Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi...sir my nephew of 2 years age has a problem of latrine,cough and fever and we have seen to the doctors and they have given a medicines like zocef-cv syrup,zepera,zincobex forte syrup and brophex syrup. but nothing has changed in his body so i want to ask you whether these medicines that doctor has given is correct and what is the use of that medines and please tell me what should i do for correct treatement of my nephew..thanks ### REPLY: HI... I think your nephew is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did the kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. Regards -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am Raja Mukherjee 43, recover from chicken pox just 4 to 5 days, body weight 96kgs, height 6 feet, BP 150/110.under medication, other test report are normal,except cholesterol is high but within normal range.My query is what type of diet i should take daily. ### REPLY: Hello, Welcome to , Chicken pox is a disease caused by varicella virus which is transmitted by . It is highly infectious and communicable 2 days before the rashes to 4 days after the rashes. The rashes and symptoms will be more in a patient with reduced immunity. As such there is no food restriction, but you have to consume food which boost your immunity. Protein rich food helps to increase the immunity and fight against thus virus. 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: My 6yr old son has a fungal infection on his feet. The Dr. had him on lamasil tablets ( 7 x 7 x 10) and travogen cream after about a month we wont really seeing any improvement. He has him on now elcon ointment and predcort (1 tsp for 6 days) after the first 7 to 8 days we saw a little improvement on his feet. The Dr. still has him on predcort but half tsp for 12 days is it really safe for my son and could the lamasil have done any damages to him? ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that as the name of the .  I advise not to use steroid for fungal infections. Fungal infections initially respond to antifungal medication but won't get treated and infections start increases thereafter. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at . ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a small hole on the top of my tongue, like a taste bud was mising.  There was another tastebud beside it a little inflamed. now the hole is white like a canker but now ther eare little red dots around the tip on the top and sides of my tongue that are not raised ### REPLY: With your query, it is well mentioned that you are aware of canker sores, so I hope you are sure about it. Do you remember whether it has started after taking some food if so what is it and for how long been it is present. Second one is it symptomatic or asymptomatic? Do you have any burning sensation while taking any hot or spicy foods? It would have been Better if you had mentioned whether you had it after having some food or just like that simply it started appearing anyhow after reading your query either it has an allergic reaction or an inflammatory reaction. Usually these things happen after having some strange food to which you are not used too. You mentioned that sides of the tongue too so rather than taking suggestions I would say you better visit your specialist dentist like who did MDS in oral medicine. Hope this is useful ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 need some help. I do have an apoitment with mental health but not until December. I was in detox for alchole about a month ago. Upon returning home my boyfriend took my 3 year old twins and will not let me see them much. Not only is this man my x now but he also is my boss at work. For years now i have had anxiety paronia and depression. Now lately its 100 times worse. I dont want to leave my house. I have been missin time at work. My work has told me to go to the dr and get put off of work so i can get myself right. I do not know how to ask my dr that? Im actually terrified to even go to him. My x and my family this im being stupid but i cant help the way i feel. Its like i know what i have to do but my mind wont let me. How do i ask my dr for help? What could be wrong with me ? I do not understand why 24 hours a day i am feeling like im failing. I keep my doors locked and my curtins closed. I do not want to leace the house. I feel like ppl are talking about me and judging me. Im sad all the time. Nervous amd stressed out all the time. I find it so hard always feeling this way. ### REPLY: Hello! Welcome to  ! Presently your in depressive state. So, now you're suffering with all the depressive symptoms like feeling low and sad, wanting to stay alone, unable to concentrate on work, low self-esteem, etc. I guess you also feel hopelessness and guilt along with sleeplessness. It indicates that you're in a moderate to severe depression state, which ought to be treated with a psychiatrist. Mostly, they prescribe medications like SSRIs and TCAS. I recommend you to consult a psychiatrist immediately. Also, start practicing relaxation exercises like mindfulness, meeting friends, going for a walk in the morning, which will help relieve your stress. Hope that clarifies your concerns. Thank you for the question. Take care  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I am 43 years old, got married 10 months ago and don t conceive yet. In the starting after a month I did ultrasound and more tests and doctor said that I am pregnant, after few visit to her and FSH test she said it was just a chemical pregnancy which disappointed me a lot. Doctor insist me to go for IVF but I want to try to conceive without doing IVF. Later on doctor said I have some fibroids and one is inside my uterus which does not allow me to conceive that fibroid was removed in 16th of January 2014 and now I am taking Lezra tablets which I completed today. Need your help and suggestions please. I know that I am 42 now and it is not easy for me to conceive but still hoping for it. My FSH was also very high about 17.53 and I am on DHEA medication which brought it down to 6.84 now. ### REPLY: Hi I want to know regarding your AMH value and the follicles count on ultrasound. Actually your age is on a higher side. Bangkok As your fibroid has been removed it will not be of much problem in conceiving but if your follicles count is low you might need IVF. As you have taken Ezra tablets it is given to increase the size of follicles. So you can get repeated ultrasound done to find out if any follicle is forming or not. If follicle is forming then you can try naturally but if it is not growing you will have to opt for injections to make them grow. As the chance of pregnancy is only 7 to 10 percent with medicines, and it is 40 to 50 percent with IVF, don't waste too many cycles in trying naturally. IVF is a better option for you. Hope I have answered your question. If you have any other query I will be happy to help. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a circumcision last of April, I am 64 years old, had semi erections while walking around for a few months, now that I have a new girl friend, since June, we have been having sex since July, but I never climax, or ejakulate, I dont even get to the point of sexual spasms? I enjoy sex with her although I am unable to maintain an erection with out taking half of a viagara. Is inability to ejakulate someting to worry about, or a side effect of circumcison? girl friend wonders If I am just to psychologically blocked? My wife of 41 years died 2 years ago?? ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. I can assure you that circumcision is not the reason for your present condition. Premature ejaculation, delayed ejaculation, erectile dysfunction and lack of interest in sexual matters are mainly due to anxiety and lack of knowledge. You are anxious or rather apprehensive. You are worried about your sexual performance. Such worries, rather apprehension . Have faith and confidence. Stop worrying about future. