Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,Before 1 year it was found that there was right renal stone for me around 11 mm. It was not a painful one and I was advised 2 drink plenty water. I was working abroad and now I came here. For one week I was feeling pain yestrday it gone severe nd admited to hospital. Doctor giv me injection ,voveran sr 75,and advised to consult Urology tomorrow. The ultra sound scan showing result  Pelvical system and upper ureter mildly dilated and Right sided hydro nephro ureterosis, probably due to mid uretric calculus. all other are normal. Today morning also I hav pain and took the tablets. How long this pain will exist? Is this a small stone enough to move with Urine, Or I may gone through a Surgery. Please waiting for Your valuable replay sir.. ### REPLY: Hi, Renal stones of more than 10 mm are less capable of getting flushed out directly. Assistance in the form of extracorporal shock wave lithography or ureteroscopy is needed most often to expel the stones. Now, the ultrasound scan reveal obstructive features (due to stone), I guess you need to prepare yourself for one of the above procedures. In the interim use painkillers under moderation and continue . Hope this helps. Good luck!! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am trying to pregnant...  We have been trying for few months... I was put under Letrozole (2.5mg) for 1st 10 days....and then with Duphaston from 16th onwards (for 10 days)... My hubby has low motility.. and we had intercourse every day from 10th to 20th of my cycle... and will be laying in the bed for few hours... are we following the right steps to get our dreams..... ### REPLY: Hi, I think you are taking the right medicines.  You can be in contact with your husband every 2 to 3 days after your periods stop.  You can also track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles.  Continue phaeton for 10 days and do a urine pregnancy test at home after that. If the motility of sperms is very low, you should go for GUI.  Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, I am married for 5 years and trying to concieve from last 4 years. My periods are regular . I am taking Oosure and cervifert capsules and of course eltroxin 50 mcg for control of thyroid,  in my report AMH level is about. 1.8.and my TSH level is 28.32. My husbands report  shows most of the times  low sperm count its about 30-40 million but recentley his test report shows 65 million active sperm. my question is - am i conceive a baby normally or trying to using some other treatment. ### REPLY: Hello, Level of AMH is normal, but your TSH levels are very high suggesting that your hypothyroidism is out of control. For conception your TSH level should be around 2. You must talk to your doctor for increasing the dose of ELTON. It is better that your TSH levels become normal before conception takes place. As far as pregnancy is concerned you need ovulation and good patent Fallopian tubes along with good quality and quantity of sperms. Sinc you already are trying to conceive for past 4 years, you must consult a fertility expert and get yourself investigated and evaluated properly along with your husband. The count of 65 million sperm can make you conceive normally but since conception is not happening, the cause must be found out. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My problem of severe imbalance while walking have been diagonised as Vertigo and of dizziness (Light headed) are related to severe anxiety and panic disorder incl.phobias i.e.Agoraphobia (Panic disorder) and Acrophobia (heights) and avoiding situations and again those are related to subconsious mind. Also I am having severe abdominal disturbances with constant belching (Right side). What should be my course of action and what medications should I use without any side effects and addiction and for how long. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Agoraphobia, Acrophobia, severe anxiety and panic disorder, are common problems. You have nothing to worry about the cure. The cure is certain. The best method of treatment is initially with the help of psychiatrist (If the problem is too unmanageable. Otherwise, you can directly approach a clinical psychologist). Then you should consult a clinical psychologist. Clinical psychologist helps you with Cognitive Behavioral Therapy (CBT). The therapy may take months according to the severely of the case. But cure is certain. As starting steps, Please do the following:Step 1 - Practice Deep and full breathing whenever possibles 2 - .  Step 3 - A Tomato a day keeps anxiety at basted 4 - Exercise regularlyStart these and follow strictly. After 7 days If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hey When I am standing, my right knee cap points slight inwards. I had a fall on the ice a year or so ago and it popped, and now it swells up, mostly when it gets really cold. Is this a strained ligament that may require surgery or would quad strength training be effective? ### REPLY: Hello, I have studied your case, and It can be MPFL ligament injury. In this there is break in the ligament which keep patella in central position. To treat this you need to get MRI test to confirm if there is any ligament tear and if yes then what is the extent of the tear. If it is grade 3 or more, and you are having symptoms and cartilage damaged due to that then you will need surgery to repair this ligament. If there is no ligament tear then it can be treated with knee brace and physiotherapy. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My husband has been diagnosed with stage 4 lung cancer. it has not spread out side of the lung. it is non small cell and the lymph in the lung is affected. The largest tumor has wrapped itself around his esophagus and aorta. so no surgery or radiation can be done at this time. He has had two chemos and he is not very sick at all. How often do people survive Cancer treated with chemo. Have you ever known any one to be cured and live past five years or more? ### REPLY: Thanks for your question on . Complete cure is out of question as lung tumor can be slowed down but never be cured. So we can only give treatment to slow his progression of tumor and give him symptomatic relief with increase in five year survival rate. We can not free him completely from cancer. And in non-small cell tumor life expectancy is less than 10 years. And five year survival rate is 70%. Bur if tumor is encasing aorta and esophagus than chances of five year survival is only 20-30%. Life expectancy in such patients are less than 1 year even with chemotherapy.  So in his case life expectancy is less than 10 years and five year survival rate is only 20%. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 6 weeks pregnant. Started spotting dark a week ago after an exam. Sat. morning started spotting heavier and brighter red blood, have done it off and on each day since then. Some clotting. Cramping off and on also, headaches, still positive pregnancy test. My ob office aware but tell me to do nothing til appt on Fri and it isn t anything to worry about. I miscarried in Nov 09 and also in May 09. What should i do? Waiting on ChatDoctor levels to come back. HELP! ### REPLY: Hello, I have gone through your query and understood your concern. If I were to treat you, I would ask for a sonogram of the pelvis to look for any hemorrhages and fetal viability, get serial serum beta-ChatDoctor titles, put you to absolute bed rest and manage based on the results. In view of your previous history of abortions, it becomes all the more important to suspect another missed pregnancy with your persistent spotting now. Doubling serum beta-ChatDoctor titles are a positive sign of a healthy pregnancy. If there is no fresh bleeding now, it is likely that the bleeder may have arrested and hopefully, the pregnancy will continue. Hope you find this information useful. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 20 yrs old and has had a lump on the left side of her neck for over a year.  it is roughly the size of a quarter.  