Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i just found a small lump on the mastoid bone behind my right ear. it seems to be connected to the bone and it doesnt move. i would say its about the size of an eraser on a regular pencil. it only hurts if i put pressure on it. im an 18 year old female. im concerned as to what it could be. what do you think? ### REPLY: Hi. Thanks for your query. The lump of the size of the rubber eraser on the pencil, which does not move and tender only on deep palpation, and is situated on the mastoid bone is a lymph node unless proved otherwise. You can get an FNAC. See for the Dan .  These lymph nodes are very resistance to get regressed fully. If you are too much bothered you can certainly get this removed and send it for histopathology 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.. 3 years back I had a blackout in my morning walk and it frequently increased.. one day it was very back and the plus went to 250/- doctor has advised abbiration which was done in 2012 june. after a year I had asame episode and was again in emergency. I am on drug sheloken xl 50 once a day but at time it is not contolling the pulse which gain went to 225/- please . now I started taking solatar 40 twice a day. I still feel the heaviness in the chest and uneven heart beat. please advise ### REPLY: Thanks for your question on . In my opinion you should get done holder monitoring. Holter monitoring is continuous recording of ECG (24 Hrs). So during your irregular heart beats, how your heart behaves and what kind of arrhythmia you have, can be picked. And after this report further treatment options can be thought of. Another test is electrophysiologist study of heart. This can also be helpful. So you may audition of newer anti-arrhythmic .  So consult cardiologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I just found out I have osteoporosis- is there any natural way to reverse this? I heard that Chinese people have less osteo than americans, and they don t eat dairy, per se- so I am hesitant to take calcium magnesium since it may be the other part of the bone making collegen that may need to be boosted. ?? Luce ### REPLY: Welcome to  I have gone through your query and understand your concern. Natural way to fight osteoporosis is regular physical exercises as stress given to bone is main deriving force to get physical strength. So you need to do regular physical exercises and need sufficient calcium and vitamin D3 to strengthen your bones. So regular physical exercises such as walking along with balanced diet is useful. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. Wishing you good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have dry cracked knuckles and dry skin in general, just winter of course makes it worse, THe thing is i work with my hands a lot and in the past week i have torn the skin back on 2 of my knuckles by just knocking my hands into things at work, ooks bad but not very painful. what can i do? ### REPLY: Hi, Welcome to . I have read your query and I suggest you following measures to avoid . Avoid frequent hot water baths as these cause evaporation of water from body, prefer lukewarm water.2. Stop using soaps with plenty of chemicals, instead use of mild soaps like dove will provide appropriate miniaturization.3. Do not rub the body too much which will increase the water loss.4. Avoid sun exposure as far as possible, at least cover your hands when you go out to prevent further  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had constant Abdominal Pain for three days now. It started out as severe gas,  but when the gas was released, the pain remained. It hurts most on the lower right side of my abdomen but the pain is everywhere. Im also currently on my menstrual cycle, which began one day ago, which increases the pain. ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. In my opinion both the things has caused you a pain. As you are on menstruation and having gas. Having menstruation makes you more sensitive for gas distension. I advise you to take dicyclomine under your doctors' guidance. It will relieve your pain. I will be happy to answer your further concern, you can ask me on bit.ly/ .  Thank you. ChatDoctorInfectious diseases 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: Hello Is it harmful to masturbate? Can it make body or face hairy? Im one of studious students and books are my life but I masturbate alittle more can it cause me to be stupid or less smart or any damage in brain?If its yes masturbation is bad.. So I can leave it but I want know factsThank you ### REPLY: HelloThanks for query. Based on the facts that you have posted it appears that You had been indulged in masturbation since many years and now facing problems related to general health First there is myth in a mind of common man that excessive masturbation is the reason of all problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety.However, excessive masturbation in a long run leads to addiction and may affect erection and cause erectile dysfunction You have to restrict masturbating frequently which needs self-determination to stop it. You have to concentrate on your studies and to built up your carrier. . . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I aokay well my lil brother has bonkitus and i went to a party and everyone was coughing in my fast now i have a fever of 102.9 and im coughing up flim or mukus and it hurts when i cough, breath, and sneeze can you help me docter?nswer your health queries right now ?  Please type your query ### REPLY: Thanks for your question on . I can understand your concern. In my opinion, you are mostly having viral bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Oral anti-inflammatory and antipyretic .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 hard swollen lump behind my left ear. It started out small but now two weeks later it is the size of a quarter and hurts really bad. I cant afford to go to the doctors but im worried it might be an infection or something of that nature. Please anyone What should I do? Thank You ### REPLY: Hi, Thanks for your question. After going through your question, there is likely possibility of retroauricular lymphadenopathy (Lymph node swelling) most likely due to infection or infection of hair follicle. As you are not willing to go to doctor, you can try antibiotic like Amoxicillin+clavulunic acid along with painkiller and anti-inflammatory medicines for 5 days. If even after 5 days of treatment or if there is increase in size of swelling, high grade fever, swelling over other parts of the body there is a need for consultation with doctor for detailed clinical examination depending upon it further investigations may help in diagnosis and treatment.- Complete blood count.- ESR, CRP.- Chest X-ray.- Ultrasonography of swelling and abdomen. Hope this helps you, if so do vote as helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 went for blood work three months ago to keep a eye on my tyroid I went back last week an the dr found out I have kidney malfuction my cred was 1.55 how bad does that make my kidney problem an is it normal to have it show up in blood work one day ### REPLY: Hello, Thanks for posting in . Creatinine upper normal range is 1.5. Your report is on higher level of normal range. Creatinine is a product of breakdown of protein in body. If previous day you had some strenuous work or exercise or tiredness there occurs breakdown of protein in muscle causing rise in creatinine. To confirm some kidney problems other factors like facial or leg edema, decreased urine output or some other factors should be present. I would like to advice you to repeat the test after 2 weeks and see the report. If it same or decreased then nothing to be worried about. If it is higher than now, you will need further workup to see for the reason of worsening kidney functions. Hope it helps. Thank you ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i thought this was about ayurvedic medicine helping a tooth abscess.  Can I treat my tooth abscess with ayurvedic medicine to get rid of the infection instead of antibiotics.  