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had sex with my boyfriend on 19th june..but he didt ejaculate his sperms inside..is it possible to get pregnant???He asked me to use mensovit capsules to avoid pregnancy,if found to be pregnant..my actual periods date is 25th july..what should i do??? ### REPLY: Hello dear, welcome to Ask a doctor service. I reviewed your query and here is advised. According to what you say you are not in ovulation days and he didn't ejaculate on you, you have few chances of being pregnant but still not 0%. You can use emergency pill to be sure. I advise you to get a long term contraception method. Hope I have answered the question. Let me know if I can assist you further. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello! I am a 22 year old woman and, after drinking a glass of milk, I ve been hit with a bout of moderate chest pain and some pain/sharpness when taking in a deep breath of air. I do suffer from acid reflux and IBS so heartburn and indigestion is no unusual for me but it is particularly potent and long lasting here. Could this be an allergy/intolerance to lactose? Or is it related to acid reflux? ### REPLY: Thanks for question on . In my opinion it is a acid reflux only. As lactose intolerance cause diarrhea first. And for acid reflux try to follow all these simultaneously for better control.1. Avoid oily, spicy and hot food.2. Avoid stress and tension.3. Avoid large meals, instead take frequent small meals.4. Quit habits like smoking or alcohol if you have.5. Lose weight if you are obese.6. Take proton pump inhibitors. 7. Go for walk after meals.8. Keep 2-3 pillows under head in bed. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 74. He has Emphysema, is in a cleared state of prostrate cancer and bladder cancer , he has had 3 heart attacks in his life, he smokes (up until 14 days ago$ and was just diagnosed with an EF of 20%, and fluid in the sack around the heart. He is currently wearing a life vest and taking diuretics with breathing treatment with steroids. He was sent home from the hospital 4 days ago. He is having extremely uncharacteristic behavioral changes. Is this due to medications and/or circumstance or could there be something else we are missing? (Ex. He would never steal anything from anyone, ever! yesterday he tried to steal a wheelchair - whats more, he was already given one that he refuses to use. Then yelled and cussed at my Mom as she cried begging him to stop). ### REPLY: Hi, your father has been treated for prostate cancer and bladder cancer successfully. At present what the problems he is facing is unrelated to the cancers. Behavioral changes may be due to steroids also. It may be acute psychosis because he is on treatment for a long time with major life-threatening diseases. Keep in touch with your cardiologist, pulmonary physician, and you may consult with psychiatrist. 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: Dear sir My mother aged around 45 has mental illness since my birth.I dont know the way to cure.Is it possible to cure?.She is talking about old hapennings,about some personalities like that talking self.Please tell some advice.i m in india,chennai.Awaiting your kind reply. Thanks&Regards  A.Saravana vel ### REPLY: Hello and welcome to . Thanks for your query. I understand that you are concerned about your mothers psychological problems. From the limited information that you have provided, it is not possible to make a diagnosis at this time. A detailed evaluation and psychological assessment is necessary to arrive at a definitive diagnosis and to start treatment. Effective treatment is available in the form of medication and psychological therapy. So, I would advise you take her to a psychiatrist for a detailed evaluation and further help. Wish you all the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 54 year old male with an enlarged heart due to genetics. Here lately it has been going a-fib a lot more often, and staying longer. I was taken to the hospital with Congestive Heart Failure last Monday. It is May, and my ablation surgery isnt until August at the earliest. I am taking amiodarone, lisinopril (zestril), metoprolol (lopressor), and am on warfarin (coumadin) bloodthinners. I have been coughing a lot with the CHF, which causes me to go into and out of A-fib. Is there anything I can do to get back into sinus rhythm? ### REPLY: Hello, First the reversibility depends upon on size of Atria, if they are extensively enlarged then there is less possibility that you will maintain sinus rhythm for long. If not then other .  You can discuss with your local doctor. Also, regarding CCF, I think you also need to be on diuretics like horsehide and spironolactone, which are important in CCF.  So you can discuss both these issues. In general, you, you restrict your fluid and salt intake. 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 think my tongue is swollen and I accidently bite it. This happens once in awhile. I thought it might be some Vit. B deficiency? I remember an old book by Adele Davis mentioning the tongue.I also have gum pockets and often when I go they put arrestin in those.Thanks for any assistance you can provide.  I did not realize there was a fee and I have an appt. next week and so Ill just report the symptoms then. Thanks. ### REPLY: Hello, Well, occasional swelling of tongue is commonly due to allergic reaction that can be at times due to allergy to any unknown foods or medicines or at times certain environmental allergens can be a cause. Less likely to be vitamin B deficiency as in that case there can be consistent swelling along with other symptoms. So, my suggestion is to consult an oral physician and get checked especially when there is swelling of tongue. You can take anti-allergic like Levocetrizine and see if swelling gets down. Also, an allergy test can be done for confirmation. But firstly a clinical checkup can be done to make a provisional diagnosis. 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: Lower backache I am experiencing backache from 2 months. I am 24 years old. I lost abt 20 kgs in about 9 to 10 months. now i am 62 kgs and height 163cms. backache started after doing a few exercises in the gym. I quit the gym a month back but backache is getting worse. plz suggest what i need to do now. ### REPLY: Welcome to . 1. It is too much to lose 20 kg over so short period - in this case I would look for any pathology in the body.2. The back ace in this age should be eased off with simple back exercises followed by physiotherapy.3. In this case I would recommend getting an MRI spine done that will assess the possible cause of the pain and can be treated accordingly.4. If you are doing exercises in order to lose weight - please stop it as your good enough for your height anymore will be underweight.5.Finally, ultrasound abdomen will assess the possible cause and solid organ pathologies and any lymphadenopathy. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mother is 90 years old and recently had a very mild stroke. We just got her home 2 days ago from the hospital. I just checked her BP and is was 95/65 with a heart rate of 53. Is this cause for alarm. I don t know what s normal for a 90 year old. ### REPLY: Hello! Welcome on Ask a Doctor! Regarding your concern, I would explain that her actual blood pressure values and heart rate values are a little low, but as long as she does not feel lightheaded or weak, there is nothing to worry about. Increasing salt and water intake can help improve her situation. If she is taking any beta blockers or antihypertensive .  