Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: had an xray, showed something on right lung but dont know what it is..then had ct scan yesterday they called today saying the radiologist sees something behind the 6th rib, but again, doesnt know what it is still?? so have a bone scan set up for this upcoming monday  , hopefully that will show what it is they are seeing and whats causing this severe pain when breathing, talking , walking, leaning forward or laying down etec* do u have any ideas? ### REPLY: Thanks for your question on . I can understand your concern. By your history and description possibility of osteophytic lesion in 6th rib is more. Chest x-ray and CT scan are usually fail in diagnosis of lytic bone lesions. So bone scan is needed for this. Most common cause for lytic bone lesion are 1. Primary bone tumor. 2. Metastatic bone tumor (primary from other organ and spread to bone). So get done bone scan and if needed Biopsy to confirm the diagnosis. If all these are normal then sometimes Costco .  So get done bone scan for diagnosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just recently noticed a lump about 2 inches below my left clavicle. I saw a picture of myself and thats when I noticed the bump. It doesn t hurt to touch it. It s very hard and doesn t move. It feels like an anterior rib, but with a big bump on it. I m not sure if its a calcification. It s definitely not symmetrical with the right side. Maybe theres something under the rib thats growing/swollen and protruding my rib out? Any ideas to what this may be? ### REPLY: Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could just be a bony protrusion or prominence. It could also be a cyst (a sebaceous or a gelatinous type), a fibrous or a lipoma. Diagnostic imaging such as x-ray or ct-scan, along with management (medical and/or surgical) 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: My top right canine tooth has been decaying for a while and it started to hurt a few days ago and i tried salt water rinse and advil but now the gum above it is swollen but the tooth doesnt hurt anymore but there is doscomfort in my gum what do you think could get rid of this at home? i dont have dental insurance and im not a rich man ### REPLY: Hellothe tooth is not hurting anymore because the nerves inside are dead, and the infection has progressed to tip of the root. With the details provided by you, it looks like there is an abscess at the tip of the root, that is why you are having swelling in the gums. The treatment advised would be root canal treatment. You shouldn't have waited for so long after knowing that there is decay. If it was in initial stages just a simple filling would have been sufficient. Anyways don't delay anymore, get the root canal treatment done before other complications develop. Other option is removal of that tooth (which should be last option because canine is an important tooth and it being one of the front tooth will affect your looks if it is removed).  Visit dentist at the earliest and start with the treatment.  .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Female, 22.I have been on birth control for years and I take it at the same time every day. My periods usually start on Thursdays. On Sunday (4 days before) I started seeing very light and brown discharge/blood. I have never had an irregular period while on birth control. I am married and have sex about twice a week. Is this a sign of early pregnancy? Should I take a pregnancy test, if so when? ### REPLY: Hello, Thanks for sharing your health concern with us. I have gone through your query and would like to offer my opinion. In the current scenario, chances of pregnancy seem to be less likely as you are very regular with your contraceptive pill. Weight changes that happen while on the pill can lead to hormone imbalance thereby leading to breakthrough bleeds. Implantation bleeding is a fresh bleeding seen around the expected period and usually lasts for a couple of days. Brownish spotting is suggestive of old bleeding. A trans-vaginal/pelvic sonogram is helpful in this situation. 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: Im 27 years old, and Im completely attracted by middle aged woman who are around 40-60 years old and look very plumpy. This feeling has been there in my mind since my teenage, ( I fantasize a lot about only fat and middle aged woman, but not with a normal girl irrespctive of her beauty) Could anybody tell me is it normal or a psyco disease?? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Every person has his own personality, behavior and liking patterns. Some like dogs, some cat, some horse etc. Likewise, like towards opposite sex, same sex etc. are also common. In your case, fantasy about older women are definitely not a psychic disease but an obsession arose due to non-awareness about sex. Fantasy about old ladies are just fantasies, not reality. Reality shall enlighten you when you get married. Till then, please enjoy your studies, are and of course, fantasies. In case if you need more of my assistance in this matter, please post a detailed direct query to me on this portal. I shall help you with psychotherapy tips to overcome your problems. Hope this answers your query. Available for father 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 mom was found unresponsive on Thursday I m her bed 38 like foam was coming out of her mouth and nose her mouth was real stiff and looked real thick she was completely unresponsive she would gasp periodically but that s all she is still intubated and tnere not acting like they know much please help me ### REPLY: Hello dear friend, I really feel concerned and pray almighty for all the good, he can do for you. It appears by the short history given by you that your mother had this acute event of unresponsiveness with frothing from mouth. Most likely causes in this setting can be-1)toxin-accidental intake of any poisonous substance2)Seizure- a fit or seizure is usually accompanied by a tonic contraction of limbs and neck with face along with frothing from mouth3)stroke-frothing is uncommon in stroke, but still in any case of acute or sudden unresponsiveness, a stroke is always a consideration. Important investigations in this case are a brain imaging-computerised tomographic(CT) scan or magnetic resonance imaging(MRI) scan, to detect a stroke or any other brain pathology. Electroencephalogram(EEG) to see brain cortex activity whether there are any ongoing non-convulsive seizures causing unresponsiveness. In case of poisoning, if suspected, measures like gastric lavage and diuresis may help(depends on the type of poison). Also, other investigations like cerebrospinal fluid analysis may sometimes help(to be decided by the treating physician)You need to discuss the possibilities with your treating physician and plan accordingly. I hope it helped a bit. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 fell and hit the back of her head and when i got to her, her head was kinked pushing her chin into her chest. we went to the er, they checked her for head injuries and kept he overnight. since then she has been complaining that her chest hurts and can t breath. could this be related to the fall? ### REPLY: Thanks for your question on . I can understand your wife s situation and problem. She may be having blunt chest trauma due to fall. And chest pain with breathing difficulty is common in blunt chest trauma. You should get done chest x-ray first to rule out rib fracture, pneumothorax, Pulmonary contusions etc. As all can cause post trauma chest pain and breathing difficulty. If chest x-ray is normal then she is mostly having musculoskeletal pain. So ask her to follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid bad postures in sleep and painful movements. 3. Start painkiller and muscle relaxant. 4. Apply warm water pad on affected site. Don't worry, she will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 21, diagnosed with severe clinical depression and anxiety disorder. taken prodep 40 twice a day, sizodon 30 once a day with clonazepam. This has gone on for two months, mood under reasonable control, but day before exams, i am gripped with extreme exam anxiety. Now doc has prescribed Sulpitac 25, twice a day. Please advice ### REPLY: HIT hanks for using  In severe depression and anxiety disorder, you need antidepressant with benzodiazepine. There is no need to take antipsychotic like risperidone. You can stop it. In antidepressant, you can take proper 80 mg with other antidepressant like paroxetine. You can also try some relaxation exercise like JPMR or deep breathing exercise. Rest, you can consult with your psychiatrist. In case, you need further help, you can ask. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi ,im 21 and i recently noticed two lumps  in  both my breasts just under the skin , my doctor told me its  bilateral  fibroadnosis and the lumps move when touched , my doctor told me not to worry but im still worried , what is this disease in simple terms and does it cause cancer ? ### REPLY: Hi. Fortunately such lumps never cause a cancer. So no worries, please. IF the lumps are round and move easily under the skin and are painless-they are fibroadenomas- can not cause cancer. It the lumps are diffuse, ill-defined and cause pain prior to periods, they are fibroadenomas. These also Do NOT cause cancer. But cause pain and discomfort. If you still have doubts - you can go for a simple test of FNAC - fine needle aspiration cytology for confirmation or get them removed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, Right Now im taking warfarin for the DVT which i have since 5 months. since last 2 months i cant eat and drink i feel sensitive pain and no problem in my teeth . but gums of the mouth all become reddish. could you please give me solution for that how can i get remedy for that and the same time i have to continue warfarin. Regards, KENNEDY ### REPLY: Hi, I read your problem. According to you problem, warfarin is an anticoagulant an and has side effect also. Reddish gums, bleeding from gums due to warfarin. don't eat spicy food. Use topical anesthetics that contain endocrine, lidocaine, tetracaine will help to relief. Use antiseptic mouthwash also. I would advise you to visit your dentist to identify the problem and treat it accordingly. Have a nice time... take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doctor i hope u r fine. i need ur help regarding chewing food. my son is 2 years old and he is not chewing at all he is very active and have sharp mind but because of his habit we are really worried plz help us if there is any medicine pls advize ### REPLY: Hi, A 2-year-old cannot completely chew or swallow food. This is their learning phase, and we have to gradually and slowly change the consistency from semisolid to solid items to allow smooth learning. Avoid items with risk of aspiration, like hard candies and nuts. Promoting self eating over forceful feeding also help the child to learn chewing and swallowing. Child . 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 brother is suffering from CKD stage 3, his creatinine level i think its 56-64% .someone told us to drink wheatgrass juice? Does wheatgrass juice helps to patients of age 34years with CKD stage 3, who is undergoing chemotherapy too? are the side effects of chemotherpy really scarry...! please advice. ### REPLY: Wheatgrass should not cause per se any problem with either chemo or to CKD. . However, wheatgrass juice is high in potassium and CKD patients are unable to remove this potassium and develop hyperkalemia (high potassium) which is dangerous. Some chemotherapy medications can be stressful for kidneys should be monitored during and after chemo. The concept of everything natural is safe is so obviously fallacious - as if there are no poisonous plants or fruits in nature. All plants are also chemicals - the simplest example is sugar (actually a chemical C6H12O6) extracted from sugarcane (natural) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi this is buhari from villivakkam my mother was suffering from asthma last 6 years,now she was suffering very much she was very diffiiculty for breathing,she was continuosly using combihale ff 250 inhaler but no improvement, we buy seperate nebulise machine also can you refer to use which medicine is used for nebulise and suggest what we do ### REPLY: Hello, Nebuliser machine is indicated if she is unable to use inhalers. Extra oral medication like Nicotine 400 or 600 mg at night helps along with Montelukast 10mgFor nebulizer, you need 2 res pules of Albuterol alternating with Ipratropium every 6 hours for a week or 10 days. Then you must switch to inhalers. If she is still unable to use inhalers, nebulizer must be given 12 hours apart. Best Wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Is it true that smelling almonds is a sign of brain tumour? It s happened to me a few times at night (woken me up) - it s a very strong smell as though it s right by my nose and then it s gone. In the past I ve had some weird crackling in my head so right now I m putting two and two together and possibly making five...what are your thoughts? ### REPLY: Hi, Symptoms of brain tumors can vary. Abnormal smell are very nonspecific and can be caused by many causes including congestion, sinusitis and allergies. Abnormal smells in neurological disorders are best described in temporal lobe seizures which can be caused by brain tumors. However, there are other signs that can occur with brain tumors. Headache being the most common which is typically positional (worse when lying down and in the morning), vision changes, worsening balance, problems with speech, weakness, numbness and tingling. It really depends on where the tumor is. A crackling in the head is unlikely to be related to any sort of tumor. Such a sound could come from the neck or ears for instance. If you are very concerned you can see a neurologist and have them do a thorough exam on you to see if there is anything abnormal. The gold standard for diagnosis is an MRI and if present then a biopsy, but I think It's highly unlikely that you have one. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI,HAVE A QUESTION. ABOUT 10 YEARS AGO I HAD MY LAST SEIZURE, USED TO HAVE A SEIZURE DISORDER. MY DR. PRESCRIBED ME CHANTIX, DID NOT FILL IT YET. MY WIFE SAID I SHOULD NOT TAKE IT. I REALLY WANT TO QUIT SMOKING, CAN YOU TELL ME IF IT IS SAFE TO TAKE CHANTIX?? PLEASE LET ME KNOW, I REALLY APPRECIATE IT!! THANKS A MILLION, JEFF COSTIGAN. ### REPLY: I agree with your wife.  That question can only be answered by a neurologist who has examined you, obtained the proper tests to VERIFY that your brain is actually free of any seizure activity which still can be present even if no seizures are manifest, and then, explained the risks & benefits of the .  There are many other ways to stop smoking that are quite successful which you could implement until you've seen the doctor and gotten the clearance. Please rate as 5 STARS & write me with questions at: www.bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Post menopausal with blood in urine and lower to mid left back pain.feel swollen all over. Hx of kidney infections as a child and 2 episodes of really bad kidney infection, one 30 years ago and another about 15 years ago. I am 64 and in good health except for this. Is this another kidney infection? No problems with burning urination or pain in that area. ### REPLY: Hi and welcome to .  As a Urologist, I can understand your anxiety. Blood from any orifice is abnormal. This could very well be an UTI.(infection).You'll need to get examined by a Urologist and do the basic tests like :1. Urine routine and culture.2. Blood routine, creatinine,RBS, LFT,and platelets.3. Ultrasound -PUB, with residual urine.4. A cystoscopy with/without a ACTIVE, may be done, after seeing reports. If you've any doubts, send a direct question in my name, with all the reports. .  Manga. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother is74 yrs old, taking treatment of lungs tuberculosis, being given 1250mg Pyzina 400mg Combutol and R CIN 450mg, she has acute joints pain in her right leg. Please tell whether it is side effects of any of the above drugs, if so, what should she take to cure this problem ? ### REPLY: Hi, Based on the history your mother seems to have developed gouty arthritis apparently caused by the medicines Patina and Combustor. After confirming the diagnosis she may be given a non-steroidal anti-inflammatory .  