Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a dent in the back of my skull towards the top. I first noticed it about 2 years ago. The dent has gotten bigger and hurts. It s sore without touching it, and when i do touch it, it hurts worse. I also have had constant headachea since I was 14. I am now 25. Should I be worried? ### REPLY: Hi, Thanks for writing in. It is important for you to consult a neurologist and get clinically examined in detail. Since the dent is slowly increasing in size over 2 years therefore it looks like a benign condition that is slowly progressing with time. It is important to do do a CT scan and if required an MRI scan to know in complete detail the condition causing the dent in the skull. It is a concern as you have been neglecting it for 2 years, and it might grow further with time and can become serious. There are many benign conditions like cysts and tumors which can slowly infiltrate the skull bone and underlying tissues. There is no need to go to ER, but you should consult the neurologist within 15 days. The CT scan will further show if it is having an underlying problem and having a component involving the brain structures. Please take treatment on time. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 24, 171cm, 52kg, and I am allergic to asprin. I recently had severe lower back pain, around the Sacro-illac joint area. I had went to an orthopaedic doctor and was told to go for Physical Therapy. I am worried that what I may be having now is Ankylosing Spondilitis or Sacro-illitis. I experience sharp shooting pains down my leg on both sides, especially in the morning, and close to the evening before bed time. Getting out of bed hurts really bad. I have been on Voltaren for around a week, and I take it once a day after lunch time. The medicine is able to last me until the next day. I am wondering if I should continue to take Voltaren, would it have any bad effects on me if I take one a day? Here is a picture of my x-Ray taken of my lower back. The radiologist mentioned something about my left side sacro illac joint being narrow, and the right side being out of shape, probably due to degeneration. I would like to know if there is anything else I can to do relieve the pain, and what I could possibly be experiencing from this. Thank you!  WWW.WWWW.WW ### REPLY: Hello, I have studied your case with diligence. SI joint shows degeneration, so there can be possibility of ankylosing spondylitis. Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased you have such stiffness in spine? Clinical examination is also required to diagnose it. You can do blood test for HLA-B27 to confirm it. I have not seen your x-ray. You can post your x-ray directly on my profile.http://doctor.ChatDoctor .com/doctors/ . Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello.I arrived last night from the night shift and hit my teeth with the toothbrush against my lower teeth (ie, between teeth and gum just at the gumline ... it has now bled!) and now Im afraid that the  tooth dies. Can that happen through the hit, or was he too weak? Have you ever heard of such a case? Or one probably, even had?How should I proceed further and not allowing it to die? (wanted to scrub the chewing surfaces), and then slipped and hit it! Is it very bad? I dont want my tooth to become dark and dead.. :( And the dentist aren`t open here. ### REPLY: Thanks for using . Read your query. The impact of the tooth brush trauma will not usually lead to the tooth to be dead, though it may have caused the gums to get bruised and cause the bleeding. Relax, and do not try to hurt it more. Do salt water gargling. Application of an oral topical gel will help relieve the symptoms. Once the dentist office opens you can have it reviewed. Hope this was useful. 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: I have dislocate my shoulder and have a partial tear a lot of pain so taking ibuprofen to reduce inflammation and seeing physio but I am asthmatic and think I may be getting a chest infection my asthma specialist tells me to take an antibiotic but not sure if it is safe to do so with ibuprofen ### REPLY: Hello, I have studied your case and can assure you that there is no harm in taking antibiotics with ibuprofen. Sometimes ibuprofen can cause increase in asthma but if there is no increase then you can take both medication safely.  Along with Broken you can also take hot water fomentation and Bruegel local application. Once your pain subsides then you can start physiotherapy. Patient with dislocation always have chances of recurrence. In such cases you need to get MRI and some time there is need of surgery to repair broken ligament.I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my daughter is 31/2 years old on 10th ofdec 2011 she had throat infection so doc treated with Zithromax after finishing that antibiotic course again she was coughing again doc gave augminton dry syrup and he told she has allergy coughing he gave nebulization again we went to doc on 12th of jan 2012 , he told she has got wheezing so he gave montair 1/2 tab and zipod 100 mg dt for 10 days.but now course was over then also she had cough, if I give nebulization she is feeling better. How long can I treat her like this or since we r in blore I am thinking is just b coz of whether or whats wrang on her? ### REPLY: Hi, Thanks and welcome to . Your history suggests that she may be suffering from bronchial asthma. Usually exaggerated by viral infection like cold. She needs a beta agonist like albuterol and a mucous expectorant like bromine 3 times daily along with montelukast and basting an anti-histaminic preparation daily once. Avoiding trigger factors like cold, certain foods as well as smoke and dust. Consult pulmonologist if needed. Hope this reply is OK for you. Please feel free to ask further queries if any. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Ive been having lower back aches for a couple of weeks now but Im only 13 and I dont play any sports and they happen regardless if Im on my period or not, Also when I strech or whatever the pain worsens. Im 51 and weigh at least 120, Ive never had a history of back problems. ### REPLY: Hi, Thanks for your query. After going through your query I came to know that you are suffering from chronic backache. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. Back exercises, neurotrophic such as mecobalamine and analgesics (DICLOFENAC) give relief. Vitamin D 3 supplementation is helpful if it is low. Avoid long continuous standing. Sit in a straight posture.  You need to do MRI to rule out other causes. You can discuss with your treating Doctor about it. 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: What do I do about my fatty leg symdrome. I have had it for 38 years and is starting to get painful. I have veins going through I have them on both sides of my thighs and upper legs and lower legs. I am 54 years old my height is 5 ft. and I weigh 215 lb. What kind of Doctor should I go for this. ### REPLY: Hello, I have studied your case and I think that your obesity can be due to either Diabetes or thyroid problem. So first you need to check your blood cholesterol, sugar and thyroid level. You can meet an endocrinologist or a physician and can take his opinion. If there is any abnormality then treating that can cure your fatty legs. Apart from it diet control, regular exercises also helpful.  I hope these steps will be helpful for you. Let me know if there is any other followup questions. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello Doctor i m having stomach ulcer as well as 10-15 mm multiple stones in gall bladder.. what should be the right decision for both of the disease.. should i go for operate or it ll be cured itself.? what kind of diet should i take..??Nishant Kapoor.Age 19 years ### REPLY: Thank you for sharing your problem dear friend gall bladder stone affects 11% of population and 20% is more common in women than men and also the obese person. In allopathic line of treatment doctors suggests surgery that is removal of gall bladder. But if your gall bladder stones are small homeopathic line of treatment is useful. As you described you also have complained of stomach ulcer and gall stone both, I prefer you to start homeopathic treatment by consulting homeopath in your area. About diet in gall bladder stone you should limit in highly refined sugar products, animal fat and high cholesterol food and increase high fiber containing food in diet. In stomach ulcer anxiety, stress,bad food habits, lac of proper sleep may increase your problem. So you should be cautious in this thing. Hope this answer may be helpful to you. For more queries please don't hesitate to ask. Get well soon dear friend. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 2 years 7 months daughter suffering from cough , due to cough she is vomitting and we. Can see cougChatDoctoring out along with food , she was also suffering from mild fvr in morning can I give her azithral xl 200 in liquid form for 3 days , 5ml per day for this.her cough normally dosent go if not given antibiotic ### REPLY: As you have mentioned in your history it is clear that your daughter is suffering from some sort of upper respiratory tract infection. For this you need not worry much, give some antibiotic like syrup moxikind-cv or syrup symbiotic-p 125 mg/5 ml three times daily along with syrup ibugesic-plus or syrup Coquitlam 2.5 ml three times daily for fever with syrup vomiting or syrup ondansetron twice daily for vomiting. If she has cough also than you can give her syrup bronzed or syrup shaking 1 SF twice daily. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 having a pain in my left lower abdomen.. i sometimes have issues with incomplete bowel movement.. and also since i travel for long hours and mostly have sit during my work.. i am getting back pain.. in the left side.. and i am a poor eater with acid reflex.. please let know the right kind of food when i take lazol junior.. ### REPLY: Hello! Thank you for the query. Lower left abdominal pain is characteristic for diverticulitis of sigmoid colon. This condition is caused by chronic constipation which you seem to have. Back pain and lower pain can be both also caused by urinary tract infection. Both issues can not be healed with diet. You need diagnostics first. Please consult your doctor, have abdominal ultrasound, blood work and urinalysis. Colonoscopy should be considered. To improve your bowels condition and avoid acid reflux you should avoid fatty foods, spicy foods, alcohol, coffee. Increase fiber rich products, mineral water intake. Start some physical activity. Hope this will help.regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife and I trying for a baby but till now no result. Yesterday we visited a gynaec and she asked my wife to take susten 300 from 16 th day of her cycle.her cycle started 12th this month and the doctor also told to have relation on 12th,13,14 &15 th day of cyclecoz the egg ruptured last during this time onlywhat is the use of susten 300 and please advise on getting pregnant ### REPLY: Hi welcome to . I have gone through your question. Sustain is progestin containing medicine. It will help in luteal phase in maturing endometrium and help fetus in implantation. So sustain is generally prescribed in later phase of cycle. Fertile days are +/-3 days to ovulation. If you have ovulation on 14 then 11 to 17 are fertile days. Hope I answered your question. Would be happy to help you further. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 20day old baby drank water while giving her Indian style bath to her . it happend 4 times in this 20days including to she makes noise while drinking milk , she has reduced drinking milk and passing green colour watery stool any suggestion on this ### REPLY: Hi... but what you say I feel that she might be having Viral watery diarrhea. Even otherwise it is normal for kids of this age to pass green colored watery motion 5 to 10 times per day, especially after feeding. Unless the kid is having blood in the motion or green colored bilious vomiting are sunken eyes or .  If the kid is feeding well and urinating well - that means that baby is a well baby. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a bump in my neck near my right glan(under my jaw) for about 3-4 months. I recently just quit smoking cigarettes and the bump went away. It just came back 3 weeks after I quit ..I ve been swallowing clear fluids coming from my throat (I guess it sits at the back of my throat)..every time I turn my head I can feel the pain in my neck ..I ve been to a neck specialist and my family doctor,..both say they don t know what it is..I ve had a cat scan and an ultrasound and still nothing ..it really bothers me..can anyone tell me what this could be? ### REPLY: Hi, Dear,Welcome with your query to . Studied your query in full depth of its details. Reviewed it in context of your health concerns. Based On the facts, You mostly seem to suffer from-Painful lump in the neck from Acute /Chronic tonsillitis with JD (jugulo-diagastric lymphadenitis) due to heavy smoking. Treatment-Consult ENT Surgeon after the CT and USG of the Neck glands. Tab Cipro 500 mg 2 per day x 5-7 days Tab-Voltaren+Tylenol x 5-7 days Cetirizine 1 x 2 times per data Choral forte-2 per day Plenty of fluids x 3 liters per day. All this treatment under cover of ENT Surgeon. Second Opinion from an ENT Surgeon would be helpful in assessment of treatment period. Hope that, This reply would help you to plan further treatment soon with your treating doctors. Best of Luck and early recovery. Welcome any further query in this regard, which would be replied in next session. Good Day!! . N. Senior Surgical Specialist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a quarter sized lump below my right collar bone, sorness and some swelling under right arm. Had a mammogram, was told as far as mammogram goes, everything ok - but be sure to follow up with family doctor, which I plan to do. Just wondering what I may be looking at. ### REPLY: Hi, Dear,Good Morning, and Thanks for your query to my virtual Clinic At . I studied your query in depth and understood your concerns. Treatment to be executed under cover of your doctor-is suggested as follows In my opinion I would suggest treatment plan as follows-a-AS you are worried besides your Mammogram being normal, I would advise a FNAC biopsy of the armpit lump and the lump below your collar bones the lumps are sore-I would suggest Tab-NSAIDs x 5 days/and Tab Antibiotics x like amoxicillin x 5 days, before the biopsy and then do the biopsy. You need not worry -as In my opinion you mostly have-Fibroadenosis ? Mastitis with sore nodes Hope above treatment would help you to relieve of the issue you have. Welcome for any further query to ME and . Write Good review for the benefit of my new patients. Click thanks ASAP after this. Have A Good Day. With Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband is unable to use the glycolax that most people use prior to a colonoscopy.  He took 3 dulcolax last night and 4 tablespoons of milk of magnesium this afternoon. He has gone to the bathroom but is very bloated and uncomfortable.  He is to start drinking mirolax tomorrow.  Any suggestions on how to help him feel better? ### REPLY: Hi! Thank you for your question and welcome to our site. As you may already know, these types of medicine help clean the bowels but can induce gas production and bloating through bacteria living in our intestines. As such, these laxatives really do have bloating, abdominal pain and even sweating as their side effects. This medicine usually act within 2-3 days. The most important thing is to follow the instructions on how to take them and to .  Taking some milk-products with probiotics like yogurt and other  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctors, I am married 4 Yrs back, i tried getting concieve but its not worked, recently i Meet the indian doctor in india, where she taken the scan copy and other blood tests. Reports are Normal she advise me some inmature folics are there in my scan suggested me to take productive f until i concieve and given benforce m! Please suggest me is the above tablets are good to use for getting concieve Thanks in advance Honey ### REPLY: Hello and welcome, immature follicles in the ovary is seen in polycystic ovarian syn .  The tablets prescribed to you are appropriate for your treatment. Get repeat scan done after 1-3 months time to see how the PCs has responded to treatment. If it is showing good response, induction for egg release can be done.  Proceed with your treatment with a positive attitude, do not worry, you can have a successful pregnancy with aid of proper treatment.  Stress makes PCs worse, so avoid all kinds of stress, and be relaxed while being on the treatment. 