Hope to have been helpful! I remain at your disposal for any further questions whenever you need! Kind regards,  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am masturbating from 3 years thrice a week and my penis size is 2 inch normal and 6 inches when erect and my age is 16 years. so my question is could i able to become father in future? Will masturbation in future could affect my relationship life. ### REPLY: HelloThanks for writing to ChatDoctorYou have absolutely normal findings. There shouldn't be any problem in becoming a father. Masturbation is normally practiced by many persons, but its obsession is bad. You should concentrate in your activities. You should avoid provocative literature and videos and try to keep busy yourself in your job. You can also try yoga and meditation, this will help a lot. Hope I have answered your query. Take Care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my mom is 82 and had a bile bag for a week and then now they put a stint into the bile duct that had a couple of strictures. they have taken some cells from the bile duct and we will get the results tomorrow. my question is her hip bone; lower part of the hip; kind of the side of her leg on the opposite side of the incision made between ribs is really sore. Do you know why that would be? ### REPLY: Here It's difficult to answer without physical examination of patient, but I can give you in general guideline. Since there is incision and inflammation at one side of her abdomen along with pain there will be muscle weakness also and due to that she might be sleeping on the other side with side lying as well while walking also there will be more weight on her normal side. Even when she will sit also she will give more weight on her normal side and due to that (due to overuse of normal side) as per her age it is common to have pain in normal side also with soreness in bones and soft tissues. I suggest correcting her posture and give her enough pillows to support her position in such a way where she Don't get constant weight at one particular part of body. You can also practice this by changing her position frequently. As of now you can give her hot and cold pack alternately as per her tolerance limit to give some more relaxing effect on inflamed and sore areas of normal side. I am sure this will be useful for her so just follow it and see. 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 had uterine cancer about 2012 had complete hysterectomy and chemo and radiation. My blood work Never showed any signs of cancer. Now when I go back for my six month check ups the doc has me get my blood drawn and says it looks good see u in six months! How do I know that cancer is not back? YYYY@YYYY ### REPLY: Hi, dairy have gone through your question. I can understand your concern. It depends on the type of uterine cancer.  Few type of cancer has blood markers. So this blood marker level are helpful to detect cancer.  Moreover, ultrasound abdomen or ct scan abdomen are helpful to detect growth.  Consult your doctor and 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: Have started having a burning sensation behind my right knee in the past two weeks: no physical signs. I do one hour of Zumba dance exercise 6 days/week; 58 years old, weight, blood pressure, etc. all good. No prescription drugs.. Am very healthy! Today, some numbness has started on the outside of that calf; doesn t really stop me from going/doing/exercising but is annoying .. Have noticed that my tail bone is uncomfortably sore in certain sitting positions, recently, but don t recall anything that would account for that... Help?! Thx. ### REPLY: Hithank you for providing the brief history of you. A thorough neuromuscular assessment is advised. Based on your history, due to performing of the Zumba, the mechanism of the injury has to be understood, Due to performing Zumba for long hours, there will be a possibility of the injury of the soft tissues in the knee as well as the lumbar spine. As, your age is 58, you may have degenerative changes in the joints and soft tissues. So, stopping Zumba for a week will be advised. Also, performing the thorough euro muscle skeletal assessment by an or tho, the weakness in the muscles can be determined, if required the or tho may ask for an MRI of either the knee or the lumbar spine as you have burning sensation behind the knee. The burning sensation in the knee or behind can be due to ligament injury, which needs a thorough assessment. Also, you have numbness in the calf muscle and discomfort in the tail bone, this can be the lumbar spine pathology for which the symptoms are arising. I will recommend undergoing a clinical orthopedic musculoskeletal assessment and an MRI of knee and spine to help you further. Physical therapy will be recommended by your or tho and Zumba will be stopped as well. Recovery with physical therapy will help you regain the normalcy in 2-3 weeks since you are an active person. 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: Hi. In the past few days red itchy bumps started popping up on my right elbow and has grew to a large patch, now they are very tiny bumps forming up my right and left forearms and I have just a few red raised bumps on my left elbow... While working my elbows and arms are exsposed and get a lil sweaty and dirty. .. What should I do because the bumps a mutiplying fast ### REPLY: HiT hanks for your query seem to be developing an allergic skin reaction. Considering the sites involved in your case, possibility of a photosensitive rash which is a sun induced rash can be considered. Avoid prolonged sun exposure. Use a sunscreen regularly with SPF of at least 26. Wear cotton clothes. Wear full sleeved shirts in order to avoid direct sunlight. Apply a topical steroid cream over the area twice a day for 3 to five days. Can take oral antihistamines for itching. Hope it helps .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have a lump thing near my pantie line, and I m a little concerned as to what it is. It has been there for probably about a month, maybe longer, but I only noticed it about 3 weeks ago. Since then, it hasn t changed at all, it hasn t grown, it hasn t decreased in size and it doesn t hurt... It s just kind of there. It is quiet small, probably a little smaller then pea size. It is under the skin, it doesn t push up like a boil would and I m certain that it isn t a boil because it hasn t grown and it doesn t hurt when I put pressure on it. It is a normal round size too. I would go to my local GP, but because I am in University, I am registered with them and no longer at my GP and at the moment, the doctors isn t available. Thanks Shannon ### REPLY: Hi, dairy have gone through your question. I can understand your concern. You have mostly enlarged inguinal lymph node.  It's due to reactive hyperplasia as a result of some infection or it may be due to tuberculous or lymphoma. You should take course of antibiotics. If it doesn't respond to treatment then go for biopsy and histopathological examination.  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: I m having upper belly pain directly under breast are and sever nausea vomiting change in bowel movements. Pain is every day and sever episodes about every 3 weeks where can t keep even water down. So far only thing found is celiac artery is 90% compressed and smu artery 20% compressed cannot have stent due to muscle laying on top--I have unspecified connective tissue-auto immune, IBS, Fibro and gerd --Doctor ruled out gall bladder however when they did test to mimic eating the pain and gas were horrible even though I wasn t actually eating --Dana ### REPLY: Hi.noted history of abdominal pain associated with nausea and vomiting, noted to be increasing in frequency. I agree with your doctor in ruling out any gallbladder pathology. An abdominal ultrasound will be of great help in ruling in/out this disease. If in case positive for gallstone disease, cholecystectomy (surgical removal of the gallbladder with stones) will be advised. This can be done laparoscopically (gold standard) or through open technique. Other diagnostics and management 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: I am not sure how this works. I watch every episode of Dr. Phil and this sounds like the best thing since bread and milk. I am a 65 y/o retired white female. A week ago I went to answer my door. I live in a split entry house and have 2 very obnoxious, protective Beagles. When I went to shut the door I got my feet caught up in them and fell backward down the stairs. I have the worst back right shoulder pain I am not sure what to do. It radiates to my left shoulder and up my neck. It is the one where you have the involuntary yelp when you don t even move (much less try to move). My PCP is out of town on vacation. I have been trying NSAIDS, have some old muscle relaxer pills that I don t like to take because of the side effects and besides they don t seem to help much. I have also tried ice, heat makes it even worse.I hate to go to the ER. Do you have any other suggestions?Please help!! ### REPLY: OK madam I can understand your suffering.you are 60 yrs female had injury right shoulder. Usually it may cause contusion which usually get relieved by rest, NSAIDS, and ice.but you are saying they didn't work. So please don't get panic .if I were you I would go and get x-ray done to rule out any fracture. Or other investigations like ultrasound to rule out any tendon injuries as they are common at this age. 