and obviously i cant do that now. could you tell me what this pain is? i had 2 chest xrays and they have come back clear?  thanks ### REPLY: Hi thanks for contacting ... In asthma chest x-ray can be normal... It is allergic inflammation and bronchoconstriction can be there. ... I would like you to give advice first simply for auscultation ... If rhonchi heard than spirometry done for rule out asthma and assessing severity ...Then if inflammatory swelling more nebulization given with levosalbutamol and budesonide res pules ....two times a day for three days. ... If repeated asthma attack there maintained inhaler therapy by forecourt started .... So consult pulmonologist for examination and accordingly management ... 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,My child is having asthma problem,  now he is 2 1/2 yrs old. Everyday morning around 3.00 to 05.00 he is suffering with dry Cough, my doctor advised me to give asthalin (3ml) and  relent (5ml) syrup. These syrups i am giving but how far these are advisable? because almost every time he is taking these medicines. Kindly advise me in this regard. ### REPLY: HelloAsthma can be categorized into mild, moderate and severe on the basis of frequency of symptoms and severity. For controlling the persistent asthma avoid ens of allergens, medicines like montelukast, cetrizine, inhalational steroid may be needed. The treatment of asthma should be individualized after proper assessment. During the symptomatic period bronchodilator like Stalin and antiallergic(relent) helps. Medication may be needed frequently and these have little side effects. I would suggest you to consult a pediatrician for assessment of the need of controller like montelukast and/or steroid. 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 went to a hospital 2 years ago and the doctor told me a lot of mucus on the brain and he gave me a medcine after taking the medcine i was fine.now after that time i feel the same thing again may be can i get any information before i go to the doctor? ### REPLY: Hello, As per your clinical history, is concerned please follow like this-1) Do a clinical examination by your doctor [ENT] and do few investigations like this to confirm [CBC with differential, nasal endoscopy, and MRI scan]2) Discuss with your doctor about antibiotics [Doxycycline] and decongestants tablets and sprays. Do follow lifestyle modifications like this-1) Try to avoid upper respiratory infections. Minimize contact with people who have colds. Wash your hands frequently with soap and water, especially before your meals.2) Carefully manage your allergies. Work with your doctor to keep symptoms under control. Does blood differential count every month?3) Try to avoid cigarette smoke and polluted air. Tobacco smoke and other pollutants can irritate and inflame your nasal passages.4) Use a humidifier. If the air in your home is .  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 had flu symptoms then came down with a bad sore and hoarse throat for 3 weeks, then I got a fever for a day and achy joints. I now have a rash on my chest that itches alot and my entire mouth is sore with a couple cold sores, my uper mouth seems to have lots of little sore bumps, almost like bubles that feel like cold sores. ### REPLY: Hi Dear, Understanding your concern. As per your query you have symptoms of chest rash and sores with itching along with mouth sores which seems to be due to impaired immune system after flu and medication after effects. Need not worry. I would suggest you to .  Use oral numbing gel to avoid soreness of mouth. Keep chest area clean with soap and cold water and apply petroleum jelly. Apply moderately potent topical steroid of triamcinolone acetone 0.1% cream twice daily at affected sites. You should visit dermatologist once and get it examined and start treatment after proper prescription. Hope your concern has been resolved. 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 namaste I am 28 now. Our married life completed 6yrs now. After my marriage of 4 months I got conceived once. It s completed 50 days only then immediately started bleeding. And I had been to doctor they scanned and told me that there is a blood around baby and baby not growing properly. After 4 days of observation they cleaned instrumently because baby not growing. After that only all the problems get started. After this I am getting pain below stomach oftenly. After all these things 2yrs also I didn t conceived. Again I consult a doctor they told me that the tube got blocked. So I undergo for laproscopy. They cleared the blocked tubes. After laproscopy also I didn t get conceived. After 1 year again I got treated for hystroscopy. But now also I didn t conceived. Still I am under treatment. But pain still is there near below stomach. IUI also tried once. Please can you give any solution for this problem. Ubiphene Ovaflo Co edhera plus Ovifert These are the tablets they gave me now Please any solution is there for my problem ### REPLY: If you your menses running normal your ovum are healthy you are not suffering to endometriosis. Your tubules are already unblocked. Then nothing should be problem to conceive baby. If you not get result in allopatry you can try Ayurveda medicine. There are many of medicine which help to conceive. And make your genitals more health. I have canned successfully be treated to my some Pt. Consult to any Ayurveda doctor near your place ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Im a 23 y/o female with anxiety but no other chronic medical conditions. My concern is that I have a tooth infection.A few months back I broke one of my teeth. Since I have no dental insurance I havent been able to get it fixed yet. I plan on doing that as soon as I am able to, in a little under two