Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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, may I answer your health queries right now ?  Please type your query here...my age 27 weight 80  few day i eat antibiotic tablic  over dose my blood pressure is high not control whats the reson mt teeth rct start me come home and eat meat and tablits blood pressur  is high ### REPLY: Hi Thereto antibiotics do not increase the blood pressure but if you are suffering from some infection which probably you are, infection can raise the BP up to certain extent. I would like to recommend avoid meals that contain good amount of salt like meat for few days and stop smoking completely if you do. Get an ECG done and if you have a family history of Hypertension then you need to monitor your BP daily for a week at a particular time and if it stays high (more than 140/90mmHg) then you need to be started on meds with lifestyle changes. 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: doctors removed my chocolate cyst in both ovaries last year that was about 7cm and 3cm each.know i am taking duphaston and lyglow 3 months course.what are the chances of conception ### REPLY: HelloThanks for your query. I will try my best to provide you with the best possible professional recommendations to your questions. DO Not attempt to get pregnant for these 3 months! The injection is intended to shrink the endometriosis, by concentrated hormones, so AFTER you will be more likely to become pregnant. It is unlikely you would have your period while these injections are ongoing. Try to avoid unprotected sex during the course of treatment. Yet again, I do hope that you have found something helpful, and I will be glad to answer any further query. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 15 year old son has been sick for over a year. He has a ton of thick mucous in his lungs and airways - found on bronchoscopy. Also tested positive for Streptomyces from bronchoscopy cultures. He has asthma but asthma meds are not working. Steroids not working. Cant figure out why he is so sick and cant get better. His infectious disease specialist suggested he should be treated as if he has cystic fibrosis even though his CF test is negative. Don t know what to do ### REPLY: Thanks for your question on . In my opinion your son is having bronchiectasis. In this disease patient has thick, copious secretions, coughing all the time with wheezing and shortness of breath. So better to get done HRCT (High Resolution C T) for the diagnosis of bronchiectasis. Try to follow these steps.1. Inhaled bronchodilators.2. Pulmonary rehabilitation with chest physiotherapy and deep breathing exercise. 3. Expectorant and Multics.4. Pulmonary vaccination with pneumococcal and h.influenza to prevent future infections. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recently started waking up in the morning with achy pain in my lower back/side - right side. I have had back pain before so know its not that. Its not anywhere near the spine (more on the side) and above the real lower back where I have had back pain in the past. Im sleeping in the same bed so that has not changed. I believe its my kidney. It hurts and aches but then goes away after an hour or so after waking. What might this be? ### REPLY: Hi welcome to , I understand your query and concern. As per your clinical description of pain, it usually points to renal stone located somewhere in the lower ureter. For this you need to have a CT scan of the abdomen for accurate assessment. Gelusil cannot control this pain. I advise you to have Tab Tramadol and Tab. Pantop 40 mg, a course of antibiotic taken under medical prescription to control this pain. Further expert management depends on the outcome of the CT scan result. If the size of stone is more than 5 cm then depending on the location of stone Extra corporeal lithography can be done.Meanwhile, you need to take soft and less spicy foods. . Fruits, fruit juices, vegetable salads, soups should be taken. Post your further queries if any. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doc...I am 29...I have a lump right on the butt hole...this comes after each time i do squat class in gym...stays for a week or so and disappears...its kind of irritating...its from with in...like a small botan antena projecting right on top of my butt crack..its hard and pains when pressed...what is it... ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have some piles (hemorrhoids). You should go for per rectal examination. If you have piles then you should take high fiber diet with plenty of water. Avoid constipation. Istanbul powder is helpful. If your symptoms are not relieved then surgery is the treatment of choice. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . 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, doctor I am 25 year old male. I was treated for pulmonary tuberculosis for 6 months AND DIRECTLY OBSERVED. after the treatment the xray remained the same no changes at all. but the problem is that I still feel back pains where the hazy part is. what should I do or is it normal? ### REPLY: Hi, Welcome to . After going through your query I think You are suffering from chronic backache. It is related to some extent to your old pulmonary tuberculosis as healing occur by fibrosis and calcification. After the treatment the x-ray remains the same.it does not change so no need to worry. Treatment of back pain is exercises, Cartilage D once daily, NUROKIND GOLD ONCE DAILY and analgesics (diclofenac 100mgSR) whenever pain. Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation(On DK 60K weekly with milk) can be taken. Avoid long continuous sitting. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. To further investigate MRI of the region is advised. I think your query answered. Welcome to any follow-up query ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Im 24 years old with 4 kids(boy,twin girls, and girl. I had a tubal ligation last year of 2014 during my c- section. It s been a 1year & 2 months since the tubal has been done. Just recently of last month of June 28,2015 my period started and lasted for 4 days. It was supposed to start on the 26 of July but today I m 3 days late and I notice since these past 3 days I ve been peeing frequently 5-10 min and I notice I ve become lightheaded and dizzy. I just want to know I could be preggers or just stress? ### REPLY: Hi, I think you should do a urine pregnancy test at home.  Sometimes failure of ligation occurs, but it is rare. So, just clear your doubt by a pregnancy test.  If negative, it can happen due to some stress factor.  So, wait for your periods. If you don't get your periods within 2 weeks of your expected date, and test is negative, you can take some medicines for inducing periods.  Frequent urination can be due to urine infection. Get a urine routine and microscopy and a culture done.  .  Hope I have answered your question. Regards  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my husband is 38 and has had a lump on the front part of his head. He hit his head with a pile driver at work about 10 years ago. It s about the size of a quarter. Its raised up and moves around. It seems like some days it more raised up than others and he gets dizzy and has headaches. What could it be. Please help. ### REPLY: Hello and welcome to , A lump in the head after a head injury can lead to symptoms like headache and dizziness. A head injury should be followed by CT scan because asymptomatic injuries can lead to blood clots and hemorrhage which be serious later on. Thus, I suggest you to get a CT scan of the head region for assessment and thus management. Consult your physician or preferable neurosurgeon for clinical assessment and thus management. Thanks and take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I fell 3 days ago and have a red bruise on my knee. When I returned home it did not appear to be an open wound ( no external bleeding) But over the last 3 days the centre of the bruise is becoming yellowish which appears to be pus. Ive been applying antiseptic cream even though the wound is not open. My question is: Can I apply ice to the bruise if there if pus there? And - how did pus get in there if the would was not open? Any advice would be appreciated. ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint a red bruise at the site of injury is due to ruptured blood vessel caused by trauma leading to spillage of blood into soft tissues. It is not a serious condition and will get resolved gradually as the blood will disintegrate. As the area has become yellow with pus in it there is a possibility that there has been infection in the area along with pus formation. As the injured area become weak the bacteria present in blood or from mild laceration from the skin can penetrate the area of injury and cause infection. I would suggest you to consult a General Physician and get evaluated, and he can advise you to take antibiotics like Sulphamethoxazole and Trimethoprim, and anti-inflammatory painkiller like Ibuprofen. You can also be advised to apply antibiotic ointment over the injured area. In case if there is excessive pus accumulation Incision and . . Hope this information helps. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello doctor, I am very upset just because i forget things fast and cant concentrate, I tries a lot to remember the roads but i forgets the name of the road and the route, I cant remember the words what my boss or my father says. please give me a solution for this i want to get rid of this. Thanks Ankush. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. Simple forgetfulness due to busy schedule and ignorance are common with so many people. You should not get alarmed of these. You are unable to remember things because you are not actually involving yourself. So many people forget the name of roads and places. There is nothing to worry. If you want further confirmation, consult a psychologist who shall test you psycho metrically for your remembrance and recollection ability. 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 the needed 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: hello ..my mom ..... had fever for 6 months...and she lost her weight drastically .....and we have seen a doctor..initially...she was diagnosed as having tuberculosis...s her montoux test was positive...but later ...after some blood tests they confirmed it as...blood cancer....and they told there is no cure for blood cancer...and only way is chemotherapy....some one pls comment wat is this blood cancer...is there any medication ...??? ### REPLY: Even my mother had this fever and some swelling in the neck, she was diagnosed to be blood cancer and the doctor told to go to a cancer center. They told she will survive only for some 5 years even after chemotherapy and bone marrow transplant might prolong her life, but it is too costly as well as very difficult to get the matched bone marrow, we tried with chemo and her condition is improving, we're also giving her some turmeric mixed in milk. I read in some article that it will protect and cure also. So I am doing this. Now she is improving. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Husband had a heart attack. Drs. say he had very little oxygen at arrival. He was placed under sedation, however they suspended the sedatives and he doesnt respond to commands . he is on a respitator, how long for us to know if he has brain damage or not. ### REPLY: Hello madam, I pray to God for you. There are some hallmark signs of brain death-1)when you shine torchlight in the eyes, the pupils don't constrict or react, and they remain fixed and dilated.2)when you touch the cornea of eye with a wisp of cotton, eyes don't blink in a dead brain.3)when you turn the head towards one side, in normal individuals eyeball move in opposite direction(dolls eye reflex). In a dead brain,eyeballs remain fixed. These signs suffice for calling it a brain death, for all practical purposes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 13yr.male had head injury 3.6.12. Glasgow scale 4. MRI capilary haemorhages frontal and parietal lobes of brain. Now recovered and doing well, he is on eptoin and therefore feeling very drowsy. NO HISTORY OF CONVULSIONS. hOW LONG SHOULD EPTOIN CONTINUE? ### REPLY: Hello, As mentioned by you that there are no new symptoms than the medicine should be continued for some time as per the neurologist opinion.  Also, one should be aware that any hemorrhage happened in the past shouldn't be taken lightly, and utmost care has to be taken. It is good to hear that the kid is doing all good without any major symptoms. Since Option is an anticonvulsant medicine it has to be decided by the physical examination of the neurologist and if any convulsions do not appear than the neurologist may stop the medicine at the earliest. 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: Hi! I got scratched by an aggressive dog through fabric (that not did rip, but there was a scratch on my leg) about a year and a half ago. I had animal control look at the dog 10 days after the bite and they reported that the dog seemed healthy (barking, walking, etc.). I am now wondering if I should have been more concerned. Can I trust the dog was rabies free? Should I have gotten the rabies vaccine? Should I know? ### REPLY: Hello, THX to contact us. I understand your concern. If I am your treating doctor I advise you that as dog is under observation since 10 days, and it is not showing any signs of rabies, so there is very little chance of rabies virus in you. But if you do not want to take chance you can go for virus vaccination, it is harm less and gives you more protection. I will be happy to answer your more concern kindly know me, Wish you a very good health at . . Infectious Disease. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, i have been trouble with itchy rashes starting first on upper abdomen, then arms, behind knees then thighs now armpits, no one knows what it is. also had  a large swollen vein in armpit same time, but has passed now. nothing on mammogram or ultrasound of pit. ### REPLY: Hi, The itchy rashes on arms, axillae, trunk and thighs may be lichen ultimatum or purity. There may be some cause. It may be some irritant, allergen,infection anywhere in body or some internal disease. You consult dermatologist. Have investigations to find out systemic cause. You may consult physician, if internal problem is suspected. If some irritant or alleged is found, it may be removed or prevented. You may take antihistamines like levocetirizine or desloratidine till itch is relieved. Systemic steroids may be taken in tampering doses, if needed. Mild steroid cream may be applied on the affected parts. You might feel better. I hope you got my answer. 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 have a Bartholin gland cyst that has already been marsupialised as of two weeks ago. My stitches have yet to dissolve, and I still feel a small lump there. I was on the substitute for Bactrim, but a week after the marsupialization, she put me on the substitute for Augmentin. I have approximately 10 pills left, ordered to take them twice a day, and I have yet to notice a change. Will it ever go away, or should I do another marsupialization? ### REPLY: Welcome to . 1. Generally post procedure status of the cyst - might show some edema which looks like a cyst, as It's still earl post procedure.2. The other possible cause could be reoccurrence of the cyst again - which is also possible in few cases.3. In case of reoccurrence - you need to wait till the stitches heal - and further monitor and plan for a minor surgical procedure.4. Antibiotis are generally indicated after any procedure for better healing and as anti-infective.5. So at this moment - you need to take medication and let the area get healed first, then needs examination again after few weeks - if required a repeat procedure or minor surgery. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a child that is almost 3 years old that was eating a chicken leg. Upon examining his plate to see if he needed anything else I realized that there was part of the chicken bone broken off and missing. When I asked him where it went he said it was in his mouth and he ate it. He had already swallowed the food so I dont know exactly how much he swallowed or if it was a small broken piece that he possibly chewed. Do I need to take him to the emergency room? ### REPLY: Taking a child to emergency room depends on when your child ingested the foreign body, where it is located in gut and what type and how large was the foreign body.in your case child ingested a chicken bone, it is small can be sharp or blunt, has not caused any symptoms like vomiting, pain, or difficulty in swallowing at any time. So it's not of emergency.  But position of chicken bone has to be looked in gut by a chest and abdominal x-ray. If it is still (after 2 hours of ingestion) in upper gut esophagus it has to be removed by endoscope. If it has not crossed stomach after 3 days it has to be removed. If it has crossed stomach it will pass by itself in stool. So please get the X-rays done. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 a nut shape lump just under the ear and it happens every once in awhile....when he eatsThe doctor said it was a stone, but of course she is not back from pregnancy leave, until June. It is sore and only bothers him every once in awhile. It can be sore for a few days or maybe half a day. Could this be a glandular stone.?Thank you ### REPLY: Hi! This is a lymph node and not a stone! Thanks for writing to us and sharing your husbands' case of sore lump under the ear with ! The lump sometimes disappears it means it is not a stone in salivary gland/parotid; this is definitely a lymph node getting enlarged due to some scalp/ear/nose/throat infection; and soreness indicates the severity of inflammation and the tension on skin/soft tissue! A needle biopsy is necessary, however, to see the possible reason behind it; therefore, just don't worry! Hope you got the answer; regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a mild redness on my foreskin and aching testicles. Doctors have tested for STIs and have been told Im all clear. I had unprotected sex with a female and oral sex with a male in August 2013. Both sympton have been present and constant since then. Im worried Ive caught something but its going undetected. What else could cause both symptoms? Im extremely stressed out about it and walk away from the doctors feeling ignored and humilated becuase they cant see any redness on my foreskin. Other problems I currently have is a sore back and itchy feet. Just incase they are related. ### REPLY: Hi, Redness of foreskin indicates an inflammation either due to some infection (STD or non-STD) or due to some irritation to soaps or some external applications. Yeast infection is a common one to produce such inflammation, and we can confirm this with examination and simple investigations and treat with appropriate antifungal preparations. Scrotal pain may be due to Epididymitis. The cause of this also may have to be investigated with blood and urine tests. Sore back and Itchy feet seems not related to your sex relationship.  . Morgan ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Yea. I bent my head now and my neck started hurting and i felt heavyness start in my sholder and travel down my left arm to my bysept and continue to travel into my forearm. i stayed in that possition for a second to see what else would happen then it started traveling from the back of my neck into the back of my head then i started feeling dizzy like i was gona pass out to i lifted up my head from that posission and took a breath and it started going away? and my left arm still feels a bit heavy? what do you think this is? ### REPLY: Hi I am . .  In my opinion I think you have cervical radiating pain due to nerve compression, I suggest you do an MRI to exclude disc herniation.  For now, you may use painkillers like Advil tabs when needed, hot massages with topical gels, B12 vitamin supplements, muscle relaxants will be fine for most of the cases.  If pain persists I recommend you visit your physician for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir i am having vitiligo from last 14 years but it was very minimal....three years back i hv taken homeopathic treatment which made it bad and it increased,,,then i stopped that medication and started some other allopathic but not done seriously nd left that also....now my patches r inc slowly now i m little bit worried ..is this possible to get rid of it...kindly suggest ### REPLY: Hi, Vitiligo is an autoimmune disease causing white patches on the skin. White patches occur due to the loss of melanin in the skin. There is no complete cure for vitiligo. Do not worry. The progression of the disease can be retarded to a certain extent by local application of immunosuppressant ointment and UV treatment. I would suggest you to continue treatment. Please consult your Dermatologist for appropriate treatment. Reduce consumption of seafood and sour food such as curd, tomato and tamarind. Always use sunscreen before stepping out. Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I got hit in the head with a bottle bouncing.  The bottle broke on my head and we got the bleeding stopped.  Cut didnt require stitches.  Its been five days and the cut is pretty much healed except scabbing but I can feel a long narrow dent on my head.   Could it be the skin taking time to come out or my skull?  Im concerned.  I never had signs of trauma or dizziness. ### REPLY: Cellophane You for contacting . Yes it will take some time to heal completely. Meanwhile you should take extra care. If you or any family member observes any neurological change like loss of consciousness or memory then report immediately to hospital. Apply poly fax plus ointment over wound for rapid healing. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Got a bad case of roadrash after a mountain bike accident.  Cleaned the wound out with peroxide on site of crash.  When I got home, cleaned wound again with soap (twice).  Covered wound with Johnson and Johnson (Compeed) adhesive pads, the kind used to treat burns and blisters.  There is a lot of redish almost clear discharge coming from under the bandages.  I dont believe the wound is infected because I cleaned it out really well.  Is this discharge normal?  My theory is that it is my bodys way of trying to make a scab but it cant because I am keeping the wound covered. ### REPLY: Thanks to ChatDoctorI can understand your concern whenever injury to any part of body, body mechanism will try to get heal themselves here you did good thing of cleaned wound immediately with antiseptic solution, so contamination with bacteria is very, very minimal clear discharge from wound is wooing from the swollen tissue at injury .it is normal process of mechanism, so don't worry, you have done good job, but I would like to have antibiotic like definite 200 mg and anti-inflammatory like cello plus to prevent complications for 3 days don't worry continue . Ok ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Last week I had sex with my boyfriend and the condom broke so I took plan b within the 72 hours of having sex. Its been about 5-6 days now and I have felt any symptoms whatsoever. However, earlier today I started feeling urges to use the bathroom excessively when my body didnt really have urine to release. Then after a couple of times I noticed that instead of urine it was blood every time I used the bathroom. Could this be an effect of using Plan B? or could this be a UTI? ### REPLY: Hello misunderstand your concerned emergency contraceptive pill cause bleeding. It is due to progesterone with .  