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: 10 weeks ago I had a concussion. First MRI showed normal while 2nd MRI showed a spot on the putuitary gland which I was told possible benign tumor. I am confused why the first report is normal while the 2nd is now showing this spot. I am still having the dizziness and headaches while starting to feel a little muscle weakness in my upper body with a lot of fatigue. What would be my options? ### REPLY: I read your question carefully, and I understand your concern. I imagine you are a little irritated of it not having been diagnosed on first MRI. One explanation might be that the 2nd MRI unlike the 1st included contrast administration and that evidenced the tumor. Contrast sequences aren't always done, not considered necessary for a concussion. Also, there are some special sequences for pituitary gland, and they are done only when there is a clinical suspicion not for concussion evaluation. Another explanation may be simply that it was missed. When the radiologist evaluates the MRI he pays more attention to certain things depending on indication and pituitary gland is not an area commonly involved by trauma, so small things may have been missed if one doesn't look specifically for them. As for what to do that depends on what effect does that tumor has. Pituitary gland produces many hormones, so now lab test for hormonal levels is necessary. Afterwards depending on hormonal level alterations and whether the tumor causes any compression to surrounding structures a decision will be made whether to consider surgery or follow up and medication. I remain at your disposal for other questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: SGOT is 43UI hemoglobin is 15.4 eosinophils is 1% i am exhausted and have trouble sleeping. I have a history of liver, pancreatic and colon cancer in my family. I was diagnosed with stage 1 uterine cancer last june and had a total hysterectomy. is there a chance that it may have spread and what is your opinion based on the blood test results above? ### REPLY: Hi there, Stage 1 carcinoma endometrium has very high cure rates and relapse is very rare though possible. Blood tests are non-contributory to confirm or deny any relapse. Only imaging like CT scan or PET scan can really detect recurrence (Ultrasound to a certain extent as well and not to forget clinicians vaginal exam which is paramount). If you have symptoms like bleeding PV or other significant symptoms like loss of weight, loss of appetite etc., request oncologists review. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 32 years old female.i feel heaviness in my upper abdomen n chest.i m also experiencing backpain n heaviness in breathing.i had the same problem 3 monts.ago.i consulted with my doc.i had done a sonoscan whicChatDoctore normal.after taking medicine i got some relief.but now again the problem started.i also feel very fatigue. ### REPLY: Hi, Welcome to . I have read your query and understand your concern. You might be having either gastritis or pancreatitis. And for that I would suggest that you take a course of a PPI tablet like pantoprazole or omeprazole for a few days. If the pain gets received then its gastritis and so continue the medicine for a few weeks. Also, you need to avoid tea, coffee, soda . If it doesn't then get your serum amylase and lipase test done to look for pancreatitis. If the levels are raised, you need to consult a local doctor for its management. Hope I have been 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: dr. my son is 1 and half month old . for last 15 days he was having diarreah and he was feeding with nusobee casein  but from yesterday we started nan 1 pro again he started with loose watery stool and we are much worried what to do .please answer me. ### REPLY: Hi... Thank you for consulting in . What your kid is having is not a diarrhea and is only a gastronomic reflux. It is quite common for babies of this age group t pass small amount of diarrhea or loose stools soon after feeds. This need not be treated as diarrhea and especially antibiotics are not indicated. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have done my semen analysis several times 1st time - Nill sperm ( Pus cells:12 ~ 14) 2nd time - Nill sperm (Pus cells:11 ~ 13) Started homeo treatment 3rd time - Nill sperm (Pus cells:10 ~ 12) 4th time - Nill sperm (Pus cells:8 ~ 10) 5th time - 20 Mill sperm count (Pus cells:2 ~ 4 & Epithelial cells: Nill) 6th time - Nill sperm (Pus cells:3 ~ 5 & Epithelial cells: 1~ 2) Please guide what to do ### REPLY: Hi, your semen report suggests some short of infection by presence of pus cells. Absence of sperms demand a clinical examination by a surgeon. Please get a check-up and get tests done as suggested. Persistence presence of pus cells require to be investigated by semen culture and treatment accordingly. Please discuss with doctor the course of investigations and treatment available. Testicular biopsy will indicate further line of management. A PRELIMINARY CLINICAL EXAMINATION IS ESSENTIAL FOR FURTHER ADVICE. Please get a check-up and be guided. With best wishes ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I currently have a chest infection.  I have been given Amoxicillin 500 mg  one to be taken three times a day.  I have also been given prednisone to only take if I carry on wheezing.   I am worried that I could potentially have pneumonia and have read that prednisone is not very effective, and in fact could make things worse.  I also have an inhaler. ### REPLY: Thanks for your question on . I can understand your concern. Yes, your fear is right. Prednisone is oral steroid. Steroid .  Because they lower down the immunity and may actually flare up the existing infection. So better not to take prednisone. Inhalers are fine for wheezing. No harm in taking inhalers. Treatment of pneumonia should be guided according to the organism. So get done sputum culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide you about effective antibiotic treatment. So at present, avoid prednisone and continue amoxicillin. If not improving then consult pulmonologist and get done culture report. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Dear Sir,From last 2 days I am suffering from some kind of allergy , due to this skin was swollen near the eyes and on right leg ( small pimples and itching). Using Avil 50 mg but some time after they were reappearing.. Should I consult a doctor...PL advice. ### REPLY: Hi welcome to  I have gone through your query regarding causes swelling in skin. Lack of sleep, seasonal allergies and diet, weak immunity are all likely culprits for swelling in skin under eyes and on legs. A few changes to your lifestyle and daily routine can help get rid of the said swelling in skin under eyes and on legs. Cut back on salt intake. Salty foods can cause your body to retain water, which results in puffiness and swelling. Add water to your diet and eating foods that have a high water content as well. Some water rich vegetables and fruits include cucumbers, lettuce, celery, watermelon, grapefruit and carrots.processed foods since they are high in salt, like hot dogs, lunch meats, frozen food meals and bacon. Canned items are high in salt as well, like canned vegetables and soups. Use spices like pepper to flavor your food instead of table salt. Condiments such as ketchup, mustard and salad . Avoid processed foods carbs, sugar, fried, fast foods, Tea, coffee, alcohol and smoking, stress and Constipation, sleeplessness will produce biochemical and metabolic conditions in your body that will decrease your immunity. So avoiding is definitely the first step in the right direction to detoxing the body, boosting the immune system. All are the pillars of our strong immune system responsible for healthy disease free life. Sleep with an extra pillow under your head and feet and legs to prevent fluids from pooling under the eye area. By keeping your head slightly elevated, puff-inducing fluids will  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: yes please! I stopped by a friends house a couple of days ago and now after examining a couple of skin rashes that just appeared I realize that I now have a pretty intense crab or lice problem all over my body. I would really like to find out THE BEST and MOST thorough form of treatment to solve this problem  THANK YOU    TOM ### REPLY: Hello, Thanks for the query, It can be treated with an application of permethrin. Also give an anti histamine tablet. This will control the itch. Please meet a dermatologist for exact diagnosis. And get the medication prescribed. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My father has late stage 4 colon cancer and is now in a palliative hospital...the tumor is so large that a colonoscopy could not show anything because the scope could not move past the tumor...he is bleeding constantly and had a blood transfusion and then 4 days later need 2 more bags for another blood transfusion....his count is 85 and lost it all right away in those 4 days...other symptoms are bad heart and vascular demitia....so hard to see him like this....what does this mean ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern for your father and sorry to hear that from the history given here, if the condition malignancy in advance stage then nothing can be done I guess he must be on chemotherapy and that is the only hope he has, sometimes natural remission taking place and patient could complete the average life, hope this information helps you, 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: I am a 32 Yrs old male. I have been suffering from chronic dry cough which occurs periodically specially whenever i am exposed to chilled water or after excercise for 7 years.Earlier whenever i used to take some antibiotic plus cough syrup it was going off but this month when again it started after taking the chilled water it is not going even after taking medications for more than ten days. The doctor has prescribed me brochodilator, antibiotic, prednisolone ### REPLY: Hi thanks for contacting ... Noted you have here allergic cough.... Allergen or by cold you can have histamine like mediator release, and they can lead congestive symptom... This time you can have bronchitis.... Chest x-ray useful for it... Bronchodilator and antibiotic given... Here you might have inflammatory swelling in resp tract so steroid given for it ..... If living in cold you can use humidifier... Avoid smoking..... Steam inhalation helpful in congestion. Avoid excess spicy and fried food.... Take . . You can boil milk and add 2 garlic cloves in it ....cool it and consumed ..... It will help in relieving congestion... If still no benefit I would like to investigate with spirometry for pulmonary function test..... Take care Hope your concern solved.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 DOCTORS, I AM 34, HAVE BEEN SMOKING FOR 13 YEARS, VERY SLIGHTLY OVERWEIGHT BUT GENERALLY HEALTHY. I HAVE HAD THE FLU RECENTLY, NOW I HAVE EXTREME TIGHTNESS OF MY CHEST AND WHEN I SIT UP I AM FINE, BUT WHEN I RECLINE EVEN SLIGHTLY OR LIE DOWN, I CANNOT BREATHE, I COUGH AND HEAR CRACKLING SOUNDS FOR A FEW SECONDS AFTER I EXHALE, EVEN IF THERE IS NO BREATH ANYMORE. MY UPPER BODY MUSCLES ARE SORE FROM ALL THE COUGHING, AND WHEN I SIT IN FRONT OF MY TUMBLE DRYER THE STEAM COMING OUT MAKES ME FEEL BETTER. I AM OKAY BUT I CANNOT LIE DOWN TO SLEEP SO I AM GETTING SOOO TIRED. CAN I USE AN ASTHMA INHALER OR WHAT? THANK YOU FOR ANSWERING.... ### REPLY: Thanks for your query. Your symptoms are suggestive of probable asthma. If I were the treating physician I would first confirm the diagnosis by objective test(spirometry). Then I would advise as follows:>Avoid triggers (e.g.smoking, cold , dust etc.)>Bronchodilator (e.g. Salbutamol) inhaler as required to relieve chest Highness.>Steroid inhaler to control attack. So my opinion is :please meet your local doctor/respiratory medicine specialist to confirm the diagnosis and get treatment henceforth. Hope this helps you. If you have additional questions, please do not hesitate in writing us. 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 am a 38yr old female and I have had this mysterious growth on my left upper thigh close-but not on my vagina. It statred out pretty small but over the last year has grown to the size of a large grape. It is soft and squishy like No redness or pain but bothersome due to the location. My pcp referred me to a dermatologist whom I can tsee until late Feb and it is continuing to grow. Any idea what it may be? FYI...I have a hx of ovarian cysts, PCOS, and fibroids. ### REPLY: Hi, I had gone through your question and understand your concerns. Considering your description this may be benign subcutaneous lesion such as lipoma or atheroma and if there are no skin changes such as redness, pus discharge or pain and fever then you should not be worried since it can be easily surgically removed under local anesthesia. If there is redness and pain, however, then urgent surgical .  These are inflammatory processes which are characterized with pus filled lumps and best treated with surgical procedure. I hope I have answered your query. 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 fell and smacked the inner side of my knee on concrete. After I had mild bruising/swelling and very little discomfort. However I now have an indentation where I hit it and a firm line of tissue underneath the skin along the margins of the indentation. Should I be concerned? ### REPLY: Hi Hope this message finds you in good health. I have gone through your query in detail and understand your concern. This may be due to blood clot in the traumatized area. Take anti-inflammatory tablets, apply compression bandage, local ice packs. Get a X-ray done if unrelieved Hope your query has been answeredNothing to worry about, You should eventually get back to normal. Get back to me for any FOLLOW-UP QUERIES anytime. Kind . .(MBBS, MS,MCH) ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 four years of age, suffers from mild eczema, has recently been treated for suspected scarlett fever but although rash has gone she has several large red spots with yellow heads on her wrist and arm. She has completed antibiotic treatment of peniciilin V ### REPLY: Thanks for putting your query up at . Scarlet fever is an infectious disease which most commonly affects child .  Symptoms include sore throat, fever and a characteristic red rash. Scarlet fever is usually spread by inhalation. There is no vaccine, but the disease is effectively treated with antibiotics. If rashes and fever have gone you need not worry about the rest. The eczema needs to be kept in control by the use of steroids. Hope that helps. Feel free to revert with further queries if any. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a dizzy spell this morning which caused me to stumble forward and I hit my head on the corner of the bathroom cabinet. It has grazed the skin rather than cutting it open and there is a small lump. Throughout the day I have continued to have short dizzy spells both while sitting and standing. I have also had a headache but not where I banged my head around the base of my skull where it meets my neck. Feeling almost like a stiff neck/tension headache. What should I do? ### REPLY: Hi Dear, Welcome to . Understanding your concern. As per your query you have dizzy spells, stiff neck and headache. Well there can be many reasons for symptoms you mention in query like cervical spondylosis, cervical radiculopathy, migraine or muscle spasm. I would suggest you to apply warm compresses take proper rest, and take ibuprofen or acetaminophen for pain. Consult orthopedic surgeon for proper examination. Doctor may order CT scan or MRI along with physical examination of the neck. Doctor may prescribe muscle relaxant along with anti-inflammatory, anti-emetic .  