If not, then what kind of antibiotic is the least harmful to the gut flora YYYY@YYYY ### REPLY: Hello, you need to treat the source of the infection. When the source of the infection or abscess is a tooth, it can be treated with a root canal or removal. If the tooth has a gum infection or bone loss causing a periodontal abscess, it can be evaluated by a dentist for possible periodontal treatment or removal. Antibiotics are used to control the spread of the active infection, not a cure for a tooth abscess. You can use Anti-inflammatory reducing means to help decrease symptoms, but you can not ignore the source. I prescribe the antibiotic amoxicillin as my first choice. Taking Acidophilus or probiotics help reduce gastric disturbances. Yogurt can be beneficial as well. Not all tooth abscesses require taking an antibiotic. Inquire if your abscess needs antibiotic or can be treated in a timely manner without the need of antibiotics. Thank you for your inquiry. I hope that you can complete treatment with your dentist soon. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my 5 year old girl has recurrent runny nose ,sore eyes but has now developed very black rings under her eyes and her facial color is very pale she is saying under her arms are very sore and she had a raised iga she was told she is allergic to egg whites and other things 2 months ago she appears to be disimproving generally ### REPLY: Hi...sometimes allergies can take even months together to get better. It doesn't depend only on the medications alone. The most important thing is to take off the triggers. Even if your kid is using medicines regularly, if she is constantly exposed to the allergens which are causing this, then the improvement may not be satisfactory. The allergen can be as simple as a common house dust mite. So I suggest you concentrate on the removal of triggers from her vicinity. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi doc, right num my teeth is hurt makes me cry including my gums what should i do.. and whats the best thing to do. Because right now i have nothing here i dont have any medicines.. and i just wanna ask also if i go to dentist and have check up of them how much it will cost ### REPLY: Hello, There is a wide range of problems that you could be experiencing. This can range from sore gums that require a simple cleaning to an infection that may cause swelling, severe pain and require treatment such as a root canal or extraction. I am concerned that you referred to a feeling of numbness. Do you feel swollen? Are your gums bleeding? At home, you need to be brushing, flossing, and rinsing. Warm saltwater rinses may help you feel better. You may also take pain relief medication. I recommend anti-inflammatory medication such as Acetaminophen or an ibuprofen. Your dentist can prescribe antibiotics to help control any infection after you complete an exam. I advise you to visit the dentist especially if it has been a long time since you have had any type of dental treatment. Your dentist can advise you if you need to see another physician and this is not a dental problem. Numbness can indicate a nerve problem or another medical condition. Cost will vary depending on your location. I suggest you ask the dental office what expenses to expect on your first visit. I recommend an exam with x-rays and cleaning for my patients on their first visit. Furthermore, I hope you find this information useful, and please plan your visit your dental visit soon. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, I am a 46 yo man.  I have always been active and an athlete.  I played football and basketball throughout highschool and college.  I played both for my university so i was in good shape.  I had a car accident during my workup, they doctors found i have spondylosis, spondylolysis and spondylolysthesis.  This happened when i was 35. I stopped playing sports as competitively as before but put on too much weight.  I now weight 230lbs at 61.  I have always been pretty big, playing weight was 215lbs.  However, now I have some back pain but the pain in my left hip has become unbearable.  It is often difficult to get up and walk.  After a while of walking around, i can move ok but if i rotate my hip in or out, my God, the pain is terrible.  It feels like someone stabbing me in the front part of my hip reaching deep inside it.  I still play around with my colleagues on the basketball court but not very competitive now.  I cant push off well or change directions well.  I have no loss of power except due to pain.  Can you give me some advice on alleviating the pain?  I now live in China and the access to pain meds is very limited.  Even if i could get them, i dont want to take them.  Please help! ### REPLY: Hi you can take physiotherapy as they use IT and other modalities to reduce pain in this condition you can do strengthening exercise and light stretching but as you have spondylolisthesis so before doing any exercise for back consult physiotherapist. You can use hot water pack to relief pain and also use moist heat to relief yourself but make sure it must not too hot that it burn you wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I noticed a few weeks ago I had swelling under my armpits - the right one is larger than the left it is like there is fluid under the skin and it is not painful at all. Thought it was caused because of the fact I have put on a little weight recently - but today while showering noticed it again so thought i shoudl check.... ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You may have enlarged axillary lymph node. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. Or you may have some benign cyst or abscess. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ . Thanks for using . Wish you a very good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here... Hello Im a 49 year old white female and a couple of years ago I was diagnosed with a light heart arithmia, no big deal but I feel allot sometimes like my heart is beating fast out of my chest adn I can feel it. ### REPLY: Hello, This can be simply due to anxiety, low hemoglobin, thyroid, cardiac arrhythmia like PSV or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Usually ECG is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. So you will need 24 hour holder monitoring if ECG is not informative. So visit nearby cardiologist for this investigation. Also, hemoglobin and thyroid test should be done. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab collar LA 20 mg once a day. Hope this helps you and get back if you have any doubts. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am ill last one month but no high dgree fever . some time  morning and noon time temparture slide go up and evening time my body is cool and feel sweet and chill some day. i have feel tired in feel some pain. is it symptoms of hiv? please tell me... ### REPLY: Thanks to  I can understand your concern don't worry fever is not the diagnostic criteria for HIV this low grade fever has many causes I would like to suggest just undergo once fever profile, culture tests .it may show whether the fever is viral or bacterial or fungal please take antipyretic like paracetamol 500 mg, antibiotics like erythromycin 500 for 3 days.along with that take multivitamin for generalized weakness, ok if fever still persist go for advanced screening test s then . I think it won't happen .ok don't worry it will subside, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dry mouth from taking WellbutrinXL. I have had sores in my mouth on the right side for the past 10 weeks. I have never smoked or drank alcohol. I had this in November too but 10 days of Keflex cleared it up. I took Keflex again 6 weeks ago and the condition improved but didn t go away. Is it throat cancer? I m a 60 year old female. (My father died at age 58 from toncil cancer but he smoked heavily) Thank you! Tricia ### REPLY: Hi, Tricia,Wellbutrin is known to cause . Multiple sores in mouth repeatably might be due to some nutritional deficiency. Keflex is an antibiotic which can help only in case of infection. It will not work in absence of infection. Please GE in tough with your doctor from regular vitamin supplementation which will take care of this current problem. From symptoms, it does not seem to be cancer, but still after examination your doctor can throw more light on it. Bye and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I a 72 year old female, going to the Napo River Region of Caco Equador. I her ethave had conflicting information as to whether or not I should take the yellow fever vaccination. Because of my age I was told to us deet greater than 25% on exposed areas and Primetheon on my clothing. Is that sufficiant protection. ### REPLY: Hello, I understand your concern. I am , infectious diseases specialist, answering your query. In my opinion you should take the vaccination. Addition of protection and repellent will help you further in protection. Visiting a risky area without protection should not be done at your age. The area you have mentioned is having high prevalence of yellow fever. I will be happy to answer your further concern, you can ask me on bit.ly/ .  