Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 history with kidney stones and normally when i have one i get pain toward the end of urination in my clitorus. i Just got off of an antibiotic for a sinus infection and got a yeast infection and treated it with the 3 day monastat stuff. and now im feeling that pain again in my clit when i pee. is it just a kidney store or is it a UTI, also have some pain during intercorse ### REPLY: HelloThanks for query. Pain at the urination is mostly due to infection of Bladder (Cystitis) however since you are known to have history of kidney stone possibility of urinary stone needs to be ruled out. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvisTake broad spectrum antibiotics like Definite along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Get the prescription of medicines from your family Physician. Ensure to . To keep your urine dilute This will help to control dysuria. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Short of breath and being dizzy after 1 mile of walking. Been doing 2-21/2 m. 4 days/week 20 years. BP 126 / 68, chest x- rays neg., lung function OK, blood work. OK., non- nuclear? Stress heart test. Ok. Little better in last week or two. There is like a pressure in the upper part of my chest. Not painfall, just unpleasant and Feels like high blood pressure, if that is even what it feels like. ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion you should not worry at all for your symptoms.You're all investigations for cardiac and pulmonary diseases are normal. So no need to worry about major illness. And some amount of chest tightness and pressure is normal after 1 mile of walking. So no need to worry about these symptoms. You may have anxiety as a cause. Because chest tightness and pressure with normal cardiac reports is characteristic feature of anxiety. So avoid stress and tension. Be relax and calm.Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had an ingrown hair on my penis shaft. And it got infected the hair was removed, but there is a little bump/lump that was left over and it will not go away. Im pretty sure is a cyst now. So I was wondering if and where I could get it removed. Like what might be the process for the removal. And could a walk in clinic do something like that. because I would like to try to avoid the hospital.  I live in Toronto, Ontario. Thanks. ### REPLY: HelloThanks for query. Based on your description I would state that you have infected Sebaceous cyst over shaft of the penis. The penile skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally it fades away without treatment however it needs to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation and further treatment.If it needs to get excised in Toto (Completely along with the sac). This is a simple surgery done under local anesthesia as an out patient procedure and there is no need to get Hospitalized. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 3yo daughter has complained of a sore vagina for the last couple of days. It looks a little red but not too bad and I have been using some nappy rash creams before I put on her night nappy. Tonight though I noticed a yellowish discharge on her undies and she did have a smell about her. I myself am 27 weeks pregnant and I think it s thrush I m suffering with so I put a little anti fungal cream on her too. Can I continue with this cream or should I take her to a GP? ### REPLY: Hi, Thanks for writing to . I understand your concern, I need to clear few doubts though,1. Is the child itching at the place?2. Is child de -wormed regularly?3. Is there fever?4. Is there difficulty in passing urine?Meanwhile, you may please make the child sit in Potassium permanganate lukewarm water with private parts submerged in it, (sit a tub of water) 2 times a day for 5-10 min After every passage of urine, kindly wash private part with plain water. Do not apply any antifungal cream. Avoid using nappy till problem subsides. In case no improvement she may need consultation with pediatrician. Thanks. If you have any more queries I am happy to answer them. Else, please rate this answer and close the discussion ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: had foot surgery 7 months ago and developed lump on incision,my dr. lanced it and squeezed out white pus. sent culture to lab came out negative for infection. However, it still oozes white pus and I m itchy all over my body which causes lesions. What s this? ### REPLY: Well there is definitely some nagging persistent infection and the causative organism is absent in the culture test because of intercurrent antibiotics; sometimes subculturing / culture from different area could help! Anyways, it could be tuberculosis especially atypical ones or some reaction to retained suture materials/ . Please consult a good surgeon and a clean hospital...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: Yesterday, I noticed a lump on my forearm (approximately 2.5 inches from my wrist). There is no visible bruising, but the lump is very painful to the touch. This morning, the lump was slightly larger and is causing pain to shoot into my hand. Two days prior to noticing the lump, I gave blood for the first time. Is this related? ### REPLY: Hi, Dear thanks for the query to  virtual clinic. I studied your query in full details updated from you. I understood your health concernsBased on your query data, In my opinion, Dear You seem to suffer from post-blood donation blood clot at the leaked out Venus puncture accompanied by thrombophlebitis.Thus, the blood donation is related to your forearm lump with bruising of the site. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. . N.M.S. Genl-CVTS -Senior Surgical Consultant ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 low fever for the past two days. my back has been aching since. i developed a slight cough today. my head aches whenever i sit up or stand - it goes from the front of the forehead to the back of the neck. i also feel chilly and my body hurts just with the wind blowing at me. i also have an upset stomach - i have not pooped for the past 2 days and there is lots of gas. it makes me nauseous. sometimes there would be a sharp pain just below the gastric. please help ### REPLY: Welcome to  .1. It looks like acute gastroenteritis which generally associated with pains fever.2. With features of constipation suspect of any gall bladder pathology.3. What I would suggest you at this time if you are my patient, I would have asked for an ultrasound abdomen to find the cause.4. Once the cause is found then treat accordingly. If not, then stool softener and symptomatic treatment. 5. Recommend you to get an appointment, and needful investigations done. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my baby is 6 months old. he got cold and cough since Tuesday. I referred a doctor on Wednesday who suggested to go for nubilization. I continued nubilization for 3 days that is Wednesday, Thursday and Friday but no improvement. today I went back again and doctor said that it looks like bronchitis infection and suggested Respinil syrup and wikoryl AF drops and nubilization with budecort and asthalin. is the good medication and can there be chance of further issues. And is nubilization important, can it lead to asthma etc in future ### REPLY: Hello mam, you have not mentioned if your baby has had fever ? If yes then please get his counts, CBC and a chest X-ray done. Of course nebulization is important in case your baby has chest congestion which can only be made out by examining him with a stethoscope. Nebulization does not lead to asthma and I suggest you to start medication only after investigations. Thanks, wish your baby a speedy recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello So I began my period on December 19th. According to charts I began ovulating on the 2nd. My boyfriend and I were intimate on the 1st as well as 4 days prior to the 2nd several times . I am now receiving spotting . Is this a sign of implementation or is this still soon to tell ? I took a pregnancy test earlier today but it was released as negative . I am assuming I need to wait an additional week for hormones to be detected ? ### REPLY: HI, Thanks for the query. Understand your query. Implantation bleeding can be recognized by- - It's a couple of days early or on the day of menses.  - It is most of the time, scanty/ pink to brown, - There are no associated cramps, - It can be associated with early pregnancy signs like nausea, sore breasts, dizziness, - Urine pregnancy test will be positive after 8 days delay in periods But blood pregnancy test would be +ve with implantation bleeding.  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 CRPS of the upper right extremity.  I have red mottling on both arms and legs.  Now there is swelling in both of my calves, ankles, and feet.  On my ankles and feet there is blue to purple discoloration.  I take nine medications and I dont know if theyre affecting my kidney function or what.  Im quite nervous about the whole issue.  Do you have any idea what might be causing the edema and mottling? ### REPLY: Hi and welcome to . Thank you for your query. It can be kidney or liver disease as well as heart disease. You need to check your protein blood levels, liver function tests and kidney tests. Ankles swelling may also be caused by venous insufficient and skin changes can be caused by hypos attic dermatitis. So till you do these tests try to stand as less than you can, keep your legs elevated, use some elastic stockings and see will there be improvements. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 62 years Male suffering with Parkinson disease, hyper tension, Anaemia and TB infection and recently diagonised with Rosai Dorfman Disease.I already had spleenectomy done 30 years back. Can I know the causes,symptoms and treatments available for RDD?Is it curable? I have been operated in the right axillary lymph node and 2 swollen structures were removed. what are precautionary measures i need to take and what about the chemotherapy, does it have any side effects? what is the diet i need to follow?Please email me at the earliest thanks, ### REPLY: Treatment depends upon the individual patient and is planned after thorough testing to determine the extent of disease. Ideal treatment, however, has not been established, and there is no ongoing clinical trial. It is believed that 70% to 80% of patients have spontaneous improvement of symptoms without treatment, although they may have alternating episodes of worsening and relieving of symptoms for a long period of time. Some patients with severe or persistent disease or cases where organ function is threatened (such as breathing obstruction or kidney failure) may require treatment with surgery, steroids, and/or chemotherapy. Rarely radiation therapy may be used. Chemotherapy may include vinblastine, 6-MP, methotrexate, thalidomide, or Sleeve. The ultimate goal of an overall treatment plan, of course, is to use as little treatment ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my daughter has breast cancer and is taking chemo treatments. Her white cells are normal this week but her platelets are low. She had 2 pints of blood last Wednesday and was supposed to have her chemo today, but they said no because of the platelets. is there anything she can do or take to help keep her platelets normal. ### REPLY: Hi and thank you so much for this query. I am so sorry to hear about the breast cancer your daughter is battling with. Really, chemotherapy suppresses the production of these cells alongside red blood and white blood cells. This makes it difficult to maintain the numbers. The best way is to transfuse platelets concentrate to increase the numbers. I hope this ad .  Thank you so much for using our services, and please feel free to ask for clarifications if need be. I wish you the best of 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: So my mom has pancreatic cancer, she got whipple surgery done almost a year ago. They removed her gallbladder along with much of her digestive system. Since then her weight has been plummeting. and the fact that her stomach is much smaller makes it even harder for her to keep her weight up.Our solution is obviously to have her eat the most high calorie foods possible, which means a high fat diet. (fat has twice the calories as carbs or protein). But Im thinking this might be the wrong idea, because with no gallbladder, wont most (or all) of the fat go undigested? Shes trying to gain weight and her body could be reacting like its taking Orlistat diet pills.Im worried that Steatorrhea may be causing her to lose too much weight, and that a high fat diet is actually harmful to her health? any advice would be appreciated! Thanks. ### REPLY: Hi and welcome to . Thank you for your quarry. Whipple procedure is major surgical procedure and it always case digestion disorders because art of stomach and small intestine is removed, and pancreatic secretion is disturbed. Gallbladder removal is not problem at all. People have normal fat absorption after this because bile is secreted from the liver and the is no effect on digestion after gallbladder removal. Although, she should have more but smaller meals at least 6-7 times per day. It should be easier food, but you shouldn't avoid healthy fats and meat. She needs more nutrients than before surgery so try to make her diet various with 60% carboy .  Also, she should take vitamins supplements. There are certain shakes which can be useful for weight gaining so ask you GP about it. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my father is on peritoneal dialysis he feels very weak no much appetite all of a sudden from last week and his fluid his comiing out as dark yellow ### REPLY: Hi, Welcome to  Forum. Chronic kidney Disease (CKD) is the gradual loss of kidney function. Since how long is he on Peritoneal Dialysis (PD)? You should be taking to his NEphrologist so that he can examine him and suggest any rescheduling in PD. It is common for a CKD patient to have loss of appetite, not to worry. He will require few blood tests to see for the amount of wastes in his blood and also the hemoglobin level. If the test results show that the dialysis schedule is not removing enough wastes, your doctor may change the dialysis routine. This might involve changing the number of exchanges, increasing the amount of solution used for each exchange or using a dialysis solution with a higher concentration of dextrose. In addition to this, he should be eating right amount of food, low in sodium and phosphorus. Kindly consult a dietitian for this so that he/she can develop a diet plan suiting his weight, personal preferences, remaining kidney function and other medical conditions, such as diabetes or high blood pressure. Finally, he should be taking his medications as directed by his Doctor for achieving the best possible results and go for regular follow up. I Wish him 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 SISTER HAS FLYING TINY BLACK BUGS IN HER HOUSE.  ALSO, HER DOG HAS FLEAS.  I AM BEING BITTEN AND IT ITCHES VERY BAD.  I HAVE BROKEN OUT FROM THESE.  WHAT ARE THE TINY BLACK FLYING BUGS IN HER HOUSE.  IS IT THE FLYING INSECTS OR THE FLEAS THAT ARE IRRITATING ME. ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. If it bites you it must be some insect. Fleas never bites you. I suggest you to spray a insecticide in your home. You can also use repellent. This will keep the mosquitoes away from you. Please take the precautions measures as to some viral infections can be spread by such type of insects. I first advice you to do an examination of the died insect as to which insect it is. Thereafter, we can conclude the diseases caused by it. 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 had a RTA 10 yrs ago in which one the injuries I sustained was closed internal degloving injury to my right thigh, I was operated on successfully and had no further problems. 10 weeks ago however, I sustained a serious fall to my right knee, upon investigations I had a suspected MCL sprain. MRI and X-ray results showed dramatic subcutaneous edema throughout knee joint and popliteal fossa and muscle belly, no fractures or tears visible. 