Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 told by my doctor that I appear to have a pinched nerve in my back to pain is very severe on walking.  I had surgery for spinal stenosis three years ago and six months later was diagnosed with early onset PD.  Is my new back problem related to the PD or is it likely to be spinal stenosis problem again ### REPLY: Hello, Both of the conditions lumbar spinal stenosis and Parkinson's disease (PD) may cause a pinched nerve in the lower back and cause pain. Spinal stenosis may lead to curvature or bending of the spine by degenerative processes (e.g. degenerative scoliosis) and result in pressure on nerve roots. On the other hand Parkinson's disease patients also commonly have bending of the spine which result in pinched nerve with radical pain (sharp and travels along the nerve route). Furthermore, pain syn .  MRI may be helpful to diagnose and distinguish pinched nerve from these conditions. Regardless of the cause, you should always try an exercise program before starting medications. Stretching and strengthening exercises will help you to improve your condition by maintaining a healthy weight, increasing blood flow to the area, strengthening spinal muscles and keeping the spine flexible. 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 am 38 yrs old, weight 86 kg. height 173 kg, I just quit smoking for 1 month.  I have high blood presure (after taking concor 5 and olmetec 20) my blood presure become 120/70, but after exercise become 110/70. I took the olmetec 20 just 1 month because my bp become veryhigh (170/90)... What can I do to stop dependency of the medicine... thank you... ### REPLY: Hello, You should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 min a day and 5 days a week. Eat lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't be abdominal fat deposition or obesity. You can also try yoga for the same. A combination diet rich in fruits, vegetables, legumes, and low-fat dairy products and low in snacks, sweets, meats, and saturated and total fat helps a lot. Hope I have answered your query. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello Doc.Im Kritika, 18 years old..im suffering from severe abdominal pain and loose motions since yesterday..also vomitted yesterday..went to the doc here a couple of days back, and she has prescribed emeset, bifilac, an ORS packet too. Took tablets, and also had the ors solution after vomitting once, but no result. Could you please help me out?Thankyou. ### REPLY: Dear Kristina, The symptoms as mentioned in your post is attributed to either infection or inflammation in the Gastrointestinal tract. Presenting with such symptoms, I usually treat my patients with:1. Tablet Pantoprazole + Risperidone twice daily (to be taken half an hour before food)2. Anti spasmodic like Dicyclomine preparation twice daily (to be taken after food).3. Antibiotics like Ofloxacin+Ornidazole preparation twice daily (to be taken after food)4. Oral Rely .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 last week mainly because I have Guillain Barre Syndrome and so do not have much balance control although I have had it for 15 years and it took 6 weeks before I had a diagnosis! My right ankle has always been weak due to several sprains. Now it is it still swollen, I am applying ice and elevation. Any other brilliant ideas. Thank you. ### REPLY: First confirm diagnosis of Gullies barre syn .  If it is the case then treatment modalities available are IVG or plasmapheresis, both are equally effective. Your ankle sprain is not due to GBS.  Take analgesics, apply crate bandage.  Why don't you consult the nearest neurologist to confirm the diagnosis as time is important factor for treatment outcome Hope my answer will help you. Take care. Don't forget to rate me. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 Dermatomyositis and through a CT scan they found two cysts on my remaining right ovary. My sister died of breast cancer so I really think I should have the ovary removed to prevent any further involvement. I am 51 years old and have not had a period since I was 35 years old. I have read that ovarian cancer can be an underlying involvement associated with Dermatomyositis. Please help me!! ### REPLY: Hi and welcome to , thanks for the query. There are no recommendations which suggest something like this and I don't see a reason for it too. You should just have frequent follow up of your ovaries and you don't have to hurry to have surgery. Deramtomiozitis isn't related to ovarian cancer and cysts can be evacuated by specialist so that malignancy is ruled out. Wish you good health. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have some type of blood problem, yet I do not have anemia , i ve been tested for it. When I sit down for a long period of time, be it driving or using a computer, my legs start to hurt, from lack of circulation. I am now taking Vitimin B12, Iron, Vitimin C pills. What type of tests should I request from a Doctor? I tested for Diabeties, I m good, all types of STD s, still good. I have not seemed to be able to pinpoint the problem, so far. I get sick very easily, when I am around people, and am suseptable to sickness. I do not work much, due to my condition. What kind of tests, should I seek to have that will find all the problems I am living with? ### REPLY: Hello and welcome to , You have mentioned that when you sit as during . This history is suggestive of some vascular disorder probably incompetency of veins and/or deep vein thrombosis. Incompetency of veins cause the blood to pool in lower limb and this pooling can cause pain. Om the other hand, deep vein thrombosis can also cause swelling and pain of lower limb. You need to consult a surgeon and get Doppler study of the lower limb. If any of these disorders is detected, further management can be planned. Thanks and take care ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have had mulitple UTIs in the past year. About three months ago, I had a kidney infection . Five days ago, my kidney was aching (not the pain like I had for a kidney infection), I have been nauseous, and very tired. My urine culture came back okay. I got a KUB test done today. Of course, I viewed the CD and the one kidney shows black spots all over it, but the other kidney does not have that. What could that possibly be? ### REPLY: Hi., An ultrasound with dark shadows is not necessarily an indication of a pathology as even normal structures can show up on an ultrasound in this way. There is not enough information to tell you what the black spots represent, and you will need to wait for official results. It can be benign tumor, kidney stone, bruise, cancer, etc. but over 90% are benign. Please get blood reports for kidney function and see a nephrologist, 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 age is 26.since 1year I am poaasing from many difficulties.one morning I wake up with dizziness,fast heartbeat,palpotatipn,shaky hands and feet,sweat,and feeling that I will die.from that day inwards I am feeling the same.I couldn t understand what is going on with me.gaia become white.and from the help of entrnet found that its qnaxiety which makes me fear n stressed all the timen from this feeling I got the floaty feeling which is very horrible.I feel that my body is moving or I will fall down.please help me out from floating feeling.any exercise or therapy to reduce this feeling.iwill be very thankful to u if my floaty feeling ends ### REPLY: Hello, This free floating anxiety present always without any reason may be due to generalized anxiety disorder. I think you should start taking tablet paroxetine. Also, you can try making daily anxiety diary in which you can write the things which provoke anxiety, what are timings which you get most anxious. This help you in identifying and dealing with the precipitating factors appropriately. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am katherine koehler wandered my chances  of being pregnant and my risk? i am 36 years old. i had one still birth back on march 11,2001. they dont know the reasoning of death. i just know it was through incest. my email is  YYYY@YYYY . also a past of kidney stones and ovarian cyst. ### REPLY: If you were pregnant in the past than you can be pregnant. Most of the time there is no problem in getting pregnant. But there are many other factors like increasing age, husband semen report and more which are changing over the time and pregnancy can be difficult. Get consulted nearby gynecologist. Get some test done if required after discussion with doctor. You may require some more test even after conceiving. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I was just prescribed doxycycline and metronidazole for a bacterial infection that I received sexually.  I would like to know what caused this?  Does this mean that the guy that I was with has been with someone else or did he need to wash or take a bath before he was with me?  I want to know if I need to stay away from this guy because he may be having sex  with someone else that has a bacterial?   No one has explained the causes to me and I would like to know to avoid this from happening again please. ### REPLY: Hello, Welcome to , There are some good microorganisms in the genitals whenever there are alterations in the genital environment these bacteria will activate and produces the symptoms which you are having. There are many sexually transmitted infections which will produces these symptoms, I would suggest you to undergo physical examination to find out whether there is any STIs. STIs is confirmed by physical examination and lab investigations, both the partners should examine and evaluated to confirm the presence of STIs. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello. I am a 40 year old female. I weigh 143 pounds and am approximately 5 ft 2. I have been having back pain since 2010 and have been seeing a chiropractor every 2 weeks. I do Back strengthening stretches every day which takes me about 45 minutes. I had an x-ray done a few months ago and all it showed was some narrowing at the bottom of my spine which my family doc says nothing to worry about. I am waiting for the hospital to call to schedule an mri. I have more pain on my left lower area than the right side. Both my hips hurt and have pain and tightness in top of legs, and pain shoots down just past my knee. My family doctor diagnosed me with fibromyalgia. I have lumps to the left of my spine that feel like jelly, but feels good when i massage them. I am just wondering what all this could mean? ### REPLY: Hello, As most times when there are spinal degenerative changes leading to nerve root entrapment leading to pain and aches. Usually, strengthening the muscles is the only choice for fibromyalgia pain. As there is inflammation in the fibers of the muscles the inflammation can be overcome by improving the metabolism of the muscle. Due to the weakness of the muscle fibers leading to fatigue to set in faster. Due to which the pain keeps occurring on and off.  Doing proper and guided exercises will help improve the overall muscle fiber function and give a good outcome score. Hope I have answered your query. Let me know if I can assist you further. Jay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi my sister is 37years old and has a condition called sicklecell aniemia, she has been suffering due to this condition a fracture in her spine. She has seen her Doctors and has been told that there is not anything that she can take to stop it from getting worse.She also is in constant pain and I am worried for her as she is so down and in pain. Is there anything that can help her from being in pain all the time? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern. Treatment is mostly symptomatic.  