It will occur after 5-7 days after taking ECP in most of the cases. Furthermore, it will disappear in 3-5 days. So bleeding is normal physiological phenomenon.UTI chance is less. But for can for urine test to clear your doubt. After using I pill, Period may delay by 1-2 week because of hormonal imbalance and stress. So if period will delay by 8-10 days then go for pregnancy test to exclude the pregnancy. Hope this may help you Best regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I recently had swelling in my finger and thought it was an ingrown nail. It became worse so I went to am EMO (I am not at home and have no doctor in the area) and they tried to drain it. It became worse so I went to the ER the next day (yesterday) where he told me it was herpetic whitlow and prescribed me something for it. I have taken two doses today, but am nervous about my finger. It continues to swell and is now purple. I have some slight swelling on my hand as well. ### REPLY: Hello, I have studied your case. I think you need to see a skin specialist. These type of swelling is mostly due to following causes.1. Bacterial infection 2. Fungal infection A skin physician can examine your swelling and confirm the diagnosis. If there is bacterial infection than after . If it is fungal infection than this may need treatment for longer time may be three months. If you can send me images of the finger, I can help you in diagnosis. 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: Well I recently have had oral surgery, my wisdom teeth were removed, and now my chest feels compressed and in pain to breath. On top of that it has been almost a week the still And they bleed still and Im pretty sure the stitches have popped...meaning theyre an open hole. ### REPLY: Hello! Thank you for posting here. You did not mention if you had the surgery under general anesthesia or local anesthesia. It is not okay to have bleeding even after a week. I suggest you to see your dentist immediately. You did not mention if you are a diabetic and if you have any other general health problems. Get a blood profile done. Chest compression cannot be because of a local anesthetic affect. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had Gyno for about three years now after foolishly using a pro-hormone when I was younger, a mistake to say the least,do you know anything about the use of Turmeric root to combat the fat/tissue build up and/or any other possible remedies before surgery. Thank you ### REPLY: Dear my suggestion to you is that first of change your attitude about carrying fat tissue. You should be fit in terms of BMR[basal metabolic rate], normal blood sugar and a normal blood pressure. Don't go by looks, few people have tendency to put weight and there are many reasons for same. So idea should be to treat the root cause, it can be hypothyroidism, Cushing syn .  Any cause has to be treated to get rid of fat and then prevention off course is better than cure, so go for lots of fruits and salad along with workout at least three times a week if not daily. Treatment with orbital has some effect as it lowers fat absorption and finally surgery should be the last resort.........TC 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: Can I give Tylenol or Motrin to 2 year old after I gave her Kids cold & mucus relief homeopathic syrup (2.5 ml). She had a fever still after strep thrust diagnoses early Thursday morning ... it is Saturday night now. Has lots of congestion and runny nose. Been to ER twice ### REPLY: Cellophane for choosing ChatDoctorI appreciate your concern, if this is the febrile state of child means the body temperature is more than 100 F then it is most advisable to give Acetaminophen (Tylenol) but here I would like to point out that it is better to control the temperature with cold sponging first and if it fails to work then you can try antipyretic medicine (Tylenol) second and most important is to treat the underlying cause of fever, in your case it could be just allergic condition and may not require any vigorous treatment, just take care for HY .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son, who is now 13, had the coxsackie virus when he was in the second grade.  I am inquiring about the long term effects of this disease.  He is active, healthy and exceeds academically.  However, he often experiences stomach upset and headaches.  His doctor claims he is healthy.  There is little to no research on the after-effects of this virus, and I would greatly appreciate some direction. ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Coxackie virus infection is self limited. It will be cured with in a short time. Antibiotic therapy can be taken to prevent secondary infection. It will never cause any stomach upset and other things. I think other things will be having different origin. I request you to kindly get your children examination done for other causes if stomach upsets. The most common causes of the stomach upset in the child is the worm infestation. Please maintain hygiene in your living as it is also important as taking the treatment. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a small hard lump on my right jawline about the size of a pea. I had a dentist xray it and they are sending me to a oral surgion...it s not black on the xrays but I am getting worried because it s getting more sore every day. Specially at night when I sleep....throbs. I am worried it s cancer ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have sore lump on jawline which could be due to blocked duct of salivary gland. It could be due to infected lymph node. Lymph nodes get infected due to bacterial or viral infection. It could be due to dental abscess. When infection or pus get accumulated at the root tip. You should maintain dental hygiene by brushing and flossing. I would suggest you to consult dentist for proper examination. Doctor may order X-ray and blood test to confirm the diagnosis. Doctor may prescribe antibiotics like amoxicillin for at least 10 days or perform minor surgery to remove salivary gland. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, Im trying to figure out if I suffered from a stroke last night, I had something like a panic attack, numbness in my left arm that made my head tilt to the left, dizziness, and feeling of hoplessness but no pain. And my heart felt like it was beating out of my chest. Its been about 18 hours since it began and I still have numbness on my left side and fingers and Im feeling dizzy... ### REPLY: I read your query and I understand your concern. Your symptoms could be in the setting of a stroke and I think you require medical attention. So I think you should present yourself to the emergency service in order to be evaluated for your clinical signs. Afterwards the diagnosis would need to be confirmed with imaging tests like CT or ideally MRI as well as tests to search for the possible cause and start treatment to prevent your symptoms to progress. 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: My husband has high blood pressure and takes medication for it. Lately he has woken up in the middle of the night feeling odd and when he takes his blood pressure is up to 180/190. Should he check if he has sleep apnea and why doesnt his medication keep the hypertension low. ### REPLY: Hello! Welcome and thank you for asking on ! You should know that sleep apnea can cause difficulty breathing during the night with blood pressure spikes. Your husbands blood pressure values are really high, and some tests need to be done to investigate for the possible underlying causes: - a chest X-ray study- a resting ECG-thyroid hormone levels for thyroid dysfunction- complete blood count for anemia-blood electrolytes for electrolyte imbalance-blood gas analysis-fasting glucose for diabetes-kidney and liver function tests. If these tests result normal, a multi latency sleep test should be done to exclude possible sleep apnea. But, if no other underlying cause is found, I would recommend discussing with your doctor on the possibility of making some changes on his blood pressure therapy (raise the doses or add a new antihypertensive .  Hope to have been helpful! Wishing all the best,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: MY HUSBAND HAS SORENES OFF AND ON FOR A MONTH OR TWO SORENESS TO THE TOUCH , SO HE WENT TO A cardiologist.AS IT TURNS OUT HIS HEART ISSLIGHTLY ENLARGED HEART WITH A BLOCKAGE AND A LEAKY HEART VALVE ON THE RIGHT SIDE.HOW COMMON IS THE SORENESS? . ### REPLY: Hi, I understand your concern and would explain that the soreness to the touch is not typical of the heart, and is usually related to a musculoskeletal pain (local inflammation). Anyway, considering the coronary artery disease, I would recommend performing a coronary Antioch scan, in order to examine the blood flow in this coronary arteries.  