Doctor may also refer you to ENT specialist for ear problem.  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 friend thinks she wants me to drive her 14 year old daughter to the emergency room because she has been crying and holding her chest for over an hour, complaining that it hurts like someone is sitting on her.  She gave her daughter 2 Tums about 20 minutes ago, and they arent helping. She called the ER but they say theyre not allowed to give advice over the phone. I think my friend is concerned about the cost of a visit to the ER ### REPLY: Thanks for your question on . I can understand your concern. Your friends' daughter is having chest heaviness, crying, holding her chest etc. All these symptoms need cardiac cause to be ruled out first. Teenagers do present with heart diseases like valvular heart disease similarly. So better to take her to emergency room and get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes, uncontrolled stress and anxiety can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in her life and start working on its solution. She may need anxiolytic .  Don't worry, she will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wishing her good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir, i am 30 years old male..  i am suffering from low back pain along with both heel pain for the past 5 years since than i have been consulted several specialist and according to their advices i had been gone through many physical examination out of them i have done MRI scanning 4 times but it could not diagonised my disease from where the pain is generated. At present my condition is very worse as i cant stand more than 5 minutes at a time due both heel pain but i can walk smoothly. Specially my pain is generated from my left side and whenever i stand my both heel started paining. Doctors says nothing is serious problem in your spine but my pain is killing me 24 X 7 hours. So i am confused what to do or where shall i go.My pain is different from others LBP patients... please advise..The  following are the result of MRI:-1) Mild diffuse disc bulge in L4-L5 2) Sugar, Blood Pressure, uric acid are in normal level3) Vitamin A, B, C, D levels are normal4) Heel x-ray normal5) Thyroid normal6) HLA B-27 normal ### REPLY: For low back pain you start with lumbar traction short wave diathermy and back extension exercise along with mild analgesic. If this does not help you can take low dose steroid and then should be tapered. And if still you have you need to be given epidural injection. Avoid forward bending and weight lifting. For heel pain you have plantar fasciitis, so you wear soft foot ware dip your leg in hot and cold water for 15 minutes 2 times a day. And mild analgesic. If pain does not subside local HY . Hope above treatment will surely help you. Get well 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: i suffer from abdominal pain,heaviness and tiredness in the body.when I sleep less my lower abdomen swells and face swells too.I also urinate excessively appox 18 times in a day when i slepp less .and on an average 12 times.i got my thyriod checked .it shows normal. I have polycystic ovary and hence irregular periods.My face looks tired all the time.I am under great mental stress too due to personal reasons.please help ### REPLY: Hi.First we have to find the reasons for polyuria (excessive urination). The probable causes can be : A simple test of specific gravity can tell. If less than normal this is called diabetes insipid us. The causes can be due to pituitary problem, diabetes, kidney infection. I would advise you to go for the following tests. Blood : CBC, sugar, urea, creatinine, electrolytes Urine - routine, microscopy, culture and sensitivity. Ultrasonography of the abdomen and particularly the genitourinary system. CT scan to confirm the diagnosis .MRI of the brain and particularly for a pituitary s can The pain in the body, heaviness and the tiredness in the body can be due to excessive removal of salts from the urine or an associated infection. Facial and lower abdominal swelling can be due to anemia, hypoprteinemia or a more sinister cause of renal problems. You need to undergo a thorough clinical / physical check up for vitals like blood pressure, pulse, all the investigations and proper medical management. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 had four wisdom teeth removed six days ago. Today I have not taken any pain meds( Tylenol with codeine) but I still feel pain around the entire left side of my face and lower right jaw. I figure the pain should he expected as there is still visible bruising. However I am concerned because todayvi have started to get waves of dizziness that come out of no where, I simply start to get clammy and feel like I am going to faint. Should I be concerned? FYI I am taking penicillin but have no history of allergy to it. ### REPLY: According to your description your pain looks more like that of a TMJ rather than the tooth retraction.  This may result after extraction as patient tend to limit the mouth opening and chewing after the extraction. This results into spasm of the muscles in and around the TMJ as they have discontinued their function. Warm water with salt gargles and heat packs from outside 4 times a day will help you to relieve the spasm. Moreover, you can ask for doctor to prescribe you skeletal muscle relaxants. With all this treatment you can now Starr chewing the food n let the joint muscles regain their function. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,I have been having lower back pain for about 3 weeks. I have been having mild right hip and right knee pain and stiffness for the same amount of time. When I push on my stomach around, and especially just below my belly button, it feels like a small ball and hurts my back a lot ### REPLY: Firstly get an X-ray done for your back spine and do visit doctor if you are heavy reduce weight since you didn't mentioned your age It's difficult to diagnose whether it's a degeneration case or any other injury. Till then, you can do hot fomentation for your back and ice therapy for knee for 10-15 mins .do not lift heavy weights and no forward bending. Use good knee while climbing stairs and bad knee while getting down from stairs ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: we had a chest xray that says... apico lordotic view shows faint left upper lobe opacity wchich may represent prominent interstitial markings or increased density due to overlapping bone (scapula) however, parenchymal infiltrates are not totally ruled out. is this a caused for concern? because this person is currently caring for a newborn baby ### REPLY: Hi welcome to the  You have not mentioned your age and clinical history... Clinical correlation is necessary in such doubtful condition.... Because from this chest x-ray finding infection cannot be ruled out... CRP and CBC done for further work up if needed Is you have fever, cough like symptoms than suitable antibiotic course given... Consult physician or pulmonologist for examination and clinical correlation of your case Take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 2 1/2 yr old has a rash mostly over her torso  and shoulders.  The bumps look similar to mosquito bites, red with a white center.  Worse at night, no fever.  About 4-5 days now.  New bumps keep coming every day and the old ones subside within about 2 days. ### REPLY: Hi... Thank you for consulting in . By what you quote it should be an urticaria or a simple skin allergy. You can use HY .  Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope my answer was helpful for you.  