Oxygen therapy is most useful.  Analgesic .  Long term folic acid treatment will help you. 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: Dear Doctor, My son is 3 years old.He is suffering from Juvenile Diabetes.Doctors say insulin is not generating in his body.Daily twice a time we are injecting insulin to him. Dear Doctor can it be cure permanently. Can his body will start generating Insulin in future. Regrads, Thanks. ### REPLY: Hi! Im sorry to hear that about your son. Juvenile Diabetes or what we call as type 1 Diabetes is when the cells that produce insulin are destroyed.  Insulin is needed to help move the glucose or the sugar inside the cells for it to function well. So treatment for Juvenile diabetes is basically Insulin. Many patients with this kind of illness can still live a healthy life as long as the blood sugar levels are within the normal range. Your doctor will advise you to monitor blood sugar regularly. There are insulin pens that are easier and more convenient to use. You can also ask your doctor about it. It will be a big adjustment to you and your family, but it will get easier in time. You can join organizations and support groups to give you 1st hand advise and guidance. I hope I was able to help. For more questions and clarifications, don't hesitate to contact me. Sincerely, Hannalae Dulay-See, M.D. Pediatrician ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am a 29 year old female who is has and infection in the root of a tooth and has been on amoxicillian for the last three days. No allergies . But over the last few hours the side of my face that my teeth that need to be taken out on has become slightly swollen, cannot shut eye by itself, almost like the muscles aren t working, there is no numbness or pain and the eye looks fine, vision is fine and the eye follows on it s own when following the tip of a finger left and right. Please help. Could this be a pinched nerve? or a stroke? One side of my face isn t as responsive and its the side that the bad teeth are on. ### REPLY: Hello...your present swelling is because of the infected tooth which you said is to be removed. Amoxicillin is not working on your condition, and you need a more advanced antibiotic and painkillers. This swelling will go gradually, and you need to take some precautions like, do not eat or give pressure on that side.  Do not sleep on that side of face else it might increase your swelling. Consult your dental surgeon for change of your medications. It can be possible that if possible Root canal Treatment can also help you combat infection. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am suffering with psoriasis so have few queries about that. 1 . I have dark spots left from 2years but they are not going . will they be gone,if yes how much time will it take ? 2. I also have hypothroid and what will be the complications with this and psoriasis for children . 3. My Psoriasis is under control now . does that mean its gone, when can i stop using medication . ### REPLY: Hello, Psoriasis is considered autoimmune disease with genetic base.  Hyperpigmentation is postinflammatory, it may go away by itself, do not worry, but may take time. Psoriasis is controllable disease. It may rec cure again, but If precipitating factors are avoided, it may remain inactive. To keep the psoriasis silent, ,,,Keep the skin moist. Avoid stress. Avoid alcohol. Avoid certain . Take good sleep. Avoid injuries, friction to skin, harmful chemicals.... Continue  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Static Buzzing and fizzing, I m glad I m not alone, but it would be nice if someone could give this thing. Ok I get sleep paralysis very often, this drives me nuts i do often try to drink a lot to knock myself out and avoid the whole paralysis terror stuff. One of the worst SP incidents i had invovled this static buzzing fizzing pressure feeling in my head, as if my skull was the exaust for a jumbo jet engine. I thought my head was going to explode with static. This was the first time I d ever felt anything quite like this. Now you can see static on a tv, hear it on a radio, and even touch it on old cathode ray tv screens. This stuff across my brain felt just like the tv screen just much stronger, It was located on my temples and at the bottom of my right ear. But a few years ago a the height of my sleep paralysis Horror (Everynight multiple times for around 3 solid months) I finally went to the doctor, and got given citalopram, for depression. Started taking the citalopram, and i turned into a zombie, and these strange static fizzy buzzes started appearing. Now every bout of SP is preceded by and accompanied with this static. Also i find for a few minutes after I wake up from an SP incident, the static buzzes, still fizz in for a few more Aftershocks . ### REPLY: Hello, If you suffer from SLEEP PARALYSIS I would recommend your seeing a SLEEP SPECIALIST in order to obtain a SLEEP STUDY since you may be suffering from a sleep disorder which could be related to or even NARCOLEPSY for which there is a specific medication that can help if not place into remission.  The other possible set of diagnostic studies that could be obtained would be imaging studies of the brain to include an MRI of the head with gadolinium contrast looking specifically at the CEREBELLOPONTINE ANGLE to rule out the presence of a small mass lesion that may not be big enough to cause headaches, nausea, or vomiting but may be big enough to cause severe TINNITUS.  I would also do an MRA of the head AND the NECK. I might even recommend that a high-resolution MRI on a 3 Tesla (or higher) magnet be performed of the INTERNAL ACOUSTIC MEATS (IAC) looking for any evidence of a cavernous fistula or breach of the cavernous wall or ceiling with an AVM or similar which could cause bizarre and debilitating symptoms of TINNITUS. Hope I have answered your query. Let me know if I can assist you further. Take care .