Thank you. ChatDoctorInfectious diseases 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: L23 L34 L45 L5S1 herniations. all with nerve root contact except for L5. Disco gram showed all painful except L45. posteriolateral fusion of L23 L34 six months ago. now worsening back pain as well as worsening leg pain and extending to foot (all right sided, same as prior to surgery). repeat MRI shows L45 nerve root contact, L5-S1 bulge with no nerve root contact. However, moderate DJD to L5-S1, which is new, as well as small DJD at all other levels, and normal post op scaring at nerve root areas. treating, at this time, with pain meds for back pain and neurontin for nerve pain, however, not helping significantly. I am an otherwise healthy 45 yo female who sustained a traumatic injury resulting in this problem. what is likelihood of further surgery at this time? pre and post op we discussed probability of further surgery at some time, as no one wanted to do a 4 level fusion, which really was what I needed. We all agreed due to age, it was a poor choice to do 4 levels with initial surgery. ### REPLY: Dear Madam, thank you for your consultation.it seems that after a fusion operation at L23 and L34 it is still painful while maintaining your daily life. With keeping in mind your age and extent of damage done by trauma I think you should not go for a 4 level fusion. Because a second surgery like 4 level after an initial spinal fusion surgery does not necessarily yield any good result. Rather you should try some light back strengthening exercise under the supervision of a physiotherapist to get some relief from pain. This will partially overcome the apparent need of 4 level fusion surgery.my best wishes for your health in coming days. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had copper T inserted some months back. I guess it had fallen down and had to abort since i have a small kid. Now again i wanted to insert. I am already having lot of itching before my period s after abortion. Is it safe to insert copper T again......if yes should itr be done only within 10 days of periods? ### REPLY: Hallow Dear, The important precautions before inserting Copper T (Cu-T):1. You must be sure that you are not pregnant. Therefore, the Cu-T is to be inserted only in the post menstrual phase of the cycle, preferably within first 10 days.  2. You should not have any infection in the genital tract. Cu-T may flare up such infections. Your complaint of itching before the periods is suggesting some sort of infection. Please get it detected and treated by a Gynecologist.3. The uterus should not have any tumor like fibroid in the uterus. Clinical examination by a Gynecologist and Ultrasonography can check this possibility. Please get yourself thoroughly examined from a Gynecologist for fitness for the Cu-T before you get it inserted. I hope this 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 cousin is a 14 year old male 110 pounds about 5 foot 1. He smokes marijuana daily all day bites his nails down to the point of bleeding and was diagnosed with ADHD at age 5. He now claims to here voices that tells him to kill himself but his parents doesnt take it serious. Can it bad drugs? ### REPLY: Hi. Thanks for the query. Scientific research has now proven that exposure to marijuana before age 14 years is a risk factor for occurrence of Psychosis/schizophrenia. Based on information provided, your cousin definitely seems to be suffering from an episode of psychosis which is characterized by hearing voices (hallucinations), false fixed beliefs (delusions), suspicions, paranoid ideation, poor self-care, loss of interest in surroundings & activities to name a few. Plus continued exposure to marijuana tends to worsen Psychosis. Active Psychosis with ongoing hallucinations commanding patient to harm himself is a definite risk factor for suicide. Hence, your concerns are right & he needs help of a Psychiatrist for evaluation & confirmation of diagnosis followed by treatment in inpatient or outpatient basis as dictated by his present condition. 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 I was wondering why I have bad breath ? I have these white spots and patches on the back of my to tongue and they make my breath stink. I also feel like I have to clear my throat every once in a while due to mucus. What could this be and how can I treat it? ### REPLY: Thanks for using . Read your query. Enlarged papillae which contains the taste buds (the presence of dead cells) is the cause for the white spots on the tongue. If the tongue is not cleaned adequately, it leads to bad breath and infections. I would advise you to use a soft bristle brush and clean your tongue properly. Brush your teeth and maintain your oral health well. Gargle before and after having food on regular basis. Get your teeth professionally cleaned from your local dentist. If still persisting, consult your oral surgeon. Hope this was helpful. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I started treatment for chlamydia 3 weeks ago. I underwent a 1 week course. I was told no sexual contact during treatment week and the week after. 5 days after treatment finished I had protected sex once with my partner who started the same treatment as me at the same time. I am worried about re infection, is this possible? We had no unprotected sex or oral during the week of treatment and the week after ### REPLY: Hello and welcome to . Thanks for putting up your query over here. There is less chance of transmission of sexually transmitted disease during protected sex. This is true in case the condom was fitted properly all throughout the act and there was no event of tearing. But still, it is advised to refrain from sex for few days as it interferes with healing process. Mucosa becomes more prone and sensitive. Also healing process is interfered during menses. Keep doing proper follow up with your treating doctor and discuss this incident with the doctor. Hope I answered your query. 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: Hiya,just over a year a go I blacked out on my way down I hit my head and had a seizure I was unconscious for about a minute.I didn t want to go to the hospital at the time.I ve still got a small hard lump on my head and get pain in my spine and back occasionally..should I be worried or will this sort it s self out? Thanks :) ### REPLY: Hello ! Thank you for your question on ! I think that the small hard lump on your head is not a problem. It may be caused by a fibrous tissue after a subcutaneous hemorrhage. The occasional head and back pain may not be related to the trauma. It is more possible to be caused by muscular contractions from degenerative changes of your spinal column, or a possible wrong position during the day. The seizure after a hit is a feature of head concussion, but it usually happens only once. So to conclude I would say that there is nothing to worry about. Hope to have been of help! 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 15 year old daugther told me that she had experienced dizznes and black vision when she gets up in the morning, she also experiences the same symtoms when sitting in the couch and gets up is ths normal for a teenager? Really appreciate your thougts, thanks ### REPLY: Hello dear, The symptoms as mentioned in your post can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). If it still persists, then she needs to consult her Physician/ ENT Specialist & get a complete clinical examination done. Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, your daughter will be fine. Till then, maintain adequate HY . And she should also take precautions of getting up from bed slowly & avoid sudden head movements. Wishing her a Good Health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Thng ank you. I had my stones removed in Jan. (this year) The doc. gave me the Ok to resume training at the gym. I noticed my abdomen hurts when I do abs exercise and at night when I urine. I tried to massage while in bed but it still hurts. What should do? Thanks, Carlton ### REPLY: Hi. It would have been helpful for us, if you had mentioned the route by which the stones were removed.Anyways-from your history I can think of a few possibilities - as the pain is during exercises, there can be a strained muscle in that area. The infection of the urinary bladder can cause pain while passing urine. Get a high resolution ultrasonography of the abdomen, abdominal wall and urinary system done to get a clue. Of course a clinical examination by a Surgeon can get you the maximum information. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: This is the second time that I am suffering from glandular fever, I am 19 and usually lead a very active lifestyle I do not smoke/do drugs, and drink lightly about 3 times a year. I have been to many doctors over the past couple of years (last year too with bronchitis, tonsillitis and pneumonia as well last year), all the doctors say is that its something that I have to get through. I have tried vitamin C injections and currently on a low carb and sugar diet combined with many vitamins as suggested by a naturopath which I believe has helped me to some degree. One of my main concerns are my tonsils, they are the size of the top of a mini muffin top and ache with pain killers and I struggle to breathe at night because they are so restricting. This has continued for about 5 /6 weeks of both years and white puss often develops on them. Doctors have said that I cant get them removed but i want to pull them out myself they are so restricting. What can i do? This is contolling of my life! ### REPLY: Hello, Welcome to , Glandular fever is caused by the Epstein-Barr virus (ABV), one of the most common viruses to affect humans. Glandular fever spread through saliva. It can be spread through kissing, so it is often referred to as the kissing disease.The treatment includes 1. Get plenty of rest during the early stages when your symptoms are most severe.2. . 3. If you need pain relief, you can take painkillers such as paracetamol or ibuprofen.4. Try gargling with soluble aspirin if you have a sore throat. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had a surreal year with my 14-yr old daughter. Ever since I attempted to confiscate her iphone about 6 months ago, she has seemingly turned into a someone I dont recognize. That first day when I attempted to take the phone away, she physically attacked me to try to get it back. I called the police. Since then she has been physically violent with me on several occasions. All of them have been when I have attempted to take something away from her as punishment (her phone, her makeup which she is obsessed with, trying to look in her book bag for missing progress reports, etc). On top of her being physically aggressive with me, she turned the tables and has made false claims that I physically hurt her. Three child protective cases have been brought and dismissed because they have been found to be baseless.  She has threatened to commit suicide when she didnt get things that she wants. She stole my mothers credit card and charged over $2000 in products on amazon (perfume, makeup, coutour dog products for a dog she doesnt have). She has been hospitalized three times for suicide attempts. The last time she claimed it the hospital wouldnt even admit her because they too could see she was manipulating. The ER psychiatrist even told her so. This weekend when I confiscated items from her room she had stolen, she proceeded to destroy her room and then told her caseworker that I did it. She is currently in intensive home therapy and on medication but nothing seems to be helping. Her case worker and the ER things it is all behaviorial. But is that possible? Certainly there is some mental or psychiatric problem causing all of this. She was normal before a year ago. In her head she seems to be equating my touching or taking her things with me doing her physical harm. Is there such an illness/phobia that would explain that? Please help! No one seems to be able to help me/us. ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. From the description, it seems that your daughter is suffering from Paranoid Personality Disorder with Obsessive Compulsive Disorder, Both of these are considered to be mental disorders and not diseases. Normally disorders are treated with psychotherapy and lifestyle changes. Diseases are treated with medicines. I think you were acting rather rude to your daughter from the beginning itself. I don't see any reason for you to call the police. She is your daughter and you don't need the help of police to pacify her. I think that was your first mistake. Then onwards she lost trust in you, and she could not find any other person to trust, and the condition became worst. You have to regain her trust and that is the only way you can do anything to cure her. Please do it anyhow. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter has a lump about the size of a golf ball in her left armpit. It is semi soft but does grow bigger and harder and then it proceeds to leak milky fluid out and goes down in size. She is pregnant now and had it happen 4 years ago when she was pregnant with my other grandchild. She has been to the doctor and they said it was not lymph nodes but something to do with ducts. As I am not there with her to go to the doctor, do you have any thoughts on what it could be? ### REPLY: Hi, dairy have gone through your question. I can understand your concern.  She has lump in armpit with milky discharge.  It increases in size at time of pregnancy.  So it can be pregnancy induced changes in axillary breast or galactose.  She should go for fine needle aspiration cytology and if needed go for mammography.  It will give you exact diagnosis. 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: My husband has been a contractor for 20+ years. He is 47 and smokes. Today he was priming a house (wearing a protective mask) and the fumes were bothering him and he coughed up blood a couple of times. He said that this has happened at times in the past. In your opinion, could the coughing of blood be because of the fumes or related to a deeper medical issue? Please advise, thank you! Tiffany ### REPLY: Thanks for your question on . I can understand your concern. He is having hemoptysis (blood in sputum). He is also an active smoker. So we should definitely rule out lung diseases forum his hemoptysis. Fumes are unlikely to cause hemoptysis. Common causes for this hemoptysis in an active smoker are 1. Tuberculosis. 2. Pneumonia 3. Lung cancer. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray 3. PUT (pulmonary function test). All these are needed two confirm the above-mentioned causes. And ask him tobacco quit smoking as soon as possible as it is not a good habit. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am in hospital and 34 years if age. In good enough health. I ve had an untra sound and a ct scan yesterday which shows liver lesions and shadows. They want to get me to do another ultrasound on my tesicles. I m a young just married father and so worried help ### REPLY: Hi, I had gone through your question and understand your concerns.These finding are definitely pathological but still not enough specific since it may indicate various diseases. Some of them are benign and some malignant and may include even serious issues such as cancer. However, in your age this is rarely seen, and it is more likely something benign such as hematoma, adenoid, fatty liver or some other benign tumor. However, it should be ruled out, and it is good that you will do l necessary tests as soon as possible. Even serious issues can be managed surgically so you don't need to be worried. Just follow doctors recommendations. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 24 yr. old Daughter began complaining with her head tingling and hurting.. Her arms were doing the same...all started about 2 wks. ago..Yesterday, she had a MRI done at our family doctors office..It showed some type of shadow on her brain...They also did blood tests in which the results will be back in less than 72 hrs...she also complains of being tired alot.. I am a Federal Police Officer and my Wife is a R.N...Right now, neither one of us seem to tough and proffessional...We are worried sick..Any Words of Wisdom Doc? ### REPLY: Hello and welcome to ChatDoctorPresence of tingling and hurting in head along with same complaints in arms suggest a neurological disease. A dark shadow on brain MRI does not convey much. I can only understand that there is some kind of focal (localized) disease process in brain which is responsible for all the symptoms.  This disease process seem to involve the nerves supplying the arms. It could be an infective, inflammatory, degenerative, space occupying lesion.i advice you to see a specialist (neurologist) soon. Tiredness can be due to the same disease process or even due to low hemoglobin. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have a pain in left side of chest and am a light smoker having 1-2 cigarattes per day.sometimes the pain radiates in to the arm .i have had indigestion problems and been treated for it and got cured,but pain in the chest is still persistent . i hav quit smoking and yes i also was a very frequent sheesha smoker...do help out plzz ### REPLY: Hello rearward welcome to .come have evaluated your query in details .* There are different issues which may contribute separately or together for this chest pain radiating to arm - chronic gastritis or duodenitis with acid reflux - bronchitis in association with chronic smoking - cardiac issues - others * Needs thorough clinical examination, EKG and x-ray chest for further diagnosis and management guidelines. Wishing you fine recovery. Feel free to ask any further queries. 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 recently was diagnosed with Multifocal Artrial Trachcardia. I was put on Diltiazem 240mg er and Lisinipril 10 mg and Lipitor 10 mg. On 8-14-2013. I in the last month have had serious nausea and burning from my liver up to my chest. I was found to have 2 liver leisons on Catscan and MRI. Every time I eat even the smallest item it burns like fire. Its not heartburn , its right to middle just below my ribs. My gallbladder was fine and so was everything else. I am feeling its one of my medications. I have to get a liver biopsy nest. I am tired of the burning. Any answers? ### REPLY: HIT hank for asking to ChatDoctorBurning sensation near right coastal area indicates many pathologies, but you said that the MRI and CT has detected some lesions, the exact nature of these lesions not stated here, your symptoms and the suspicious pathologies does not correlate, other serology test are require to confirm the diagnosis, the problem must lies in stomach or in your stress area, functional condition,,, Multifocal Tachycardia needs further studies, it is not given anything here that on basis it is Multifocal Arterial tachycardia, have nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My boyfriend has a daughter who was diagnosed with Renal Sarcoma, now she had her one kidney removed but the other one is not filtering her blood and she needs a transplant.  Her dad has a volunteered to be a living donor.  I know because they are blood related the chances or her rejecting the kidney are very low.  I just need some reassurance, will they be okay? ### REPLY: Thanks for your question on . I can understand your concern. Yes, you are right about less possibility of rejection. Organs are made up of cells. And cells are made up of DNA. This DNA runs in family. Hence, identical DNA matching possibility is more if donor is a family member like son/daughter and father/mother or brother and sister. So if she gets kidney from her father than chances of rejection are very, very less. But still matching process and post operative immunosuppressive therapy is needed. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! I am first time taking Rigevidon (21 tab.). Started on day one of my period and keep taking the pill daily at a fix hour. I had unprotected sex on day 7 since being on the pill.... is any chance of getting pregnant? I am very scared..Some people say you are protected straight away, some say after the first blister, or a month later... I ve read the leaflet, but couldn t find the answer. I am 26, 1.75 cm, 62 kg, generally healthy, had operation on the right knee but long ago, wearing glasses just for tv and PC. ### REPLY: HelloThanks for writing to us with your health concern. During the first month of oral contraceptive pill use, for practical purposes, consider yourself as unprotected against pregnancy. Particularly in the first week of pill usage, the hormones have just not yet started kicking in and exerting the effect. Hence, some kind of backup contraception is always recommended during the first initial month or two of pill usage. Right now, you can take an emergency contraceptive pill (ECP) to increase the protection against pregnancy. The side effects would no doubt be enhanced due to the double hormonal dosage.Also, your period might get irregular, this is because with ECP the normal cycle can be advanced or postponed to a great extent.Use an ECP right now if it has been less than 120 hours since unprotected sex. Continue using condoms for the rest of the month, until the next pill pack is started. All the best. 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 the past 6 months, I ve had neck/upper back pain , achy, and I feel a pulling when I lean my head back or bend it forward. I have also had intermittent head pressure and sharp localized pain at the base or my head. My GP sent my to PT for neck strain , which has not helped after 3 weeks, I think I need come imaging, thoughts? Thank you. ### REPLY: Hellenist likely it is a Cervical Spondylosis. But you are not getting any relief for medication and physiotherapy, so you need MRI Cervical spine and consult spine surgeon for better treatment. You have to follow some guidelines to improve your spine pain:1. Alternate hot and cold fermentation. 2. Use hard bed to sleep, avoid pillow. 3. Apply anti-inflammatory gel 3-4 times a day. 4. Wear Cervical Collar as much as you can. 5. Avoid all long term sitting, standing and .  6. Avoid jerky movements of neck. Hope this will help you in reducing the pain. Consult you doctor soon and plan your treatment. 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: sir i hav kidny stone pain today,,i hav spasmo proxyvon andtramadol hydrocholide,.next time if pain occurs .would dese tablets b sufficient to cure the pain immidietly??n in what dose should i take dem at the time of pain??as i hav to travel tommorow.so plz sir give me advise as soon as possible.. ### REPLY: HelloThanks for query. You have pain in abdomen due to Kidney stone and have been taking painkillers to get relief from pain. At the outset let me state that the pain in abdomen is not due to stone itself, but it is due to back pressure changes in kidney and ureter (HY . The primary aim in treatment of stone disease is to destruct the kidney and not to get relief from pain by taking pain killing  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: a young patient diagnosed TB meningitis and on ATT, referred to ophthal op for c/o diplopia.. on examination her vision is 6/9 in both eyes, restriction of abduction, dextroelevation ,dexrodepression mimicking lateral rectus palsy in right eye other movements are normal. diplopia is present in all gazes.. no ocular pain. MRI shows lenticular infarcts and lesions in cerebellum. no lesions related to orbit.. what could be the reason? ### REPLY: Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-:1)Start treatment for tuberculous meningitis INH+RIF+PA 2)Check ICP and add steroid3)management of Ventricular infarct should be with-Activan, Cerebyx, Cardene & Mannitol4)Control BP and ICP in ICU which is the key factor of patient management & recovery. I hope I was able to ad .  