weeks.I havent had any pain in the tooth, nor sensitivity to heat or cold, since the accident. But lately Ive been having pain near my collar bone, chest and upper back and semi frequent headaches. Occasionally I will also have mild pain in my gums and jaw and if I press under my jaw its tender. But all these pains come and go and are never more than a mild annoyance, and some days (like yesterday) I dont have pain at all.I do know a lot of these pains can be cause by anxiety as well, which is why I have been hesitant to take myself to the ER or urgent care. Also, it may be unrelated but Im having a longer than normal menstrual period. (day 8)I literally have no choice as to when I can see a dentist, and I dont have a primary care physician. Im totally broke until I get my student loans, so even going to a dentist and paying for a cheap extraction is not an option right now. Should I go to urgent care, or can I wait it out? ### REPLY: Hello, Thanks for writing to us. Since the tooth has broken few months back, i would advise you to get a thorough clinical examination done by a dentist. Chances of periapical infection is very high in this case. Tooth has to be either root canal treated or extracted depending on severity of lesion. Core-build up or crown has to be placed to correct the tooth fracture. Take complete course of amoxicillin to relieve underlying infection. 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 started taking adderall for ADD in June. Well around that time I started being more into playing with my hair and noticed I started getting bumps. Then I would pick at them and make them worse. Now I have 15 sores on my head and have tried everything to stop picking or heal them. My doctor wasn t very thurow and he just suggested folliculitis which I don t have the symptoms of it. So then I noticed I have a swollen lymph node on my right side of my neck and the back of my head and I have had them for about 2 months now. I am also ALWAYS tired but I can t sleep for nothing. The minute I go to lay down I am wide away until about 2 or 3 AM and I have to wake up at 6 for the day. Any suggestions what is going on? ### REPLY: Hi! Good morning. I am  answering your query. I would agree with your doctor that it could be infection of the hair follicles due to picking at them resulting in several of the infected bumps/sores in your scalp. The lymph nodes swelling on your neck might be due to the spread of the infection to the .  The nodes would remain there till the sores were treated appropriately by antibiotics and anti-inflammatory along with proton pump inhibitor  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 visited a patient in the hospice hospital floor. I was told to wear gloves and to enter the room. the patient was dying of cancer. my concern was they did not require a mouth cover can any harm bcause to my health because she was living her last moments and i was near her breath. ### REPLY: Hi, Thanks for writing in. You were safe during your visit to the hospice to meet the patient. Cancer patients who are taking chemotherapy have a low immunity, and they are prone to developing infections which normal people will not get. Even some normal bacteria and fungus present in you might cause serious infection to those having cancer. Transmission of infection from a dying patient through air never happens. Most infections are transmitted by touch and therefore, to minimize the infection transmission rate from you to the patient and other patients, wearing a glove was considered important. Please do not worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my girlfriend used veet hair remover on my genitalia area (after telling me it would not hurt )but immediatly after it started hurting like hell a burning sensation and redness , no visible wounds or swelling and consentrated arround the scrotum is the most pain i did rince with cold water immediatly but now 30 minutes in i still get the burning sencation upon touch ### REPLY: Hi, Thanks for writing in, The most popular ingredients in meet hair remover might include strong chemicals like are calcium thioglycolate and potassium thioglycolate. When applied to hair, both chemicals dissolve keratin, the proprietary protein in hair. Due to its chemical nature, depilatories are not recommended to be used in the genital region where the skin is very sensitive. They also have the tendency to irritate even normal skin, and you are having that. Please apply calamine lotion to the skin to decrease the irritation, do not let it enter the urethra. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I wake up in the morning with pain from my neck down my left arm and into the left side of my chest. I have been suffering from a painful left shoulder for some months and having physio for this it feels like a muscular type pain is this likely to be cardiac or neurology related ### REPLY: Hi there.  The pain you describe can occur due to a cardiac disease but in such a case is usually associated with breathlessness, lightheadedness and is not specific to early mornings. For starters, you can get an ECG to see if it's abnormal.However, having said that I think in your case the pain is neurological and is probably due to a nerve getting entrapped in your cervical spine usually due to spondylosis of the cervical spine. Also changing the sleeping position may help. For the pain you need to get a X-ray of the cervical spine and if necessary use a soft cervical collar to relax your neck muscles. 