Ask her to take plenty of oral fluids. A low steroid with tapering dose may be required for severe attacks. You do not need to discontinue Patina or Combustor. Recurrent attacks may occur while taking these medicines, consider hematologic evaluation for acute gouty arthritis attacks and possible use of colchicine to prevent recurrent attacks. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have been having Urinary Tract Infection for the whole of this year. Recently had it treated with Bactrim but it didn t work, so cipro did the job, now on second course. I have been having dull lower back pain for a few days in my first course then it went away after two days. Now on the second course to totally clear it, I m experiencing some lower abdominal discomfort. It s like something is pulling me on the inside. Feels more like cramps maybe but I really don t know what cramps feels like on the abdomen cos I don t usually have menstrual cramps if thats the closest I can associate cramps to. It s not pain, cos it s bearable and it s a very dull type of pain not sharp pain. Then the cramp proceeded to my lower left side. And that is some occasional sharp like pain. I m experiencing this only today. Im wondering if this could be affected by my UTI? or the antibiotics? But in the course of eating it I haven t experience much of any other kinds of symptoms as this, so Im puzzled by why I m experiencing this only when the UTI is almost cleared and in my final course of antibiotics. If it s not then what could it be? Thank you. ### REPLY: Hello and welcome to ChatDoctorYou have had two episodes of UTI as you have mentioned. And now the UTI has cleared with antibiotic treatment. But you are still having pain in lower abdomen which is dull aching sometimes sharp. These symptoms indicate that you may have a urinary tract stone which houses down from the kidney to the bladder via ureter. Association of stone with UTI occurs quite often. The movement through the ureter is causing the sharp pain. First thing to do is to get an X-ray of the PUB (Kidney-ureter-bladder) region. The subsequent investigations will be guided by the X-ray report. Majority of stones show up in the X-ray of PUB region. The treatment modality will depend on the site or the stone and the size of the stone. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Symptoms:fatiguesevere cough - leads to convulsion - leads to partial black-out 2 April   - smoked heavily although I do not usually smoke            - lay outside on the grass in the cold wind until approximately midnight3-9 April: had a bit of a cough but I thought it was probably from the smoking - clear phlegm so no bacterial infection9 April:  Consultation Dr. Labuschagne prescribed cough syryp and antibiotics for later if needed11 April: started first Antibiotic16 April: started second Antibioticsevere hoarseness (13-18 April - 6 days)consultation Dr. Pottas Currently:total loss of voice (19 April to date - 7 days)confined to bed since 13 April i.e. 13th day in bed todayX-Rays = no bronchopneumonia; chronic sinusitisWhite blood count = normalCoughing = wet; white cloudy sticky phlegmfeverish sweats come and go ### REPLY: Respected user, hi I evaluated your query.*This is not simple Respiratory infection, there is definitely underlying pathology confining you to the bed.*Priority is to evaluate the diagnosis & then perfect treatment accordingly.*First thing you require is hospitalization in good set up to get intensive Intravenous treatment as oral medications are not at all going to work in this scenario.@Along with treatment you will be evaluated in further terms like Pulmonary Function Tests, Bronchoscopy, CT Scan Thorax according to the decisions of your treating Pulmonologist.@ Till then gentle advise : - don't smoke - maintain your HY .  Hope this clears your query. Thanks for using  & keeping trust in our medical services Wishing you fast and speedy recovery from the same. Regards dear 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 dr...my name is ritu nd i m suffering fm slipdisc problem..there is gap between L4 L5 nd backbone is slightly towards right....every month i m having pain in my waist....when i m having pain my waist turns towards right or sometimes left.nd it wil take 5 to 6 days to recover...im very worried abt my pain...pls suggest wat to do or any medicine... thankyou ### REPLY: Hello ! Thank your for the question ! I understand your concern. I would recommend bed rest, use of heat procedures in the lumbar region during the pain. You should also take inflammatory .  I would also recommend a lumbar brace to be held for some time. You should avoid holding heavy things, staying for a long time sitting on a desk. Finally, if the pain persists or interferes most of the time in your every day life, you should be seen by a spinal surgeon , to rule out a probable intervention. It will be certainly based on your spine CT scan and your clinical examination. I wish to have been helpful to you Best Wishes  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a Bell s Palsy attack in 2006. I had recovered from it completely but for past few days my upper lip is flickering continuously. Can it be because of Bell s Palsy ### REPLY: Hi, Welcome to  forum.  Bells palsy is a disease due to the facial nerve compression. The twitching of the eyelid may be due to the deficiency of the calcium, or electrolytes.  I advise you to consult a physician for diagnosis and treatment.  I usually prescribe to my patient with such symptoms neurotrophic injections for 10 consecutive days, and then periodically, calcium supplements.  Take more of banana to supplement the calcium deficiency.  Wishing for a quick and complete recovery. 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 have a question, I had sex and the condom ripped we don t know if something went inside of my vagina, but after like 30 minutes I took the morning after pill, I wss close or I was already ovulating, I haven t had any side effects, does that mean I m pregnant? ### REPLY: Hallow Dear, Though the condom was torn during intercourse, you have well protected yourself from pregnancy by taking Plan B morning after pill within half an hour. These pills also change the Millie intern of the uterus preventing the implantation. So even if you were ovulating, you are well protected. The after effects of these pills are:1. Some amount of bleeding few days after the consumption of the pill. It stops within few days. 2. The next following menses may be delayed by few days to a week. This should not cause any concern to you. I hope this clarifies your doubts.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dry socket after absessed lower molar, rt.side.  Pain is a 10.Dentist put a clove paste packing.  Had it done twice.  Pain subsiding (now an 8)  How long is this going to continue.  Am 5 days post-op.  Pain, pain go away.  Probably should have had an oral surgeon instead of my general dentist extract.  Had to have tooth removed in 3 pieces.  Need more.  How do I tell my dentist I want next done  by oeal surgeon without him possibly flipping out?  Off my anti-coag for 7 days prior to surgery.  Please help! ### REPLY: Hello, Thanks for your query. Take painkillers as prescribed. Apply an ice bag to the affected area immediately after the procedure to keep down swelling. Apply ice for 10 minutes at a time. Relax for at least 24 hours after the extraction. Limit activity for the next day or two. Avoid rinsing or spitting forcefully for 24 hours after the extraction to avoid dislodging the clot that forms in the socket. After 24 hours, rinse with your mouth with a solution made of 1/2 teaspoon salt and 8 ounces of warm water. Do not . Do not smoke, which can inhibit healing. Eat soft foods, such as soup, pudding, yogurt, or applesauce the day after the extractionContinue to brush and floss your teeth, and brush your tongue, but be sure to avoid the extraction site. 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: Hi, about an hour ago i swallowed my anti-depressant pill i normally take everyday. About 45 minutes ago i started having extremely bad chest pains. The pain is so bad. I tried drinking water in case the pill is stuck in my throat but thast didn t work. ### REPLY: Hello, Strong chest pain that starts suddenly can be due to heart disease, and you will need to see urgently your doctor to rule this out. Your doctor will listen to your heart and lungs and will order an ECG, heart ultrasound and blood tests such as Troponin. If the doctor highly suspects a heart attack he may give you treatment before receiving the results of these tests. I hope this answers your query. I remain at your disposal for further medical assistance. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I received my blood test back today and the AST is 145, and ALT is 98. I had a kidney stone 16 days ago and the blood test from the hospital stated that AST was 28, and ALT was 95. I wondered why the amount of AST, and ALT increased? don i need to be worry ? ### REPLY: Hello dear welcome to  Regarding your elevated ALT and AST result yes you need to be worried reason because it signifies a liver disease with elevated liver enzymes include Hepatitis Liver cirrhosis Hepatocellular cancer liver abscess Please see a hepatologist specialist for expert management Regarding your kidney stone I will suggest you see a urologist specialist, and you will need any of the following treatment Extracorporeal shock wave lithotrispsy Percutaneous nephrolithotomy Open surgical interventional procedures Ureters copy therapeutic procedures I hope this helps Regards and get well soonest ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 tooth that got pulled about 15 years ago. It is my right bottom molar. There is a overlap of skin that the dentist said would heal it didnt now I get food like pepper in it but get it out and the pain stops. It is very sore to the touch inside and out and swelling with white marks on it. ### REPLY: Hello, It seems the area is getting infected. You should consult a Dentist and get evaluated and if needed an x-ray can be done. In case if there is infection, the area can be irrigated with antiseptic solution. A course of antibiotics like Augmenting can be taken and if there is pain, painkillers like Ibuprofen can be administrated. Also, do warm saline gargles and antiseptic mouthwash gargles. 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 Wife has Mottled a Rash appeared on her angles then overnight moved all the way up to her thighs, back of her Elbows also on her hands with slight swelling in the Wrist, Hand and Fingers. Rash was itchy at first now Pain also, walking with slight difficulty ### REPLY: Hi, As per your query you have symptoms of itchy painful rash on ankles, thighs, hands and elbows which occur because of allergic reaction and could be due to the outbreak of viral infection.  Need not worry. I would suggest you maintain complete hygiene and apply a cream containing atelier acid which is good for use. Apply aloe vera gel at night. If the condition doesn't get well in a week then consult a dermatologist for proper examination and treatment. The doctor may prescribe antibiotics like minocycline, steroid ointment. You should apply Melanie XL cream which is a combination of HY .  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: HelloI have been DX w/Iron Def Anemia. I am 43 yo. Female. I had two very bad experiences with IV Iron last August. I have been on oral iron now since Septmber of 2010. I recently had another round of bloodwork done, and have my results. My Heme Dr. seems to be overly aggressive to me suggesting IV Iron all the time. I am wondering if I shared my lab results with you, that you could tell me whether or not, in your expert opinion, I would need IV Iron.It has been determined I have IDA due to Menses, and the use of Librax for IBS. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have iron deficiency anemia due to excessive blood loss in menses.  You should consult gynecologist for that. As far as iron treatment is concern, it depends on your hemoglobin, ferritin level and serum iron level.  Oral iron takes more time than intravenous iron. But if you are not ok with intravenous iron then you can go for oral iron and in emergency you can go with blood transfusion.  Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: dear doctormy uncle( 58 yrs) has multiple noncancerous tumours in his intestinal lining.they bleed often and his haemoglobin level always remains very low and needs to take blood often.doctors have suggested that because of the position of tumours surgery is not possible.is there any cure possible for this disease?will he need to take blood like this thoroughout life? ### REPLY: Hello and welcome to , Chronic blood loss from body will cause low hemoglobin and thus anemia. I understand from your description that non-cancerous tumors are polyps which are bleeding. It is possible to remove the polyps surgically because if they continue to bleed continuously, low hemoglobin will remain a constant problem. Iron supplements can help but getting rid of the source of constant bleeding is the definitive cure. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was recently diagnosed with single cell lung cancer. I ve completed 30 treatments of radition and 4 treatments of chemotherapy. My last treatment of chemo was the 19th of last month, and shortly 2days later I began having extreme sinus pain and pressure. Seen my pcp and it was a sinus infection. Currently taking a atibiotic. Im concerned that the pain Im having in my lower back and shoulders has been persistant since. What is causing this. The chills are very tough at times and ongoing and I have a issue with a cough thats continuous. ### REPLY: Since you have recently completed your treatment with chemotherapy your immune system will be weak, you will be prone for infections. Take adequate precautions. Complete the antibiotic course, get a white blood cell count test done, and consult your oncologist. The cough will slowly subside as the radiation will damage not only the disease but also your normal lung tissue. Consult your oncologist if your cough is progressively worsening and Get a CT scan of the thorax ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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... I have a question... What is the chance of getting pregnant without penetration but there was ejaculation around the vagina ... I am a virgin and this happened on the 27th day of my cycle... Normally i have irregular cycle between 23 and 28 days.. Now i am on my day 30 and still didn t have my period. I have lost a small weight earlier. Thank you ### REPLY: Hellos you are a virgin, without penetration, there is a next to nil possibility of pregnancy. As ejaculation occurred around the vagina, some seminal fluid might have technically entered the vaginal canal, but this is a very remote possibility. As your maximum cycle length is 28 days, and you are already on day 30, please take a urine pregnancy test early tomorrow morning (first voided sample of urine). That way you would know for sure. 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 have angina pectoris and i do not want to take prescriptions meds. i read online that natural remedies like zinc or hawthorn can help. it also suggests online not to take these unless i have spoken to a doctor. i do not have time to keep going back to the doctors. is this safe for me? ### REPLY: Hi My suggestion would be NOT to consume anything without putting it through your doctor first when it comes to a heart condition. Even consuming / prescribing natural remedies are based on many factors which require a clear picture of your health, which is not possible without a thorough read of your reports. As much as annoying and time-consuming as it many seem I would still urge you to have a face to face talk with your doctor before going ahead. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Am Vinay Kanojia 26yrs old Male from India recently am suffering from Dural sinus thrombosis & doctor s prescribed me Tab Homochek and Tab Warf-5. Please tell me for what this tablets is and till when i have to take it.... and my left upper limb and lower limb has bucome weak and there ia co-ordination problem..nowdayzz am very depressed and getting Sucidal thoughts....plz help ### REPLY: Hi Vinay, Rural cerebral sinus venous sinus thrombosis (CSVT) is a well treatable disease, and it gets fully cured with proper treatment. In CVST, there is clotting of blood in brain veins, and it leads to symptoms such as headache, fits, and weakness of arms & legs. Your weakness and incoordination would improve over time with regular exercises. War is an anticoagulant to dissolve the clots in brain veins. Homo check is a vitamin to lower blood homocysteine, which could be responsible for the clotting. Best wishes, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 9 year old son has had 4 instances of his tongue going numb in the past 4 years.  