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi doc, I am a 34year old.Was diagnosed with TB two months earlier and was taking combination of 3medicines R-cinex cap,PZA Ciba 750,PZA Ciba 500 &Combutol 800 for 2 months. Right now I am on R-cinex for the next 7 months. Combutol & PZA have been discontinued as advised by the doc on the onset of the treatment. From a couple of days have noticed the sputum has returned.More recurrent in the morning hours and from 2days have also noticed a little droplet of blood sometimes in the sputum. Want to know has the TB strain recurred?I am out of the country; should I restart the medicines in this case? ### REPLY: Hello! I can understand your concern.  You are on the right treatment for your TB.  TB infection needs treatment for at least 6 months to get healed.  Until then, it's quite possible to have cough and at times blood tinged sputum. You can take tab. Transgenic acid which helps you reduce the bleed.  I would suggest you get a Chest x-ray and sputum tested for TB bacilli.  Also check how far your appetite and weight have improved since you began taking anti - TB medications.  These will help to understand how well your disease is improving. Hope my reply helps. Do .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 was diagnosed with acute bronchitis yesterday.  Terrible coughing.  This evening I am having pain to the outside of right breast and right armpit. I am using a heating pad.  is there anything else I should do?Thanks you,Lynda ### REPLY: Thanks for your question on . I can understand your concern. Your chest pain is mostly due to vigorous coughing because of bronchitis. Warm water pad application is good for pain relief. You can also take paracetamol for pain. If we treat bronchitis properly, your cough will subside and hence chest pain will also improve. Inhaled bronchodilators (formoterol or albuterol) should be started for quick relief in bronchitis. 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: We are camping now. My son said he had a kinda cramp pain on his lower ribcage and having hard time to breath. He is 10 years old. I ask him to breath in and out slowly for so many times and he said the pain from 10 went to 5? Are we doing it right? What do you think it is? ### REPLY: Hi...it could be a Costco .  As you are camping I will tell you the danger signs as to when you need to get him to medical attention - 1. Pain getting aggravated too fast.2. Breathing difficulty.3. High grade fever.4. Inability to breath normally.5. If there had been a history of injury at the painful region.Otherwise, as of now for the pain you can use Paracetamol at appropriate dose. 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 was in the hospital two days ago for an emergency lap chole. During my stay, I had a nurse administer IV medication twice to me thru my IV without cleaning the port with alcohol. I received clindamycin before the surgery as well as several doses after. I also received one dose of IV Levaquin. My concern is getting some type of blood infection as a result of medication being given thru an IV port not cleaned. Do you have any thoughts on this area? ### REPLY: It's a good practice to give the iv medication only after cleaning the port of iv set with alcohol & it is always advisable. But if at all the medication was given through the port without cleaning, nothing to worry about it. It is not at all going to cause any infection in blood as the chances of such infection are very, very low & if at all by chance the infection is introduced in our body, it will be cleared by our immunity. So do not think much about it is won't cause any problem. Further more for your satisfaction you can keep a watch whether you catch the fever, chills etc. which are suggestive of the infections. But my personal experience is that it is not going to cause any problem to you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a high ESR-112 I was diagnosed as having Pneumonia-chest xray had glitches-but no cough. Antibiotic injection Ceftriaxone-10 times taken-nebulizer also given. The doctor has tole me that investigation is needed to find out the reasons of high ESR and chance of TB+remedial action ### REPLY: Hello ... I understood your question... the reason for increase in ESR is due to infections or any autoimmune diseases... here doctor diagnosed your pneumonia. Still you are having higher ESR, so he would like to further investigate you weather you are having any other indolent infection..... it's not so problematic so you don't need to worry about it. You will get cured with proper diagnosis a proper treatment for you disease. Hoping you to recover soon.... ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: iam 50 years old suffering with pain in left leg while taking rest in the night MRI report says that Bulging L4-5 disc with osteophytes causing indentation on theca enroachment of neural foramena Bulging T12-L1, L1-2, 2-3 discs with osteophytes causing indentatdion on theca please suggest treatment ### REPLY: A pain in leg on rest cannot be explained by a bulging L4-5 disc. It might be an incidental finding which is usual because of the degenerative changes suffered in older ages. The pain might be due to Performs syn .  You can consult a PMR physician. Meanwhile:1. Hot fomentation on your buttocks on left side will help.2. Avoid keeping your wallet in your back pocket.3. Consult your doctor if he can prescribe you certain muscle relaxants. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 cabg two months ago. for the past one month i am having dry cough with frothy white sputum. I have a little esonophils. the cough is not continuous, comes once in a while but lasts for about 15 seconds and i spit white frothy saliva. can you suggest a remedy ### REPLY: Thanks for your question on . I can understand your concern. Cough with frothy saliva in CABG (Coronary artery bypass grafting) patient can be due to heart failure. Actually heart failure causes pulmonary edema. And this can cause cough with frothy sputum. You are also having eosinophilic (high eosinophil count). It is seen is allergic diseases liked asthma. This can also cause cough. So better to consult doctor and get done 1. ECG and 2d echo to rule out heart failure. 2. PUT (pulmonary function test) to rule out asthma. Don't worry, with appropriate treatment, you will be alright. 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: Ive had a dry cough for 4 weeks along with dry and sore nasal lining. Throat is itchy and requires me to cough to remove the itch. No problem sleeping or any cold symptoms. CBC and diff all normal. Humidity at work is 22%. Had an ENT look at throat and nose lining and said it was perhaps a new allergy to something in my house. Cough occurs every 10 min or so during the day. Should I wait it out and just drink a lot of water or go see my family physician ? ### REPLY: Hello, Runny nose, sneezing, nasal discharge (usually white), cough are signs of an allergic process. Once the rhinitis goes beyond control and affects the airways, you develop breathing difficulties as in asthma. That the CBC is normal, suggests the eosinophil count is also normal, that would exclude severe allergies. However, house dust mite or fungal allergies are common at this time of the year. I would suggest long-acting antihistamines like cetirizine 10 mg (maximum twice daily) and/or a nasal spray like Flonase 2 sprays per nostril twice daily for 1 month and see the benefit. If things worsen after you stop, please get a blood test or skin prick test (must stop all antihistamines for at least 1 week if skin tests are required) to exclude allergic triggers. Hope this helps. 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: Hello doctor, i m mrs reema 24 years old.i m married since 2 years.i have lost my baby last year during 6 weeks of my pregnency. and from 10 months we are trying for a baby but not getting succesed.dr told me that i have the problem of pcod and prescribed apcod powder medicine.is this medicine useful for me?can i conceive again normaly?plz help me.thank u ### REPLY: HelloThanks for your query. There is no POD" powder medicine ".POD is a condition characterized by abnormal hormonal levels and problems in menstruation and ovulation. You should be investigated thoroughly for POD in the form of measurement of FSH, LH, prolactin, TSH, oral glucose tolerance test, serum free testosterone, S. RHEAS, baseline transvaginal ultrasound. Weight loss and lifestyle management are the keystones of therapy.Also, you might require help of ovulation inducing agents like camphene for conception. All the best. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor, Im 18 years old, fit, but have a blood pressure of 155/100. My school nurse and family doctor say Im not at immediate risk. I feel slightly short of breath and I feel some heart pains, although these might be because Im anxious. What should I do? ### REPLY: Hello, thanks for reaching out to us. Your blood pressure at 155/100 mmHg is high. You risk having cardiovascular diseases in future if you do not manage your blood pressure well. I will advise that you modify your lifestyle by eating healthily.- Eat green vegetables, nuts, whole grains etc. - Exercise regularly. Try to register at a gym and get a trainer to construct a plan for you. Lose weight if you are overweight.-Avoid harmful habits like smoking and .  Please see a physician for physical evaluation, in case you need to undergo any test. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi My daughter is 19yo she was dx vasal vagal syncope, 2 yrs ago after a slew of tx meds...all was discontinue she also has a eating disorder getting a good control of it.she just spent a week in hospital with pneumonia she had a thoracentesis where they tap 1500cc. they are not sure what and where it came from maybe viral/bacteria with mono.......my daughter had much improved prior to this from the syncope passing less and milder episodes. Since the past illness the syncope is back in full force,last about 2 min pulse weakwakes up startled lights bother her and she at times stairs for a couple seconds before coming around.We lower her head elevate legs and arouse her with cold water.Please help where do I go from here.We have had tilt test 2 wk cardio monitor 3 day eeg beta blockers antidepressant and salt tabs ### REPLY: Degree understand your concerns went through your details. I suggest you not to worry much. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. I can help you in this aspect. 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 have woken up this morning with a swelling under my left eye on the eye socket. The lump is approximately 20-25mm is black. The skin that stretches from the lump to the corner of my eye between the eye and nose is also black. I have had no knock or bumps, is this a burst blood vessel or something else. ### REPLY: Hi, From history it seems that there might be having some sub-conjunctival hemorrhage giving this problem. If there is no h/o any injury or bite, raise of blood pressure or taking of any blood thinner medicine might cause this. Consult your doctor and get blood pressure measured.discuss taking any blood thinner medicine.Meanwhile, put antibiotic eye . Apply ice pack over the part. Ok and take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been having bad abdominal pains for around a week now, however, yesterday i had severe pain so much so that i fainted and was taken to A&E. Nevertheless the doctor simply gave me painkillers and advised as it wasnt pain in my side it was nothing serious and if the pain persisted i should come back. However, there has also been blood when i go to the toilet, the blood is not in the stool but when i wipe. sometimes there is a lot of blood other times only a little. could these symptoms be linked? ### REPLY: Hi there. Thanks for your query in . I am . Your symptoms of abdominal pain, coupled with blood in stools indicate that your pain is not functional. You need further evaluation.  