the dr. has given her antibiotics on two occasions and the bump has not gone away.  should I worry? and what test should I request from the dr. to rule out something serious? ### REPLY: Hi! Good evening. I am  answering your query. With this history, I would advise you to consult a general surgeon/pathologist for FNAC of the lump for a cytological diagnosis. If doubt still persisted, then I would not hesitate for a histopathological diagnosis by an excision biopsy for a definitive treatment. I hope this information would help you in discussing with your family physician/treating doctor in further management of your daughters' problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing  to clear doubts on your health problems. I wish you an early recovery. . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got the mirena removed on oct 12th, i bleed on oct13th-oct19th, then again oct. 26th-29th, had a cyst in that time, trying to get pregnant, when will i ovulate?  Ive been doing daily ovulation tests and daily basal temps and still nothing.  Took a pregnanacy test yesterday and it was neg. ### REPLY: Hi, IRENA is hormone impregnated device. It would have suppressed all the necessary hormones from the body. After removal, it takes some time for the body hormones to normalize & ovulation to occur. So don't worry if initial cycles are irregular or frequent pregnancy negative. If your pregnancy test is negative, kindly consult gynecologist & have medications for with .  You may need a course of hormone pills to regularize your body hormones the best ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My wife hurt her ankle dancing, she twisted her ankle, she twisted it under her when she fell down, it hurts a lot and is making her feel like throwing up, she can move her ankle up and down but not side to side, she can put any weight on it, is it sprained or broken? ### REPLY: Hello, This sounds like an ankle sprain. Taking an MRI will be of good choice to understand the grade of injury. Stabilize the ankle in ankle brace. Allow the healing to occur.  Try out balance board training exercise which will help stabilize the ankle joint and improve the muscle imbalances. She should be able to dance again. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I work with a you young man age 17 at a restaurant he is a dishwasher,,, and he has broken so many dishes that worries me that he may have signs of a bigger problem,,, he says he doesn t understand why he does this,,, its in his hand one moment and out the next ### REPLY: I read your question carefully, and I understand your concern. If he has weakness during other activities as well it could well be the case of neuromuscular disease, a peripheral neuropathy or myopathy. In order to make such a diagnosis though a neurological exam is essential as there can be many such conditions with variable manifestations and causes, it's not an easy straightforward diagnosis.Also, tests might be needed like nerve conduction studies/electromyography and some blood lab tests. I hope to have been of help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir, My gf took unwanted 72 after 30 hrs of protected sex, But for double protection she took unwanted 72, after 24 hrs of taking pill she have heavy pain in lower abdomen and bleeding too, and feeling irritation in urine, she has some bleeding after 36 hrs of pill and pain is also less. we had sex on 6th of the month and her period is due on 15th. Please suggest what to do and what medication to be taken to avoid this pain. and is there any serious problem to be checked by gyane. is there any serious problem in life ahead. needed medication advice plz. ### REPLY: Hello, Your pain may be because of severe uterine contractions. Your bleeding will also stop in due course of time, if it does not, please see a doctor. Please take ibuprofen and acetaminophen combination, after light meal. Light diet and plenty of oral fluid. If your urine irritation remains, get your urine tested for culture and sensitivity. While Waiting for report you can start a broad spectrum antibiotic course. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello,I used to use a lot of honey before as an alternative to sugar, in milk or milk shakes etc. But couple of months  back when I again started drinking milk, I used honey in it and i have a very severe stomach ache and burning sensation in stomach. Later tried honey with cornflakes, in icecream and then knew the culprit was honey as whenever i take honey even in very less quantity same symptoms repete (stomach ache, cramps, burning sensation). This ache lasts more than 8 hours and is ver unberable.Please advise what can be done to correct this allergy as I like to start using it back again.Thanks a lot ### REPLY: HI. The basic of treatment of any allergy is to keep away from honey; hence the first treatment is NOT to try honey at all. This has proved by your observations. I do not think anything can be done in such cases. There is a rare possibility that the honey you are taking might have such allergens. You may try honey from altogether another source which may suit you. If this too is not helping, please do not consume it. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hear these voices, and see things that i shouldnt. its been going on for years now, but it s getting worse. and im scared because one of my family members that experiences the same thing as me, just got checked into a mental hospital for schitzophrenia. i was wondering if i may also have it? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. If the given descriptions are true to the best of your knowledge, then you are having the first symptoms of schizophrenia. Please do not panic. Timely intervention and proper treatment can give you good result. Please consult psychiatrist. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have an abcessed tooth on my bottom right jaw, went to the med stop yesterday they gave me clindaymacin 300 mg every 6 hours. I do not have a dentist. My gums and my jaw are very swollen. How long before swelling will go down. The antibiotic is making me sick to my stomach too. ### REPLY: Hello, Welcome Thanks for consulting, as u have mentioned that you have access formation in your tooth and swelling in gums, and you are taking antibiotics clindamycin, better you take amoxicillin antibiotic for that and analgesic also with that take capsule amoxicillin 250 mg and tablet paracetamol twice in a day one vitamin B complex one time in day for 5 days with it, you will get relief and treatment plan for your problem is gone to dentist and go for Root canal treatment and sailing also medication always in your case only give symptomatic relief ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,For passed two months, I dont have proper erection. I had fungal infection in groin and continued to take medicines for 3.5 years.Also, above my right testicals I feel some kind of pain it is bulged.can anyone help, what is my health condition.Is it curable ### REPLY: Hi. You need to see a Surgeon or a Skin Specialist who can examine you. The fungal infection can be treated with medication or ointments. The erection problem would be temporary if it was not there earlier. The swelling in scrotum could be a hernia, but I can't be sure without examining you. So please see a Surgeon who can examine you and decide the correct treatment. Do not worry. They are all treatable and would be fine over a period of time once adequate treatment is started. 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 doctor i am 20 years boy now only i finished my college but from my 9th standard i think so i masturbate but before 2 years only i stopped that but during my sleep i colud feel something in my penis and i cum out whether it will be a serious problem in future??? ### REPLY: Hello dear user, Thank you for writing to . I can understand your concern about ejaculations during sleep. There is no need to become worried. This is not a disease. It does not require any medicine. It may occur at any age. Nothing to feel strange! Semen is being produced by genital organs continuously but, it has to be expelled by some means. This situation is just similar to a glass of full milk to which you add more milk, with the logical result that it overflows. Similar happens to semen in body.  