Today, his tongue went numb and he was dizzy.  Were not sure if he was dizzy from hyperventilating since he was breathing fast or if this was part of his tongue going numb.  He can hear and understand us and this only lasts for seconds and has only happened in the morning prior to eating.  Ant ideas? ### REPLY: Hello, Welcome Thanks for consulting , I have gone through your query, you are not sure that your Small child having paresthesia of tongue, it can happen if your child is under dental treatment such as Extraction, Root canal Treatment, or any dental procedures, as you have not mentioned any history of dental treatment IR can be due to Neurological, problem such as strokes, also, So you should go and consult child specialist for proper treatment and investigations done.  Hope this will help you.  Wish you god 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 m a cancer patient whose has a maestectomy and currently under chemotherapy treatment. I ve had my fifth chemo session on April 4th. Almost a week later, after receiving upsetting news, I started suffering from abnormally high blood pressure 167/115 accompanied by bloody nose discharge. Seeking medical advice, I was prescribed an anxiolytic together with Ruta C. My blood pressure continues to be high and my right eye is now red as my bloody nasal discharge continues. ### REPLY: Thanks for your question on . In my opinion your epistaxis (bleeding from nose) can be due to untreated hypertension.  And not due to malignancy. Front most part of nose is having reach blood supply and capillaries are very fragile to high blood pressure.  So they can easily break and cause bleeding. So control of hypertension is must for you. Better to consult cardiologist and start antihypertensive .  Your eye problem mostly due to hypertension only. So control of this is needed along with anxiety treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 34 weeks and 2 days preg, and toinght, about half an hour ago, i got a really sudden feeling of intense nervouseness, and i have never experienced this before. i was just watching tv when it came on, and wasnt thinking about birth or anythingstressful. i was actually quite relaxed. it was really sudden. and i went to the bathroom, and i dont know if maybe i am being paranoid, but i know my body really well, and my vaginal opening feels larger. is this all in my head or could something be happening? i am also getting really bad aches and pains in my pelvis, back, butt and vagina. ### REPLY: HIS admire you for positive outlook. It is just anxiety. When anxiety exaggerated then it will produce panic like features. Need to relax. If it occurs again then consult physician and go for routine check up. If you are pregnant then routine body check up is must. Some natural ways to treat anxiety and daily stress areexecrcis meditation deep breathing and hyperventilation proper sleep stress free activity do pleasurable activity music and hobbies discuss with friends see all thing with different angle positive outlook confidence all this will help you to counter daily stress. There are medicines, but you have not required at this stage. So 1st routine check up and get further assistance from your physician. 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 ve had chest pain now for over a week. It seems more to be toward the top right to middle of my chest. I m a 28 year old young Man who smokes, but I have no cough or anything. The pain is constant and I keep finding myself rubbing my chest. I m very worried about this because I am so young. is i required to consult doctor the please suggest whom ?? like who is specialist in such cases ..like if we have skin problem then we consult skin doctor like that ..please help me out its paining little with every beat ... ### REPLY: Hello Recurring chest pain need proper evaluation even in young age. You can consult internal medicine specialist. It may be due to May reason like cardiac, pulmonary,acid reflux, musculoskeletal reasons etc. You need clinical correlation and investigations. Investigations include routine hologram, random blood sugar, renal function test, liver function test, lipid profile, ECG in all leads, chest X-ray(PA view).ECHO and upper GI endoscopy can be done if needed. Proper treatment depend upon findings. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi After intercourse and masturbation my sperm comes out kind of clotted with a light colour of normal semen then a little bit of a more cloudy colour in and around the clotted bits of semen, so its like runny and clotted at the same time its kind of like jelly when its all accumulated. Sorry for the poor analysis its just new to me and hard to explain kind of confusing as well. hope this gives a good enough idea and some one could point me in the right direction as to what it is? Thanks ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have noticed that your semen is clotted. This is due to agglutinations of sperms mostly due to presence of infection either in prostate or seminal vesicle. Please get your semen analysis done to confirm the diagnosis. In case semen analysis reveals infection you will need to take broad spectrum antibiotics like Čeferin for 4 weeks to combat the infection completely. Please ensure to .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, I have severe dust elargy from child hood.that turned into bronchitis.two years back I had asthama attack.from them i am using montemec plus.if i stop using it with in two or three days i will suffer from allery.Is there any cure for it.Is it good to use nebulizer every now and then. ### REPLY: Hello. Thank you for asking at . I went through your history and I think you are having allergic asthma. I would like to suggest you as follows:1. Monterey plus is a controlled medicine for allergic asthma. If you are able to remain symptom free by using it daily, I would suggest you to continue it for at least 3 months continuously.2. I would suggest you to consult an Allergist-Immunologist who will suggest you allergy testing. This will help you identify substances causing symptoms to you as well as precautions regarding how to avoid them. Also, an Allergist may suggest you specific allergen immunotherapy depending upon the results of allergy testing, which may improve your allergy symptoms.3. Please try to avoid exposure to smoke, dusts and air pollution as much as possible. Also, please do not smoke if you are a smoker.4. A nutritive diet rich in vitamins & minerals including anti-oxidants is very important to support immune system.5. I would also suggest you regular breathing exercises which help you in a long run.6. Regarding nebulizer, personally I would not recommend it beyond childhood, especially for young adults and middle-aged adults. In my opinion, metered dose inhalers (MDI) with or without spacer as well as . Hope this will be helpful to you. Wish you the best of the health. Should you have any other queries, please feel free to ask at . 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 treated UTI with different drug for over 2 weeks . the last drug was ornilox and it helped. It was prescribed for only five day. I started taking on the last 2 days of taking taxim-o. This last drug helped and the pain went away the last day i took it but after 3 days the terrible pain came back. Previoulsy to taking any drug a culture and sensitivity was done. It found the common bacteria e. coli in teh urine +++++. Now I am hurting very much. ### REPLY: HelloWelcome to , Your history and symptoms suggests that you have UTI secondary to Bladder Neck Obstruction. Bladder Neck Obstructions causes incomplete emptying of bladder during micturition resulting in to some amount of urine remaining in bladder. This stagnated urine IDs the source of infection and getting UTI. Taking antibiotics will solve your problem temporarily. I would advise you go for endoscopic incision of bladder neck (Bladder Neck Incision) so that your bladder neck will remain wide open and help in emptying bladder completely during every micturition, and there by prevent frequent episodes of UTI. This is simple surgery you need to consult the urologist for opinion and treatment. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i m a woman aged 27 yrs and have been trying to concieve since 4 months all my parameters are normal .today my husband did his semen test .the total count is 52 million . morphology-occasional forms with pinhead,swollen neck and double head are seen . i want to know whether his sperms are normal and healthy? ### REPLY: Degree understand your concerns went through your details. Normal sperm count should be at least 20 million per mL. There should be about 2 mL of semen when a man ejaculates. Around 75% of the sperm should be alive; 25% will be dead on arrival, so to speak. At least 30% should be normal shape and size, and at least 25% should be swimming rapidly forward. From the given information, first and third point are OK. I need information about second and forth point. But don't worry. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir ,i m Raghu ,28 year old now ,in october,2013 i was detacted to MODERATE HEPATOMEGALLY my rt.lobe mesures 16.1 cms..my sgpt is60.0unit/ml......and other test is normal.......recently I went for jym for not more than 15 minutes....then again my stomach has enlarge a little bit.....after treatment sometime i felt pain in ab domain after eating for me it is a difficult process to sit more than 30 minutes at streatch....what type of treatment is suitable is suitable for me ....... ### REPLY: HelloYour findings suggests enlarged liver with raised SGPT. Increased SGPT and hepatomegaly may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. Pain after food may indicate peptic ulcer. You may need few more investigations like viral markers, ANA estimation, upper GI endoscopy. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. Enlarged liver is generally a reversible condition. It reverses with treatment of underlying cause. You should avoid saturated fat. You should avoid alcohol if you take it. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir i am suffering from cyplisease VDRL1.16 titler & TPHA + 1.32 .I was taken a 3x penicillin injection & antibitec medicine. i am not fit for forigion jobs. How many times are taken fit for my blood report for medical fit.please reply me request sir. ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. V .  It will directly respond to the antibody against the syphilis. You have to wait for approx a month period once you complete the treatment. Please complete your treatment otherwise the title will come back once again. I will be happy to answer your further concern on bit.ly/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my girlfriend has an issure with her lower last two ribs on her rib cage... she has scoliosis which from my research seems to have caused this rib condition... i would like to ask what would this be called? she lives with pain everytime the weather changes when, she sneezes, throws up, coughs basically everything... ### REPLY: Thanks for your question on . I can understand your concern. Scoliosis actually causes poor lung development in affected areas. So she might be having localized developed or collapsed lung due Scoliosis of last two ribs. And this developed, collapsed segments can cause pleuritic pain (pain on coughing, sneezing etc.). So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and CT thorax (if needed) to diagnose this problem. With proper treatment, collapsed lung can be treated. So first diagnose her and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your girlfriend. 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, i am sanjay, from Kolkata, India. from 2-3 days i feel some mild pain on lower back and side of below to my ribs, as an experiance, earlier i suffered from tremendous pain for kidney stone in right side. but, from tomorrow night i feel further pain (specially on moving) not as earlier in the same position. i have started from last night to take plenty of water and today i have taken a medicine - DROTIN +. please advice what to do next. ### REPLY: Bellflower back pain may be due to genitourinary calculus, pelvic pathology, musculo skeletal causes etc. Your condition need proper clinical examination and routine investigations. Investigations include routine hologram, random blood sugar, Urine RE/ME, Renal function test, X-ray of PUB region, ultrasound of abdomen. You are taking analgesics rightly, but underlying cause should be treated. Proper treatment depend upon findings. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Respected sir/madam , my nephew aged about 11 years is very very delicate since his birth. He is so smooth,spongy.For a little scratch his skin tears in to pieces .His entire body is with stitches.Unlike other children he is never allowed to play with his friends.....He is deprived of his free movement .Till date he is holded with other s hand while walking .Very intelligent .Sharp mind . Our entire family is worried about his present future..Please help. ### REPLY: Hi dear, I have gone through your question and understand your concern. I suggest-Vitamin C 500 mg daily for 10 days,-Antigen plus 1 tablet daily for 1 month,-Shellcal 1 tablet daily for 1 month,-then after 1 month take multivitamins-zincovit 1 tablet daily,-use Sorbonne moisturizer, rotary cream, Vaseline total moisture and for healing-sudocream,-closest can be used to affected area, it contains calamine and Aloe Vera gel. Hope it helps- ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I have a problem trusting people, and now I have a girlfriend and Iam always suspecting her and her actions, while inside of me I know she is a trustworthy. And its affecting our relationship now that I always ask her questions like ( where were you, What were you doing), and I dont want this to continue. can you please help me?Thank you Ayad ### REPLY: Hello Ayah, and thanks for your query. Having difficulty in trusting people and auspiciousness can be due different causes. It can be due to persons personality - such as a paranoid personality or due to psychiatric disorders like psychosis. In your case, since you seem to be having an understanding into your problem, it is unlikely to be due to a psychotic disorder. So, it is more likely that you are having paranoid personality traits which are causing you to suspect and mistrust your girlfriend. In such a case, the treatment for your problem would be psychotherapy (counselling). I would advise you to consult a psychiatrist in your place and go for regular psychotherapy sessions. It would also be a good idea to discuss your problem openly with your girlfriend so that you avoid relationship problems. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was diagnosed with DVT & PE 2 weeks ago. After 9 days of Coumadin therapy I have swelling & soreness of the ankle/heel area. X-rays confirmed soft tissue swelling. Why has this happened & howllong should I expect this foot pain? I have been using a cane but today started using a walker. Thanks in advance for your reply. ### REPLY: Hello and welcome to , Swelling and pain in the ankle/ heel region with history of DVT suggests that these symptoms are most probably due to DVT itself. Coumadin therapy will dissolve the deep vein thrombus and/ or pulmonary embolic if present. Pain can be relived by analgesics. However, a Doppler study of the lower limb veins is necessary to know the status of the veins, whether there is presence of any thrombus or not. Besides since you are on anticoagulant therapy, INR value should be followed up strictly. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 5 month old, her hemoglobin drops drastically.. after transfusion within a week it goes down to 7.1 or lower sometime. they did all kind of test to see any kind of anemia but Dr. saying they dont have answer why her hemoglobin is dropping... ### REPLY: It's very important to differentiate this anemia from any type of hemolytic anemia, which means the red blood cells being destroyed, in simple words the causes of profound anemia to this child are few : either a profound destruction : which causes increase bilirubin along with reticulocyte count (immature red blood cells, positive direct Combs test) or the most likely here is the inability of the bone marrow to produce red blood cells either due to infection (such as Arbovirus b19) which causes a disease called (red cell Aphasia) in which the number of RBCS are very few.OR what is caked transient erythroblastopenia of childhood, which causes the red cells to markedly decrease in number (pure red cell Aphasia) bone marrow biopsy is sometimes needed to exclude other causes, but usually the transient erythroblastopenia of childhood requires one blood transfusion or 2 at max and then the child improves, keeping in mind it's the most common cause of pure red cell Aphasia in child .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello.. my brother is concerned about his liver enzymes being raised. All the other blood work came back in normal range besides his alt and the other one ast (maybe) he has been doing a vigorous work out for months now.. if it is just elevated from exercise, will it fix itself or will he need antibiotic or some other kind of medicine.. the ER didnt prescribe any to him ### REPLY: Hello! Thanks for putting your query in . I am a Gastroenterologist. Increased liver enzymes has many cause like Hepatitis B, C, Metabolic disorders, NAFLD, alcohol intake etc., hope all are negative. If not done then get them done. . There are few medicines which I found very useful in my patients are ursodeoxycholic acid and vitamin E. Continue exercise. I hope I have answered your query and this will help you. Wish you a good health ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: A friend who had polio when she was about 6 years old has been having problems with kidney and bladder . She has been treated with antibioltics and it seems she can not get off the antibiotics because she gets her symtoms back right away. Because she has had polio she seems to be in a class by herself because most doctors today can not relate to the effects that polio can have on your body and how is responds to medicine and treatment. She is quite crippled from the polio and thus her kidneys were probably affected by it also. She is close to 60 years old now and needs someone who understands her situation with the polio complicating her kidney problems (infection etc. that doesn t seem to go away if she discontinues her medicine) Can you help find a doctor for her in Nebraska. She lives at York, Ne. ### REPLY: Hi, Thanks for writing in. The problem is not with polio complicating the kidney and bladder infections but the antibiotics itself. Taking antibiotics continuously can cause bacterial resistance and the infection can persist and patient is not cured. Antibiotics for any infection are supposed to be taken under medical supervision and for duration as recommended by the doctor. Taking unnecessary antibiotics will cause the bacteria to get powerful and not killed. Your friend must get a urine culture test done and take appropriate antibiotics given by a doctor. She must also . Hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 25 year old .having obesity depress every time not able to remind simple daily routine activity.and my activeness completely gone n i am feeling too lazy..suddenly getting angry and feeling so hungry everytimes.pls i want to be active .i want to be young mentality also want to increase mental power.pls suggest me ### REPLY: Hello, Welcome to  I can understand your concern. Obesity is one of independent aggravating factor for depression. The symptoms like benign forgetfulness, .  Try to reduce the weight by exercise which will help in improving mood. Consult a psychiatrist for persistent depressive symptoms. Medicines like SSRIs are commonly used in depression. Fluoxetine is SSRI that doesn't cause weight gain and can prove useful in your case. Apart from the medicines try relaxation exercises, yoga, meditation to keep yourself relaxed. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi I have a cluster of white tiny bumps on my buttocks. i think it started out as a bump and I squeezed it. now its swollen, sore to touch, and has a slight burning senstation. it was skin tone bumps yesterday and now white, isolated to one area (right lower cheek) ### REPLY: Hi. Thanks for your query. The bumps you described looks to be multiple fur uncles/ boils. By pressing in immature stage you have disturbed the natural defense mechanism, and now it is inflamed more to cause a typical pain and burning. They are white as the tension in a close cavity make the appearance white, A short course of an antibiotic and anti-inflammatory medicines will get this OK. You may please apply liquid provide iodine locally to make the skin sterile so that the secondary infection is avoided. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently discovered i have an infected finger ( not by doctors diagnosis, but because ive had it before and its the same thing again ) i was given a cream last time that i was to apply every now and then during the day I dont want to go back to the doctor because its expensive, my finger is red and swollen and i knew there was puss in there so i made a small incision and pushed all the green puss out.is there anything else i can do? im soaking it in diluted Dettol, using Betedine and Savlon antiseptic cream on it Should i go to the chemist and ask for a stronger antiseptic cream maybe? ### REPLY: Hello, thank you for your contact to . If I am your doctor I suggesting you doing such an incision at home is not advice. Doctors usually do all such procedure under strict aseptic precaution, usually people can't do this thing at home. But never mind looking forward you should start with oral antibiotics like definite, analgesic Diclofenac, partaking antiacidity agent to take. Also apply a previously given antibiotic local cream. If you have to ask me anything you can contact me. . Infectious disease specialist. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: im twenty five years old, and im a female. Ive been having strange and painful syptoms for about four months. I was having sensations all over my body, mainly my face, the way i could describe it, is when u run into a spider webb,and u feel the webb, but cant get it off. Those sensations have have went away, but every now and then it happens. But my main concern is the pain and discomfort ive been feeling in my thoart muscles, meaning not inside my thoart, its the muscles in my thoart, i havent had any trauma or anything, so i dnt know why. Also i have a little bit of pain, the middle of my chest, and a dull achey spot on where my breast begins. Any thoughts come to mind. ### REPLY: Hello, Your symptoms could be related to a chronic infection or an inflammatory disorder. A metabolic disorder can not be excluded either. For this reason, I recommend consulting with your attending physician for a physical exam and some tests:- A resting ECG- A chest X-ray study-Vitamin D and vitamin B12 plasma levels for possible deficiency-Blood electrolytes- Complete blood count, PCR, ESR for inflammation- ANA and ANNA tier antibodies-Thyroid hormone levels. Further tests may be needed, depending on the above test results. 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 im 27 have two kids, a few weeks ago I stared getting dizzy with no explanation dr said vertigo I get super tired. Now im bruising on the palms of my hand, my knees start hurting, tingly sensation on arms, on left side of abdomen like the ovarie I get a pain that gets my back. Soon I have a dr appt since I got an abnormal pap. What is going on with me? ### REPLY: Hi dear, As per your query you are suffering from vertigo. The symptoms you mention in query occur due to wide range of reasons like migraines, head injury, certain medications, ear infection, condition like deniers disease and due to cervical spondylosis. So I would suggest you to consult ENT specialist to get examination with the help of tests like rotatory chair test, prong test, examination with horoscope. Doctor may prescribe antiemetic . For now I would like to suggest you some home remedies  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 15 yrs old and he is CP child. he got operated 4 yrs back for lenthening tendan of left leg. after operation he has got tendency of bending knee while walking. although he is having reguler physiotherapy day one after 3 months of said operation. i just wanted your advice that how to correct this bending of knee problem. ### REPLY: Hi, It is common to have joint contractures / stiffening in child .  