I suggest you to consult your physician/gastroenterologist. Your symptoms can be due to infection-which may be detected by examination of your stool. If confirmed, it is treated by a course of antibiotics.  If infection is ruled out, you may need to undergo a Digital Rectal examination initially (i.e. examination of the inner aspect of your anus with gloved finger of your doctor), and colonoscopy if needed. This means, endoscopic examination of your large intestine to rule out diseases like Inflammatory Bowel Disease.  Hope this helps. Feel free to post further queries if any. I will be glad to answer. If you are satisfied with my answer, please do post your feedback. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 the pneumococcal IM (14 Serotype) Serology test. He didn t have the streptococcal pneumonia vaccination as a baby and is now 15. He was positive for ALL serologies. He was treated with Biaxin 500 mg daily for 20 days and two rounds of Suprax 400 mg daily for 20 days (two rounds). All serologies have dropped below positive except for pneumo Ab type 19 (19F) and Pneumo Ab Type 57 (19A). Those two have actually gone up.. Anytime he shows an increase in Igm number he triggers with psychotic symptoms. His immune system is somehow compromised. He has been diagnosed with PANDAS and PANS. His thyroid antibodies were 232 and 110 and have come down to 110 and 51 after the antibiotics. Can you help? ### REPLY: Thanks for your question on . I can understand your situation and problem. In my opinion you should consult pulmonologist and get done pneumococcal vaccination. In newer pneumococcal vaccines, they provide benefit against 23 stereotypes. And it is very effective in preventive pneumococcal pneumonia. It should be given every 5 yearly. So your son will be protected for 5 years after vaccination. And it can be given in patients of PANDAS and PAN. So consult pulmonologist and discuss all these. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My dad is 66 yrs of age. He recently got diagnosed to have CMML 2 cancer. He has under chemo by medicine called Decogen from Johnson and Johnson. I want to understanda can this disease be treated fully. What is the life span expected. How many more chemo he will have to take. And will he have a normal painless life. ### REPLY: Hi, dairy have gone through your question. I can understand your concern. He has chronic myelomonocytic leukemia. Prognosis is poor.  Treatment of choice is chemotherapy, but it is not fully cured.  Does depends on his count and blast percentage and many other factors.  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: I had pain in my lower back on the left side so i went to the doctor and she gave me EC-naprosyn and tizanidine for pain because she thought it was my muschel by where it hurt when i moved but I have also been unable to use the bathroom so i drank Magnesium citrate from walgreens so i could go but i am still unable to go and still have pain ### REPLY: HiT hank you for asking . I have gone through your query. If you have dysuria and back pain then you should out a urinary infection which is most likely. If that is clear, and you have signs and symptoms of muscle strain or sprain then you can take tizanidine which is a muscle relaxant and naproxen a NSAID for short duration. Hope this may help you. Let me know if you have any further queries. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Dr. My elder sister has been suffering from Tb.Drs. Diagnose that there are many wounss in her intestine because of that she is unable to sip single drop of water / juice.Now Dr. Has given tab.forecox two times in day.Please asvise wha should we do so that she can start to eat /drink.THANKS ### REPLY: Thanks for your question on . I can understand your sister s situation and problem. In my opinion, you should first get done her CT abdomen and lower GIs copy with biopsy for the diagnosis of abdominal tuberculosis. Treatment of tuberculosis is long and should be taken for at least 6-8 months. It consists of two phases. 1. Intensive phase of 2 months having four .  2. Continuation phase of at least 4-5 months having two  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: How effective is levest? The sexual health clinic gave me condoms but me and my boyfriend want to do it unprotected. Iv been on levest for around about 5 days,no problems..no cravings,sickness,nothing. But I m paranoid(always have been) I just need the right answer,I don t know if to trust levest. I don t want to get pregnant. ### REPLY: Hello dairy understand your concernLevest should be started form the first day of the period to prevent the pregnancy. If you have started from the 1st day then continue to take UPT to 21 days every day on specific time. On regular use, it has highly effective in preventing the pregnancy (just 0.5% failure rate)But if you started it from between form the period, it will not protect against the pregnancy. If you have done sex in the fertile phase of period then take I pill to prevent the pregnancy. Avoid stress, take healthy diet, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: After I had neck surgery on herniated disk in my neck that were fused, I developed continuous leg pain down the caf of my leg that sometimes is burning pain ND SOMETIMES THAT A SHARP CONTINUOUS PAIN THAT IS UNBEARABLE. wHILE MY NECK SEEMS OK THIS NEW DEVELOPMENT IS WORSE THAN THE NECK PAIN WAS. COULD BE CAUSING THIS NEW DEVELOPMENT? ### REPLY: Hi here, welcome to . Thanks for your question. The leg pain is probably unrelated to your