If one neither has sex nor masturbation for long time, semen gets accumulated in its pouch, so it gets expelled in the form of night emissions, which is normal. You stopped masturbation for last two years. Hence, the pouch of semen remains full, and it gets expelled in the form of night emission. When you will engage in regular masturbation or sexual activity and semen gets expelled, night emission will not occur. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been feeling nausea, tired, slight cramping, little to no hunger most of the day like I eat one or two bites then I cant eat any more. I do have severe depression that I was diagnosis with since I was 13. I am not sure what it is. I think I may have the flu but not sure. It is very hot were I live right now so that could also be a contributing factor as well. I have not had my period yet so I could possibly be pregnant but again not sure. Please any clue as to what is going on would be most helpful. ### REPLY: HI, thanks for using  If your period is normally regular and is now delayed, and you are sexually active then it is possible that you are pregnant. You should consider a pregnancy test first if this is the case, to determine if you are pregnant. The flu would cause headaches, muscle or joint aches, sore throat, fever and other cold symptoms. It would be treated with rest, fluids and painkillers. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Sir, i had been suffering from backpain for last 11 years. now it has become intollerable specially in the neck region and lower back. The pain is radiatin to my both legs. Doctor at apollo hosp delhi suggested 2 tablets of myopaz daily. Some other doctor suggested omnicortil + goldcal + painkiller. What is the best treatement. Can it be controlled by exercise and need not go for surgery. Please help. ### REPLY: Welcome to  .1. Weather it can be controlled by the exercises or not, it will depend on the spine status.2. You have not mentioned if you had your MRI done, if not then please get it done, it will help us to go a head with the treatment.3. If the condition of the disc bulge / herniation is bad then operation is only treatment of choice, if minimal you can do exercise on daily basis (back pain exercises)4. So please evaluate the causes and then treat. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had lumbar surgery on L5,4 ,3. It has been 18 months and about 3 weeks after surgery I developed leg tremors that have disabled me. I have a diagnoses of failed back surgery and neropothy. I saw another dr. Today that mentioned complications of anesthesia , spinal stenosis and possible extreme tremor. There was nerve root damage. Is there any hope of getting the tremors to stop. I was a very active 55. Year old woman.at WWW.WWWW.WW ### REPLY: Hi there ~I understand your concerns.  It is not unusual to have complications from surgeries, however I wonder if you have contacted your primary care physician to let them know what has been going on and to get treatment for the neuropathic pain.  I also wonder if you have been on medications for the tremors as well as the neuropathic pain.  I believe there are answers to this that can be gotten from either your primary doctor or the one that gave you the second opinion.  Furthermore, I hope this helps. Take care and have a lovely 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: 1st, sorry for my english! 2nd, I got hit(3-4 days ago) in the stomach near my hips. 1st days it was painfully to walk or change position (sit, or stand up). Today it aint that bad but the worst is when I sneeze or cough, its very very painfully so I have to hold myself to not do it.I dont have any visual sign. Is they something that could be dangerous? Thx for answering me and sorry for my english once again. ### REPLY: Howell come to  No need to sorry for English you really narrated in good manner, if this is history of fall and having pain while sneezing or coughing if this is so, possibility of soft tissue swelling may be likely, and better to get done the x-ray of injured part for better diagnosis, till then pain can be managed with following medicines 1) Tab Acetaminophen 500 three times in day2) Tab Ibuprofen 400 mg three times in day this would come around after few days if no serious injury is there, have a nice day ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My mom has been diagnosed with TB previously had treatment 2 years ago , she is now having SOB , cough with a hemoglobin of 77 white count high indication infection she is now on her way to hospital for a blood transfusing should she be having a blood transfusion ? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  Her hemoglobin level is low.  So blood transfusion is advisable for low hemoglobin.  Don't worry about her infection and high total WBC count.  She can take blood transfusion with high total WBC count.  No need to worry about that. 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: hi my name is ravi, i am 26 suffering from high SGPT since last four years, having treatment also, its ayurvedic treatment, but after having all sort of precautions also the results are unfavourable, as in am monitoring it for couple of weeks, the 1st week the result was 102, 2nd week it was 72 bbut the third week again it was 92.... i am very much worried as my job also depends on it, i am in merchant navy ### REPLY: Hi welcome to the  I need to know cause for elevated Sept level Don't try any self-medication for your condition Your following report should be done.... _USG abdomen _serum bilirubin estimation _Bag ELISA _CV ELISA _Serum cholesterol If you are having fatty liver or non-alcoholic steatohepatitis then Adílio can be prescribed, and low fat diet consumed So depending on because I can give further comment Hope your concern solved 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 looking at the symptoms for H1N1.  I have 7 out of 10.   I lack vomiting, fever, respitory problems. Ive felt the symptoms now for 5-6 days.  Wondering, how long one has to have these symptoms and certain symptoms for this to be considered dangerous and requiring medical intervention?   It is the 6th day and I am starting to feel marginally better.  Probably at 50%.   Please advise.  thanks ### REPLY: Hi, Welcome to  I have read the query and understand the concern, the symptoms of seasonal flu are very similar to swine flu and considering that now you are feeling better it is most probably seasonal flu you are suffering from so no need to worry about. Severe symptoms like difficulty in breathing, severe vomiting, bluish discoloration of lips or skin due to inadequate oxygen supply because of lung dysfunction, convulsive attacks need immediate consultation to the doctor to rule out swine flu by examination of nasopharyngeal swab irrespective of duration of symptoms. Have good sleep, .  Hope this answers your 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: I amgetting fluttering in the chest. It feels like my heart is actually missing beats. It happens at odd times, like when I am relaxed, or when driving. I do not feel stressed so wonder what it is. I am 50, female, a little overweight but not too much. It happens two or three times a week and I feel as if Icant breath...I can but thats what it feels like. ### REPLY: Hello, Most probably these ventricular ectopic. You should get one ECG done, if normal then needs holder monitoring for 24 hrs which will most probably pick the abnormalities in heart rhythm. Later, you'll also need thyroid test, if having menstrual irregularities then hormonal profile as well.  