4 weeks ago and literally overnight I developed enormous free swelling that moves with gravity on my right thigh, accompanied by acute numbness and severe pain at the sight of the original scar. I also have severe pain witChatDoctorpression to the thigh and am unable to bear lying on my side. I have been tested on ultrasound both for DVT and a pelvic/ abdominal, blood tests, X-rays, all clear. Could the degloving occur again as a result of the recent leg trauma? And if yes, which is the best imaging to find the problem? I am a heavy person, but I know there s something wrong with my thigh - it is 9cm larger than the left despite having tried all avenues to reduce swelling, and has been ongoing for a month. Any advice please. Regard Mrs Mir ### REPLY: Hello, I have gone through history, and I am sorry to hear about what and all you have gone through. I will ask you a few questions - are you diabetic or have any signs of High blood pressure? If not checked please check it once. As you mentioned you are heavily built and also having injuries to the ligaments of the knee this must be a disturbance occurred to the normal vasculature due to fall. As the whole body weight might have gone through it. You need to allow the healing process to occur as there will be microvascular trauma to the small capillaries. If you aren't diabetic I would ask you for quick icing technique as it will create a stimulation to cold effect to the sensory system leading to the closure of the capillaries. Which may help to reduce the swelling and pain. Also, you can request the physician about the medicinal ointment for the healing as brand name varies from country to country I would not be able to guess which is available in your country. Besides, try keeping the limb over the pillow and immobilized, so the healing of capillaries takes place. For you ligament injury you need to check with the orthopedist as, if it has gone to full tear then you should be following the guidance of the orthopedist. 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: Dear Doctor,One year ago, on 0000, I underwent a triple by pass heart surgery. Although I have no complaints, I am still feeling a problem of breathlessness. Before surgery, I was a chronic ASTHMA patient. I still feel breathlessness when I do any work, bend or run a little. I am on medication for asthma and post surgery medicines. Please advise. ### REPLY: Hi friend, Welcome to  It is difficult to assess from the description.../ it is a double barreled gun... Breathlessness from heart is due to failure / precipitated by effort / relieved by rest / worse on lying down (orthopnea) and so on... / Asthma has a somewhat different presentation... The ideal option is to see the two specialists / X-ray Chest, ECHOcardiogram / TMT / Spirometry (lung function) may all be necessary / - to delineate the role of either and formulate treatment approach appropriately.  A multi-specialty tertiary care Hospital will be an ideal setting Take tarnishing speedy recovery God bless Good luck ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi My son has Proteus Mirabilis I would like to avoid antibiotics . Do you know any natural remedies ? Thnx Eva ### REPLY: 1. Proteus Mirabilis is a gram -ve, anaerobic bacteria which is commonly found in intestinal tract of humans and causes 90% of urine infections in humans by making urine to become more alkaline resulting in formation of stones.2. Is your child suffering from uncomplicated cystitis or pyelonephritis??3. Please mention the duration of symptoms??4. Antibiotics have not much role once stone formation is completed.5. Good sanitation and hygiene, avoid alcohol, caffeine,soft . 6. Take vitamin C rich diet as it prevents the bacterial growth.7. Yogic Exercises like Gomukhasana, Pawanmuktasana are useful.8. Consult with your physician or health care provider. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 4 and about 38lbs. has been complaining of a stomach ache right around his navel and has thrown up several times( all liquid looking vomit). He has complained some about a headache and at one point it felt as though he had a slight fever though has been hard to tell his whole body has felt hot most of the day. When I gave him a bath to try and help him feel better he got out of the tub with teeth chattering and his whole body shaking like he was freezing but he felt warm to the touch! What is wrong with him. I have given him fever reducer. ### REPLY: Hi... Thank you for consulting in . Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. 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.. im 26 F suffering from dust allergy from my childhood... symptoms are wheezing, running nose, itching eyes, cant go outside during summber.  yesterday i went on allergy test...i get this dust allergy ly in summer from feb tto may .  i wanted to know 1) will this allergy get cured permanently 2) will it affect to other parts of our body after consuming medicine prescribed from allergy center3) will it continuous to next generation also  plz reply doctor i wanted to get ride of this dust allergy ### REPLY: Hello, Thank you for asking at . I went through your queries and would like to make suggestions for you as follows:1) Will allergy get cured permanently:In modern science, allergen specific immunotherapy is a hope for long term relief from allergy symptoms as it works on immune system. Allergen specific immunotherapy is usually prescribed by Allergists-Immunologists.2) Will it affect other parts of body:As you have wheezing, nose & eye symptoms, you are allergic from air-borne allergens. Aeroallergens usually cause allergic rhinitis, allergic conjunctivitis, allergic asthma etc. It is important that they are treated promptly. For example, if allergy rhinitis is not treated promptly, it could lead to long-standing nose obstruction and can affect hearing, sinuses, etc. Rarely aeroallergens can cause dermatitis or urticaria. However, if you are allergic, it is possible that you develop allergies to other allergens with progression of time. Allergen specific immunotherapy can halt this process of progression of allergy.3) Not all, but 40-60% of child .  It is difficult to say which child ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is 2 months old.. she has saviour acidity problem. Doctor suggested Domstal syrup on it. Bcz of that her acidity problem got solved. So as per doctors advice we stopped giving her Domstal dose. again her acidity problem has raised..  So what to do? Shall we continue with domstal? ### REPLY: Hi, I had gone through your question and understand your concerns. You should be not given Risperidone for acidity problem. It is given in order to relieve nausea and vomiting; to increase the transit of food through the stomach (as a prokinetic agent through increase in gastrointestinal peristalsis)I suggest phototherapy: boil one cup of water. To this add 1 teaspoon of Aniseed (Sauna). Cover and leave for 2 hours. Strain the water. When she will take 30ml 2-3 times a day between meals it prevents acidity.  Kind regards Wish your baby good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have been coughing for about 5months went to the doctor and they found a nodular in my left upper lobe but didn t tell me the size I don t really cough in the day its at night or when I get excited or mad I am so scared because it seem as if it could be bad I NEVER smoked and I am 38 years old what do you think ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. You are having chronic cough with nodular opacity in left upper lobe. This can be seen in following conditions. 1. Tuberculosis2. Chronic pneumonia. 3. Fungal infection. 4. Benign cyst5. Lung abscess6. Lung cancer. So better to consult pulmonologist and get done1. CT thorax with contrast2. Bronchoscopic evaluationBoth are needed to rule out above-mentioned conditions. So, don't panic, consult pulmonologist and first diagnose yourself and then start appropriate treatment. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 16 day old baby boy has been in and out of the doctor since he was born. He has been vomiting since born. Recently it is projectile. He was born at 9lbs 4oz and left the hospital at 8lbs 9oz. He has not gained any of his weight back but has not lost either. After eating he gags, vomits, hiccups, or a combo of all three. So far they have changed his formula and put him on Zantac and no change. They did an ultrasound for Pyloric Stenosis and it came out elevated but still with in normal limits. I feel so helpless and just want my baby to start eating and gaining his weight back, Any other suggestions for what it could possibly be that I can bring to our doctors attention? ### REPLY: Hello Welcome to . As a Breastfeeding Specialist I would advise you to feed your baby small amount and very frequently. If the baby shows the symptoms that you have describes above this is because the baby is overfeeding, or he has reflux. In both situations you have feed him frequently small amounts of formula or breast milk. With his tiny stomach he only need 50-80 ml formula 8-12 times per day. So be careful and do not overfeed him. You should also burp your baby for at least 20 minutes in an up-right position and don't put him to lay down to early. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 19 years old and 230lbs. i used to be in very good physical shape playing football and baseball with cardio everyday. i now smoke cigerettes and dont eat a healthy diet for the past year and a half. when i try to work out or do any physical activity my heart beats so fast im scared of having a heart attack and have to stop. it feels like it is jumping out of my chest and it has never happened in the past when i did 50 times the excercise during football. any suggestion to what it could be and what i can do to improve my health so i can get back to normal? ### REPLY: Hi, I think you know better what's wrong with you. Smoking is not good by any means. Unhealthy diet weight gain no exercise causes deconditioning of heart and leads to increase beating.  To improve stop smoking immediately. Have healthy food habits and start cardio exercise gradually increasing way. Go to a cardiologist for routine cardiac examination with ECG, Echocardiography If required 24 hrs holder monitoring. Get your Hemoglobin and thyroid check. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am a 29yr old white female. 5 5 125 lbs. On Jan 6th of this year I slipped in my driveway and fell straight back on the back of my head, middle right side. I had a gaping wound , had a concussion , and was diagnosed with PCS. Ever since then my periods have been anywhere from 6-12 days late, but I m getting PMS symtoms 2 weeks after my period starts. I also suffer from MAJOR behavioral and psychological problems 2 weeks after my period to the point my psychiatrist wants to put me on an anti-psychotic medicine. Once I get my period I feel like a 9 compared to a 3. I feel so much better now. But this week I seriously thought I was having a meltdown. uncontrollable crying, major depression, 5 panic attacks when on 2mg on klonopin , serious mood swings. I just need to know that somehow this is all related and that it will go away..... anyone? ### REPLY: Hi.traumatic brain injury (TBI) can lead to any of those problems.It's pretty hard to predict to what direction its leading.maybe you had a brief psychotic episode following injury and that was controlled on anti-psychotics.now you are having a depressive episode, should be treated accordingly.you may require a mood-stabilizer in the long run.follow-up is needed.TBI can also lead to menstrual problems.few anti-psychotic medication can be also responsible.possibly you need joint care by a gynecologist and a psychiatrist.have a good health.don't worry. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have just noticed a large lump, painless above my coccxys and when I press it is really hard like bone but not completely centered under by an inch there is another smaller deeper one, I exercise a lot and I am slim so am hoping it is something to do with exercise or i am just boney but I worried it might be a tumour? I have no symptons of anything,,, ### REPLY: Hi, Dear Thanks for the query to  virtual Clinic. I studied your query with available details given in your query. I understood your health concerns. Cause for the lump/painless-For the right treatment right diagnosis of the cause of the lump on the coccyx-needs to be done. Cause of lump -It is very difficult to comment on the cause of the lump on the coccyx as the data is insufficient. Following possibilities could be ruled out with help from your doctor-DERMOID CYST/Epidermis Cyst/Sebaceous Cyst /Lipoma/or Normal Coccyx. From the facts told by you, possibility of it being a Normal Coccyx is more, as you feel another smaller one deep down. As the Normal Coccyx is a piece which turns and ends in to tip of the coccyx, so second smaller one could be coaxial tip and not the lump. This possibility is more in your case as you are slim.Hence, Don't worry.It's not cancerous. As I don't have the photograph of the lump or more first-hand information, I would suggest having Second Opinion to rule out other causes of the such a lump on the coccyx. Still if worried I would advise you to consult your doctor, who would fix the confusion and worry with it. This would help you to plan treatment with your doctor, whom you should plan your visit urgently, before it complicates anymore.Don't Self-treat or medicate in your case as the case may go in to further complications. Hope this reply would resolve your query and would help you to plan treatment with your doctor. Hope this would relieve of your health concerns. Welcome for any further query in this regard before final suggestions are given in your query. Wishing you fast recovery. Have a good day. . N. Senior Surgical Specialist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I hurt my knee last week running. It popped, I couldn t walk on it without limping. I wrapped it with an ace bandage for a few days and it seemed better until I bent it and it popped again. It feels like air in my knee and it s uncomfortable. What is it? ### REPLY: Hi, thank you for providing the brief history of you. A thorough clinical examination is advised. As you had a Popping kind of feeling along with limping I suspect this to be a ligament sprain. For this a thorough clinical examination is advised. As due to ligament injury there will be pain and limping is the indication of the same. Undergoing physical therapy to regain the ROM and strengthen of the muscles. In my clinical practice such cases respond well to physical therapy Regards 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 my son has fluid in his abdomen. He has been sick to his stomach and not been able to eat. He has been getting very shaky and not sleeping. Not sure if he has been throwing up for he is in Florida and I am in Tennessee he has just been admitted to hospital for further testing. Can he have cancer (I pray that is not what it is) he is 23 years old. ### REPLY: Hi, Dear,Thanks for your query to My  Clinic and understood your health concerns. Excess fluid in the abdomen is due to many reasons-Commonest-is Ascites / due to the liver cirrhosis from Viral hepatitis / alcoholic hepatitis.-Don't worry till you get definite reports from the treating doctors. Talk to the hospital to get the right information. Relax till then. Wishing early recovery to your son. Wellcome for further queries in this matter. 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 had a Litho 5 days ago on a huge stone!  MY doctor used double J Stints, I was put back into the hospital about 24 hours later and I am still in the hospital!  They said my kidney count was not right so they have had me on three antibiotics!  I want to go home, but ..........frustrated! ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You had kidney stone and go for lithography.  Now your don't have any problems with kidney functions. But there is chance of kidney infection. You can go hope if your doctor permit. But you should continue antibiotics orally. Cephalosporin, levoflloxacin or other broad spectrum antibiotics can be taken. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 12 months back I had a tearing feeling in my upper chest once the previous night I had masturbated with squizeeing my base of the penis sine then whenever I am in upright position I get a feeling as if my nerve is been pulled in the upper chest I also a tingling feeling in my left ear and left shoulder arch and as soon as I lie down the pressure gets realeased ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion you are having mostly muscular pain. But since you had left sided chest pain with left arm pain, we should rule out cardiac cause first. So get done ECG and 2d echo to rule out cardiac cause. If both are normal, then no need to worry much for cardiac cause. Your pain is mostly musculoskeletal in nature. So avoid strenuous exercise. Avoid heavyweight lifting. Avoid bad postures in sleep. Avoid movements causing pain. Start painkiller and muscle relaxant. Apply warm water pad on affected site.Don't worry, you will be alright. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my name is Ashish and I am a student.I having some problem in my head. my mind is always go out of world thinking useless.I cant stop even if i want due to over thinking my head from back start paining.This always happen when I am not doing anything or when I am studying.If this is a kind of any disoder or dieases then let me know.I forgot to tell u that sometimes thingking in nights do not give me good sleep ### REPLY: Hi there! Mind is not vacuum, it cannot remain empty. Being young, you have a lot of energy, please channelize it in proper manner, please do at least 30 mins of any aerobic exercise, not only for physical fitness but also for mental peace, it releases happy hormones. Please form list of goals, short term and long term too. Keep the track of every hour may be at least 6-8 productive hours a day in Excel sheet, to know what you did in that hour. Have half glass of hot milk an hour prior to sleep, this will ensure good sleep and will boost generalized wellbeing in you. From the information what you have given i don't feel It's something serious to worry., but please consult a Psychiatrist/Counselor if you don't improve with above measures. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: So last friday I got smashed between my car and a car that didn t have it s emergency brake on. The car wasn t going to fast, but i ended up with some bruising on my legs. One bruise in particular started really small and light coloring with a couple darker grey dots on top. The last time I looked at them was Tuesday, and nothing had changed. Today, Thursday, I looked and its got much worse. The bruise is dark, and the parts that were originally really dark are now red. Is this something to be concerned about? I m 20, female, and have not past problems like this :D ### REPLY: Hello, Welcome to . The bruise you mentioned, if its red, with swelling and also pain around that area, there are possibilities it is getting infected. You could start with an antibiotic ointment, applied locally. Within a day or two, if no improvement, should switch over to oral ones. But what you mentioned if it is pertaining to bone /joint, then you need to get an X-ray done. Do get it shown to a doctor, in case not healing within a couple of days. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: 5 days ago, I had mild symptoms of a head cold --running nose, sneezing, sinus pressure and mild headache but no fever. I have been to the E.R. and back twice since then because I am having difficulty breathing due to a huge amount of snot/mucus. I am a 54 year old female, and I smoke. ### REPLY: Helots type of condition may be due to allergic asthmatic bronchitis and smoking is one of the most serious predisposing factor of asthma because smoke directly enter into lungs. Smoking causes bronchoconstriction and this produces mucus, running of nose, sinus pressure, headache.First take some steroid inhaler once breathlessness under control then take montelukast+albuterol tablet once or twice in day according to severity of symptoms.However, hot coffee and steam inhalation also act as bronchodilator. Hope this will help 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: my son age 5.4year . he is very poor in writing & speach .after consolation with child specialist & neyro psychiatric it is known by E.E.G. test that he has appelapsy in brain . he is takingwo times a day medicine volparin 200mg 5ml two times a day ,vernace 500mg 01 tablate a day .please suggest is it curable and any other suggestion for better treatment . ### REPLY: Hi, Welcome to , I understand your concern. If EEG test done and neurologist suggested possibility of epilepsy then the treatment he is on now is good enough. His symptoms should show improvement in due course of time and don't worry, it can be durable, however, it usually takes a duration of 6 months to 2 yrs of therapy. So have belief and continue the best that is possible for the child. 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: for a few months,  as soon as I put my head on the pilot I feel like a heart beating in my right ear. After two hour sleeping I woke by the noise in it and decided to take my blood pressure, for my surprise it is 171/110, or 180/108,etc...wat can this be? ### REPLY: Hello and thank you for using . I carefully read your question and I understand your concern. I will try to explain you and give my opinion. You should know that we talk about hypertension if we have mean value that exceeds 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. Of course your values are pretty high, so it is necessary to treat them. Because of this high values you might experience headache, blurred vision, noise in your ear etc. Hypertension is divided into two groups. Essential hypertension, usually in older age that is a chronic disease without an identified cause and secondary hypertension meaning that is a secondary house of it. This might be a renal disease, an endocrine problem or a cardiovascular anomaly. So, if I was your treating doctor I will recommend some examination like a cardiac echo to evaluate heart function and walls, a full blood analyze to check renal function, an abdominal echo and a holder pressure monitoring to evaluate your values during day and night. After all this we can better judge what we are dealing with and how to treat it. 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: My sister has been prescribed divalproex sod er 500mg each (2 tablets) in the evening. She seems very subdued and not her normal self. She is also taking bupropion hcl xl 150mg in the evening. When I told the psychiatrist that she had some trouble eating because of her tremors, he prescribed 10mg of propranolol twice daily. What do you think? ### REPLY: Hello ! I read your question and understand your concern. Divalproex can be the cause of tremor. I would recommend having a plasma level of divalproex to rule out over dosage. Although 1000 mg/d is not a high dose. If she stops divalproex the tremor probably will stop. But I would take into account the benefits in seizure control of divalproex. It can be switched also into another .  Propranolol is a  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 facing numbness problem in my back ( top left side) since long time, due to which i couldnt sit comfortably for long or study properly.It often starts with a mild uncomfortableness, which turns to numbness gradually, making me stretch my hands to relax back muscles.I once happen to go on vaccation to france, and carried a bag pack( heavy) at my back for long. Few days later , i start to face this problem, which I suppose could be the reason.Kindly, revert back with possible solution to this problem @ YYYY@YYYY ### REPLY: Thank you for writing to  platform. We will be happy to help you. This back pain is easily manageable by Ayurveda without painkillers. Please take warm eater daily and before that gentle message by Mahanarayan oil should be done by getting help of someone. If not possible due to lack of time, please massage at night and bath in the morning with warm water. Oil is little pungent odored but excellent . Tryodshang GGUL 2 BD twice day with milk or warm water. Powder Hingwashtak 1 tsp to be mixed with cow ghee and taken orally in between meals. Follow little warm water after this and then take remaining meals. Please take for two weeks and report back. These are time tested harmless medicines of Ayurveda. May I help you more please. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a triple bypass in March 2017. Just saw my cardiologist and one diagnosis was cardiomyopathy. I don t recall that diagnosis. Right now am coughing a lot and bringing up mucos. Some is clear and some yellow. When I had my bypass I don t recall anyone mentioning my as cardiomyopathy- They said my heart was still OK. What question do I ask my doctor? ### REPLY: Hi, I can understand that you have undergone a Bypass surgery. By hearing the symptoms you are doing, it looks like you might be having a respiratory tract infection.  Is there any difficulty in breathing too? You should ask your cardiologist whether you should be started on an Antibiotic for the same. You should also ask whether you need an echo to be done again. 