If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, my adult daughter had some autistic-type symptoms when she was a child, although they were not discovered because she was home-schooled and we missed it. Today she continues to have relationship problems, such as difficulty with intimacy and physical affection. She has high anxiety and panic attacks, sometimes in social situations, sometimes for no reason. Further problems include difficulty paying attention, easily frustrated. We ve looked into web-based descriptions of high-functioning autism and asberger s syndrome but it doesn t quite seem to fit her. Something is wrong. Can you help, please and maybe point us to some other area to consider? Thank you. ### REPLY: As you mentioned that your daughter was homeschooled, it is quite possible that during that time she started having an aversion to social interactions. Your daughter did not have any exposure to social situations or physical affection. She's still adjusting to something which she should have in her growing up years. Give her time to come to terms with her panic attacks by not hovering. If she doesn't improve even then, you should take the consultation of a psychiatrist. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: under rib cage sharp pains and throughout abdominal area, i am on medication for acid reflux as well. missed period for two months now. not sexually active. very stressed and dont get a lot of sleep, ive been told my eating habits arent great because i dont drink much water. ### REPLY: Hi. Thanks for your query and an elucidated history... Your basic problem looks to be the stress... and may be anxiety. Get treated this and all your symptoms of HERD, hormonal imbalance causing delayed periods, loss of sexual desire as it looks, loss of sleep,,, in fact loss of interest in life will all be alright. Incidentally get your Hormonal status particularly Thyroid function checked. Consult a Physician and a Gynecologist as they may help you not only with medicines but also with proper counselling. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 would like to start a family. I am 41. I take medication for epilepsy, 200mg lamotrigine and 450mg phenytoin daily but have been seizure free for a number of years. I have regular menstral cycles and am not aware of any other fertilty issues. I also take 5mg of folic acid daily. Should i be able to conceive naturally and have a healthy pregnancy? ### REPLY: Hello, I have gone through the query and understood your concern. It is indeed possible to conceive under modern forms of treatment even while undergoing treatment for epilepsy. You need to have a proper clinical evaluation and plan further management. The anti-epileptic medication has to be modulated and changed to safer .  Also, considering your age and health, it is better to opt for ART to save precious time. Please contact your health care provider for further information. Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been getting nauseous every night for about 2 weeks. Im 21/f on birth control regularly for about 4 years. I take citlopram but have had no problems with it in the past year. Ive also for about 10 days been taking an antihistamine for a cyst. But the past two nights Ive been getting nauseous before taking it. Tonight I got dizzy as well. ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have symptoms of nausea and dizziness. The symptoms you mention in query occurring due to nerve disturbance. Sometimes nerve supplying to middle ear that is vestibulocochlear nerve is getting affected with neuropathy and leads to your symptoms. The symptoms can also occur due to condition like hypoglycemia and anemia. I would suggest you to consult general practitioner for proper examination and to rule out other causes. Doctor may prescribe medicine to strengthen the nervous system like erosion forte along with the medicine. Doctor may also refer you to cardiologist for heart condition.  You should try to keep ear .  Avoid touching or pricking it with sharp object. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter is having some problem. She takes lotof time in doin any piece of work let it be taking bath or making notes. Even ifthe small ting hapens aains her expectatios she gets upset. She has a phobia of type of ting for exta neateness. She ha a feelin ery were thereis dirt and if she douts there is sotng dirtt is there she takes a slot of time claeaing the same or does not ouch the ting. She does not care tocarry out te dal work een in time. Keepsthng as they are. She finds falut with others for not doing the work but she herself dos not do the work she says things are notperfect and se does ot want to do anytthing. The cothies getts iles without washing. If she does any wasing she may take hours for the same. She will wahsher hands for long time time counting the number of times that she wshes. Just because her daugtr got dwon rom the bedand wlked bre foot on the ground and got up to the bed she got upset tht the entire bed has become dirty and unclean and she could not use the bed. shemade herdaughtralsostand on the floor. She throws every thing on te grond in one of the room and does not get that room cleaned. what cold be done for this behaviour. ### REPLY: Hello After reading your history I come to conclusion that most likely she is suffering from OCD or obsessive compulsive disorder. She is probably having Obsessions of cleanliness and Compulsive handwashing. This is a type of anxiety disorder and is the reason for her abnormal behaviors like handwashing, taking time to bathe, obsessive cleanliness etc. Even patients remain aware of their abnormal Behavior still that can't control the thoughts. I would advise you to take her to a psychiatrist for opinion. Psychological treatment like exposure and response prevention, systematic desensitization are main treatments that have proved effects. They have good efficacy equivalent to . Medicines especially Fluoxetine, Paroxetine, Clomipramine are very useful. The  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 dad is 70 yrs old had infection removed from prostate a month ago for last two weeeks he has done nothing but urinate straight blood rarely it will be milky looking but mostly just blood had biopsy done on prostate came back negative but why is he urinating blood all the time ? ### REPLY: Hello, frank blood in urine can be due to multiple causes right from the kidney to the urethra. Any trauma anywhere along the whole of urinary tract can cause frank blood in urine. Bleeding per urethra has multiple differential diagnosis right from trauma, infection, stone in tract, cancer and so on. From my point of view you should show him to a urologist and get total examination done to find the causative reason. 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: A small oozing lump developed on the back of my head about two days after a haircut.  The haircut was not short but clippers were used.  It seemed to appear fairly fast.  I also was outside alot golfing and thought it could be a bug bite but I never felt anything.  It itches mostly but also burns a bit and seems to be getting worse.  Any ideas on how to resolve or stop the itching? ### REPLY: Hi, Dear,Good evening. Thanks for your query to my virtual  Clinic. I studied your query in-depth. In My opinion-you are suffering from-post-haircut -scalp infection with fur uncle / boils with folliculitis. Treatment for stopping the itching lump-Antibiotics with Tb NSAIDs would control the skin infection and cellulitis and folliculitis. This ultimately due to healing of the skin wounds, would get rid of the itching lump on back of you Head. Hope this would resolve your worrying query. Wellcome for more query from you. Good day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am about to go in for a colonoscopy due to blodd from the bowel, bloating and stomach distention and very acute pain....I did not mention to my Gastroenterologist that  I have had the most excruciating coccyx pain over the past few months and I mentioned it to a friend when I was telling them I am going for the procedure this Friday and she mentioned that coccyx pain along with the other symptoms I have are very similiar to her father and he was found to have colorectal cancer during the colonoscopy....can coccyx pain be related to cancer?  