I would like to directly review his tests for a second opinion. In the meantime, I recommend taking ibuprofen for the pain and avoiding straining physical activity.  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: Dear Doctor,My name is eldhose and i am 25 years old. Presently i am in Qatar. I have severe lower back pain. after MRI my doctor told that i have a disease called spondylosis at L5 - S1. He told there is no specific treatment for this problem and I have to take pain reviler tablets when pain occurs.Actually is there any final treatment available to eliminate this disease? ### REPLY: Hello Your MRI findings suggests degenerative disc disease of L/S spine. There are spondylitic changes at L5-S1 level. Degenerative changes occur due to aging and weakness in annulus fibrosis. It is important to know status of nerve roots means there is any compression on nerve roots or not, whether there is disc prolapse or not. Your findings suggest mild degenerative changes. Majority of the cases of degenerative spine disease are benefited by physiotherapy and analgesics. You should try physiotherapy first. Treatment can be planned after consultation with neurologist. Get well soon. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have seveir pain on thecright hand side of my abdonom i have already had my appendix out last november and i have continuedvto have pain since this operation. i am in hospital now and they are treating me for constipation. i think i have a blockage as they have given me 3 sopositarys and i havenot had much bowel movement at all, and all the movement i have had it is soft. i am fed up of it now because it is not allowing me to move my right leg with the pain of my stomach and it dosent allow me towalk easily it is very painful. i am a fit and healthey 14 year old male . mabie i shouldnt be asking for  second opinion but i am in severe pain and i am fed up of them not giving me answers. i have my mom with me and she has given me permission to ask for a secon opinion ### REPLY: HI Minnows ! Sometimes there are post-operative adhesion formation at the site of operation which might stick to a part of your intestine, causing it to twist and get obstructed causing pain. It might be of sub acute nature giving rise to intermittent pain, or it could be acute giving rise both to pain and acute intestinal obstruction resulting in absolute constipation and inability to pass gases as well with distension of the abdomen. I feel that in your case it could be subbed acute in nature because of the long duration of your pain since the operation more than six months before. However, there are many pathological processes which could give rise to such pain in the abdomen, which if you could not be diagnosed clinically, warrant for further investigations like plain X-ray of abdomen, ultrasound of abdomen, and a urine culture and sensitivity test to exclude various other conditions giving rise to such abdominal pain. I do not want to confuse you by giving all the details of these conditions, but you can always discuss with your treating doctor on these points. If nothing is conclusive, then a diagnostic laparoscopy may be helpful. Wishing you an early recovery. Thanks and 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 Doctor some 50 days back i was feeling Nuasia & Vomiting in the morning .. i went for a Blood test( LFT) My Bilirubin Found 2.9 where as SGPT is 30 & SGOT 26 with other parameters of Alkaline phosphates are within normal limits .. Initially i was treated with UDILIV 300 twice daily but afre 21 days , when i made repeat LFT, it fond no marginal decline Serum Bilirubin is 2.7 where as SGPT is 27 & SGOT is 24 then i change the doctor & take advice from an MD who suggested me for an whole abdomen USG which find everything is normal except marginal Hepatomegaly .. Then 2nd doctor come to an conclusion that i have fatty liver & no jaundice . He prescribed me Viboliv 500 twice daily with Sorbiline for next three months & advice me to have normal diet with less oil & Fat .. I am yet to make an LFT which i am planned to do in end of march Is my treatment in right direction pls advice ### REPLY: Hello, Mild elevation in your bilirubin, first you need to know the reason, Kindly check your viral markers (Hepatitis B and Hepatitis C, if they are negative then okay, if they are positive then please get treated for the same, then regarding your fatty liver, your scan does not show any fatty changes, but kindly get your sugar, thyroid n cholesterol levels checked and can be treated accordingly if they are altered, along with diet restrictions like avoiding fatty foods with exercising is the ideal thing. Consult your Gastroenterologist and get yourself completely evaluated. Hope I could help you. 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 have a pain on my right side in my upper rib cage. It is painful to move a certain way, to sneeze, blow my nose etc. It is not painful to breathe unless I take a deep breath. I had this same pain about a year ago, I thought maybe it was a broken rib but had x-rays that were negative. What might be causing this? Thank you ### REPLY: Hi, thanks for providing a brief history. If it's Not a fracture then you should try to do some breathing exercises. In fact if there is muscle weakness then the pain prolongs longer. But kindly see if breathing exercises help you. If Pain still persists after a week or so then you can surely take advice from pulmonologist and undergo a scan of your lungs and see if pathological issues are there or not.?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 was involved in a car accident, as a result my lower back area lumbar l-5 was e-ray . the findings was an equivocal L-5 s spondylolysis without spondylolisthesis. there are minimal generalized spondylosis and facet arthropathy without fractures or destructive boney lesions. I had no problems with back before the care accident. I m in pain all the time. It is very painful. question. Do you think the car accident attributed to this. I did have any pain before ### REPLY: Hello, I have studied your case and reports with diligence. As per your x-ray report there is severe degenerative changes in whole lumbar spine with disc space reduction. At old there can be degenerative wear of bones, muscles, ligament and facet joint arthritis, due to deficiency of calcium, vitamin D, IT B12.so supplements of these nutrients can relieve pain. Check your bone strength with DEXA SCAN and you can start medication according to level of osteoporosis, And also check your it B12 and it D3 level. I will advise you to do regular physiotherapy and exercises as my patients find much relief by these therapies. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case you need to take diet rich in calcium and vitamin D. You may need MRI spine. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. 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: sir!! im himalaya ,18 years old...... im suffering from nose problem ....in this my nose septum instead of being straight is tilted to extreme... due to it i suffer huge pain in head and i always have cold......nowadays even my neck is giving me problems with a pain in lungs wen i cough out.....plz advise me a solution.... ### REPLY: Hello, I understand your concern. I am , infectious disease specialist, answering your concern. Your condition in medical terminology is known as deviated nasal septum. The final cure for such a condition is surgical correction. You can do your correction by the ENT surgeon. Until you correct surgically the problem of headache and neck ache remains as such. Till you do not visit to the surgeon I advise you to take the Tab. Aceclofenac for pain tablet cetirizine for nasal discharge under your doctors' guidance. Please do maintain good hygiene in nasal cavity otherwise infection do occur in noncorrected nasal septum. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ .  You can hit thank you button if you are helped. Thank you, ChatDoctor ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a swollen stomach at first I thought it was trapped wind but the pain is server it is my lower abdomen it is hurting when I wee or when I need to go for a bowl movement, it feels almost like when I had my appendix out. I have had the symptoms since Friday so on to the 3rd day ### REPLY: Hi. Thanks for your query. Noted your history of swollen abdomen, pain hurting more on when visiting bathroom for wee or passing bowel movements. I would advise you the following:Get a clinical examination done by a General Surgeon. Ultrasonography of the abdomen. Tests of blood, urine and stool so that the diagnosis is made. If the cause is surgical you need to be operated, and if no such a case, a course of an antibiotic, metronidazole and probiotics along with symptomatic treatment for pain and so will cure your problems. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I HAVE GONE THROUGH LAB TEST ,THE RESULT SERUM T.CHOLESTEROL IS 229mgs/dl AND SERUM TRIGLYCERIDES IS 304gms/dl what kind of treatment shall i follow to control the cholesterol in my body what are the steps to be followed, pl mail me sir.                                                ThanksK.Ganeshmurthy ### REPLY: Hi Mr Ganeshmurthy After going through your reports, my opinion is as follows1. Your cholesterol is borderline high, and your triglycerides are high.2.  High lipids can affect the blood pressure, so needs to be controlled.3. You can discuss with your consulting doctor regarding stations and other lipid lowering agents, their dosage to control lipids.4. Exercise on a regular basis to control weight as well as to stay fit.5. Cut down on oil rich foods, junk food. Have diet rich in fibers, proteins and lots of fruits and vegetables. 6. Make necessary lifestyle modifications like avoiding stress, practicing yoga/ meditation. Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have swelling from my knees down with the worst being ankle and foot. I also have pain with worsening as the day progresses. I have been diagnosed with lymphedema and have a machine to help with that but it is not helping. I have already had a stress test and it was normal. What could be the cause of this? ### REPLY: Welcome to  I have gone through your query and understand your concern. There are many causes of generalized swelling, but most common of this is congestive cardiac failure in which heart is not able to pump the blood efficiently. Second is low blood protein count. Other cause such as kidney failure and thyroid function should be excluded by kidney function test and thyroid function test respectively. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a 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: Sir I am taking the following medicines: 1. Intalith CR450mg 2. Asenapt 5mg 3.Veniz 150mg+75mg 4.Lamictal 25mg 5.Mirtakem 7.5mg. I am having following problems: Lack of interest in pleasure activities including sex, difficulty concentrating, remembering.  Pls advise. Regards Sanjeev Kumar, 36 yrs. ### REPLY: Hi, The problems that you have listed can be due to depression. Although you have mentioned the list of medications you were taking, I would have preferred to know the duration as well the symptoms which made you seek treatment. Going by the medicines, you may be a case of bipolar disorder or less likely, unipolar depression.  In case you are a case of bipolar disorder, I would like to get a lithium level done and then optimize your treatment accordingly. If lithium levels are adequate, I would consider increasing dose of Aborigine. In any case, considering you are having symptoms now, your medicines need a review. Consult your psychiatrist and discuss your problems at the earliest. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 56 years old lady. i have B.P, DIABETICS, ASTHMA , TYROIED,MACULAR GENERATION, KIDNEY STONE . I took sonography of my stomach . There is moderate hepatomegaly .with moderate fatty infiltration of liver . .what is the meaning. what is this disease. what medicins i should take. what precautions I should take. Please reply ### REPLY: Hello! Thank you for the query. Enlarged liver due to fatty infiltration can be caused by alcohol abuse or by obesity, diabetes and all others associated metabolic changes. So if you do not abuse an alcohol and your weight is high this is the reason of such USG result. Fatty liver can lead to liver cirrhosis and liver failure. And as fatty liver is reversible, liver cirrhosis is not. So this is the best time to make some changes. You should test your cholesterol level with LDL and HDL levels and triglycerides level. If increased, you should ask your doctor to have some statins prescribed. You should also change your diet, prevent fatty foods and sugar rich foods, increase vegetables intake. Physical activity is also advisable. Hope this will help. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 12 month old son has these small little red bumps on his face, stomach, palms and feet. At first I thought it was because of the moisturizer I used but I stopped using it and it is getting worse. It doesnt seem to bother him but it looks horrible. What is it ### REPLY: Hi... I feel by what you quote he should be having a - Hand Foot Mouth disease. This is one viral illness among all other anthems which can cause fever followed by rash over palms and soles. It is a self-limiting disorder and itching can be really worrisome. I suggest you use any over the counter antihistamine if you have one with you now. You can use HY .  This can even cause some peeling of skin in the next 4-6 weeks and do not worry about it. But.... Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello,I have swollen gum behind two teeth of my upper mouth it may be gum infection I had no idea so I went to GP he prescribed for Alphamox 500. Gum is like a bubble for 8 days now what to now? should I go to doctor urgently or i can go after 1 month any suggestions ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your query swollen gum behind two teeth that is appearing like a bubble seems to be due to formation of a gum abscess that can occur due to infection in the area of the gums or can also be due to traumatic injury to the gums in that area with toothbrush bristles or any hard food leading to deeper impaction of the bacteria deep into the gums causing pus formation. In case if there is any decayed tooth in the area it can also be a dental abscess. As you are taking Alpha that contains active ingredient Amoxicillin that is an antibiotic will help in reducing infection, but you need to consult a Dentist and get evaluated, and he can also do a proper evaluation and can do scaling of the gums followed by continuing antibiotics and painkillers and topical gum pain application for relief. Do antiseptic mouthwash gargles. In case of dental abscess root canal treatment of tooth followed by antibiotics and painkillers will help. Hope this information helps. Thanks and regards. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my echocardiogram showed trivial tr & trivial mr..my halter monitor showed occasional ventricular ectopic beats with 2 trigeminy runs & rare supraventricular ectopic beats with 3 supraventricular tachycardia runs, rate up to 182bpm..what does this all mean ### REPLY: Hello and thank you for using . I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. I think we are talking about minimal mitral and tricuspid regurgitation. This means that these two heart valves has a minimal problem, they leak, or they turn back the blood. Normaly this should not happen but when it is a minimal regurgitation this is physiological, or it is not something to worry about. If it ks written moderate or severe regurgitation than you need to follow this problem. According to holder rhythm monitoring, it says that you have some rhythm issues. They ate not significant, but you can take medication to control them. But to prescribe the right medication, if I was the treating doctor I would like to know your age, associated disease, a full blood analyze to exclude electrolyte imbalances, anemi, your thyroid hormones because these factors are sometime responsible for this rhythm issues. After this we can decide how to treat the problem Meanwhile avoid coffee and caffeine products because they exacerbate your arrhythmia. Hope I was helpful. Best regards, . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am getting a rash that looks like little pin-pricks on my legs when they are exposed to the sun. This is now covering both of my legs from the knees down and you can see a clear line where my socks were. I get it a little on my arms and the back of my neck when I get too much sun there, but it gets really bad on my legs. What is this and what can I do to treat it? ### REPLY: HAI, It seems your skin highly sensitive to sunlight, and you have to avoid exposure to sunlight as far as possible. You can wear stockings, leggings and wear gloves to protect your hands and high collared shirts to protect your neck are always better. You can also use sun screening creams with SPF more than 15 whenever you go outside or if there is a chance to exposure to sunlight. These measures will protect your skin definitely. Now you can use moderate potent steroid creams and multivitamin tablets and mild toilet soaps with moisturizers with the advice of your Dermatologist. You will be free from all your symptoms 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: am 38 years old i had sinus problem,so i cant drink liquid item,it mean drinking only boiled water.so i cant eat butter milk,fruits,wn i ate buttermilk or fruits immidiately headche and cougChatDoctoring.i had so much dandruff my head all hair falling,so wt can i do.my son have esnophylia problem.he have cough.cold ### REPLY: Hi Dear, Understanding your concern. As per your query you have symptoms of hair fall and Dan .  Sinus issues could be due to upper respiratory tract infection. Need not worry. I would suggest you to consult dermatologist for proper examination. Doctor may order skin patch test, blood test and physical examination and may prescribe financial at least for 3-4 months along with antifungal medications. Take Indian gooseberry powder (half spoon) with water once a day and use almond oil for hair massage. Avoid use of hard cosmetic products, gels, sprays and shampoos. Do nasal saline rinses for sinus issues and avoid intake of outside food. Hope your concern has been resolved. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have read online that h pylori is transmitted through direct contact with saliva, vomit or fecal matter. Yet nobody states whether or not it is transmitted through direct contact with urine or blood. I know its dna is in urine and blood, but am unable to determine if it is infectious through those routes? ### REPLY: HI, thanks for using  The transmission of any infectious agents is also influenced by their survival in a particular medium. This means if the bacteria, e.g. H pylori, cannot survive in urine or blood then it cannot be transmitted in this way. The survival in the medium and in that aspect of the body is also important e.g. the urinary tract. H pylori is not normally transmitted via the urine or blood. 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: My father is 65 years old and is Diagnosed with brain shrinkage , age related atrophy changes ..Now he is unable to do his daily activities on his own, lost speech.Now taking ayurvedic medicine but nothing changes in his activities.How long does he live ? ### REPLY: Hello, Unfortunately, there is no good answer to the question of his life expectancy since that is much more dependent upon his overall state of health and other comorbid conditions he may have such as hypertension, diabetes, and renal function (among others).  There are no known medications or treatments on the market to reverse the consequences of dementia. My advice is that he obtain a caregiver who can help with his activities of daily living.  This will help much more than medication in keeping him safe and improving his chances at a longer life in order to avoid falls and make sure he gets medications, HY .  Hope I have answered your query. Let me know if I can assist you further. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter (she is 6)has been saying her butt hole hurts (about a month) and just recently complaining when she farts it hurts and burns. She says her tummy has been hurting. She is complaining to her teacher. Is she constipated? Should I take her to the dr? My other daughter (11 months) has been on miralax for 3 months becuase she wasn t pooping as when she did it would cause her a lot of pain. Could my oldest be experiencing the same thing? ### REPLY: Hi...by what you quote your kid is having a habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. To answer the questions and guidance - You can approach me at the following link. Please find the link below - www.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi . my name is ashley im from hawaii its been a while now my buttocks been painful.i went to my doctor and he told me its because of the food i eat then he gave me these medicines to take but it still not working. is their a homemade way i can get rid of it ? im tired of feeling this pain . thank you for your time ### REPLY: **1. All symptoms related to buttock pain must be evaluated in terms of their intensity, duration, location, aggravating or relieving factors, and in view of the presence or absence of accompanying medical issues [herniated disc, sciatica] in order to precisely identify the cause, so in best interest you are requested to kindly consult an Orthopedic Surgeon, 2. Since the diagnosis and management of your condition will require a physical examination, scheduling an appointment is highly recommended if the pain persists.PS. 1.  Take 4 tablespoon Tulsa juice 4 tablespoon ginger juice 4 tablespoon honey for 1 month2. Use of olive oil [Jain tail] for local massage.3. Make eggplant curry [Hainan key Bharat] and fry in castor oil and eat. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 seriously bad rib pain. My left rib sticks out a little more than my right ribs do, and theres this pain that hits me randomly sometimes, and when it hits i cant breathe cause it hurts. Now, right before it goes away, it feels like there is a pop and i can breathe again. Last time i went to a doctor was september of 10 and they gave me a x-ray, said they didnt see anything, and sent me home with IB Profin..it was not as bad back then as it is now and before i go pay a huge doctor bill, I want to know if anyone knows what it might be. I dont want to go to the doctors and them tell me the same thing again and then pay 2 grand for nothing. Please help!! ### REPLY: Hello, I have studied your case. Due to compression of this nerve root there is pain in your this can be related to smoking also. I will advise you to do MRI thoracic spine, HRC [CHEST] and EMG- CV [nerve conduction study]For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. 