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 undergoing core decompression on the 25th of august my question when can i start work at the earliest. Just googled and noticed i need to be on crutches for 6 weeks. Does it mean I cant go to work for 6 weeks. Can I drive or is the same recovery process as THR which I had for my left hip. ### REPLY: Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you need to understand two things, your avascular head of the femur needs offloading to reshape itself or to prevent from loosing shape, till it gets vascularized. The core surgery is to help it vascularize fast, 6 weeks is just empirical and must, but in some cases it can be extended based on the fact on your x-ray changes. I hope that answers your query. If your want any more clarification, contact me back. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: age 68 years sex male tlc count 54000(getting reduce from last two days earlier it was 65000) current status : he is on ventilator at present. diagnosis chronic kidney disease stage5 urosepsis hypertension type II diabetes mellitus prostatic abscess pyonephrosis post dj stenting ### REPLY: Hi Greetings from  He is a patient of CKD (chronic kidney disease). TLC is very low that indicates his body immune power is very low. The CKD result from DM and Hypertension. There is also an abscess in prostate and also infection in kidney. He may be in septicemia condition now. He is under ventilator as you are telling. So prognosis is not so good. Wishing for a rapid cure. Thank you for contacting us ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yes my grandson is on meds for a adhd and odd and I am very concerned of the side effects. He is taking buprion, vyvanse, d-Amphetamine, and resperdone. He complains to me about headaches,shortchanged,his bones hurting, and he has little appetite most times and is very skinny. I truly feel he should be on some other safer meds. How can I address these problems to my daughter sensitively,so that she can address his psychiatrist with these concerns to so he sees these side effects and changes his meds. ### REPLY: Your grandson is being treated by a Psychiatrist, an expert in the treatment of ADD and ODD, As Vyvanse is an amphetamine, I do not think he is taking another amphetamine also.  Amphetamines can cause headaches and loss of appetite.  Perhaps you can ask your daughter to let you accompany her to his next appointment, so you can not only bring up these concerns to the doctor but also better understand his needs and treatment decisions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Every day for the past few days i get pains it feels like its in the middle of my rib cage and sometimes when im walking i get a pain under my left breast my boyfriend says its growing pains but im scared i was in the hospital for anxiety and they checked my heart and said nothing was wrong with it & that it was fine but it scares me and i keep thinking im going to die or have a heart attack when they told me its not my heart ### REPLY: Though you have not mentioned you age, but retrosternal chest pain can be of cardiac origin but females before age of 65 are cardio protective by natural hormone called estrogen you have anxiety problem, which can lead to increased formation of acid in stomach and heart burn heartburn pain also mimics cardiac pain and is retrosternal(behind sternum i.e. middle of rib CGE)I would suggest you to take cap pantoprazole 40 mg once daily empty stomach tab Mizoram 0.25 mg once daily at night for 10 days 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 ve been suffering from lower back pain right side for years and at the same time my right thigh above the knee feels like it s burning and numb at the same time. 27 years ago I broke my back in a motorcycle accident but that was my t-12 which doesn t seem to bother me. I did however have a bone graft from the posterior iliac crest. Can t seem to get anywhere with doctors so doing my own research. Any ideas would be helpful. ### REPLY: Hello dear well all the best for your research hope I may satisfy your query the pain and numbness you're describing on the thigh aspect above the knee the involved spine segments is L1 L2 L3 and what you earlier suffered in the accident was t12 these levels are lower adjacent to it only now it may Also be a neuritis of lateral cutaneous nerve of thigh also which also has the name Neuralgia parenthetical hope you are satisfied if not get in touch with me for further details ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had my wisdom teeth pulled 5 days ago. Tonight I felt a stringy substance in my mouth traveling along several of my teeth. Its still attached but I can probably pull it out if I try. Theres a fairly steady stream of bleeding, but tea bags seem to stop it. ### REPLY: With your query, I don't clearly understand by the term stringy substance what you mean but after extracting the wisdom dentists usually give sutures and bleeding will stop within three days. I assume that you're touching the extracted site with your tongue or something else if so please din disturb the healing area which results in delayed healing with mild bleeding. Stringy substance might be the suture material or blood clot what you are able to remove. I would definitely say that it would be better you visit your oral surgeon which gives a clear picture. Mild bleeding common but not even in the fifth 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: I am having lower back pain when sitting or trying to get up. It doesn t hurt why lying down or after I have been up a minute or so and get stretched out. Someone thought it could be kidney related or maybe a bladder infection.. Also, I am taking ibuprofen. Wondering if it would be helpful to put ice or heat on it? I am a 54 yr old male. Work in a factory on my feet a lot on concrete floors. ### REPLY: Bellflower back pain may be due to many reasons like musculoskeletal causes, pelvic pathology, genitourinary causes etc. You need proper clinical examination and routine investigations. Investigations include routine hologram, renal function test, urine RE/ME, ultrasound of abdomen. Ultrasound of abdomen is important in diagnosis and treatment. Proper treatment depend upon findings. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI,I AM SUFFER IN PAIN OF TAILBONE.I FEEL MY TAILBONE IS MOVE IN RIGHT BUTTOCK AND WHEN I SIT THEN I FEEL PAIN IN RIGHT BUTTOCK.IT IS CREATE DIFFICULTY IN MY MIND.KINDLY GIVE ME SOLUTION HOW IT IS MOVE STRAIGHT OR BACK AT RIGHT POSITION.HOW IT IS MOVE FROM RIGHT PLACE.WHAT IS YOUR OPINION OR ADVISE ### REPLY: Hi, Thanks for your query. You are suffering from coccydynia- inflammation of the bony area (tailbone or coccyx)Cure for your coccyx pain-1. Use a well-padded seat when sitting and avoid long periods of sitting when possible.2. Do site bath-take warm water in a tub and sit in this. It will relax the muscles around the coccyx.3. Do exercises that will strengthen your tailbones supporting muscles and stretch ligaments near the pain. Consult a physiotherapist for this. Therapists may perform a combination of:Elevator ANI massage and Elevator ANI stretching.4. Correct your posture. Poor posture may be contributing to your tailbone pain. Try to sit upright. If you get a sharp pain when getting up from a sitting position, lean forward and arch your back before rising.5. You can take anti-inflammatory . I do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Just noticed a lump on the right side of my throat. It is sore to the touch and hurts when I swallow. Also noticed that I have been having trouble with my jaw bone when I open my mouth wide but on the other side (left). I have also been having a lot of sinus drainage. Please advise. ### REPLY: Hi ! Good morning. I am  answering your query. From your history, it seems to me that you might have developed an infection of the tonsils/pharyngitis along with the sinusitis and also an inflamed lymph node due to the sinus and throat infection. If I were your doctor, I would first examine you clinically, and after confirming the diagnosis, send a throat swab culture/sensitivity and also a culture sensitivity test of the sinus discharge following which I would start a broad spectrum antibiotic along with an anti-inflammatory .  But you need to have a clinical examination by your family physician before starting the treatment. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. Wishing you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: At the age of nine i suffered from pneumonia and Tuberculosis , at the age of twenty-one i got operated for appendicitis and at the age of twenty-two i suffered from ovarian tuberculosis and now at the age of twenty-five i am having some problems i don t know what......i am suffering from back-pain, cramp in stomach, blood in stool , i got periods after three months and its continuing on from last one and half month... i dont know what to do now...i lost faith in life....pleses help me.....thank you ### REPLY: As you are aware tuberculosis has a tendency to emerge from latent infection. This can also speed from the lungs to other parts of the body as in your case. It is also possible that tb can spread to your intestines and uterus which can also cause some symptoms like you have described.  It is important that you see a doctor, carry some investigations so that your current status of the tb infection can be determined. This may also result in some form of anti-tuberculous treatment being initiated.  Or the investigations can reveal if tb is not the case here and if any other infection or condition is cause of your symptoms. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 boyfriend a week ago was under a car and it fell on him and now.he cant poop he got me to do an ennma on him it said to say but it draiend back out what could be happing he said.his lower.back and.sides.are hurting and.his stomach is.bloated as well ### REPLY: Hi there. Your patient had most probably injured an intro abdominal organ which is causing the bloating and pain. It may also be the reason why enema has not worked He has also injured his backwardly get an ultrasound of the abdomen done along with a X-ray of the back. Get them evaluated by their respective specialists. For the back I would advise complete bed rest as of now till X-ray reports come. Further management will depend on the results of the investigation hope my advice has helped Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, Im 13 and 2 months to 14, 33.5kg This is about human intestine worms, more spesifically pinworms, 1. Can they be as small as 1mm? 2. If you see a doctor and got the medicine for it, how to you keep any more unhatched eggs around the house or on your clothes from infecting you again? 3. Is it a bad thing to have worms inside you? 4. Is there a way to kill these worms by eating something not a medicine(somehting like orange or lettece)? 5. how do you keep other people from getting infected in your family when you have them? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Pin worm or entertains vernaculars is the very tiny worm which lives in the area around anal canal. They won't reside in the intestine itself. Yes they are highly infectious it can infect the other members if the one member is infected. It can also spread through respiratory tract. Yes it is a bad thing to have worms inside you, it may cause severe itching around the anal canal. Clothing should be washed separately of infected person. Bedsheet should be changed daily until the infected person cured. Albendazole can be given to the infected person. If the infected person is more in numbers than all the members requires a treatment simultaneously. There are no other treatment methods other than . I will be happy to answer your further concern on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I m 31 years old relatively healthy, I have asthma and diabetes . No medication for the diabetes, just treated with diet. Recently I have had tightness and a bloated/full feeling in my diagphram. Along with that I ve had wind, mainly burping and heart palpatations. The palpatations are daily, sometimes 2 or 3 times a day, generally after i have eaten and go as quick as they come. I ve also noted at the time my diagphram has this full feeling, my breathing becomes a bit more shallow. I have no pain anywhere, just discomfort and concerned about the heart palpatations ### REPLY: Hi, You seem to be suffering from Asthma with diabetes. You need to take your asthma medications regularly and get it evaluated at routine intervals from a pulmonologist. Your abdominal complaints could be due to a condition of diabetic Gastroparesis. You can take antacids like Tb PAN D for symptomatic relief once in the morning on empty stomach. I would suggest you do a repeat blood sugar fasting and post meal levels along with gycosylated HbA1c levels for your current diabetes status. Also, an ECG and stress test need to be done for the palpitations. Thus, you need to get yourself re evaluated at present as mentioned above and get managed accordingly. I suggest you visit your doctor and get evaluated as advised above in consultation with a planetologist and a cardiologist if required. 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 23 years old, height 5 feet 6 inch and weigh 56kg.i am facing a problem of vibration of the body since i was 10 year of age. i never take it seriously now i am facing big problem due to this. i think this is due to the nervousness because of vibration of my hand my hand writting is so dulty. i am feeling very bad, i dont know what can i do to overcome this situation. i am sorry if this issue does not seem realistic, but the subject/title was my theory as to what s wrong with me. please help, to anyone who replies, and please try to be polite when posting, as this is a real issue i am having. ### REPLY: Hey, Do now feel low about your handwriting, How about your other activities? Were you injured and go to this state? My uncle too has this kind of problem of swinging all the body, it happened after an accident and injury to neck. It did not disappear completely but controlled to large extent. He used few medicines from head doctor, and he got good support from the family and friends. Emotionally strong. You should be too. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: It s been 6 months since my significant other received a double bypass. He has complained about pain in his left arm and shoulder which seems to be getting worse. He is only able to lift his arm chest high without pain. The pain wakes him up at night. His cardiologist says it s most likely nerve damage from the way they positioned him during the long surgery or a pinched nerve.He never went to any physical rehab after surgery, they kept telling him he wasn t ready yet but then we moved from NY to Texas and the new cardiologist made it sound that after 6 mnths it wouldn t help him anyway. Should he see a neurologist for this ? Thank you for your reply. Joyce Fagan ### REPLY: Hello, My opinion is Its better late than never. Let's come to the discussion where we can find some possible solution for the patient.  It is true that after any cardiac surgery one needs to undergo a proper cardiac rehabilitation program under an expert physiotherapist. Now, you are saying that the patient has Complaints in his left arm and is not able to lift the arm.  Please make it assure that the cardiac routine diagnostic procedures are done before we come to a neurological point of view.  Is the pain he felt is due to cardiac of not that is the first thing we have to keep in mind. If there is no cardiac issue and is ruled out that one needs to not worry, and we can jump over the surgery part. Now, let us make it clear, that due to bypass surgery there will be shortening of the pectoral muscles, and it needs a good stretching, so the shoulder stays in a normal position wherein the biomechanics of the shoulder do not get disturbed and the functionality of the shoulder remains intact. Coming to the neurological point of view, I don't think he will have any nerve compression. Because if it is nerve compression then the symptoms will be like tingling, burning, numbness etc. Now, let's assume that he doesn't have any cardiac or neurological issue then it is straight the job of the physiotherapist to help him out. Undergoing a proper rehabilitation program should definitely help him lift his arm up. Also, a good strength in the muscles of the arm is needed to acquire the optimum functional ability.  Besides breathing exercises should be made a part of the overall exercise program as it has got to do a lot with the overall well-being of the patient. Please take the call based on the guidelines. First the heart needs to be assessed. Then the surgical part if any muscle is shortened and leading to change in the posture which is changing the biomechanics of the joint.  And lastly, the neurological point of view if we rule our step by step all things then definitely we can come to a proper diagnosis and help the patient to have a good lifestyle change. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 58 year old man. I had hernia surgery a month ago and everything has been fine. Today I woke up with pain in my stomach and my stool is black. I recently had the flu this past week. Is this normal? ### REPLY: Hello and welcome to . As you said that you had flu recently, for which you might have taken analgesic medications. There medications are known to cause gastritis and sometime also bleeding from the gastric mucosa. This blood due to its reaction with acid gives black color to stool. You will require a course of proton pump inhibitor like pantoprazole to your gastric ulcer. Now onwards make habit of taking painkiller along with antacid. Best of luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I was bitten unprovoked by a Rottweiler on the 4th of February, on the back of my thigh right above where I bend my knee. I have severe bruising all the up my thigh and down on my calf. Last last I felt a large lump about the size of a small orange. What can this be and should I go get it looke at right away? It is painful ### REPLY: HI, thanks for using  After a dog bite, if the rabies status is not known, then it would be important to have the rabies vaccine though this would not be as effective at this point. An up-to-date tetanus immunization is also important. The lump may be due to formation of scar tissue or fibroid tissue at the site of trauma. This is very common. It may also be due to a hematoma (collection of blood). Both of these would improve with time, but it is possible that intervention by your doctor would help with this. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor,My whole scrotum became too hard and Im feeling pain. Past 1 week im suffering from jock itch. I went medical shop and bought candid b cream and applied for a week. After some days my whole scrotum became too hard and feeling too pain. Can anyone consult me ? ### REPLY: Hi, thank you for asking  I understand your concernsWith this presentation, one may not say with certainty the exact diagnosis. I would be important for a doctor to assess you before giving you the right diagnosis. I think it might be orchids or an onset of Fournier’s gangrene. These conditions need special care and treatment. In my opinion, I would suggest you see a doctor for diagnosis and management. I hope that helps wish you well .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have had my wisdom teeth surgically removed last wednesday i have throbbing pain in my jaw where they removed bone to get the tooth out witch travells to my temple that has a burning sensation....iv taken endone and nurofen but its still there is this normal ### REPLY: Hello and welcome. Thanks for sharing your concern. It is not a common phenomenon to see burning sensation post wisdom teeth extraction.However, there could be an infection developed in relation to the extracted socket or mild to moderate nerve injury, which can be attributed to such symptoms.Therefore, it would be nice if you can revisit your dentist once and get the healing socket examined.Meanwhile, please do warm saline rinses twice daily preferably after food. This should help. Let me know for further doubts. Thanks. 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 friend has had a blood test and the blood plaitlets (is that the red blood cells?) was 120, then another test and it went down to 85. Another test and it went up to 125 ( this was 3 days after the last one). Is this a problem and should she have a regular check. What does low blood plaitlets mean, please Marilyn ### REPLY: Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Low platelet count suggests an increased risk for bleeding-skin bleed/ mucosal bleed/ bleeding in deeper tissues. 2. Count of 125 is acceptable, however if it reduces then he needs to be evaluated for the cause of decreased platelet count and treated accordingly. 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: I have recently suffered from a panic attack and was given hydroxyzine hcl at the er. the pa told me follow up with my doctor who had me on lorazapam 05mg. It was not working so he put me on the lorazapam and respiradone 2 mg . I remain restless and i am so tired could i take the hydroxyzine at this point. I just took a resiradone about 2 hours ago and the last time I took a lorazapam was at 8 about 31/2 hrs ago. ### REPLY: Hi Siri have gone through your question and understand your concerns. According to the history you provided, it appears that your suffering from panic disorder. But, coming to treatment history, your diagnosis and treatment are not matching properly. Mostly treatment for panic disorder consists of a combination of an SSRI and benzodiazepine(clonazepam/lorazepam/ etilzolam....soon). Here, benzodiazepine to prevent the current attack and SSRI to stop the panic disorder completely. But, in your case SSRI is missing and antipsychotic was added(risperidone). I don't know the purpose for addition of the antipsychotic. So, I feel that the diagnosis may be incorrect. You didn't provide regarding your complaints. So, I couldn't come to a decision regarding your diagnosis to confirm whether you're suffering from panic disorder or some other psychiatric issue. So, please provide me COMPLETE HISTORY. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i had a jerk on the lower back and i could not move or even sit . after the X Ray reports says joint space between L4/L5 has reduced. Normal curvature of lumber spine is altered and has become bamboo straight. Impression: Lumber spondilitis with slip disc L4/L5 . ### REPLY: Hi, In lumber spondylitis, I will suggest you to apply hot pack twice a day and along with use lumber corset belt when you are travelling. Avoid long journey, travel light, don't lift heavy weight, sleep on hard bed and try to sleep straight. Do back strengthening exercises like back isometrics, exercises like cat and camel one can help you to regain the curve. Have diet rich in calcium and proteins, and they are helpful for bones and muscle development. Avoid fatty food. Hope you find the answer useful. 