This is because of abnormally high muscle tone. If we are able to straighten the knee fully passively, this indicates a dynamic contracture which will respond to intensive physiotherapy. If stiffening is severe enough to prevent full straightening, this indicates static contracture demanding surgical release, as done before for ankle joint. Kindly discuss with your orthopedist and physiotherapist. 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: Hello, My father is suffering from Pain in his and blood in urine, It is the first time for him to suffer from this case, Before one week we found that his random sugar test is 436 and he has a known case of HTN -the Doctor gave him Acard, Atacand , amaryl and bisoprololDo you this blood could be a result for using Ascard ### REPLY: Hi there, It is definitely concerning that your father is having blood in the urine.  It is less likely that this is related to the medications and I would not ignore his symptoms.  With his history of high blood sugars and hypertension, it sounds like he also has diabetes which is why he is on Amaral.  Your dad is going to need a few tests including labs to check his kidney function and an ultrasound of the kidney area and a urine culture to rule out an infection.  I think the best way to do this would be to go the primary doctor again and tell him or her the new symptoms.  I hope this is helpful to 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 have a mole on my collar bone about 3/4 the size of a quarter, that Ive had since I was a young girl, I am now 26. A couple years ago I asked my family doctor if I needed to have it removed. He said unless it really bothered me I didnt need to as it didnt look suspicious, just a little larger than normal. Ive since decided I might want to have it removed. Although now I am quite scared since when I was touching it, a small piece of it came off. It didnt bleed, and almost looked like a scab, which is what half of the moles texture feels like now. Also if you press on it, it feels a lot thicker on one side. Could this be a sign of something serious like cancer? ### REPLY: Hi welcome toChatDoctorI have gone through your query regarding moles think you doctor was right , moles are very common and benign (non-cancerous). These conditions include moles, freckles, skin tags, benign engines, and seborrhea keratosesMost moles appear in early childhood and during the first 30 years of a persons' life. It is normal to have between 10-40 moles by adulthood. If at all, the mole is found to be cancerous, and only a small section of tissue was taken, the dermatologist will remove the entire mole by cutting out the entire mole and a rim of normal skin around it, and stitching the wound closed. Moles may occur due to potassium deficiency, faulty food habits, lack of exercise worry, mention, anger Eat foods that contain potassium like apple, cider, vinegar. A balanced diet high in vitamins A, vitamin E and vitamin C can improve and will boost the immune system and fight off the skin wart. This includes a diet rich in fibers, cabbage, garlic, limes, broccoli, oranges and bananas.  Aloe vera juice 25-30 clearly morning. Turmeric powder a level T spoon with cup of hot milk Fried, fast foods' tea coffee alcohol mental worry, mention anger and Constipation should be avoided. Applyfresh Aloe vera jelly on the mole. Repeat 3-4 times a day for 7-8 days If you have any doubt or find any change, you must consult your treating doctor and discuss your case Hope this help solves your query. Take care All the best Don't hesitate to get in touch if you have any further query. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: when i need to go to the toilet or just have gas i feel sharp stabbing pains. But when i go its still there but dull and i have no pain passing urine or bowel motions ( its like when your busting to go to the toilet and hold on and then once you go you feel that weird dull sensation that normally goes away) I had the merina inserted over 6 months ago and this pain has been hurting since my husband and i had sex 5 days ago. ### REPLY: Hi welcome to  forum.  Thanks for calling to . Forum.  You got main inserted 6 months ago, 5 days back after having sex with your husband you are feeling sharp pain before passing urine, or having gas. After passing, it goes away.  It appears that you might be having urinary tract infection, stone in the bladder. Or marina might be slipping slightly. I advise you to consult a urologist for confirmation.  You may need to have M.R.I. besides other routine tests for confirmation.  Wishing for a quick and complete recovery.  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: 47 Y/O Male.  The end of June I started having upper mid back pain...burning, decreased range of motion of neck, and then i started to have muscle twitching over different areas of my body. Deltoid, thigh, forarms, calfs, sometimes the back.  They bounce around and are not in the same area.  Rest seems to help.  No weakness and reflexes are normal. ### REPLY: Dear friend as you have said the pains are bounces around and there is problem in reflex action I, from my experience as a clinician, must say you don't have any serious problem. Certainly you have a fatigue AOR pain all around your body part. This can be due generalized fatigue syn . Alsoyou should go for a simple biochemical test for serum sodium, potassium.a mild disbalance causes our muscles get fatigued frequently. So, a conservative approach towards your affected group of muscle with necessary investigation will clinch the diagnosis. 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: Ive a liver condition that wouldnt go. I was diagnosed with Hypertitis A in 2006 and placed on Essential Forte capsules as well reduction in alcholic beverages. But I have relapses too often; so am wondering if truly its A type and not another type, since many friends who went down with A type were back on track shortly and are leading normal life. Can I have a cure in India?Im 48, 118weight, 5.8height, from Nigeria, a public service personnel. ### REPLY: Hi there, Hepatitis is a self limiting infection that resolve over some time.  It will usually resolve on its own. It is possible you have hepatitis B or C, and these will not go away without adequate antiviral treatment.  There is no special treatment needed for hepatitis A. If you think you have hepatitis B or C, I'd recommend getting a hepatitis panel in order to check for all the hepatitis viruses. I hope this answers your questions. Please feel free to contact me should you have any further questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Due to some problem I was abortion two times 4 yrs ago, Now I am 33 years but failed to pregnant.  But HSG eport is normal and doctor suggest to serial follicular study. Is it painful ? Please tell me about the follicular study and possibilty of pregnancy. ### REPLY: H₈, follicular study is not painful. It is done by ultrasound.  You have to go through repeated ultrasound.  It will tell you if your follicles are growing or not. When follicles reach a size more than 17 to 18 mm, injection will be given to rupture the follicles, or it may rupture on its own. It can be confirmed on ultrasound.  So, if rupture is happening it means you can try naturally. Be in contact with your husband every 2 to 3 days after your periods stop.  Hope I have answered your question. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Our one year old has developed rash like welts on his legs. His legs are covered in them and are there one minute and gone the next. This has only happened a few times and it dosent seem bothered by it. Thay can be as small as a 5 cent or as large as half his leg. We havent changed anything in his food and we have thought about clothing and all those sorts of things. If you have any suggestions then please let us know. ### REPLY: Hi... Thank you for consulting in . By what you quote it should be an urticaria or a simple skin allergy. You can use HY .  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END