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: Yes i made a trip to the ER yesterday and they sent me home with a few anti biotics and a steroid pill. But the reason i went was due to an absess tooth and it looks like a massive cyst on top of the swelling from the absess. But i was wondering as to if the medicine they prescribed me will help to bring down the cyst or should i visit the ER again? Thank you very much. ### REPLY: Hello, You have symptoms of the abscessed tooth with cystic swelling which is mainly due to a severe tooth infection, and it reaches the tips of the root and form abscess and cyst. So you should visit the dentist or oral and maxillofacial surgeon once and doctor my order bite test or order x-ray of that particular tooth to check the extent of infection and treat it accordingly. For now, what you can do is continue applying Travel or clove oil as they are helping you in relieving pain. As far as antibiotics are a concern you can take ampicillin or amoxicillin as it will help in decreasing infection and only after this other dental procedure of RCT or extraction can be done. I would suggest doing warm saline rinses or baking soda rinses 3-4 times a day, they will be very helpful in relieving symptoms. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my son is now 6 year... he had fever on 15th jan 2014 with losts of pain in legs specially in mucles, left thigh. then doctor asked to give combiflame for 2 days. We gave the same. but again on on 17th he hd fever. His CBC count on 17th was 22000. (noraml 5000 to 11000). CRP 57. Doctor said little sweeling on tonsils and gave antibiotic. But again on 20th Jan there is no change in symptms and fever (Fever up to 102F). little coughing also there. Then on 20th again CBC count was 25000 and CRP 57.. Then he was hospitalized for 8days. By chest X ray he was diagnost with pnemonia as patch was seen in left lower lobe. he was treated with Xonceff 1 gm twice. day IV. Still low grade fever was there (100F). On 24th X ray repeated. Lungs were almost clear than previous. thn on 25th Antibody for pnemnia tested. It was positive for Mycoplasam pneumonia and Inf. B. So from 25th Doctor started claribid twice for 14 days. On 23rd ESR was 142, CRP was 34 nad CBC was 20000. On 25th ESR was 93, CRP was 22 and CBC was 20000. He was disherged from hospital on 27th and doctor asked to continue clarithromycin orally at home till 7th Feb. from 4th feb his had fever once in evening (99.2F). On 30th again checked his CBC whcih was 20000, CRP 16 and ESR 88. Now he play eat. Paltelets were 580000 on 30th Jan. Need advice. can ESR go high in thsi situation? i am worried.How long it will take to fever completely go. Also when I check fever with digital and mnaual (mercuray thermometer ) it is different. When digital show 99 F the mercury show 98.5. Plz advice ### REPLY: Your child had been suffering from pneumonia which probably had a bacterial origin. CRP is an indicator of infection or inflammation and its steady downtrend indicates that the infection is gradually coming in control. The fever may come for another week till the CRP returns within normal limits. ESR is a more generalized indicator that something is not right within the body. It, too, has been on steady downtrend. In such a situation, ESR can remain high. Such minor differences in the readings would always be there irrespective of the type of thermometer you use. Such a difference can be there even if you use the same thermometer and measure at the interval of a few minutes. It is not a cause of concern. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 low testosterone and high blood pressure. I take androgel for the low testosterone. and take lisinopril for the high blood pressure. The lisinopril is the 3rd type of blood pressure meds. And have changed my diet to try to help with my blood pressure. My blood pressure has stayed the same. What can I do to lower my blood pressure. The androgel seems like it is working with my energry levels. but I cannt get a erection without taking cailis. Is this common? ### REPLY: If it's controlled on lisinopril then it should be continued, if not either dose should be increased or other medicine like Amlodipine should be added. You just maintain the record of blood pressure and show it your physician. Blood pressure control can be achieved very easily and has got a lot of medicine to treat it, not to worry about it.Also, simultaneously continue low salt diet, avoid smoking or alcohol if any, regular exercises will help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fiance has recently been testing for hep c and it was confirmed he does have it. his level was 244/85 what does that mean and what do i need to do he is currently incarcerated and will not be home until the end of april. should he be on a certain type of diet? What should he avoid? i have so many questions and i dont know what i should do next. ### REPLY: Greetings. Welcome to . Hepatitis C in the past used to be a very lethal disease effecting a large population of the world and this intern would put others around the person also at risk. But nowadays fortunately we do have medications that are really effective in hep C. Detailed investigation needs to be done in order to see what type of medications are needed and to check the effect of the medication once they have been started. For that you will have to get PCR quantitative for Hep C virus in order to find out the quantity of the virus present in the body. At the same time you also have to do Hep C virus genotypic so that the type of virus is identified and specific . I have seen many people see the benefits of these medications. Sofosbuvir and Riboviria are one of the combination that can be used, but there are many others which have to be given according to genotypic. As far as the value 244/85 is concerned I think it stands for 85 as AST and 244 as ALK Phosphate. Which shows the level of effect the virus has had on the liver. Therefore, to avoid permanent damage or other complications, time is very important. An ultrasound must also be done to find out the status of liver before starting medications. I hope the answer was helpful. In case you need any further assistance feel free to contact us in writing. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have 5 weeks pregnancy.. i have taken 4 pills of misoprostol.... after going to the pharmacist, she has told me that i have to take mifepristone pills then after 36 to 48 hours i will have to take misoprostol pills again. Will that work? or is it going to couse some problems to me? ### REPLY: Hi, Because of high risk of severe bleeding, abdominal cramps, infection or incomplete abortion it is not advisable to take these medications without consulting a gynecologist. The risk of bleeding will be much more if the pregnancy is outside the uterine cavity (ectopic pregnancy). The doctor will advise you to take 200 mg of mifepristone orally this will work to separate placenta from its attachment, it also softens the cervix and increases uterine contractions to allow the uterine contents to pass. Then you will have to take 400 mcg bisoprolol orally usually within 48 hours of taking mifepristone. It will to cause uterine contractions so that the products of conception are expelled. Cramping and bleeding often start 2 to 4 hours after you take the pills which can last for hours indicative of abortion. Abortion can be confirmed by doing an ultrasound. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: what does it mean when a person is in ICU and they have had a Staph infection that went into sepsis infection, it appears all is clearing up, pt getting blood tranfsions and has a blood clot in the artey in the neck ( im sure you know which one cant think of the name right now) still in ICU and now heart rate at rest is 185?. ### REPLY: Thanks for your question on . I can understand your concern. The scenario you are describing suggest poor prognosis. Staphylococcus infection in blood can lead to severe sepsis. And this causes hypotension, tachycardia, septic embolism etc. These embolic can cause blood clot in vessels. Tachycardia of 185 is very high. So over all his clinical picture is not good. It suggests that his infection is not controlled. So prognosis is very poor in his case. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my name is javier..I workout daily and have been training for a bodybuilding competition..last night I noticed I had a lil lump on my forearm and felt squishy and semi tender..my arm was still able to do anything really..just felt odd...out of no where my friend runs up and slugged the hell out of it, and, I noticed the lump liked popped or something..I have no insurance and hitting er might put me in a bad spot financially..today my arm feels bruised and tender..not sure what to do or what it was. ### REPLY: Hi I am  and I will you with you problem I have gone through your question. It appears to be collection of blood beneath the skin or muscle strain because of excessive workouts as your body building competition is ahead. Need answers to the following question to make things clear for me_ When and how did you notice this lump?