Most of the time these are benign and not worrisome. So we need to confirm the diagnosis and then go ahead accordingly. Hope this helps you and get back if you have any 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: I had 3 months ago a bouganville thorn prick and scratch and I have been to different doctors until I visited my primary care doctor and he said what I had was arthritis he then told me to see a podologist. I am right now being treated I have had even a,n Mri of the right upper foot the pain continues sometimEs un beArable and now she told me that the Mri shows I might have synovitis or ostioarthritis and that she has to perform an incision on the foot which it is a surgical procedure to analyse a bit of bone so she can prescribe the correct antibiotic sometimes intravenous. Dr. My question is can the bits microscopic plant matter travel to the upper foot bone and cause so much pain? ### REPLY: Thanks for contacting Bougainville thorn prick is toxic but only to level of allergic reaction like rash dermatitis swelling the prick doesn't cause osteoarthritis(OA) is degenerative disorder of joint which effects mainly knee joint shoulder, ankle JNT what your doctor is saying is arthroscopy to see for OA but OA comes into play only if u have trouble pain while standing from sitting position or u hear a click while doing so kindly tell your age & elaborate your complaints so that u can be treated properly as of your query about getting OA due to thorn prick it's not possible ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi Dr. what can be the cause if the 1 month old baby is having swollen knee and is having pain when trying to straigten his leg . He is always keeping his leg in folded position. His same leg was used to give him some antibiotics when he was sick using the canula ( IV set ) in his feet . Is that the reason . His right knee looks bigger then his left knee . please advise . ### REPLY: Hi, When was the canola removed (if it was more than 1 week before, need not worry about)? An IV canola in feet is very unlikely to cause swelling at knee. If at all it was related to canola, swelling will first appear around feet and then climb up. Here we have to rule out an important condition called septic arthritis of knee (bacterial infection of the knee joint fluid)- this an emergency needing immediate workup and treatment to avoid permanent joint damage. So please take him to an orthopedist without delay. You may be asked for few blood tests and an X-ray. Meanwhile, give him paracetamol to relieve pain. 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 doc im lourdes 33 years old and married for 6 years. my husband and I had getting hard time to have a baby. i want to ask whats the best medicine for us. my husband have his sperm count and found out it was 27 millions. i have my regular periods. my last menstrual period was sept.10. doc, i also want to ask what will be my fertile period and best day to get a chance to have a baby. thanks alot.. ### REPLY: Hi, Thanks for the query. I understand your concern.  Though you have regular menses... I would suggest for ovulation study to confirm ovulating menstrual cycles.... which are necessary for Conception.  -Also patency test for Fallopian tubes is important.  -Getting semen analysis done to confirm normality is also needful.  With these normal report sine can plan for a baby.  -Complete medicinal course suggested by your doctor after the investigations.  -Try to maintain good health /avoid smoking, alcohol /start taking folic acid mg pulls both of you.  -Know about ovulation. -It mostly comes 14 days prier to expected day of periods. /Use LH surge test to know about your ovulation day.  -Have unprotected sex from the day of LH surge test ...for 5 days OR for 5 days starting from 2 days before &2 days after the calculated ovulation day.  -Check for pregnancy after 8 days delay in periods by HPT.  *If no positive result In 6 months... consult a sterility specialist.  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: The vein on the back of my hand suddenly got cold; very cold as if I was having an IV started. It has persisted for about 45 minutes now and has not subsided. It is only in the vein on the back of the hand and does not radiate into the fingers or the wrist. ### REPLY: Hello and welcome to , Coldness on back of hands can be due to Reynolds phenomenon. However, Reynolds phenomenon is characterized by bluish discoloration of hands especially fingers followed by paleness and then followed by pinkish discoloration. During this process the hands feel cold and there is associated pain also. I suggest you to consult your primary healthcare provider for clinical examination and thus treatment. 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 am a 42 y/o female with a 16.3cm liver. My AST is 82, my ALT is 121, my iron saturation rate is 14. I tested positive for the smooth muscle Ab and my smooth muscle titer is 1:80. I am waiting to see a Hepatoligist. I am just trying to be prepared for what he might say. What is you opinion of the results? ### REPLY: Thanks for posting your question on ! I really appreciate your concern for the abnormal liver function tests. I have gone through the results of liver function tests. I am of the opinion that these abnormal results are seen in the following conditions like cirrhosis of liver, chronic active autoimmune hepatitis or infectious mononucleosis. Low iron saturation is indicative of iron deficiency anemia which could be due to inadequate dietary iron, poor absorption from intestines, or chronic bleeding from the intestines. Kindly consult your hepatologist for further evaluation and treatment. Wishing you best of your health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been sneezing for a month or more now. It happens a couple of times a day, a strong sneezing with mucus and liquid coming out of it. I have noticed blood in few cases. I have an ache in my face, yes, all the parts of my forehead ache if I touched it. And these days, I am finding it hard to walk for a few hundred meters. What could be the reason? Thanks in advance. ### REPLY: Hi, Thanks for using the . You are suffering from sinusitis. It's an inflammatory condition. So kindly consult your physician to get proper antibiotic, anti-inflammatory .  You can start doing salt water gargle three times a day and steam inhalation twice daily. Hope I have answered your query. If you have any further questions I will be happy to help. Thanks get well soon.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: C6-C7 level, mod sized focal cebtral disc protusion w/mild extrinsic mass effect on ventral surface of the lower cervical spinal cord @ this level. Read from MRI report. Has changed in past 2 years as has my symptoms, ie: left hand is pins/needles, increase in migraines & seizures. Dr is doing 2 epidural injections if they don t help I will be referred to Neurosurgeon. Do you think this requires surgery? ### REPLY: Hi, I do not think it is the cause for the seizures, there is no relation between seizures and cervical issues. Cervical issues may cause headaches, but may not necessarily be the case, they do not cause migraine type headache, so more info on headache characteristics is needed to understand whether related. Still wouldn't consider surgery for that indication. Pins and needle may be related to cervical issues. However, if the only symptom, surgery is not the first choice. Physical therapy and painkillers are preferred. Surgery is done only if on the MRI there is evidence of damage to the spinal cord (the MRI report hints at some mild damage) and clinical signs on physical exam suggesting spinal cord damage. Another indication would be intense, persistent articular pain, pain due to compression of a nerve root, but your account doesn't suggest that. 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 sir, one of my relative is affected from tifoid for the last 3 days. treatment is goin on but cant stop the vomiting. eat someting or taking a glass of water also resulting in vomiting. would u pls suggest some diet.also they r givin saline or glucose water continuously...is it fine? ### REPLY: HI, thanks for using  The use of the saline and other IV fluids is fine to help give back any fluids that are being lost with vomiting. Your relative should hold off any solid food till there is a 4-hour time period with no vomiting or diarrhea. If she/he uses food before this time, vomiting will occur because the body is not ready for it. When .  If a whole glass, is used vomiting with occur. For an hour, she/he should use 1 tsp to 1 tbs every 5 minutes, if this is tolerated, then this can be increased. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I dnt knw my date of periods. And its only a week we hve done . And nw I thnk I m pregnant. Plz hlp me hw Ill knw thatI m pregnant or not. And If I m than which medicine I should take to abort it.And tell me a pregnancy test which I can do it at home only. Or I should takeMT-pill and misoprostal 200 ### REPLY: Hello dear, I understand your concern. The first sign of pregnancy is missed period. Other symptoms of pregnancy like nausea, vomitings, increased frequency of urination, sore breasts start 2 weeks after missed period in case of pregnancy. The blood  test helps in early detection of pregnancy around 1 week before the expected period. So I suggest you to first confirm the presence of pregnancy by doing the test. If it is positive then you can go for termination of pregnancy. The medical termination of pregnancy is possible up to 7 weeks. After 7 weeks surgical procedure like D&C is required. The medical termination of pregnancy includes usage of mifepristone and bisoprolol tablets. The bleeding usually starts after a few hours of taking bisoprolol. A ultrasound need to be done 14 days after to check for completion of abortion. But these medicines are associated witChatDoctorplications like heavy bleeding, incomplete abortion etc. So they need to be taken under strict medical supervision to avoid complications. Hope this satisfies your query. 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: 40 year old male, active and healthy enough, hit hard by softball last night on left temple/jawline, alieve and ibuprofen taken to help sleep with ice pack on effected area this morning started kind of okay all things considered but incredible pain felt when trying to chew food, nearly impossible to eat, mild swelling of temple, and migraine headache today. hate visiting medical facilities if don t have to but wife is pushing. also supposed to play soccer tonight, any thoughts would be greatly appreciated, thank you. ### REPLY: Hello, I would suggest you to take paracetamol 500 mg thrice a day for migraine headache, temple swelling and for pain over the injured area. Apply a cold compress on the injured area and limit movement of jaw to reduce inflammation.  Try to eat semisolid or soft food to reduce discomfort. If the pain worsen, or if you get symptoms of vision disturbance, alteration of consciousness occur; consider going to ER.  In addition, avoid contact sport for a minimum of three days or till the symptoms subside, whichever is earliest.  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, my grandfather has positive H.pylori and also has his red blood cells and white cells low. His losing a lot of weight because he doesn t have appetite. On his stool their was also a little bit of blood. I am very worry.What are the chances that this could lead to cancer? ### REPLY: Hi AmarilysWelcome to . Losing weight, blood in stools can relate to a cancer. H.pylori infection can cause gastritis, peptic ulcer disease, cancer. Low cell count can be due to vitamin deficiency also. Even though all these symptoms get together relate to cancer, from the information given, we cannot confirm the presence of cancer. All these symptoms can also be possible in vitamin deficiency and deficient nutrition absorption. Considering his age, he should be taken for evaluation of cancer. He should follow a complete nutritious set to get better. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Sir, I am 24 yrs old. I had miscarriage 11/2 year back. My perroids are irregular after misacarriage. I undergone to USG. Results are endometrial lining appears intactand sixe 7.1mm. Both Ovaries appear normal size and show tiny peripheral follicles with centaral echogenic stroma.. finally impression is BPCO. my Doctor suggested me to take B long F100mg daily and Siphene50mg from Day2 to Day6. Ciuld you please let me know will I get concieve? ### REPLY: Hi, Welcome to . Your doctor has prescribed the right medicines to assist you to get pregnant. In addition, follicular growth monitoring on ultrasound can also be done, starting from 7th day of menstrual cycle or earlier, to assess the follicular growth and if necessary give injection to induce ovulation, when the dominant follicle size has exceeded 18 MMS. You should have intercourse approximately when ovulation occurs, roughly within 36 hrs. Of ovulation. Wishing you a successful conception. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a concussion in June from a back board hitting me in my head at work. i have about 14 seizures to date and now i am experiencing pain radiating with a pea sized lump on the right side of my jaw line. i have burning and there is a bit of balance issue. i am a petite 42 year old woman with(R) frontal lobe seizures that was aquired about 18 years ago. ### REPLY: Hi, Thanks for writing in to us. With a history of right frontal lobe seizures since 18 years, the date of last seizure is important. The concussion you suffered last June must also be evaluated in total. If your pain is over the skin along the jawline, the possibility of trigeminal neuralgia must also be explored. I would suggest you get examined by a neurologist and any soft neurological signs will be confirmed. This will help in deciding if a CT scan or MRI scan is necessary. This is important as you have balance problems. Any problem due to your recent concussion cannot be entirely ruled out without detailed examination. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, i have ovarian functional cystof 4.5 cm*3.3cm, an consulted a doctor. then he prescribed me novelon tablet for 3 month course and told to take it from 5th period day for 21days and continue for 3 months the same way.. now, my problem is that, i have stated to take the pill from 5th day and today is my 19th day...and suddenly i saw bleeding....now i m not understanding if my next period cycle started or is it any side effect ??? and should i continue take it or again start to take it from the next file from 5th day??? ### REPLY: Hi, When you start taking birth control pills, you might not see regular periods for a few months. You might see irregular spotting, lighter periods than you are used to or a heavier flow, a longer or shorter period, or no periods at all for the first month or so. Your body needs to adjust and regularize the hormone levels. You can wait and watch the bleeding pattern in the next few cycles which will regularize with time. Heavy bleeding should be treated immediately to avoid excess blood loss and anemia. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. I have a question. Just wondering if you could help please?My sister and i were having lunch yesterday. When my sister started to itch heavily around her belly.  I thought she may have had an allergic reaction to the food as it contained nuts. ( She has never previously had allergies to nuts)This morning she woke up with a golf ball sized lump near her belly button.  It appeared blistered and quite sore to touch.She is 36 years of age and 170cm tall. 54kg ### REPLY: DEAR, Good Evening, Thanks for the query. I studied it in details and understood your health concerns regarding it. Sore, blistered lump at around belly button-is due to the ?boil infected due to the scratching last night ? Could be precipitated by nut allergy. Hope this would help you to plan your treatment with your doctor. Wellcome for any further query in this regard. Wishing you good health. Good Night. . N. From INDIA. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a fbc blood test which highlighted Erythrocyte sedimentation rate 15mm/h when the normal rangeis 1.00 - 7.00 mm/h; serum ALT level of 59 iu/L normal level Please let me know if something is seriously wrong with me and what, if anything, I can change to improve these results. Also I have had a stiff neck for over 3 weeks but tests for infection came back negative. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. Your ESR is slightly higher than normal.  Your alt is almost normal.  No need to worry.  Just avoid alcohol and high fat diet.  Repeat the blood test after 15 days.  Mostly it becomes normal. 