neck pain. Since this pain, is a new development, it should be given due consideration. Pain radiating down the calf of your leg is related to pressure on the S1 nerve in your back, which can be associated with disc degeneration at L5/S1 disc level. Narrowing of blood vessels can also result In similar pain. In either scenarios, it would be prudent to be personally seen and examined by a physician. The initial management will include rest, physiotherapy(like ultrasonic massage or short wave diathermy), analgesics(painkillers) and postural modification. Early investigations like MRI would be indicated if pain is unrelenting with appropriate medicines, any weakness in your leg, foot or toes, new onset numbness or any issues related to passing urine or motions. Since you have mentioned continuous unbearable pain, I would suggest you to get yourselves seen and evaluated by your treating surgeon. Hope this answers your questions. Thank you with best regards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am a 58 year old male, 170 lbs, physically fit, eating healthy. All recent physicals normal, colonoscopy 2yrs ago normal. Recent blood work shows I am anemic! These values test low: Hemoglobin is 12.9, hematocrit is 39, mcv 80, mch 26.7, rdw 16.9 (high). What kind of doctor should I begin with, an internist or a hematologist? ### REPLY: Hello, Thank you for your contact to . I understand your health concern, if I am your doctor I suggest you that general practitioner even can help you. You can start with Liven Z tablet. Take one tablet a day. Do follow-up hemoglobin per month to check the response of treatment. 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: Hello, I m 27 weeks pregnant and just had my GD test. My results came back today and my fasting sugar level was 141. I m going in next week to take the 3 hour test, but I do have a sinking feeling that my sugar will, again, be high. My question is, is 141 considered very high for a fasting sugar level? Thank you, Sally ### REPLY: Hi Sally, Pregnancy, especially the later months can make women who are prone to get diabetes in the future have high sugar levels. Yes, 141 is a high value, and you need to have a detailed sugar level done. Also, you need to take care of your diet and check your sugar levels before and after meals. You will need the guidance of a physician trained in endocrinology or an obstetrician with special interest in diabetes in pregnancy.Also, we need to monitor your baby, as in women with high sugar levels there are chances of baby putting on excess weight and also increased water around the baby, this may also need early delivery, and you may require insulin injection on a daily basis to keep the sugars in control. Best to see a physician soon. Hope this helps. Regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi im 39 w hep c havent used in 15 yrs have chronic toniiltis I was suppossed to have a throat chck out but whn i went in 4 my blood test on fri  that mon my prim dr called and said he was sending 911 my red blood count was at 30 000 i dont get it ### REPLY: Hi, The normal range in men is approximately 4.7 to 6.1 million cells/UL. RBC count of 30000 is a very low count and is indicator of some serious pathology. Bone marrow failure (for example, from radiation, toxins, or tumor), deficiency of a hormone called erythropoietin (caused by kidney disease), RBC destruction (hemolysis) due to transfusion, blood vessel injury, or other cause like hemolytic anemia. Leukemia-blood cancer can be a cause of it. A number of tests from biopsy to peripheral blood smear will be done to rule out the cause of such low RBC counts. Please follow your hematologist advice, it is not related to hepatitis c, it can be a leukemia. Hope I have answered your query. Let me know if I can assist you further.   ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have had thrush for close to 6 months and have been told by my doctor to take an anti thrush tablet and pessaries and also to apply cream. nothing has been able to get rid of the thrush for good so far. can you advise anything? can i change something in my diet? ### REPLY: Welcome to ChatDoctorI have read and understand your query hope this will be useful would prescribe my patients who have such chronic persistent vaginal thrush, an oral antifungal once weekly for at least 6 months to completely cure the thrush. As in your case you are having the thrush for 6 months which has not relieved with bouts of antifungal pessaries and tablets.I would suggest you take a fluconazole 150 mg once weekly for at least 6 months. You will be good in no time hope this would help you. You can reach me anytime with any other queryRegards .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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,My dad result from his lab exams, impression/solid left renal mass suggestive of neoplastic process with secondary mild to moderate left hydroureteronephrosis, non specific right renal enlargement, right suprarenal solid mas suggestive of adrenal neoplasm presumably metastatic..paraaortic and peripancreatic lymphadenopathy.. nodal metastasis is considered, right hipatic lobe solid nodule suggestive of hepatic metastasis.. cholecystolithiasis. Here is no evidence of biliary ductal obstruction, grade 1 prostatic enlargement....my dad is in the philippines and my sister just texted me the result, what is this all about? Are these curable? Thanks from Canada ### REPLY: Hi and welcome to . Unfortunately this sounds very serious. This is expanded malignant disease and prognosis and treatment are hard to predict, but I can't tell details without more info. It is always possible that all these masses and changes are benign, but CT scan is usually accurate about this and this looks like primary kinda cancer with multiple metastasis. This is hardly curable, almost impossible. First the surgical procedure should be performed and then chemo or radiotherapy or both. All in all long and difficult treatment is necessary, but I hope that everything can still be well controlled. 