I am 50 and the issues I have been having are going on now for approx six months ### REPLY: Hi, Thanks for writing in. Pain in coccyx is unlikely to be the presenting symptoms in colorectal cancer. However, in advanced disease such a pain might be felt. Most pain involving coccyx is because of trauma which might have occurred years back. Sometimes it can also be due to inflammation of fat around the rectal region. If the pain is severe then please get an X-ray of coccyx done. Rarely the pain in coccyx might also be due to bone involvement in prostate cancer and this requires investigation including blood test called PSA level. You might discuss with your doctor if you require this test. Please do not 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 am going to Kenya on honeymoon and am wanting to start trying for a baby, I am having vaccinations for Yellow fever and taking anti malaria tablets, the nurse said it was fine to start trying but I have read I should wait, is it ok to try or should I wait? ### REPLY: Hi there, , Trying to get pregnant after taking yellow fever vaccine should pose no problems to you. But regarding the malaria prophylaxis, you should be cautious. A lot of factors play, Whether the area you are going to has high density of anopheles, chloroquine sensitive or resistant and how long do you plan to stay. You should keep in mind that no anti malaria tablets are 100% protective, and you could still get malaria. Malaria can increase risk of miscarriage, and anti-malarial medications may or may not have side effects on the pregnancy depending on which one you are using. I would advise you to avoid getting pregnant while on anti-malarial medications. Hope this helps. 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: good morning sir plz help me . i am trying to conceive since 6 months ago. but iam unable to conceive. i am having cyst in my right ovary. 2  months back i conceive through clomid, ChatDoctor injection but it causes to misaborption in that doctor said cyst is decreased from 5cm to 4cm. i m worried becoz my age is 29yrs. tell me after how many days i can conceive. ### REPLY: Hi, Thank you for choosing . As you have already conceived once, your chances of again getting conceived is high. So do not worry, I advise you to take 3 cycles of combined oral contraceptive pills for the cyst to decrease and then re-try closed.  I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow-ups. If you like my answers kindly rate it, and write a review as well. Please do not forget to accept it. Thank you, Wish you good health. .  .com/doctors/ ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: pls can u tell me what a person should eat in CML?age:30yrs                                                                   ht:5.4                                                                      wt:69                                                                        medicine:Imatinib ### REPLY: Thanks for your question on . I can understand your concern. Leukemia patients are having lower immunity. And this is even lower I'd patient is on chemotherapy .  Since chances of opportunistic infections are very high. GI (gastrointestinal) tract is common site for such infections because of poor food habits in these patients. So appropriate dietary habit is must for maintaining good immunity. 1. Give patient homemade, freshly prepared food. 2. Avoid junk food, outside food and stale food. 3. Give patient high protein diet including milk, eggs etc. Protein supplements are also good. 4. Patient should take multivitamin and antioxidants tablet. This is to improve immunity. 5. Give patient fruit juices, vegetable salads etc. Hope I have solved your query. Wishing good health to your patient. 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 m having lower back pain it hurts when I stand, bend and walk very stiff in the morning and doing the day. The pain goes down my hips and my thigh and stop at my knees. sometimes my husband have to help me get out of bed and when I am sitting. I have alot of fatigue. I doesn t go away when I am at rest. I started taking presidone and indomethacin 50mg which was given to me for swellen in my right hand they thought was gout but it wasn t. I was tested for Lupus I don t have that either. My joints make noises when I move them epecially my knees and elbow. My eyes feel itchy and when I rub them they sound squeeky and they hurt sometimes I see purple colrs sometimes yellow. I m starting to see these light colored spots on my legs, arms and face what are these and can I get rid of them. I am going thru menopause havn t been tested have all the sysptoms. I am 45 years of age had a hysteromy in 1994 I only have one ovary. I had my appendix taking out in July 2011 and gallbladder in 1990 had some cyst in my breast had them removed doing the years. Had a heart Cath done for chest pain in 2010. I had a knot to appear out of no where on my forhead. I do have high blood pressure, High Choles. I feel better than I have in along time since I started taking the presidone and indomethacin 50 mg. Just taking a shower takes alot out of me. Please help I don t Have Health Insurance. When the doctor took out my appendix he told me I had a lot of pus and that I was a sick woman. The way he explained I was very lucky to come in to the ER when I did. I was on alot of anbotics excuse my spelling. ### REPLY: Dear patient Extreme fatigue and multiple joint pains can be due to many causes 1. Severe anemia 2.  Hypothyroidism 3.  Rheumatoid arthritis considering your age. Out of this according to me severe anemia with low hemoglobin is more likely.  You need to be investigated with blood tests to confirm diagnosis which includes 1.  Complete blood counts 2.  Serum thyroid function test 3. RA factor level. Get this done from reputed laboratory asap. Visit expert physician with report. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Long story short, my girlfriend and i had broken up for a month or so, she had unprotected sex with another man, and he said he was clean and free of STD/STIs. We had protected sex 7 days after she had unprotected sex with this other guy. I dont know the other guy and dont trust what he told her, and i am just concerned that he might have given her an STD. if so, would she be able to pass that on to me a week after her unprotected sex. it has been about 2 days since we had protected sex and i am just worried. ### REPLY: Hello, If you had protected sex, it majorly reduces the risk of the sexually transmitted diseases being transmitted to you. However, it may be wise for her to undergo a sexually transmitted diseases panel and be started on some antibiotics. If you develop symptoms of burning in your penis, burning while you pee and if there is discharge, get yourself tested. Hope I have answered your query. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have macular degeneration and get frequent injections in my eyes, the numming drug is Proparacaine, I am concerned since i noticed that it affects my mental acuity..........and i have to drive myself home..........I have not had any problems however, should I be in an accident, my fault or not..... would the insurance company consider the fact that i have Proparacaine in my system the same as someone who has used alcohol????? ### REPLY: Hi, Thankyou for providing the brief history of you. As you are having macular degeneration, it is a painful condition to bear with. The vision is totally very bad and only the person undergoing will know. Also, for macular degeneration the Steroid injections are effective to a certain extent, but the healing of the issue is totally depended upon the body. With steroid injection only the symptomatic treatment can be done and nothing more to reverse the degeneration process. I will advise you to do regular general body exercises, take oxygen therapy, do breathing exercises, meditation and allow the body to utilize its own natural medicine produced within to help control the degeneration process. In my clinical practice, I have seen cases with macular degeneration