I am happy to help any time. Further clarifications and consultations on  are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 diagnosed with L4/L5 prolapsed disc, and have associated sciatic nerve pain, but recently (6 weeks from onset) have been having fluttering in my foot (lasts a few seconds, mostly when standing). Is this something to mention to my doctor, or just another symptom? ### REPLY: Hi, welcome to our site. I am , MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your everywhere is a strong possibility that the condition may be due to the nerve compression. The nerve damage may cause the symptoms, especially when the muscles are getting affected secondary to the nerve damage. Fluttering may be due to a number of reasons, the most common being fatigue. The fatigue may occur due to any cause. The muscles are basically stressed out. And so when they have to keep contracting and acting, there may be a feeling of flutter. Fluid and electrolyte balance is crucial to smooth acting of the muscles. As depicted, there are too many causes of flutter. So I would suggest that you may mention it to your neurologist the next time around when you meet him/meanwhile, test an FBS/SHI hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck. . MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology)Consultant Physician and DiabetologistJS Hospital Apollo Hospital, Delhi Baileys Hospital, Noida ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son had a rubber basketball and placed it on top of his lamp and forgot and turned the lamp on. In turn the lamps light bulb melted the ball completely and fumes instantly filled his room as well as the whole house. He instantly started coughing and said he was nauseated. He was just diagnosed with an upper respritory infection today and is coughing non stop. Should we worry about the smell and fumes even though we opened all the windows? ### REPLY: Respected user, hi Thanks for using .come have evaluated your query thoroughly.* This is allergic bronchitis through inhaled fumes.  Nothing to panic, but requires definite treatment with physician in form of - proper antibiotics - decongestants - bronchodilators - steroids in selected cases with supportive management.* No further exposure is vital for fast recovery. Hope this clears your query. Welcome for further questions. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I am a female 18 years of age. I m having a lot of highs and lows related to my emotions and often feel annoyed,irritated,angry and depressed and after a few days I have sudden bursts of happiness and this is very extreme as when I am feeling down I sometimes hurt myself for reasons I myself don t understand and sometimes have thoughts of dying but I know I wouldn t kill myself but the thought is still there I am normally a fun loving , adventurous person but with these ups and downs I feel like there is something wrong with my mental state I want to know if I need to see a doctor ### REPLY: Hello and welcome to . Thanks for your query. You definitely need to seek help for your mood fluctuations, suicidal thoughts and self-harming behavior. Your symptoms could be indicative of a disorder of emotional instability. You need help to deal with this problem and control your emotions and mood fluctuations. I would strongly advise you to consult a psychiatrist for a detailed psychological assessment and for planning further treatment. Wish you all the best. -  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello, my name is Barbara. My neck & upper back Hv been bothering me for a couple weeks, then yesterday it became almost unbearable..it gets in the wayofeverything, hurts to lift my arms to put hair up, my range of motion cut in half. So for relief, do I ice it or apply heat? ### REPLY: Dear Barbara, thank you for your consultation.it seems that you have a very painful muscle pain in the upper back area. From my day to day clinical practice I am telling you local application of heat will help you to relax and soothe those muscles. But this heat should be in the form of deep heat therapy like short wave diathermy which you can get in a physiotherapists' clinic. Domestic like hot water bag as a source of heat will be little help because their heat cannot penetrate much in the muscle tissue failing to relax it., so please go for some deep heat therapy.my best wishes. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I started having tooth/jaw pain 11 days ago and the pain seems to come and go, but now I am experiancing facial numbness and it s becoming increasingly harder to make it through the day! I know I need to see a dentest as soon as possible, but the problem I m having with that is I won t have any dental coverage for 9 more days and then it will be Labor Day weekend, which adds 3 more days for a total of 12 more days until I can see a dentest. My question to you is; What can I do to help the pain and numbness until I can see a dentist? I am a school bus driver and this is becoming distracting while i m at work. Not a good situation or feeling as well as the lack of sleep that gos with this. ### REPLY: Hello, Thanks for posting your query, get some baking soda, and some sea salt, not the regular salt, must be sea salt, a spoon of each mix an add a little water brush, place some in mouth and swash with warm water for a while, brushing can private so after brushing lightly swash mouth, now get you some Luanda pure coconut oil, tablespoon, swish in mouth for 15 minutes do not swallow, helps with the pain. Depending on the severity of the pain, get a cause and mix a paste of pure vanilla extract, Cinnamon Oil flavoring, ground cloves, not hole cloves, get the ground, mix and some a cause and place it on the hurting arreavitamin C take calcium magnesium Zinc, this will help the healing process, I hope this information has been both informative and helpful Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have hep-c iv new that for 6 yrs now about 4 yrs ago i started getting panic attacks 2 to 3 a month  now they are 2 to 3 per week i just got a appointment for psychiatric eval and i have 3 hernated disc and sever disc degeneration i am 56 is that enough to apply for ss disabilty ### REPLY: Hi.thank you for posting query at .I thoroughly read your query and understood your concerns. Gallstones are small stones that form inside the gallbladder. Gallstones pain (Biliary colic) usually is experienced when the gallbladder contracts in response to a fatty meal. This compresses the stones, blocking the opening. As the gallbladder relaxes several hours after the meal, the pain subsides.1. Biliary colic -"The pain without cholecystitis- gallbladder infection/inflammation" - usually subsides within few hours to a day. Acute cholecystitis secondary to gallstones may be continuous and accompanied by fever.2. Medical therapy is an option for gallstones, though a vast number of surgeons around the globe prefer removal of gall bladder-surgical intervention. Medical therapy includes intake of ursodeoxyholic acid (UCA) for a period of 12 to 24 months. UCA has been shown to inhibit biliary secretion of cholesterol, reduce intestinal absorption of cholesterol, increase hepatic bile secretion, and improve gallbladder emptying. Medical therapy is useful if mild symptoms, stones are smaller (weight reduction and low-fat diet is also a part of medical therapy.3. Surgery lasts for less than one hour (usually half an hour). Laparoscopic surgery has greatly reduced surgery time duration and surgical complications. You may travel 7 to 10 days after surgery, though the surgeon may indicate precise time. I would also like to mention that gall bladder is removed completely in surgical intervention which may impair fat digestion. You maybe asked to cut fat completely from your diet (or keep to minimum) after gall bladder surgery. Hope to answer your concern. Wish you good and sound health. Regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am going to have an apicoectomy on tooth #6 in a few days. It has been abcessed for several months (4 bottles of amoxicillin and cypro) and nothing has helped. My biggest problem is this tooth & rest of my front teeth have been capped; and I am worried about losing one or more teeth. That, plus I have no clue what all he will do to seal & clean this abcess. He is an endodontist. YYYY@YYYY ### REPLY: Hello, Thank you for sharing your problem with . Actually discectomy is a small surgery in which the dentist removes the infected part of tooth and does the proper filling in the tooth and seals it. The tooth is not removed in it. So you should not worry about losing of teeth or for the procedure as the dentist is an endodontist he will handle the procedure properly. Hope it will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have asthma, and lately these past few days I ve been had a bad cough. When I cough I get a bad metal taste in my mouth. My chest is really tight, and I wake up several times throughout the night doing nebulizer treatments with little to none relief. Am I getting sick or is it just my asthma? ### REPLY: Hello, In asthma these type of cough with metal taste generally not present, but breathlessness is present. Two things1. You are not taking your inhaler properly, the technique is more important and nowadays MDI bu date or forecourt is famous and use it with zero stat VT spacer. Again technique is more important. 