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: im 21yr old girl....im facing hair thinning problem for last 4yrs...pls prescribe the best  DR for hair thinning please...i hav undergone homeopathy treatment at dr batras for last 3 yrs but der is no improvement.im  now under dr sonal shahs treamtment for last 2 yrs but still no improvement...she said that der is no cure for hair thinning..watever hair is gone is gone forever...is it the truth....is der no cure for hair thinning?....im ready to undergo any treatment..my parents hav wasted a good amount of money for my hair n im takin the best hair diet..im a desperate student..plz suggest the best doctor! ### REPLY: Hi Dear, Understanding your concern. As per your query you have symptoms of hair thinning which is due to improper hygiene, genetic factor, fungal infection, nutritional deficiencies and hormonal changes. Need not worry. You should take Indian gooseberry powder with water once a day and use olive oil for message. Yes fin cover, collinear, retaking shampoo and tug ain is advisable as it will enhance hair growth. I would suggest you to consult dermatologist for proper examination. Doctor may order skin patch test, blood test and physical examination. Doctor may prescribe you .  Take diet rich in multivitamins. Hope your concern has been resolved. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had an ultrasound and an endoscopy to determine what my stomach issues are. I suffer from diarrhea and stomach pain and I have a hard or firm section just below my sternum. My doctor says there is nothing wrong that he can find, but I am still troubled by this to the point of not eating b/c I never know how it will impact me. Also, the skin on my stomach is always cold regardless of what I am doing. Even if I wrap my stomach and exercise my skin is always cold. ### REPLY: Hello. As per your narration, more chances are that you are suffering from irritable bowel syn .  This problem aggregates if one constantly keeps thinking about hi/her disease and takes undue stress. Please correct your diarrhea first and if your ultrasound is normal, don't think much. Take cap racecadotril OD for five days, you will be all fine. Get tour thyroid profile done to look for your cold skin 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: Hello, I was diagnosed with enlarged liver and have the following resultsTGO79 U / LTGP102U / Lmention that I do not eat fat, I do not drink alcohol, I do not smoke. I am always sick. I have 1,70 m and 87 kg. My doctor gave me Rosuvastatinum amd some homeopathic pills like golden Yacc. ### REPLY: Dear FriendWelcome to . I am . Yes, your Liver enzymes are raised. Since you are not an Alcoholic, following are the possibilities :1. Viral Hepatitis.2. Rosuvastatin Induced Hepatitis.3. Non-Alcoholic SEATO Hepatitis At present, I would advise you to stop Rosuvastatin under your doctors' guidance. If your liver enzymes, still don't settle down, you would require testing for Viral Hepatitis. Based on the available details, this is my best advice for you. You should discuss with your doctor and share my opinion, I am sure he/she will agree to my opinion. Good Luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i was bitten by a dog around a year back. i took all the 5 doses of verorab. 20 days back a pet dog non vaccinated scratched me on my hand & blood came out. i again took2 doses of rabipur (0 & 3). but after 15 days the dog died. idont know the reasons of its death. Do i need to take more doses of the vaccination. ### REPLY: Hello, Welcome to , As you was bitten by a fully vaccinated dog one year back for which you have taken all the shots of antirabies vaccine and once again you were scratched by a stray dog on your hand which led to bleeding from the site. According to WHO you were categorized into Re-Exposures and you should receive only two doses of vaccine on days 0 and 3. Even it is a Cat III bite there is no need of passive immunization. You will be having protective antibody titles and the vaccine on day 0 and 3 will boost up the immune system by anapestic response and protects you from getting rabies even if the dog dies of rabies. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Just got bloodwork results. My ALP was 132 ALT was 52 and AST was 52. Should I be concerned.  I take Topamax  for migraines could this be causing this? Ive also had 7 rounds of anti54biotics over the past 7 mos. and was on a anitibiotic during the test. Im 54 120lbs. ### REPLY: Hithanks for posting in ChatDoctorI have understood your concern1.the numbers you have mentioned are slightly elevated above normal range 2.for significant rise it should be more than 3 times of normal, in your case it is not there.3.slight rise in your case mostly secondary to antibiotics, because so many antibiotics cause liver injury. I can suggest you to get done1.USG abdomen to rule out any morphology changes of liver. Hope this helps you any further questions please let me know thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi sir/mam, my wife is suffering with typhoid for last 2 years every time it is relapse and it is fifth time it has relapsed i have one and seven month daughter and she drinks her mother milk too. just now she is finished antibiotic course yet for last two days she is having breathing problem and not able to get up from bed since our doctor is out of station what must i do to make her re leaf ### REPLY: Hello, I understand your concern. I shall add . 