_ Any history of direct trauma?_ Mobility of lump, is it adherent to underlying skin and weather skin moves over it._ If you contract your forearm muscles, whether it gets prominent.  Answer to these questions will help in your diagnosis. Anyhow, to me, it appears to muscle sprain. Its treatment includes rest, elevation of the limb, icing, taking painkiller medication like ibuprofen, paracetamol and local analgesic cream applications. Work outs are not recommended till pain and swelling is there. I hope this will help you. Wishing you rapid recovery. Do rate my answer, if you like it. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am on Levathyroxine, and have now had a second 3 day spell of very high blood pressure, palpitations, irritability and shortness of breath. Previously I ended up visiting the emergency dept. at hospital, who said my dose had been increased too rapidly. It stabilised, and I increased the dose (over 3 months) gradually to 0.50mg, then latterly to 0.75mg. After having the same (albeit not as severe) symptoms I reduced back down to 0.50mg, then later this week I continued to feel unwell, so this weekend Ive reduced to 0.25mg. After 2 days of high blood pressure (155/109), I feel ok now. But Im worried about the damage this is doing to my heart/increased risk of stroke? Been to various doctors and they are not listening? ### REPLY: I can understand your worries. As your blood pressure was high only for few days, it is less likely to having significant damage to your heart or brain. Your high blood pressure is likely due to inappropriate thyroxine dose. So consult your family physician or endocrinologist. They will range TSH /T3/T4 for you. According to results they will decide appropriate thyroxine dose for you. When you're taking that appropriate thyroxine dose your blood pressure will come down to normal values. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am a gay male. Before having sex with my partner, i like to douche to avoid any messy accidents etc. However, whenever I douche, I always get stomach pains. Sort of like i have diarohia and really need to go. Cramp sort of pains. I use a bulb douche with a capacity of around 250ml. Plain luke warm water. i usually have to make around 6-10 rinses before the water runs clean. Could I be using too much water? Am I supposed to syringe the whole 250ml or around 125ml at a time? I would really appreciate your help on this :) Thank You ### REPLY: Hello, It is my privilege to help you, I have gone through history and the problem, Let me just say that douching does not protect you against transmission of STIs or HIV. One should preserve the natural flora of the lower gut as it protects against a infection. Those who choose to douche do it purely out of a need for cleanliness. Surprisingly, your anus is relatively empty most of the time. In fact, it will only fill with excrement moments before it all needs to come out. Because of the faulty technique and repeating douching for several times has led to your problem. I would suggest you to understand the concept of douching and then follow. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! I m arlyn I have a kidney problem 41 yeard old with history of bilateral kidney.Left and right moiety, I had my partial nephrectomy at right upper moiety 3 years ago due to hydrophronosis.and now I have my check up last February 2013 U/S done with mild fullness of the renal pelvis and my Dr. advice me to do follow up u/s after 4 months then u/s done 24/11/3 the result is mild fullness of the renal pelvis with residual in the bladder.What is the plan for mu case and what is the treatment and I did my renal profile the result with normal and I have pain in the rigth side bellow the ribs. ### REPLY: HIT hank for asking to ChatDoctorI appreciate your concern but let me tell you that the clinical sign and symptoms are great matter if you are asymptomatic then such finding of ultrasonography has nothing to do unless you have some serious problem more over your renal profile you said is also normal then you need not worry about it in chronic renal disease such findings are part of disease, that does not cause the routine disturbances, have a nice 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: My sister had gallbladder surgery last Wednesday. She is having extreme nausea , vomiting and dizziness . She had a patch behind her ear that relievd the symptoms, but doctor had her take it off yesterday. Now she is back to square one. She also hasn t had any diarrhea and was told to take miralax. It hasn t worked. How should she move forward? ### REPLY: Hi and welcome to . Some people experience postcholecystectomy syn .  If this is so extreme as you said further tests should be performed. Many complications can be considered. Abscess formation or bile duct obstruction are most common. Ultrasound is at least what should be done. If she notices fever or paid under the right ribs she should visit doctor as soon as possible. Also, she must follow hepatic diet,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband was sitting in chair yesterday said he fell asleep. He seemed awake after that. A few minutes later I talked to him and had to yell and shake him to awake him. He said he was having some kind of a spell . He is not a heavy sleeper. My sense was that he was unconscious for a short (less than 5 minutes) time. What could cause this. He seems fine now. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. The state could just be deep sleep. Try to remember all those heavy works and stress before that. You may get the answer. Sometimes, low blood sugar level, metabolic imbalance etc. can also push the body into unconsciousness. Do consult a physician and get the vitals checked. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my husband had heart sattack he had a clot they took it out put a stent in he as hight blood pressure 195 over 90 most days i have been monitoring it i have taken him to the doctors but he said wait till he goes back to the follow up in 3 weeks is this dangerous ### REPLY: Hello! Welcome and thank you for asking on ! Regarding your concern, you should know that his actual blood pressure values are really high. They could lead to possible stroke or heart attack. That is why I would recommend consulting with his doctor as soon as possible and discussing the possibility of making some changes to his actual antihypertensive therapy (raise the doses or add another .  Hope to have been helpful! Wishing all the best,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have undergone MONTOUX test it resulted 35 mm reaction.After this i had taken QUANTIFERON-TB GOLD test result is positive. My chest X-RAY is normal (as per doctor). I dont cough, My doubt 1. Is QUANTIFERON-TB GOLD test reliable,do i have TB? 2. How to use FORECOX tablets..doctor said one in the morning and one in the evening. Please kindly answer my questions.Thanks in advance. ### REPLY: Thanks for your question on . I can understand your situation and problem. Quentiferon TB gold test measures Egg antibodies against mycobacteria tuberculosis (MTB). So positive test does not always mean you are suffering from active TB disease. It is positive in patients who are living in TB endemic areas, had past TB infection etc. So just on the basis of positive quentiferone TB gold test, one can not diagnose as having tuberculosis and should not be started treatment. Your chest x-ray is also normal, and you are not having coughing, so no role of positive quentiferone TB gold test in you. And thus you should not take anti TB . So, I advise you to consult pulmonologist and discuss all these before starting anti TB  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 punched on my face and my cheek was swollen that was about 8 months ago,thought it will come down itself but wright now am feeling uncomfortale with my face swollen and when i touch it i feel a congealed blood inside it pls i dont know what to do. ### REPLY: Hello, I can understand your concern. As the accident happened about 8 months ago, and it was associated with swelling of the cheek