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 grandad is in hospital at the moment. He has liver cancer which burst last week and he has had to be put on a ventilator. He has had multiple organ failure and was too weak to go to theatre. He is now due to have an endoscopy. Does this mean he is getting better if he is able to have an anaesthetic and go to theatre. Also what is the likelihood he will recover? ### REPLY: Hi and welcome to . Unfortunately this sounds very serious to me. Obviously this is terminal stage of liver cancer and this is one of the worst cancers. Today there is almost no contraindications for anesthesia so it doesn't mean he is better. I can't predict without findings, but condition is very serious. I don't know reason for endoscopy, they might suspect of internal bleeding, perhaps. All in all I wish you good health and I hope for 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: Hello,I was just wondering, I have this fungus type thing covering pretty much my collar bone near my neck. It looks similar to ring worm but I have tried a cream for that and there was no improvement. There is also a small spot of it on my right wrist and in my belly button. Is there any simple explanation for this or a over the counter treatment I can buy? Thanks in advance!! ### REPLY: Hello, Welcome to , As you are having the symptoms of fungal infection in the neck region, which should be examined by the specialist for proper diagnosis and treatment. For your condition I would suggest you to follow 1. Keep the area clean and .  Apply antifungal cream like Cream Fluconazole, which is available OTC.3. Oral antihistamines, to prevent itching which is also available OTC. 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.. my period cycle is sometimes short and sometime on time.. i m married girl (5 months past of my marriage).. i want to conecive but i cant.. pls help me what should i do.. is there is any complecations or its normal ...... this months i also tryed bt failed ....i will be very thankful to you if you could help me... ### REPLY: HELLO DO NOT BE TOO ANXIOUS AND NERVOUS TO CONCEIVE. YOU ARE MARRIED JUST 5 MONTHS BACK. EVEN STRESS CAN INTERFERE WITH OVULATION AND CONCEPTION. A RELAXED MIND IS LIKELY TO GIVE A POSITIVE RESULT.INFERTILITY EVALUATION AND TREATMENT IS ADVISED ONLY AFTER 1 YEAR OF UNINTERRUPTED AND UNPROTECTED INTERCOURSE.80% USUALLY CONCEIVE IN THE FIRST YEAR AND 90% IN THE SECOND YEAR OF MARRIAGE. SO DO NOT BE TENSED. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 in the hospital with pneumonia for five days at the end of March. After my discharge, I was told it would take a few weeks for me to feel completely better. I am still experiencing a lot of shortness of breath and have had a CT Scan, heart cath and everything comes back fine. My pulmonary doctor says it s because I need to lose weight. I won t argue that fact, but I have been the same weight for at least six years and never had this problem. I have RA and rheumatologist has suggested that it could be related to that, but my pulmonary doctor says, no . I had a PFT and was told that on a scale of 10, my lungs are an 8 , That doesn t make it any easier to breathe. ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having post infectious bronchitis. Pneumonia causes inflammatory changes in lungs. Due to these changes, lung function is hampered. Inflammation causes edema and structural changes in lung. This is the main reason for post infectious bronchitis. So better to start inhaled bronchodilators and inhaled corticosteroid (ICS). Since all these .  Don't worry, you will be alright. Hope I have solved your query. 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: From february 19 ownwards i was suffering from hepatitis A and intially d bilurubin count was 5.2 and sgptalmost 1200... den after a month or two with the help of medicines and diet my bilurubin decreased to1.6 and sgpt became 80.... den again bilurubin increased to a.8 and sgpt remains of the normal mark of 30_20... now wats d problem is that my sgpt is constant and bilurubin is varying .. my bilurubin has increased now up to 2.9 and sgpt is a constant of 30...Doctor plzz can u suggest whether i,am having a hepaptitis under d category of Gastro or can plz define my actual conditon of the disease... ### REPLY: Hello. Welcome to . Hepatitis A causes inflammation and scarring of liver which causes bile produced, not to exit the liver causing it to spill in to blood which can be seen as bilirubin. To rule out if there is chronic or acute hepatitis, you can get IGM and Egg HAD tested. Other tests like MRCP can be done to rule out obstructive diseases in bile duct which would have occurred along with infection. If there is only infection, then management is symptomatic and giving time for liver to heal itself so that slowly the bilirubin will subside. 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: Hi  myself ramcharan suffering from kidney stones since 2011.I had preliminary checkup from a dr. confirmed that small kidney stones. no harm & risk as of nowbut recently it got developed a low pain in right abdomen suspecting same issuecould you please suggest any good nephrologist  in hyderabad so that i can take an appointment for consultationThanksRAMCHRAN ### REPLY: Lower abdominal pain on right side can be due to appendicitis, kidney stone/ureteric stone. You need a Urologist, not nephrologist for the treatment of kidney stones. Before that, please get an ultrasound abdomen and confirm the diagnosis. If there are stones, consult urologist or else consult a surgeonThere are many corporate hospitals in Hyderabad where urologists are available. Consult one of Jewish you good healthRegards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: During my pregnancy, my lab tests indicate I had high white blood cell count and low rbc count. I also tested high for absolute neutrophils and low for absolute eosinophils as well as having equivocal (leaning toward positive) detection of rubella IGG antibody. Later in the pregnancy, I developed significant swelling of lower extremeties that are getting worse each day and intense itching all over my body. Should I and my doctor be concerned. What do you think? What is your guestimate as to whats wrong with me. ### REPLY: Hello and welcome to , A raised white blood cell count and absolute necrophilia suggests infection probably bacterial infection. A low red blood cell count can lead to anemia. Consult your doctor for finding out the cause of infection and to treat anemia if present. Itching all over the body during late pregnancy is common because there is increase in levels of bilirubin which leads to increased itching all over the body. Detection of IG G against rubella suggests that there was a past infection of rubella, but the infection is not active now, and no harm will be done to the baby. Swelling during late pregnancy is also normal because gravid or pregnant uterus causes compression of blood vessels of lower extremities. 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: for six months I ve been experiencing moderate flushing feelings only at night they start off small in my chest then spreads. Its s not hot flashes, I ve had them before and stopped having them two years ago. It happens 2 to 3 times at night and theres no sweating. I also have what the orthopedic says is trigger finger in my right thumb and now it seems the same is happening with my left thumb. Oh and also the flushing feeling is only alleviated by getting out of bed and moving around. Please someone help, I m a retired nurse and have never heard of these symptoms could they be related? Cindy ### REPLY: Hi, As you are retired and may be after the age of 55, maybe you are in menopause, due to that you may encounter flushes. However, more worry, tension and fear also cause flushes. It's okay. You just need to relax and cool down. Your problem is trigger finger see it's totally muscles imbalance in fingers, we can prevent it from spreading with good physiotherapy treatment. You can take ultrasound therapy and IT therapy also for pain relief and prevention of stiffness. Hope I have answered your query. Let me know if I can assist you further. Hem ang S Jane, Physical Therapist or Physiotherapist ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been sick for almost two months now. It started as what I thought was bronchitis. Dr. put me on antibiotics and cough syrup, and while it helped, symptoms didnt go away. I have terrible body aches cough and a sore throat. I was also placed on steriods and an inahler, and while there steriods helped, after they were done i felt bad again. I am 29 and have smoked for 15 years. I have quit for a week now and still feel terrible every day ### REPLY: Thanks for your question on . I can understand your concern. In my opinion you should definitely consult pulmonologist and get done PFT (pulmonary function test).PFT will tell you about severity of the disease and treatment is based on severity only. You will need newer long acting inhaled bronchodilators (indacaterol and glycopyrollium). Chest physiotherapy in the form of deep breathing exercises and incentive spirometry is also advisable.