1. Child's breathing problem:I would like to know some more details such as if she has a fever, whether she has fast breathing or just has a blocked nose. Count the number of times she breathes in one minute(count her chest movements in and out for 1 minute). If it is more than 40 per minute, take her to see the baby doctor. How is her feeding? You need not be concerned about her getting typhoid from the mothers breast milk. Typhoid does not spread by breast milk.2. Mothers Typhoid: I would like to know the antibiotics used for your wives typhoid treatment and how many days it was given each time. It would help in figuring out why she is having a relapse so many times. Also, is she growing the typhoid organism (S.type) in her blood cultures or are they treating her as typhoid based only on the TIDAL test? Kindly enclose the blood test reports if possible. Precautions:1. Mother has to wash her hands well (with soap and water) after going to the toilet, before cooking, before eating and feeding the child as typhoid spreads through feces touching food or water2. Vaccinate your child against Typhoid. A typhoid conjugated vaccine is available which can be given to your child please tell whether child has a fever, how her feeding is, if she has fast breathing, your wives treatment and test reports, and we will solve the issue. Hope this helps and they both get better soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yesterday a heavy object fell from a shelf in a shop and hit me directly in top of the head. I felt fine initially, this morning however my head is extremely sore, I feel sick with a headache and blurred vision . Do I need to go to hospital to get it checked out. Also I have been diagnosed with mild epilepsy when younger and have been seizure free for about 7 years ### REPLY: Dear patient The nature of injury you describe seems not grievous. But only thing that is bit of worry is blurring of vision. It would have been better if you had described the exact nature of blurring of vision. If that was just transient phenomenon then there is nothing much to worried about. But if the symptoms are ongoing then you need to consult a doctor. I don't think presence of past epilepsy has anything to do about of present set of complaints ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had a total hip replacement 11 yrs ago, and ended up with an infection.  It was his third hip joint and continues to have an infection to this day.  He has been on Cipro-1000mg a day.  He recently had double hernia surgery and developed an infection on the side where his hip infection is.  It took six months to heal, and did so, for a month.  It has now re-occurred.  Do you think the two are related?  Has the hip infection moved?  Is it possible?Sharon ### REPLY: Hi, Welcome to . I understand your concern regarding your husbands recurring infection. The most common cause of recurrent infection is the occurrence of resistance in bacteria causing infection. The bacteria develop resistance due to prolonged use of antibiotics and irrational use of broad spectrum antibiotics. It is very necessary to do a culture and sensitivity of the pus from the wound before continuing any antibiotic. I suggest you get a repeat culture and sensitivity of both hip joint wound and the hernia wound and get a prescription for appropriate antibiotic based on that test. You can also detect if the same organism has caused infection in both sites. There is a possibility of the organism causing infection in the hip spread to the hernia due to close vicinity of the wounds, but it should be confirmed by culture only. Proper care and .  I hope I have answered your query satisfactorily. Wishing your husband a speedy recovery. 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 sister is 14yrs old n she is suffering frm bronchitis allergy. she is taking homeopathy medicine for last 3yrs frm reputed doctor. Sometimes it feels like that she is getting better,bt suddenly ther comes a problem. Now a days, she complains of not able to breathe properly ,pain in throat , wheezing problem, so we have to give her router inhaler so as to breathe properly .Can u suggest a solution for this problem? should we continue with homeopatChatDoctoredicine ? ### REPLY: Hi Vishal welcome  as your sister is taking homeopathy for three years she would have got better I think there is something missing.  Remember homeopathy has no specific medicine for any disease.homeopathy is personality based treatment so to treat a patient a homeopath needs all physical and mental symptoms of including her habits etc. a classical homeopath will be great help for her, I suggest you to continue homeopatChatDoctoredicine with good homeopath I wish your sister 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: meonium plug in neonate-5 day old female infant-weighed 6# 2 oz at birth at 38 weeks-no meconium or stool passed x 24 hrs. Mom breastfeeding fairly successfully on frequent demand. Baby having fussy periods of intense crying. Passing flatus. Previous meconium stools without problems. ### REPLY: Hi... Thank you for consulting in . This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to .  Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief. The two best ways to relieve this distress is - 1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have pain in my left arm that comes n goes once or twice a day. It happens at anytime, while I m sitting or doing something, even now I was feeling sick n vomitted, after a few minutes I had sharp pain in my left arm. The pain is enough that it makes me grab my arm when it happens.... Can u tell me why? ### REPLY: Hello, I have studied your case. Due to compression of nerve root there can be tingling numbness in your arm and fingers pain associated with it. I will advise you to MRI cervical spine for better diagnosis. It can be due to various causes like sudden jerk to spine, due to facet arthritis, degenerative. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Local injection may help if pain remains persistent. 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. If you are satisfied with answer do not hesitate to rate this answer at end of discussion. Wishing you good health. Take care. ### END