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. Don't forget to click, 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 am 55 years female with hair loss , have tried several treatments, and have been to the dermatologist but have not been successful. hair loss started at the age of 38.condition is bad on the sides of my head and top. i feel ugly as i also have pigmentation on my face and people are alarmed when they see me and always comment. i am a bread winner and a clerk by profession and cannot afford to continuously spend money on these treatments.treatment that was given to me by dermatologist for hair was vichy shampoo, vichy aminex womem sp94 ,richelet hair strength selenium caps.For face kligmans formula 4%, scinderm herbal mulberry cream, vichy bi-even wash, luca critical wavelength spf30. after this treatment i was back to square one. DOES ONE HAVE TO CONTINUE THESE TREATMENTS FOR THE REST OF THEIR LIVES ? ### REPLY: Hello, I think you should check your thyroid hormone levels because Hypothyroidism can cause hair loss and also skin pigmentation. Also, you may need to do a total blood count to check for iron deficiency anemia. Taking iron supplement may be advisable. Also, if you have Hypothyroidism you may need to take levothyroxine. Using minoxidil can help you improve hair quantity.  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 Doctor. I have got my front two incisor teeth root canal treated and crowned and its been 10 years and there is no problem at all. I want to ask that what is the life expectancy of the incisor that has been root canal treated and crowned. also tell me about the next options one have after the failing of root canal treated teeth ### REPLY: Thanks for using . Read your query. It is very good to know that you have a good treatment in relation to the upper teetChatDoctoring to the expectancy, there is no known limit as to how much a treated tooth lasts. It depends on a range of factors including how successful the treatment was done, oral health status and oral hygiene conditions and also the general health of a person. So it is good you don't worry about your tooth as long as there is no problem in it. If in future is there is any pain or swelling, you can go ahead with re treatment, and it will be decided only at that time as to what will be the most appropriate one. Hope this was useful to you. Thanks and regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am suffering from a rolling fever on about a 1 hour rotation, this has been goin on for 24 hours. My lower back in extremely sore and it is waking me up as I try and rest. Have just gotten over a back flu , but I think this is food poisoning. Thanks in advance. Tim ### REPLY: Howell come to ChatDoctorHere the core temperature is matter, if you have not noted the reading of your body core temperature then this need to be red with the help of thermometer, if this is normal then this may not be fever and if this read above 100F then this can be treated with Tab Acetaminophen, and the underlying cause need to be found out if fever persistence and for that routine blood examination would be advisable, hope this information 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 back pains travelling from my lower back to my legs. I have continuous numbness on outer front of both thighs and burning or tearing of skin like feeling on my left front thigh only including numbness. For past many years, I feel like my lower back is very stiff and if I stay in one position for long time, it becomes difficult to stand with straight back. ### REPLY: Welcome to . Your symptoms suggest degenerative spine problem. Back stiffness may be due to age related changes in discs and facet joints and also due to muscle spasm. Leg pains may be due to spinal stenosis. This needs to be investigated. I would suggest consulting a spine specialist, and you may need to get X-ray and MRI spine. For milder problem medicines and physiotherapy works however if it is causing you significant disability in day to day life then you may need to treated with spine injection or surgery depending on MRI findings. Thanks ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am unable to find the symptom of sharp pain in the knee. I get this when I kneel on it. It started a few weeks ago when I got into bed and the pain was light and now it is severe. I feel like there is a piece of glass in my knee. Not in the joint but on the side. ### REPLY: Hello, My first option would be a lateral meniscus tear that may give these symptoms. This is the cartilage on the side of the knee that may give you pain and limitation of range of motion. A second option and rarer might be an osteocyte . Normally, a knee MRI would confirm or exclude any of these options. The treatment is different for each one, option ranging from physical therapy to surgery. 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: when I bent over sitting down to tie my shoes it felt as if something in my upper right abdomen just below my rib cage slid over my ribs and left me with a sharp shooting pain for a little bit and then it turned into a doll annoying discomfort Im 25 years old and slightly overweight Ive also had two children I do not have a gallbladder I am slightly below average health. ### REPLY: Hi, Thanks for consulting  ! The important organs in upper right qua .  There can be various reasons for this kind of pain. Physical examination is mandatory to assess this. Sometimes, indigestion may also cause this kind of pain. However, you may need investigations like ultrasound abdomen to properly diagnose the condition. Hope I have answered your query. Let me know if you have any clarifications. If you like my answers and wish me to answer in the future, bring it to my attention:  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been operated for GIST and also baritic surgery was carried out by removing 75% of stomach.Now i am facing the problem of low hemoglobin which falls down to less than 6.Bone marrow test was also done but as per doctor nothing found and no iron shortage.Doctor says i do not have iron shortage.No leaksge of blood. Taken many hamones, iron and b-12 injections also but no improvment. ### REPLY: Hi, Thank you for posting your question here, I will try to answer it to the best of my abilities. Well this is what I think is happening. The small intestine absorbs iron from your food, but in your case after the critic surgery a significant part of your small intestine is being used as part of your stomach now. So there is a smaller area to absorb the iron. Actually, this is quite a common side effect of the critic surgery, I am surprised your doctor hasn't told you that yet. Anyway a temporary solution to your problem would be a blood transfusion. Has your doctor considered checking whether you are suffering from anemia caused by chronic diseases? It is a condition which most doctors tend to overlook, so ask him to consider it. I hope this helped. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 haveeen diagnosed with lupus (sle). I was diagnosed quite a while ago, but no doctors seem willing to give me predict. I know why...but when I took it 2.5 mom once a day,it helped. This is a very conservative town. I know the problems associated with predict, nut now I am having unbearable symptoms...probably a flare. What can I do? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have lupus positive. It is autoimmune disease. You should go for complete ANA profile test.  It will give you exact type. Then you should take treatment accordingly. Steroids will help you.  It is immunosuppressive .  It will suppress your immunity, so symptoms of autoimmunity is relieved. 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: Hi for the past few days I began to notice a small bump on my foreskin a little behind the head of the penis. Then after a few days it began to itch a little so I scratched it until the itching sensation would go away. After time it swelled a little almost like a pimple or zit. I tried to pop it like you would on anywhere else on the body and I notice a little white pus come out of the tiny bump. A couple of days later, the tiny bump reappeared with a little pus. Is this an infection or is it normal? ### REPLY: Hello! Thank you for the query. No it is not a normal thing. Bump filled with pus is usually a sign of local skin infection. If it's close to the hair, follicle inflammation is most possible.  It may happen to every person and usually does not cause any further problems. However, if after .  Sometimes hard healing bumps can be a symptom of elevated blood sugar level. In a meanwhile please keep it clean. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a baby. she completed 3 months. I used to give breast milk only, but even after feeding for 20to 30mints she use to be sucking her fingers. so can I start to give some amount of lactogen. May I the quantity for lactogen should i give and how many times a day should i give. or after every breast feed should I give some amount of lactogen. Please suggest me on this. Also to get more breast milk. she is stil 4.150 kg. Bit worried about it plese help me. ### REPLY: Please note that breast milk is the best alternative for a baby and there can be no substitutes for the same. You should give exclusive breastfeeding to a child till 6 months of age. No formula, no matter how costly it is, is good enough. Formula feeds are cow milk based which is difficult for a human child to digest. So I will strongly advocate against formula feeds. Hence, I am not commenting on how much lactose should be given. Breast milk is produced in response to the children suckling. If the child is more hungry, it will suck more and more breast milk will be produced, and the child will automatically get what is needed. If you give formula feeds the hunger would be reduced and hence breast milk production will also come down. So please do not do that. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Thank you. I work part time. Mate works full time. I have scoliosis and nerve damage and my back and arm hurts, yet I am the one who does most of the house cleaning and even yard work. I am wondering if I feel angry for no reason, or if most people would be angry, also. ### REPLY: Hi welcome to ChatDoctorI have gone through your query & can understand your concern about your swings and fatigue common while having Scoliosis and nerve damage.  Yes dear, your symptoms are outcome of your Scoliosis and nerve damage. And it is natural to face such mental and physical hazards and become irritated & angry at truffles , as you are undergoing. In fact, Your body is always fighting something -- an infection, a toxin, an allergen, a food or the stress response -- and somehow it redirects its hostile attack on your joints, your brain, your thyroid, your gut, your skin, your kidneys or sometimes your whole body. It weakens your immune system. You have fewer white blood cells in circulation to fight off germs. This leaves you susceptible to infections. Your immune system is your defense against invaders. But when the immune system becomes weak, due to fault food habits and derailed lifestyle, and frequent sufferings, disease cells can grow out of control, the disease overpowers. When disc height is lost, the nerve pathways may become narrowed and cause Degenerative adult scoliosis, and it occurs when the combination of age and deterioration of the spine leads to the development of a scoliosis curve in the spine and is also often related to osteoporosis . The lack of space lessens the nerves supply of blood and oxygen, which weakens the bone, making it more likely to deteriorate and may cause pressure on nerves and possibly even the entire spinal cord. This can lead to: weakness, numbness, and pain in back, the lower extremities. In severe cases, pressure on the spinal cord itself may cause loss of coordination in the muscles of the legs making it difficult to walk normally. The only remedy is suggested to strengthen your immune system. So include essential nutrients in your diet --FIBER RICH, LOW SALT - LOW FAT DIET, fruit, green veges ginger, garlic to balance Air factor-- Vāyu Dosh -- in our body, vitamins and minerals in natural form -, coconut water,, nuts, almonds, and supplements full of antioxidants as Aloe vera juice + AMLA juice 2 spoons, Lemon juice with water and a pinch of salt and black pepper gives immediate relief. Fish oil and flax seeds for Omega-3 and Turmeric powder + Almond oil is very important for our sound mental and physical health and strengthen immune response naturally Avoid fried fast foods, sugar, tea, coffee, alcohol, smoking, stress, worry, anger, Constipation Proper regular walk, -, Adopt proper for blood circulation. Exercise, yoga, gently do neck rotation, clockwise anticlockwise, Kapalbhatti Panama -deep breathing, Anglo Film, Calamari are help full for soothing nerves & relieving your stress inducing sleep and eliminating toxins from our body and help the natural hormones work, Meditation also helps sooth the mind helps in detoxifying and strengthening the immune system to enhance resistance from diseases and pave way for healthy disease free life. It is important to seek medical attention if you experience frequent mood swing and lightheadedness and get thorough check up Take Homeopathic Kali Pros 30 / Twice a day / Take 4 hourly / for a week Can repeat if required. Hope this helps solves your query. Take care. All the Westmont hesitate to get back 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: I am pregnant and since I have become pregnant I have been experiencing numbness in my hands and arms while I am sleeping. This wakes me up several times nightly. I am concerned I am not getting enough blood flow to the baby.What can I do and what could be the cause? ### REPLY: Hi, .  I welcome you to  VIRTUAL CLINIC. I have gone through your question, and I think I have understood your concern. Furthermore, I will suggest you the best possible treatment options. Furthermore, I will suggest you to do all kind of movements of shoulder joint, each with 10 repetitions. Also, Tab Erosion Forte twice a day for ten days will be of help. Please have plenty of water intake per day. Also adopt a healthy diet and regular exercise regimen.  Include more portions of fruits, salads and vegetables in daily diet. I hope this answer helps you. 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 realized today that my ball sack turned really dry and the colour got a bit darker at some places. It looks wrinkled like aged skin. I felt it was dead skin so I took a hot shower and tried pulling out the dry dead skin and somehow managed to take off most of the dead skin. Im still not sure what it is and how it came.The only physical activity I had was playing football where I might have got a hit to my ball sack but it didnt hurt for long back then or even later. Is it just dry dead skin and I have nothing to worry? ### REPLY: Hi, Welcome to  forum.  As you describe it appears to be the skin disease, of the skin of the sac. Still it may not be taken easy. It may spread into the testis.  I advise you to consult a dermatologist for diagnosis and treatment. He will access the condition, and give medicine for complete cure of the disease.  I usually prescribe to my patient with such symptoms cetirizine, grisofulvin, and ketoconazole soap, till the diagnosis is established.  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: It has been just 24 hours now since I started taking antibiotics for an infection after having root canal done on a tooth that was infected, how much better should I be feeling. I am still tired and have no energy although pain seems to be subsiding a bit ### REPLY: Hello, Antibiotics can take 24-48 hours to become effective. You also may feel some discomfort from the dental procedure. Include taking an anti-inflammatory medication to reduce discomfort. Tylenol or Advil are common anti-inflammatory medications. Systemic effects should continue to decrease since the reduction in pain indicates control of the infection. Consult your dentist if any symptoms worsen. Take medication as directed, stay well HY .  Make sure you have proper nutrition with balanced vitamins especially vitamin B12. Thank you for your inquiry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 getting heavy giddiness suddenly irrespective time and positions if it cool of within 10 min it s OK if it is more than 10 min i am getting vomiting. Doctors says that you have high BP and not proper heart beating (rythm). They gave me cardarone injection. and stugeron tablets. After one week i got same problem. this time they took MRI BRAIN they found small old clot but there is no problem because of that you are get this problem.They gave me acitrom 2mg tablets and vertin8mg tablets.Some one told me you have only hear in balancing that is why you are getting the problem simply you use vertin tablets and vitmin tablets are you able to tell me what is my actual problem my treatment way is right are wrong?? ### REPLY: Hi... If patient is having giddiness associated with vomiting. The source of the problem could be either peripheral(inner ear) or central(brain) In your case doctors have taken MRI OF BRAIN to rule out clots. Since your MRI showed clots in brain they have started citron which is a blood thinner.  