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 12 year old daughter has had a pain in her tailbone for about 4 months now on and off. She does karate and plays the piano but over the summer vacation has not been attending either. Sitting is becoming very uncomfortable and she gets relief when lying down. She is concerned that she will not be able to sit on the school chairs when she returns in about 3 weeks . We thought that with rest it would have subsided by now but it is still worrying that is has not gone away. I am taking her to see her doctor this week. What can we expect and do you have any advise? Also she has suffered no trauma to that area. Jane ### REPLY: Welcome to  I have gone through your query and understand your concern. You are likely to be having coccyxdynia. Treatment of it is hot bath by seating in a tub of lukewarm water. Analgesic such as ibuprofen is given for pain relief. Vitamin B and C is helpful in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have lots of small fat lumps on the front left side of jaw What now look like one big one Is there a way to remove them with out surgery As I have had one remove from my neck and it left a horrible scar . And I have been told surgery will damage the nerve in my face and I don t what to lose the feeling in my face or have a droopy lip Any ideas what to do next? ### REPLY: Hello, Thanks for writing in. According to the details you provided, its not clear cause of origin of the lumps. Direct clinical examination as well as palpation of the lesion is necessary to rule out the diagnosis and treatment plan. There are several cauterization methods which will not leave a scar while surgery has done. Please do visit an oral and maxillofacial surgeon and do the treatments based on that. Meanwhile, please do avoid intake of too much of fatty foods and oil. surgery has to be contraindicated if it will damage facial nerve. Hope this helps. TAKE CARE. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doctor my child is almost 4 yrs and having cold for which i gave her maxtra for 3 days without realising that i gave her an overdose of that medicine that is roughly 7 ml twice in a day. Will it have any adverse effect and what and can anything be done to reverse that. ### REPLY: Thanks for asking I have gone through your query, your 4-year-old child having cold and you have given mantra 14ml per day. You are worried about side effect of this dose. There is not some much side effect of this dose in 4-year-old child. He may feel more sleepy. So not send him school and keep him at home and let him sleep if he is like to sleep. Correct dose of this . 5 ml thrice a day for 4-year-old child. So nothing to worry. Hope i able to answer 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: my daughter has seen a lung doctor for almost a year he has done many test why she is experiencing shortness of breath not only with exercise but at rest as well, she also experience a rapid heart rate, which she see s a heart doctor for that. The heart doc. put her on verapamil and flouricordisone so she can absorb sodium due to her low sodium levels. Her lung doctor does know she has inflamed airway, she was put on many different inhalers, none of them worked, the test from her broncolscopy are coming back as normal we are stuck on what to do next ### REPLY: Hello! Welcome and thank you for asking on ! Regarding her cardiac symptoms, they seem to be related to orthostatic intolerance. That is why her doctor has prescribed verapamil and fluorous .  Regarding her shortness of breath I would like to know the results of her respiratory function tests. If it is inflammation in the lungs, it may be asthma. Steroids (inhalation or tablets), coupled with beta simulators (albuterol, albuterol) inhalators may be helpful! Hope you will find this answer helpful! Kind 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 am 26 year old female. I got blood test around 27dec 2012 and the doctor figured out jaundice in the reports. I was in India that time. I followed a strict diet avoiding all the spicy food, butter, curd and even milk with medicines liveril fort and ubexa twice a day with plenty of rest. I am in Canada since Jan3 2013. I got another blood test around Jan 7, 2013 and the values for liver enzymes ASt and ALT , billirubin were still little more than the normal values. I feel better than before and can feel the changes. I am planning to get another blood test may be in 2 weeks. So far I havent started taking any spicy food and stick to simple rice with sugar, salad, fruits and juices. I am wandering if you can give me some suggestions on my diet now. If I can start taking milk, egg or freshly prepared indian vegetable curries? Thanks. ### REPLY: Hi, Thanks for posting your query. You are most likely suffering form acute viral hepatitis which has span of almost 8 weeks. First 2 weeks are symptomatic and remaining 6 weeks are required for recovery. As such there is no need of any dietary restriction as liver also needs energy and by restricting diet body is deficient in basic needs and patient starts losing weight. As such there is no need of restriction of milk, egg, fresh green vegetables. Initial 2 -3 weeks, serum bilirubin and liver enzymes shows rising trend, and it starts decreasing after its peaks. Peak is different for each & every individual. You should remain in touch with your treating doctor and continue with normal diet and prescribed medicines. 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: hit on shin 2 weeks ago resulting in a big hard lump and bruising tonite I just noticed that my leg was swelling and pooling with blood right above where my sock is. Is this dangerous? I have it elevated with ice packs now. ANymore advice would help. ### REPLY: You must show to an orthopedic doctor, the hematoma formed due to injury may have got infected with fluid or serum collection giving rise to more swelling now, may need . , possibly an x-ray too for any bony lesion due to injury or infection. Sometimes breach of periosteum is there and consequent infection into bone too...if need be, a bone scan for early infection detection in bone may be needed too, or it may be just soft tissue hematoma, which can be known by check upbeat wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 6 weeks pregnant. Mild intermittent asthmatic. I have a cold for a week. Had coughed up some mucus the first 5 days. Last two days the cough is unproductive and somewhat persistent. i have a 99 fever and am having to use my inhaler every 4 hours round the clock. which is uncharacteristic with a cold. ### REPLY: Hello, You may be suffering from lower respiratory tract infection. You have to avoid cool .  Use water vapor inhalation and salt water gargling thrice a day for five days. If symptoms don't improve, it is better to consult your physician rather than prescribing medicine online. He will examine how severe it is then treated you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am having a problem which may be related to the heart (as per my home physician). The problem is that a pain is being initiated from the middle of my chest and spreading throughout the chest. During this period I am having an uneasy feeling and the pain persists for around 5-10 minutes. During the pain, consumption of water (in small quantity) relieves me for some seconds and again the pain starts. During the initiation of the pain, slight pain is observed in the hed as well as the ache The ECG reports are normal and the TMT report is negative too. ### REPLY: Thanks for your question on . I can understand your concern. No need to worry about heart diseases as your ECG and TMT (trade mill test) both are negative. Since your pain is relieved by water, possibility of acute gastritis related chest pain is more likely. So take pantoprazole tablet on empty stomach twice daily. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Lose weight if you are obese. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother was diagnosed with peritoneal cancer stage 3. The doctors never made it clear if this was mesothelioma or not. Doing research peritoneal is never listed as a cancer in itself but it is listed under mesothelioma. If her biopsy says she has peritoneal stage 3 cancer does this mean it is mesothelioma or could it be another type of peritoneal cancer? thank you ### REPLY: Thanks for your question on . Peritoneal malignancies (primary) are very rare. Malignant spread in peritoneum can occur in other organ malignancies.  But primary peritoneal cancer is very rare. The most common one in this is mesothelioma. Mesothelioma is the only peritoneal cancer known. It is also affecting pleura. So if your mother is also having pleural involvement than this must be mesothelioma only. Prognosis is not very good. Chemotherapy is the only treatment available.  Rarely radiotherapy given. ### END