area, it is possible that the cheek bone or zygotic arch was cracked or fractured at that time that healed on its own leaving a hematoma-like bump behind. In such case, I would advise you to visit an oral and maxillofacial surgeon for examination of the area and an x-ray that will show any problems with the bony structures in the area. Based on the x-ray, further treatment can be advised. I hope this information helps you. Thank you for choosing . I wish you feel better soon. Best, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, My wife was complaining of feverishness about a couple of month back, doctor said there is some infection in stomach and gave antibiotics . She recovered but similar problem reoccured after about a month and then again after a month or so. Now after taking antibiotics she is OK eccept that when pressed on the upper abdomen she feels pain. The pain is felt even in lower abdomen also when pressed slightly. We are worried that may be the problem will reoccur again. When the problem starts she doesnt feel hungry and feeld extreme weakness. What should we do?? ### REPLY: Hello, emailtogupta, I am not sure how young your wife is. Since different conditions cause different symptoms depending on the age and sex, it shard to guess. However, based on the information you have provided, I think the doctor may be treating her for H.pylori infection that can affect the stomach and cause ulcer involving the duodenum.(Beginning portion of the small intestine). Usually, three antibiotics along with a PPI (Such as Omeprazole)are used for at least ten days to cure this bug. If this is not treated properly, the infection will come back. The other possibility is some kind of gastroenteritis or infection caused by eating some contaminated food or . I think you should discuss this with her doctor and have her get some blood tests and also stool examination. There is a stool antigen test for H.pylori, if positive will indicate active infection that needs treatment. Lower abdominal pain, fever, diarrhea, can indicate Diverticulitis, inflammation of one of the pockets or pouches on the large bowel. This is more common after the age of 55-60. Hope this information helps your wife. Wish her 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: RESPECTED SIR, MY EXAM ARE COMING ON MONDAY TIIL YET I DIDNT STUDY ANYTHING ALL READY I HAVE LOST 3 YEARS BY WRITING THE CARRY PAPER ITS A 4 YEAR ENGINEERING COURSE BUT ITS ALREADY BECOME 7 YEARS NOW ITS MY LAST CHANCE TO PASS MY EXAM I CANNOT STUDY FOR THE REST 2 DAYS BECAUSE OF WORRYING ABOUT EXAM.   ITS MY EXPIRED FATHERS GREAT WISH TO PASS THE EXAM AND ATTAIN DEGREE THINKING ABOUT THAT MY MIND IS MOVIG TOWARDS VERY DEPRESSED SUCIDICIDAL LEVEL ANY THING TO OVERCOME THAT. ### REPLY: HIT hank for asking to ChatDoctorI would feel great to help you, first thing you need to do is bring back your confidence, built up your moral, have positive thinking, you need not do anything new in exam just need to repeat what ever you have read, so where is the problem you are facing just read the study material properly as if you are reading some fiction it is not heard, and you can do it, suicidal tendency is what it is nothing for the student who studies engineering and never ever think about that it does not suit to student, it is made for weak person, who does not want to do anything in life, be a brave, get set and ready for changeless awaiting you, have very good life, take care 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: For the last 6 months I have been experiencing a dull lower back pain and my hair is coming out in handfuls. My hair is all over everything. It doesnt matter if in shampooing, or brushing my hair throughout the day I can run my hands through my hair and handfuls fall out. My back pain feels dull and achey all of the time. Some days worse than others. I was not concerned at first but now that the pain will not go away and my hair is tremendously thinner I am very worried. What could it be? ### REPLY: Hello, Its apparent from your description that you have got a degenerative disease of spine. . Basically you should undergo an MRI of your spine which will give you an idea whether the likely compression is treatable with surgery or not. You can start pregame, a molecule which will reduce your pain. Do consult a physiotherapist who would like to advise you some back exercises and do, do them regularly. Hair fall may be due over stress, you may need to start relaxation technique. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. Wish you good health, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a hypertension and Ventricular Arrythmia patient taking Metoprolol succinate 50mg and taking Cardarone 200 mg, Atorvastatin 10 mg daily since 2  1/2 years.   Recently  as shown in ECG i came to know that i have Lateral Wall Ischemia. Can you please explain this? ### REPLY: Bilateral wall ischemia in ECG is indicated by primordial leads v5 and v6 and has to be taken very seriously. Most common cause of ventricular arrhythmias and premature ventricular beats is ischemia., hypertension is also a risk factor for myocardial ischemia.I would suggest you few basic baseline investigations of cardiology like treadmill test and 2 d echocardiogram .both will help to rule out any compromised blood supply to heart, and if they are normal electrophysiologist studies will be done to rule out the cause of arrhythmia. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 how can i change my attittude... i have bad attittude . i cant honest for money dealing ... my english very poor ...but i hope u can understand. i cnt save any thing my life  i cant keep my promisses .. now i am facing a big problem for money  my mind is always thinking about suicide ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Attitude can be changed with experiences. They automatically change when you suffer from the previous experiences. Now you are suffering, worrying, therefore the attitude is supposed to change. You are worried and pitying self. You are dissatisfied with your life. That is why you are thinking about suicide. Dissatisfied minds always are like that. This lasts very short period. Then you shall realize such worries are of no use. Then attitude changes. Attitude changes according to main three factors. 1. Environment. 2 Education and 3. Experience. Other that these, If you sincerely want to change your attitudes, it changes. Find a personality development trainer. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi,my brothers age is 29 years.He dont have any bad habits.But unfortunately he is suffering form rightside abdominal pain nearly form 6months.doctor suspect it as intestine tuberculosis.is it possible to cure it by using medicines.He suggest surgery and is it spread to others?if yes how?after surgery any problmes occurs again due to this disease and is it affect his sexual life because he is unmarried ### REPLY: Tuberculosis is one of the cause of right sided abdominal pain. But, Appendicitis,Right sided kidney/ureteric stone has to be excluded. Ask him to go for Ultrasound abdomen and confirm the diagnosis. On what basis, abdominal TB is diagnosed? If TB is causing intestinal obstruction, then surgery is indicated. Abdominal TB will not spread to others. Even after surgery, complications may arise. Recurrence is common. Sexual life is not affected. First confirm the diagnosis of TB. Then, give Anti tuberculosis treatment. If there are signs of intestinal obstruction, then go for surgeryWish him good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My blood pressure today was 130/100. I have a seizure disorder and am on Topamax, lamactil and klonopil. I just recently starting taking Norvasc. I started Jan 5th. I feel nauseated all the time too. Are they related? I thought my blood pressure would go down by now. ### REPLY: Hello! Thank you for asking on ! Regarding your concern, your symptoms may be related to novas intake (nausea has been seen in up to 3% of patients using this .  Topiramate can decrease the levels of novas (by acting in its degradation in the liver), causing a lower effect of novas in controlling the blood pressure. Topiramate has been shown increase the blood pressure in 1-2 % of the patients. It can also cause kidney dysfunction and stones, which can induce a secondary hypertension. I recommend you to perform a routine blood test, kidney and liver function tests, thyroid hormone levels blood electrolytes and an ECG. An ambulatory 24 hours BP monitoring would be helpful to have more information on your blood pressure during the day.  