Secondly they have started vermin which is a commonly used antihistamine for giddiness due to any pathology in inner ear such as BPPV.  It will be advisable to continue citron and have regular followup with your neurologist since you have clots in brain, and you should consult a ENT specialist to rule out ear pathology. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor, Hope you are doing good. My name is Chitra, 26 years old. From the time of puberty(which was 15 years back) I am having irregular menstrual cycle. And from the time I am under medication. Initially I was told that due to early age puberty my periods are irregular. And it used to be vast.. Either when I get my periods it will last for 15-20 days and when I stop it using tablet it will not come again for months. I have consulted around 4 doctors in this 15 years and found that I have PCOS and so far my period was not regularized and in continuous treatment. My Gynecologist said that many women have this issue and it will get alright for some once they get married and have a child. Now I am married for 4 months and I was under medication till last before month. I was having Duoluton tablet and my Dr. asked me to stop this birth control after 2 months of marriage and to start having Hyponidd for 6 months which will help me conceive. I stopped Duoluton last month and started having Hyponidd, but missed my period which was supposed to be on 18th May 2014. I even had a pregnancy test and it was negative. Unfortunately after marriage I moved to USA and couldnt have a personal consultation with my Dr. and also could reach her through phone only by next week since she is in abroad and not in India now. Now I am confused as to what would be the best treatment for me from now on that will help me getting conceive. I am also obese since I have gained so much weight before marriage due to computer job, heavy mental stress due to family issues and in addition with PCOS. Now I am a house wife and also away from mental stress and family issues and here in USA I am trying to workout atleast thrice a week in treadmill and cycling for 1 or 1.5 hours. But I feel difficult to reduce it now, still I am trying hard continuously. For sure I know reducing my weight will slightly help me. But apart from that what would be the treatment I should take further? Is that a personal consultation with doctor compulsory by this time and if yes which specialization doctor should I consult? It will be of great help to get an answer and I am worried if I will get pregnant and make my husband happy who loves me a lot. Thank you! ### REPLY: Answer: Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1) You need to get your hormonal profile done. 2) Take high fiber food along with diet and exercise.3) You need to consult an infertility specialist for proper guidance.4) It is necessary to see a doctor personally as PCs is not a disease that can be cured with medicines alone.5) Do not worry. With proper and regular medications, you will be able to conceive. I hope this answer helps you. Thanks.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,My wife aged 25 was diagnosed with hepatitis A with viral infection in lever. SGPT and SGOT count had gone as high as 5500 but now has come down to 54 and 73. bilirubin count came down to 4.78 from 7.2. She is on hepamerge and udihep forte tablets along with R-RD cap(for gas) along with Silybon and Digene syrup. Still she complains of pain in the upper stomach (just below the diaphrame in center of chest ). IS there something I should worry or the pain will ease off in time? Also some times in night she vomits and the pain increases. she is on moong khichdi diet, water of the coocked dal, apple and cucumber. ### REPLY: HAI.was treatment your giving her is quite enough for her problem, viral hepatitis has prolonged effects many of the times. Nausea, omitting, pain abdomen are the most common symptoms. You’re not supposed to give her more painkillers paracetamol as these affect the liver.u can give her antacids, PPI like pantoprazole with risperidone least one dose daily before breakfast to suppress the nausea effect. For pain u can give her simple metonymic acid for the pain. Please continue with the same bland diet, nonspicy, non-oily foods. It is usually prolonged self limiting problem, reduces on its own.Don't worry. 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, sprained my ankle a week ago and it appears to be healing but I had a lot of black and blue under my ankle but that went away for about two day. Now my toes are black and blue. Is this something I should be concerned with or just part of the healing process? ### REPLY: Hi, Due to blunt injury there can be hematoma collection. The bleeding that occurs result in hematoma collection. Over a period of time, as hematoma resolves it cause local skin symptoms around the hematoma. Continue ice application, and thrombhophobe ointment may help. Use splint or compressive crêpe bandage to reduce swelling. Take precaution to avoid infection around hematoma. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My legs swell badly all the way up to my hips. It only takes 1 hour after i get out of bed. I can hardly bend my knees they are so swollen. I do not have diabeties but I am 100 lbs overweight. Should I look at Congestive heart syndrome or Kidney failure ? And what testing should I recieve ? ### REPLY: Hi there, your doubts are valid to a certain extent. In case of both lower limb involvement of swelling one of the few disorders one needs to look into are those of the heart, kidney and the liver.In regard to the heart there is poor inflow of the blood from the veins and that causes pooling and extravasation of fluid which leads to edema and swelling. In case of liver and kidney problems it mainly is related to the low blood albumin levels which lead on to disturbed osmotic balance in the body. There are specific tests available for each for which you need to visit your doctor before you get them done because these diagnoses require a good physical examination before any tests can be further ordered. Also, an important cause could be abdominal tumors. But I would suggest you get the required investigations done before jumping to conclusions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 tricep is paining while lifting my left arm sideways. but while stretching straight no pain. also when i fold my arms and touching shoulder left position is not coming properly and paining. this pain i am experiencing for past 1.5 yrs. in gym i am not able to do the shoulder workout and experiencing heavy painwhile pulling the bar down and touching shoulder. how to get rid of this pain. ### REPLY: Hello, This is due to the wrong exercise and also a weakness of the shoulder girdle muscles. Need shoulder stabilization first and then other exercises for the upper limbs as a whole.  In case the pain is radiating in nature then it could be neuropathic and using Cervical collar and MRI should be performed for the neck to find possible causes. Take an MRI if the pain is radiating in nature. Like sharpshooting or numbing or tingling etc. If not the above one then performing shoulder stabilization exercise before doing any other upper limb exercises should be good to get results. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My ear piercing closed, but only half way, so I pierced it again. Now its infected, pussing, crusting etc, its swollen to the size of my finger and is red and hot. im BOILING but shivering and sweating, ive got a huge lump in my neck that hurts near it, horrible headache and im throwing up and im wobbly/dizzy. and its travelled to my other ear. ### REPLY: HI, thanks for using  Based on the description, you have both a local infection to the ear and a systemic infection. You need to remove the earring because it would aggravate the infection. You would need a course of oral antibiotics for treatment. In addition, the area would be cleaned with antiseptic and topical antibiotics applied. Your doctor will also likely prescribe some anti pyre tics (fever reducing medication). I hope this helps ### END