and performing the combination of therapy I mentioned, it has got some benefits in the patients, but to be honest the reversal process will surely take time. Patience is what needed. RegardsJay 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: sir my son aged 14 years is suffering from jaundice from 3 weeks level of bilirubin is22 and indirct billirubin is 15.6 S.G.P.T IS 61 HE IS SUFFERING SEVERE ITCHINGFROM LAST 04 DAYSSGPT IS LOWERING BUT BILLIRBIN IS SLOWLY INCREASINGWHAT TO DOhe is ok no vomiting/no much weakness ### REPLY: Hi.noted history of jaundice associated with pruritic (generalized itchiness). It is possible that your son has an obstruction (from a stone or a lesion) somewhere along his hepaticopancreaticobiliary tree causing his jaundice. Deposit of bile salts causes his pruritic. It is best if you bring him to a doctor, preferably a general surgeon or a gastroenterologist, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, ct-scan, MRCP/ERCP, liver function tests, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My baby is 14 weeks old & has had mucus on her chest from birth. She is not getting rid of it at all. I breast fed her for 7 weeks. She is on Aptamil formula now. Every time I give her a bottle her wheezing gets worse. Do u think it s the milk that is making her worse?? I m thinking of changing to soya milk. Can u please advise. Thank u. ### REPLY: Baby may be over feeding with bottle or regurgitating. Try to change to nipple with smaller hole appropriate for his age. Keep him reclined with head slightly upward while feeding. Burp well after feeding and during sleep also support him in reclined position. If these measures doesn't help take help of pediatrician to rule out other anomalies like TEF & other chest infection/HAD. For HERD antigen medicine may be required. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 just at the end of having impetigo however tere is still a small patch on my cheek. my question is since this started all my teeth and gums on the top right hand side of my mouth are numb... will this come back, also although my skin is almost healed it is still red and is now more itchy than ever ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query numbness in tooth and gums post impetigo treatment will resolve as it mainly affects area of mouth without teeth or with dentures. As you are almost recovered from your condition I would suggest you to take few preventive measures to prevent reoccurrence such as 1) Wash your face daily with natural face wash or Mercury.2) Avoid frequent touching and pricking of skin of cheeks.3) Use antihistamine and steroidal ointment. Maintain proper oral hygiene to prevent gum diseases. Keep checking vitality test of tooth. Hope your concern has been resolved. Get Well Soon. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: What is wrong with me...  Im tired all the time, I have been putting on weight for the past month and nothing helps.  I feel like crying all the time, Im cranky and moody and I feel like I move in slow motion.  People just say to get over it but I cant. ### REPLY: His understand your concern. Sudden change in weight indicate metabolic changes. We have to rule out certain cause like diabetes, thyroid etc. Require certain basic investigation and proper chart of body mass index. Consult physician and do all reports. After reaching paper because we will be able to do treatment properly. Dietary control. Avoid fatty and junk foods. Follow proper diet plan from dieticians. Exercise and walking regularly. Thank you. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I kicked something and now my foot is slightly swollen, slightly bruised, but definitely sore. I cannot bend my big toe (which is the area where the pain originates, in the foot part just below my big toe) not because of the pain, but I physically cannot make it bend. It hurts to walk on the affected area but I can walk. I just cannot put weight on the big toe. It is painful with a mixture between dull and achy and suddenly sharp or throbbing. Though, I took a Vicodin and the pain is a lot better. The pain is more localized and the areas around it hurt less allowing me to put weight on those areas. Does this sound more like it could be a sprain since the pain medication helped with almost all of the pain aside from the milder pain I feel in the location of the bruise and swelling? ### REPLY: Dear patient You have injured your foot more so your great toe and possibility of fracture cannot be ruled out since pain is not relieved.  I would advise X-ray of involved foot anteroposterior and oblique views to confirm diagnosis.  If it shows fracture you need to consult expert orthopedic surgeon with report.  If its normal diagnosis is sprain and recommended treatment is rest for 2 weeks and tab diclofenac 50 mg twice a day for 5 days. 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: What about Vitamin B17, laetrile and Essiac tea?  They are cures for cancer-we know two men who have been cured by the apricot kernels (laetrile) when chemo and radiation almost killed them.  The AMA and FDA have known about them since the 70s and 80s. My husband has had prostate cancer for six years and with his Dr. has been doing watchful waiting .  Now the Dr. wants do remove the prostate.  He is taking apricot kernels and drinking the tea--we dont know how it will turn out.  My brother- in-law had bladder cancer last Feb.  They removed it lapriscopically and he went on chemo and radiation.  He had to stop because of a heart problem.  When they tested him again he had cancer in 20 places when it was originally encapsulated.  He began taking the kernels and did go back on chemo.  When they tested him in Sept.  he was in remission.  They still want to do more chemo.  WHY?  Cant you Drs. use the natural cures we know about without being penalized for doing the right thing when chemo and radiation are killing patients?  I cant afford to pay you for a reply so if you have to be paid--forget it.  Mary C. ODell ### REPLY: **1. First thing to look out for is : metastasis i.e. spread of cancer [since if it has spread thus it becomes highly unlikely to control the Infection through any system of Medicine. [as suggested in your brother-in-law history] 2. Ayurvedic preparations can act as an adjuvant or a co-therapy along with chemotherapy or radiotherapy.PS. Malayan {Immunomodulator] Nikita : i.e. The cell-protective activity of .  Daily use of Malawi which contains vitamin C and Food containing vitamin E helps retard the formation of cancer. Use of onion, garlic and turmeric in the diet, to some extent depress the growth and suppress the formation of cancer cells in the body.PS. According to clinical studies, such  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 All, I am in my 7th week with no periods and urine test is showing negetive ..did meet the doctor was adv to take Lupigest 200 do i have to insert this or take it as a pill? if so y is it taken for ..can i still be pregnanat even after taking this pill please answer ### REPLY: Hallow Dear, Since at 7 weeks amenorrhea, your pregnancy test is negative, you are not pregnant. Lupines 200 is a progesterone preparation. When there is no pregnancy, this medicine when take for 5 days, gets with .  So this medicine is given to you to get your menses. These tablets or capsules are to be taken orally. Take the pills for 5 days and then discontinue to get menses. I hope this 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: What is iron deficiency anemia? Lily is 4 years old and she have been complaining of being tired all the time. She is pale and a picky eater. She only eats pasta, breads, and hot dogs, and she drinks only artificial fruit punch. She has iron deficiency anemia. What is iron deficiency anemia? ### REPLY: It means she has low hemoglobin due to iron deficiency. Hemoglobin is made of two part heme and globing. For synthesis of heme iron is required. So deficiency of iron leads to anemia called as iron deficiency anemia. She should take iron reach food like legacy, dates, .  Etc. and if required go for oral or parental iron therapy according to your doctors' advice. Once iron deficiency is treated her symptoms will receives. Thanks for using . ### END