I would recommend changing into another antihypertensive  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 tie my shoes a week ago and felt a pain when I lifted my leg to tie it --the next day I thought it felt ok I went to hit a golf ball and the pain took me to the ground its feeling somewhat better but still cant bowl or swing a club --should I go have it checked or just reat it and let it heal by itself ### REPLY: Hi, Thanks for your query. It seems that you had a muscle pull. Take proper rest. Hot fomentation and application of pain relieving gel will give you some relief in pain. You can take painkiller like Ibuprofen one tablet twice a day after meals with antacid Omeprazole 20 mg along with muscle relaxant like chloraxazone. This will relax the sprained muscles. If the pain persists, get yourself examined by your doctor do hope that you have found something helpful, and I will be glad to answer any further query. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 45 yr old male and last summer i noticed that i am  occasionaly forgetting easy things  for example  3 seperate times last summer and forgot to put the mower deck down .  Since about November 2013 this has picked up in frequency and now At times i am forgetting things at work or Not doing things right . also i find myself slurring my words at times and really having to think about what i want to converse in a sentence . I know i need to get into see a Doctor but i dont know what type of doctor i should see  a neurologist or a psycholgist  or a general MD . I also find myself at times living in a fog .  What is your advice ??? ### REPLY: HIT hanks for using  Forgetful at age of 45 years may be due to dementia or underline depression. In dementia usually happens in later age and patient would not able to accept his problem, only his family member or friends make him realize about the problem. In case of depression, patient would be able to realize about the forgetfulness. Same thing may be with you. I would suggest you to consult a psychiatrist to rule out underline depression. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 29 years old woman. Im Italian but I have been living in Australia since February 2010. I weight 70 kg and I have broncho pneumonia for three times in my life (when I was 3, 8 and 18). Three months ago I got a bad inflammation in both eyes. Now its better but it still hasnt gone. Ive been taking steroid drops since then. They dont know the cause but they think it might have something to do with lungs. Last Friday I had fever, that lasted for 2 days and half. Then, Monday I woke up with very sore knees and in the space of 1 hour my legs up to the buttocks were covered with red lumps, very sore. I couldnt sleep until I had some paracetamol for the pain. I also sweat all night, and this has been happening even the night when I didnt have fever. What is happening? I read something about sarcoidosis, and seeing the many matching symptoms I am afraid I have it. Is that possible? The doctor doesnt have a clue about the lumps, he thinks it might be part of the flu, but he really doesnt know. ### REPLY: Hi, Dear,Good Morning. Thanks for the query to my  Clinic. I studied your query in depth. I am concerned about the worries you have being in Australia, where the Acidosis prevalence is more. In my opinion, You should calm down as your doctor their thinks of -as after effect connected with the recent last Friday fever ? Flu as diagnosed by your doctor their. By the facts told by you, it appears to me that -your doctor is right, and you should not be panicky of ACIDOSIS. The painful knee and the sore red lumps currently-are mostly due to the Urticaria-initiated by the recent ? Flue as thought by your Doctor. If you still worry, MRI of Chest and consultation from a Physician would fix your worry. So don't worry and things will settle with-following treatment-a-Tb Cetirizine-, Tb-NSAIDs, Bland-non-spicy diet for a week, CBC-raised ESR, CXR-lymh nodes, and CT guided mediastinal node Biopsy would fix your worries of the ACIDOSIS. If still You are worried, I would advise you to consult ER Surgeon, Physician who as team would treat it with Antibiotics and Tb NSAIDs, Tb Steroids and needful. Hope with this you would be relieved of your worrisome query. Wellcome again to . Have a good Day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi there, My name is Peter, a few days back I was doing a job on my roof and I tripped and fell about 2.5 meters onto a dirt covered patch. At the time, I saw it as a close call, as nothing too severe was apparent at the time. 5 days later, I have been feeling mild pains in my lower back, (near the end of the rib cage). I assume it is directly related, by should I visit my local GP? It isn t restricting my daily routines at all, it just can be troublesome if I bend over to pick up something. Regards. ### REPLY: Hello, Thanks for the query. It can be just a muscular pain or pain due to contusion that have developed following the fall. Nothing much to worry as it will resolve in few days. As of now you can take analgesics like acetaminophen or Diclofenac for pain relief. Apply warm compresses and take bed rest. If pain persists, you can go for an X-ray spine to look for thin fracture or displacement of spine. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I am a male 24 years old. I have a swelling under my left chest which is soft and doesnt hurt at touch.I dont have a fever,just a pain and pressure sensation which happens just few times a day and usually last only for few minutes or even seconds.I noticed the swelling 3-4 days ago.I also started some training for abdominal muscels recently,so I am not sure if it has to do something with the exercise.Thank you for your help ### REPLY: Thanks for your question on . I can understand your concern. Since you have recently started exercise for abdominal muscles, this left chest swelling is mostly due to musculoskeletal cause. Apply warm water pad on affected areas. Avoid exercise for few days. Take anti-inflammatory .  Avoid movements like bending forward. Do all these for 4-5 days. You will mostly improve. If not improving then get done chest x-ray and ultrasound examination of local part to rule identify the cause for this. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, Im a 16 year old boy (Im about 1,80 meters and I have no medical history concerning medicins or whatsoever) and recently had sex for the very first time. It felt great, and my girlfriend enjoyed it too, but I didnt have an orgasm and/or ejaculation. After this first time I havent had an erection just by thinking about sex and before my first time this was very easy. I do masturbate once a day  and I move my penis pretty fast and hard when I masturbate. Also I do smoke 1 maybe 2 cigarettes a day. Hope you can help me,A normal boy ### REPLY: Hello, You are very young aged boy and at this age, there is usually no any erectile dysfunction occurs. One time failure of ejaculation or achieving orgasm cannot be considered abnormal. The achievement of orgasm is learned after few sexual attempts usually. I suggest you stop smoking because it has multiple bad effect in body along with affection of sperm count also. You should also focus on study at this young age. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter 7 yrs is suffering from Typhoid. She was given Taxim O for 2 days before she was admitted to hospital. Once admitted she was given Monocef IV for 2 days. Since she hasnt got fever since last 48 hrs now, can we stop Monocef IV now and move back to Taxim O? ### REPLY: Brief answer:Remain admitted till child is afebrile for 3 days. Detailed answer:Hi, welcome to . Your child is diagnosed with typhoid. If a child is admitted in hospital and is given intravenous antibiotics, then we usually wait for 3 days of afebrile period to shift on oral antibiotics. In my opinion, you should wait for 1 more day and then decide. I hope this will help you. Wishing your child good health. Take care. Regards: .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi lm elaine  l have pancreatitis l got from ecrp and had gallbladder removal and lately l have difficulty breathing so l told my consulant at the hospital and he blood tests and an ct scan and it was only two weeks and now he wants to see me on eighth of january you dont think any thing showed up ### REPLY: Hi.noted history of pancreatitis and difficulty of breathing. Is your difficulty of breathing persistent and causing you distress? If its episodic, it may just be a radiation of pain from your pancreatitis and will resolve spontaneously. If not, it is best if you consult with a doctor for physical examination and clinical evaluation. Diagnostics (such as chest X-ray) and management will be directed accordingly. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: When i lie down my head feels like it is shaking/pulsating .... it is very disconcerting. i had the same feeling while at the movie cinema last night..... my head felt like it was slightly bouncing off the chair. i am 27 years old, anglo-saxon male. ### REPLY: Hello, This seems to be pretty normal to have palpitations while watching a movie in cinema, I would like to know its episodic nature duration and frequency of such episodes along with other features like feeling of increase amount of urine after this event. Or any cough or shortness of breath or any swelling on your ankles. You need to investigate this problem for a disease if any by doing your ECG/EKG and echocardiography. And free T4. 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 a tooth that had a root canal done and then the next day i had to get it pulled, i have a huge swelling between my gum and check, it started at the injection site and has expandedthe Dr put me on steriods, it didnt get rid of it, the lump is bigger and it is hurting again, the dentist said he thought it was fluid build up ### REPLY: Thanks for your query, I have gone through your query. The swelling in between gums after root canal treatment could be because of the trauma cause to the gums while instrumentation, or it can be because of the gum infection. Consult an oral physician and get it ruled out. Meanwhile you can start with a course of antibiotics like amoxicillin 500 mg and metronidazole 400 mg TID for 5 days (if you are not allergic). Do saline gargling. I hope my answer will help you, take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Doctor, I am 33 year old male and a patient of Folliculitis (seb dermatitis). I take Perobar 2.5% soap and a shamboo. when I took, no problem. in additon my doctor prescribed a microdax tablets which caused allergic such as Migrain headache and he changed the tablet and gave me Mahacef tablet. now the problem is again the lumps are seen in my shoulder even after i had applied an oinment namely Adit. Is it a curable decease. please give me an opinion. ### REPLY: Hi, Thanks for query to My  virtual Clinic And welcome to  services. I studied all details of your query. I understood your health concerns about treatment of shoulder folliculitis with seborrhea dermatitis. Based on facts of your query, it seems that-you seem to suffer from a Chronic inflammatory disorder with folliculitis as the presenting symptom. Holistic approach from multiple expert team, would be needed to have long remissions.Thus, you can have normal life with this, if treated properly as above from your Dermatologist. General suggestions-Bland Veg diet, Less oils in meals, Control you blood lipids. Control Antigenic stimulants which exacerbate/flare up the seborrhea dermatitis. Anti-histaminic/Steroid creams/It E, A with Zirconia would be the basis of treatment. Hope this reply would help you in resolving this complex query and anxiety with it. Will appreciate your hitting thanks and writing excellent review comments to help needy visiting patients at  like you. Welcome for any further query in this regard. Good Day!! . N.M.S. Genl- CUTS. Senior Surgical Specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 41 years old male, weight 83 kg. Exercised on Bruce Protocol upto 6:15 minutes (7.30 METS). Resting heart rate 77 bpm, rose to max 136 bpm which repsesents 75 % of the maximal age predicted heart rate. Developed significant ST depression in leads I, II, aVF, V2 to V6 ( -1.6, -2.3, -1.4, -2.7, -1.8, -2.8, -3.1, -2.8 mm horizontal and downsloping ), maximal at peak exercise, whitch reverted to baseline after 6 minutes in recovery. Test was terminated due to sinificanmt ST depression. Baseline ECG within normal limits. Functional capacity : NORMAL, HR response to exercise : appropriate, BP response to exercise : normal, chest pain : none, Arryhythmias : none. Two years back got cardiac echo test and stress thellium test done which were normal. Please advise on further course of action. Is it possible to have abnormal TMT but no heart problem and normal TMT reports in future. Thanx. ### REPLY: Hello, The uploaded TMT reports suggest a positive test for ischemia and hence should be evaluated further. If you say that stress thallium was normal and if you don't have risk factors and symptoms , then there might be a chance that this test was false positive. Repeating a stress thallium would be the best way forward, if normal no need for further investigation and let it be the modality of screening for future. If positive consider going for a conventional Coronary angiography along with optimum medical therapy. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My brother has had this red rash on the top of his foot for a while. We thought it was a rash at first so he treated it with anti biototic ointment. Recently its become even more red and puss is starting to come out of it. It may be raised but its a little bigger than this size of a half dollar. ### REPLY: Hi, I can understand your concern for Red rash on the top of foot. There can be multiple possibilities of the lump, and it requires a close physical examination to diagnose the exact entity of the problem. In my view correlating with the facts you have provided it appears to be either an allergic dermatitis rash or a simple bacterial infection. I suggest you to meet a dermatologist to for proper antibiotic therapy. In between you should wash the area properly and apply an antibiotic cream such as mupirocin or funding. Your brother can take an antihistamine such as loratadine for once a day if itching is present. All the best ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband and I are 83 and 84-1/2 respectively. My husband was born and grew up in a small town in northern New York state (Canadian border). I was born and lived in Oak Park, Illinois, until age 8-1/2 when my family moved to Scotland. We don t know whether or not we were inoculated for whooping cough. Should we be getting the shots for the disease now? We are both in fairly good health and have no chronic respiratory problems. Thank you, Martha Crouch ### REPLY: Hello, Welcome to , Whooping cough is a bacterial infection that's highly contagious, and its also vaccine preventable. It starts like a cold, with congestion and upper respiratory symptoms, and then progresses to a cough. It spreads through close contact with oral secretions and respiratory .  So it's easily spread through the cough, especially when people are in close contact like living in the same house with a person who has whooping cough. It can be treated with antibiotics usually erythromycin for 2 weeks.  It's important to take the doses on time to develop and maintain the appropriate antibiotic levels in the blood to clear the infection. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am a student and having problem of cealic since eight months and I am on full glutin free diet. But now I am having problem with breathing (SOB)  and my heart beat is now 105 to 115 at rest or working + headache and BP low. Although my food intake is good. plz tell me what to do? ### REPLY: Hello! Welcome and thank you for asking on ! I understand your concern, and would explain that your symptoms may be related to a metabolic disorder or a vitamin or electrolytes deficiency (based on your medical history for celiac disease). I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray and some blood lab tests:- complete blood count (for chronic anemia)- kidney and liver function tests-ferritin and hemosiderine plasma levels-blood electrolytes - vitamin B12 plasma levels-thyroid hormone levels (an immunological disorder could lead to thyroid dysfunction and celiac disease as well). A head up tilt test may be needed to exclude a possible orthostatic hypotension. Meanwhile, I would advise you to avoid straining physical activity and take plenty of fluids (water, juices), to avoid deny .  