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: I have a soft swollen lump on my left ribs towards the separation of the two. And it is numb and tingles off and on. I work for a chiropractor and he though maybe I had ribs out and adjusted me but it did nothing but got worse... help? Oh, and there is no redness or rash on the area. ### REPLY: Hi, dear I have gone through your question. I can understand your concern. You may have some soft tissue mass.  First you should go for x-ray chest. It will give you idea whether it is bony origin or soft tissue tumor.  Then if needed you should go for fine needle aspiration cytology or biopsy. It will give you exact diagnosis whether it is bone tumor, lipoma, neurofibroma, dermatofibroma or some other mass. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: HI, I am a 38 year old male and I have pearly penile papules. I have looked all over the internet for treatmen and the best seems to be radio therapy ablation. MY concern is I have been told this is done with local anesthesia and also anesthesia that puts your to sleep while they do the procedure. I am also curious about removing my foreskin as well, but my main concern right now is the papule removal. Can you help explaining that and maybe point me to a website to find out doctors that do this type of surgery? Thanks ### REPLY: As a matter of fact. Pearly penile pa pules do not require treatment. They are harmless, and even if you subject them to radiotherapy, there is no saying that they will not be back. Circumcision or removal of foreskin is also not the solution for this problem. You could get a circumcision done which has its own benefits, but you need to be carefully counselled regarding this issue after a proper clinical examination. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 heather I ve been having lower adbomel pain the past two weeks now...it hurts where I get to the point where I double over in pain I can only keep sprite down for a drink...ive been having headaches nausea lower back pains and throwing up yellow stuff that leave s a sour taste in my mouth....and I only had my period for two days Friday and Saturday and I go for five days normally this is the first time this has ever happens to me ... ### REPLY: Hi Heather. Thanks for your query and an elucidated history, quite as per the books. Throwing up yellow stuff along with severe abdominal pain in which you have to double-up, low back-ache and other complaints for the first time in life can be due to following reasons :::Intestinal obstruction is my first differential diagnosis as the vomiting is yellow and associated problem of severe pain. Other reasons may be severe gastroenteritis / severe PID, volumes, severe form of IBS. I would advise you the following ::X-ray in standing position Ultrasonography, Get admitted to the hospital to get stand conservative treatment till get diagnosed. You need intravenous fluids and antibiotics if needed. Once the diagnosis is done, the treatment will be according to the diagnosis, which may be medical or surgical. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 panic attacks as suffer with depression . However I feel exhausted, light headed, difficult to catch my breath, headaches and can feel my heart pumping. I need to rest all the time. This has been for the past 6 days. Please reply. Due to see my GP in 4 days ### REPLY: Hi, From what you have mentioned, you seem to be having quite a few anxiety symptoms. Panic disorder and depression are treatable conditions. You will need treatment with medications like selective serotonin reuptake inhibitors like sertraline. In addition, use of benzodiazepines like clonazepam for short duration will help take care of anxiety initially. You can discuss these options with your GP and seek a psychiatric consultation if required. In addition, exercises and meditation regularly will help you relax and control your anxiety. Hope this information was helpful. Best wishes. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my boyfriend and i had unprotected sex.... i think i have a yeast infection.what are the chances of him getting it?he hasnt had any sympotoms yet and its been three days already.im not sure if i have one or not but im experiencing pain during intercourse like my hole got smaller(we were having sex for literally hours) pain while peeing. He also went down on me and im really worried, i hope he doesnt get it. Please help!!!!!!!! ### REPLY: Thanks for contacting  with you health care questions. I am sorry to hear that you have a yeast infection. Yeast is an opportunistic infection that grows in areas that are dark and moist. So this is a frequent problem with young women especially after taking antibiotics. Men do not usually contact yeast though if he is uncircumcised then he needs to be sure to clean well after having sex as it can occur. For him, he needs to pull back the foreskin and clean well with soap and water. For you, I recommend you actually seek medical attention as this pain and discharge may not be just a yeast infection. I also recommend to help prevent bladder infections after sex that you urinate after sex. This may help prevent infections in the future. Hope I answered your question. Please feel free to contact us again for you medical concerns and questions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi, I have itching uncircumcised Penis at the inner most head region. If i rub it pains thereby have burning sensation while urinating. Please suggest some medication. I am 27 years old unmarried and have no past history of any problem related to penis. ### REPLY: HelloThanks for query. Itching around glans penis is presenting symptom of Diabetes. Get your blood sugar level test on empty stomach and 2 hours after lunch to rule out the same. Consult qualified Urologist with reports for clinical examination i person. He would be the best judge to decide about further treatment. Maintaning proper personal hygiene by cleaning your genitals with warm water twice daily is equal important to resolve the issue. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I m 45 years old a smoker, this week I have had my heart beat faster and skip a beat when I check. It started on Thurs. at work it lasted about 10min mid day then again late that night as I was sitting and relaxing. the next couple of days it started again while sitting and getting ready to eat and just after drinking water it seems to be lasting a little longer each time. does the skip of a beat damage your heart, cause it stress? I have read that stress brings it along is there anything you can do to help calm this down ### REPLY: Hello, I passed carefully through your question and would explain that some skipped heartbeats are quite normal during physical activity and anxiety. They do not cause any harm to your heart.  For this reason, I would recommend having some rest and practicing Yoga.  If this situation persists, I would recommend performing an ambulatory 24-48 hours ECG monitoring in order to investigate for possible cardiac arrhythmia.  Some blood lab tests (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction and blood electrolytes for possible imbalances) are needed.  Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i went ice skating about 3 weeks ago and banged my head quite hars. it swelled up into a soft lump it has now left a little hard bump but today my head where i bashed it really hurts its very sore to touch as though i have just banged it again but i have not ### REPLY: Hi. Thanks for your query. Read and understood your history. It is the hematoma on head injury that causes the lump. Once the hematoma dissects the skin and other tissues the nerves get stretched and cause sort of Neuralgia, hence the typical tenderness, sore to touch. I would advise you the following:Get the hematoma aspirated to reduce the pressure. Cold compresses helpPressure bandage after aspiration. Anti-inflammatory medicines. CT scan to see the local and internal problems to be on a safer side. I hope this answer helps 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: My husband has type 2 diabetes and has been told he has a fatty liver. His pc has been keeping an eye on his blood work for a few years now. He had to have his gall bladder out and since the surgeon read his history he read about the liver. When he was taking the gall bladder out he did a liver biopsy  because his liver had nodules on it. What does that mean? ### REPLY: Hello. Fatty liver is a chronic pathology by excess fat in liver. The main causes related to fatty liver are overweight-obesity, chronic alcohol consumption and high blood cholesterol levels. A person with fatty liver must control your weight, avoid alcohol and decrease the consumption of fatty foods.Also, it is important practice physical exercise. If your husband follow the referred recommendations and your doctor checks your cholesterol, GOT and GPT levels in blood every 6 months, probably he will avoid complications of Fatty Liver(in a small percentage of cases, fatty liver may progress to cirrhosis). I wish you good health.(If the answer has helped you, please indicate this) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am a 55 year old woman who had triple bypass when I was 47 years old. Family history of heart disease on my mothers side, so I feel lucky to be alive after the heart attack. I know how long the Dr. say the bypass lasts...10 to 15 years. My question is what is the life expectancy for someone with triple bypass? Are there statistics that predict how long I can live given the fact that I am not overweight, eat well, dont smoke, drink, exercise regularly, etc? ### REPLY: Hi, It is quite individual. If you are not overweight, follow healthy lifestyle, you have good chances of favorable prognosis. We have patients with bypass, who live more than 20 years after bypass and doing quite well. The main goal is tried to slow down the progression of atherosclerosis as much as it is possible. It is done with medications and lifestyle changes. If you have good results in these two areas, have no heart failure and no angina, then you have good chances. Hope I could help nourishing you good health In case of further questions don't hesitate 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: My 5 year old son has been coughing for a month. I ve taken him to the doctor twice. The first time he had an ear infection and was given medicine for 10 days. He has continued to cough the entire time. His cough is a loose cough and gets worse in the evening and especially at night. He coughs all through the night. He coughs so much that he nearly throws up. We have tried breathing treatment and cough syrup with no luck. What should I do now??? ### REPLY: As you have mentioned in your history that your son has been coughing since month and gets worse in night, first I would suggest you to go for manitou test or chest x-ray to rule out the possibility of tuberculosis as his symptoms are quite related to TB. Secondly, for his current problems you can give him syrup co-amoxiclav 5 ml three times daily or syrup cefixime-cv 5 ml twice daily along with syrup febrex-plus or syrup tusked 5 ml three times daily with syrup vomiting or syrup ondansetron 5 ml twice daily for vomiting. You can also nebulize your son with albuterol nebulizer at your family doctors clinic as it gives too mucChatDoctorfort to your child. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear sir/madam, I have a recurring problem of seeing the personal body parts of others..this is irritating others as well as Im suffering a lot after this happening. I tried many times but my eyes are not under my control uncosiously im seeing others  body parts. Please advice me what i have to do to change this bad habit ### REPLY: Hello and welcome to . Thanks for your query. I understand that you are quite worried about your problem. Such uncontrollable impulses or repetitive acts, which you find difficult to control could be a part of an obsessive compulsive disorder (OCD). Since this problem seems to be causing you a lot of distress, I would suggest that you see a psychiatrist for a detailed evaluation and to confirm the diagnosis. Once the exact diagnosis is confirmed, then further treatment can be initiated. There are effective treatments in the form of medication or counselling which can help you overcome this problem. So, please seek professional help at the earliest. Wish you 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 daughter will be 4 in may and she has been getting frequent coughs and colds and she has been getting treatment by being given antibitics.It subsides for a few weeks and we are back to squre one.What is worrying me is because at night her nose gets really congested that she has to breath through her mouth so she ends up snoring and she kind of holds her breath for a few seconds then she starts breathing again.I feel she is suffering alot.At the moment she is on treatment on antibiotics since she developed a runny nose with yellow discharge and fever.Am thinking that after clearing her antibitic dose i take her back to be reviewed again. ### REPLY: Many child .  Runny nose is an expression of allergic reaction which is associated with cold. Generally these are due to viral infections. Sore throats are due to acute tonsillitis and often can because of the snoring, not due to the nasal block itself. Generally tonsillitis regresses with age. It does not require surgery unless:1. The episodes of sore throat are disabling and prevent normal functioning.2. Seven or more well-documented, clinically significant, adequately treated sore throats in the preceding year; or3. Five or more such episodes in each of the preceding two years; three or more such episodes in each of the preceding three years. Get her reviewed if her condition matches the above criteria. A six-month period of watchful waiting is appropriate if the conditions do not match exactly. Antibiotics may or may not be required. Taking some antiallergic like levocetirizine should help. Nasal decongestants like Position  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just read your information about calcium buildup inthe body. Specifically in the abdomen.  My mother-in-law who is ninety has this.  We have seen CT of the abdomen and there are large amounts of calcium buildup.  There is so much that the skin in the area of the buildup was very hard, and this was about 1 1/2 years ago.  Just recently this area of the abdomen has split into a wound about 2" long and 1/4" wide and 1/4" deep.  Is there any prognosis for a wound this size, which is leeking and has an odor? ### REPLY: HIT hank for asking to ChatDoctorThis is not the actual "calcium" but this could be a calcification, in old age with the multiple medical problems the calcification are very likely, for your next query the prognosis is depended upon the diagnosis and the over all clinical condition of the patients, take care of lady and I would be glad to answer your next query if asked with the complete details, bye. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello, i think i have a swollen lymph node but its been there for over a year now. It started when my boyfriend gave me a hickey back in march 2010. I thought it would go away but it hasn t. However, it sometimes shrinks (but i could still feel it under my skin) and on other day it goes back to its swollen size . ### REPLY: Dear I can understand your concern. I would like to inform you that lymph nodes are the site for killing of infectious agents. So if there is any infection they need to work more and more and in response they get enlarged. As the infection subsides lymph nodes also decrease in size. They have a normal size and may be palpable normally also. This size vary for different groups of nodes. For example size of 1 cm is normal for lymph nodes around neck and size of up to 2 cm is normal for inguinal lymph nodes. They are also increased if there is any lymph node malignancies etc. In my opinion if you think it abnormal and is increasing in size or painful then you should consult to your physician for expert opinion. Hope this will help you.  If you have any other concerns please feel free to message me.  Thanks for contacting . ### END