2. For metal taste sputum-Go for sputum gram staining and bacterial culture and sensitivity then treatment accordingly. 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: back painI have arthritis in my lower back but about a week ago I started having pains on the left side of the middle of my back and no pain relievers help. The pain shoots down the left side of my back and the pain only shoots when I stretch my arms or take a deep breath ### REPLY: Hi, This pain is unlikely to be of neurological origin (spinal cord). Since the pain shoots when u move your arm, it is most probably muscular in origin (myalgic) which may be due to para spinal spasm (happens due to muscle strain). We usually use the term spondylitis (and not arthritis)when it is related to spine.  In spondylitis, the pain that you are experiencing now is most probably due to the secondary para spinal spasms which is associated with it.  Pain will subside with low back exercise + Victorian gel application + hot water fomentation+ muscle relaxants (T.higher MR 1-0-1 for 1 week). ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 having problems with athlete s foot and toenail fungus for about 15 years. The soles of my feet have black scars, peeling skin and roughness. I have tried just about every antifungal medication there is. is there anyway to get rid of this fungal infection as well as the scars. This is very embarrassing and as a female I am too ashamed to wear sandals because my feet look awful. ### REPLY: Help, thank you for your contact to . If I am your treating doctor I would like to ask you whether it is conformed fungal infection.? You should be diagnosed with Grams stain. It may actinomycosis. If you are confirmed with the diagnosis, go with fluconazole 150 Mg under your doctors' guidance. Continue for 1 month followup after a 1 month. If you want to ask me anything you can ask me. Thank you. . Infectious 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: I had a curry chicken on Friday evening. While eating my meal I experienced raising pain from the lower abdomen to the top. The pain intensified. I emptied my stomach a few times and the pain dissapitated. When I got home I could not sleep as the pain was horrible at the top of my stomach. I emptied the stomach 3 more times and slept in in the elevated position. Could not turn to any side as it would couse more pain. I got through the night and feel ok now. However my pee is dark orange since Friday- today is Sunday. I have a normal 500ml - 800 ml of water per day. I am 40 yo and healthy and a bit overweight. I am concerned that my pee is dark orange. Can you advise? ### REPLY: HI. You have got 2 questions-one pertaining to orange color urine and the other is about severe pain in abdomen. The causes of Orange color urine in your case may be due to:: Concentration of the urine as you had pain in abdomen s, vomiting so got deny .  In some cases this color can be due to adulteration with the food color which they use in Chicken curry. Another question about your pain in abdomen, vomiting look to be due to the contents of the chicken curry in the form of the color they use. It is possible that you got a perforation of the stomach ulcer which got closed and healed - fortunately. Get the following investigations done:Blood-routine, liver function tests, Kidney function tests, sugar and all relevant as per your Doctors advise.Urine-routine, microscopy, bile salts and pigments, culture and sensitivity. Standing X-ray of the abdomen, ultrasonography of the abdomen. Upper GI Endoscopy to rule out stomach ulcer or cancer. The treatment will depend upon the investigations and clinical examination. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have continuous pain in my right gluteuos maximus. It is hard sitting, getting up, stooping, etc. Have been going to gym but easy on the right side exercises which are painful on right buttocks. Strange. Dr. says it may be pinched nerve, may have injured during exercise. I am active person, 74 years of age. What can I do to help the healing of muscle? Thank you for your opinion. Heidi Gillen ### REPLY: Welcome to  I have gone through your query and understand your concern. You are likely to be having muscular pain. Treatment of it is analgesic such as ibuprofen for pain relief. Muscular relaxant such as thiocholcoside is of help. Vitamin B and C is helpful in recovery. Rest is important in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, for the past couple of days I have had loose stools and today I have noticed slight pain in my lower stomach, with a rumbling feeling. I am also type-1 diabetic. I take birth control and ended up taking the wrong pill for the wrong day and have been since Wednesday. I didn t take Saturday s pill last night, hoping that I would bring myself back on to the schedule. Could that be the cause of these symptoms? ### REPLY: HI. The abdominal pain with rumbling is usually due to intestinal infection, waterborne diseases. Get an antibiotic cover and you will be fine. This is not related to the pills you are taking or missing. Yes, Diabetes has to be monitored well as infection can increase blood sugar and increased blood sugar can increase infection. So be careful and get daily blood sugars done to confirm that diabetes is perfectly controlled. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doctor I am suffering from a wheezing sound that is coming from my windpipe and when I cough a small amount of blood comes up. This only occurs when I get this wheezing sort of gurgling sound in my chest. And most time I feel there is something stuck in my chest. Recently I was in the hospital and they performed a bronchoscopy and gastroscopy however the results came up clean. They also did a tests for TB and bronchitis and these also came up clean. Can you please help me I am really worried. ### REPLY: Thanks for your question on . I can understand your concern. You are having hemoptysis (blood in sputum) and wheezing (whistling sound). Both these are commonly seen bronchospasm. And most common cause for bronchospasm is bronchitis. So I insist you to get done PFT (Pulmonary Function Test) despite normal chest x-ray and bronchoscopy.PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...i did my mom has a 14 cm liver tumor and was diagnosed with HCC in august of 2009 she went thru a chemo embolization and has ben on nexaver since oct of 09 since then the tumor went from 10-12 to 14 cm and she is now experiencing complications due to her liver not functioning normally what else can we do?? ### REPLY: Hi, I had gone through your question and understand your concerns. Unofortunately, this is serious conditions and such large tumors can't be treated surgically or with liver transplantation. Only chemotherapy is advisable, but it has limited success, and may just slow the progression for few weeks with no other benefits. Unfortunately, the diseases is incurable and unstoppable. She may have stent placed in bile duct to improve bile . . Wish you good health. Kindly regards ### END