Hope to have been of help! Best regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a cyst with stones inside it. This was found on a ct scan 2 weeks ago, I am due to go for another CT Scan with injection of contrast into vein on the 18th March Yesterday I had my bloods taken for creation. I m worried that this is cancerous and I need to know ### REPLY: Hello, I can understand your concern. Cysts are fluid filled swellings that are benign/harmless. In most cases, they are left without treatment if they do not cause discomfort to the patient and are not infected. There are many cysts which are benign and may have stone-like calcified structures within it. Having stone in cyst does not mean it is cancerous. So do not worry about it just because they found calcified structures within cyst. The confirmation of presence of cancer in any area of the body is based on the biopsy of the area and lesion involved. You have failed to mention what part of your body is involved. However, if your surgeon decides to remove the cyst with the surgical procedure, histopathological analysis of the removed cyst in the laboratory will confirm if you have cancerous changes in your body. I hope this information helps you. Thank you for choosing . Let me know if you have follow-up questions. Best, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, I had a sex intercource with my girlfriend last weekend and after 1 day later I suddenly developed a fever and a pain sensation on my pubic region near my penis.. its more like where all the hairs are growing right at the starting point of my dick.. But there is no visiable blister or any cut or anything.. and my penis head had this very sensitive small pain when i touch it.. plus recently i found a vein like lump on the body of my penis .. theres no pain when i touch it just that its abit weird to have a sudden vein like lump appear on that area which previously dont have.. sorry for my long description.. just wanna wonder is any of those stuff that i mention will ocurred to be something that i should be concern of ? ### REPLY: Howell come to ChatDoctorHere the main part of your symptoms are swollen lymph node and fever and this need to be investigated for sexual transmitted disease, and this is matter of concern, till then I would suggest following medicines, hope this information helps, take care.1) Tab Acetaminophen 500 mg three times in day2) Tab Ibuprofen 400 mg three times in day 3) Tab Ofloxacin 600 mg twice in day (Just two tabs.) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 grand son has numerous red circles with bumps in the center.Somemofmtje are white. They look just like ant bites but are a little sore and don t itch. Giving him Zyrtec and using cortisone. Leaving for vacation Saturday and a little concerned. ### REPLY: Hi, Am so sorry to hear about these symptoms that your grandson has. The best course would be to provide pictures to us for review and a more personalized and helpful response. Also, look among shoes .  Most common cause of such bites are allergies and Zyrtec should be helpful. If that fails, let's have a picture through our premium services for review. I wish you well and 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 have no real medical issues and occasional acne but nothing that required medical care . I had a few small hard white spots on my chin, nose and crease of nose... They did not pop easily so I am assuming it was not a typical whitehead. I had tried same spots last month but didn t work. So after the skin completely healed I could still see the spots. I figured maybe now they were ready to pop. Which i tried... I heard you could use Liquid Bandage for zits. I did put liquid bandage on all the areas I had messed with. Ended up with what reminds me of a blister but it was more like my skin just swelled and puffed up with water ( not a bubble of liquid). It also ended up with yellowish green pus under the layer of liquid bandaid and as soon as it split the stuff oozed out. So what in the heck is going on? I thought the liquid bandage would be good because it is antiseptic too! Ended up with spots bigger and puffy/ oozing liquid. Now I am trying to dry them out..but I also don t want it so dry..my skin is drying into dark scabs. I do try neosporin too but it makes the spots greasy and doesnt really help anything and makes the dry spots sort of puff back up with fluid! Once the top layer of skin dries and starts flaking at corners I peel skin so new skin is Pink underneath. Then it is much much easier to cover with make-up. I have now made this mistake twice... a month ago pms time and once again this month...Yes I need to have my hands tied I DO NOT want to make this mistake again. I am trying anything and everything to make this heal quicker. ### REPLY: Hi, I do not understand why with very important part of the body like face people play game by doing self-medication and doing experiment without knowing consequences ! Initially you might have sought advice from dermatologist. Your face may be disfigured by making experiment.Anyhow now infection is there so go for antibiotic course and application of triple action cream. Clean with plain water and smooth towel. If there is no improvement consult dermatologist and seek his advice. Ok and bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 an abscessed tooth and the abscess has formed deep by the jaw bone my face by lower jaw is swollen and my ear has ached for about 2 days now and this evening it has become painful to swallow it seems the pain is moving lower I have been taking amoxicillin for about 3 days and there is some relief to the actual pain at the tooth site but the other areas affected not so much what do you suggest I do now ### REPLY: Helloo.read through your query.and I'm glad that your pain has subsided but to removing it completely requires treatment of the cause(abscess in tooth).for that u have to meet an endodontist take X-ray see how far infection has reached and get root canal treatment +crown done(saving a tooth is precious)I suggest u to meet him as early as possible in the meanwhile u can do warm salt water gargle twice daily avoid biting with that side and continue antibiotics course....be cool and happy...your going to be fine soon...hope your benefitted something with this reply.have a healthy 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 want to know what my blood pressure should be , Im 47 years old. I was on the tredmill  my pulse 120/80 is that good or bad? Ive be having some anxiety lately and was told to exercise for 30 mins cardio. to produce some endorphins . what should I be at? ### REPLY: Hello. Thank you for your question and welcome to . I read your query and understood your concern. Globally, the blood pressure levels accepted as normal, are as follows: 100-139 mmHg systolic and 60-89 mmHg diastolic. Every figure within this range is considered normal. Plain physical activity or programmed exercise should be a substantial part of everyday life of every human being, since it provides a lot of physiological and psychological benefits. I would recommend you a 60-minute a day physical activity, not necessary vigorous activity, but walking, jogging, biking, swimming etc. The thing that worried me, actually, is the blood pressure figures you provided while on a treadmill. This is a normal persons normal blood pressure at rest. Blood pressure goes up when we exercise or engage on another physical activity. A failure of blood pressure to rise during physical activity can be a sign of coronary artery problem. Therefore, I would recommend you to do an EKG and a cardiac stress test. I hope I was helpful. Best regards.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a lump on my hard palate not far from my front two teeth that started out a couple months ago and was mildly painful when i pressed on it. It has grown bigger and now hurts quite a bit and it is causing my front left tooth and gums to hurt. It also hurts if i press down on the bottom of my left nostril as if it were bruised. Im going to the dentist tomorrow but its sunday and im worried about this. ### REPLY: Hi, Read your query, as you have lump in hard palate don't be worried so much this lump can be due to dental infection that is due to carious tooth, decayed tooth or periodontal infection leads to formation of Periapical or Periodontal Abscess formation. For this you should consult dentist and go for investigations Causal radiograph or OPG if needed and go for treatment, scaling or root canal treatment by consulting with you doctor. In meantime, you can do warm saline gargle two - three times a day, and take medicine like metronidazole by consulting with your local doctor. Hope this will help you.  If you have further queried, I will be happy to help.   ### END