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 59 year old post menopausal female who has just been diagnosed with a bacterial infection in my chest.  I also was told I had blood in urine but showing no infection in the urine.  My doctor says it can be caused by stress or dehydration.  Can you tell me more?  Also I am very tired and have just finished my antibiotic treatment today.Thank you, Marsha ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. Both the condition are different, and it has nothing to do with each other. Chest infection with bacteria is only located at and limited to the chest. While blood in the urine is because of some kind of infection stress or deny . So as if you have completed the antibiotic therapy there is nothing to worry. You do not require having more antibiotics. Only  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a chest pain in my left ribs and get it on and off for more than 10 years now. All my reports, lung xrays were normal. One of the doctors I consulted prescribed me Mecobian tablet. Which I took and got a good relief. The pain again has started after 1 year. Wondering what it could be. ### REPLY: Thanks for your question on . I can understand your concern. Decision tablet is multivitamin tablet with calcium and vitamin D 3. Since you are improving with this tablet, possibility of musculoskeletal pain due to calcium and vitamin D 3 deficiencies is more likely. So .  Eat calcium and vitamin D 3 rich foods like banana, non-vegetarian food, eggs etc. Take supplements of calcium and vitamin D 3. Apply warm water pad on affected areas of chest. 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 I missed 2 active blue pills in my third week and i took the 2 pills today. Should i finish the remaining 2 pill tomorrow? Also, I had sex today and the condom broke. Would I be able to take plan B since I m not protected? How would that affect me while I m on birth control? What do I do afterwards? Would I get my period? Would I have to restart my birth control cycle all over again? ### REPLY: Hello, I have gone through your query and understood the concern. If you consumed the missed pills immediately after their due date, your cycle is protected. Yet, if you are worried, you can take the emergency protection; else, continue with the rest of the oral pills as per schedule. Please remember that the emergency pill contains high hormone dose and tends to disrupt the hormone milieu thus giving rise to breakthrough bleeding and a delay in the next menstrual period by a week or two. If you become overdue by ten days, please see a specialist for further help. Please wait for your next period to plan further contraception. Hope this helps. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My sister has recently had a bone marrow transplant. In June she had a lung infection and since has had breathing problems. She has just been readmitted and a scan showed pneumonia, pus and fluid has been drained and further tests have shown she has a fistula? If this is treated will her breathing problems be eased? ### REPLY: Thanks for your question on . I can understand your concern. Yes, if we treat Fistula, . Since she is bone marrow transplant patient, possibility of atypical bacterial infection is more likely because of immunosuppression. So get done bronchoscopy and BAD culture. Also get done fluid culture and sensitivity report. Culture report will isolate the causative organism and sensitivity report will guide about effective antibiotic treatment. By these, we can achieve faster recovery. Hope I have solved your query. I will be happy to help you further. Wishing good health to your sister. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: my girlfriend and i had sex 7 times on 3rd & 4th oct. out of that 2 times we used condom. on 5th oct 5:00 am she took unwanted-72.....last time she had period on 4th sept....but now she is not having period yet...is there any chance she is pregnent..? its already oct 16th..! ### REPLY: Hi, Normal period date is 4th September. You had sex on 3rd and 4th October. You did sex in completely safe period of cycle. During this time there is no release of ovum so no fertilization and chance of pregnancy. Unwanted 72 was taken on next day. It can cause hormonal imbalance as it contains high progesterone. It can cause delay in period by 1 to 3 weeks. I would suggest to wait for next 4 to 5 days for period. If period will not come then consult a gynecologist for examination. Meanwhile, avoid stress, take healthy diet, . Hope this may help you. Contact further if follow up needed. Best regards, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I woke up two days ago with an inflamed lymph node on the left side of my groin & yesterday there was another. Today I woke up with a sore throat & the lymph node in my neck is enlarged (also on the left) & it started hurting when I urinate. What could be going on? ### REPLY: Hi, Welcome to ChatDoctorI am I suspecting lymphadenitis of the inguinal lymph nodes. It is common usually in infections of the genitourinary tract. I suggest you get yourself examined by a GP nearby you to rule out infection. You may have to take antibiotics to reduce the infection. For now, you can take any over the counter painkillers for pain and swelling. Maintain personal hygiene and keep the affected areas clean and . 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: last year i was diagnose of having hyperthyroidism and TB of the liver CT scan was done and Mantoux test was positive my doctor started to prescribe a TB medication FIXCOM4 on the first month then stopped for 3 days coz i cnt tolerate i was having body malaise, nausea and vomitting and lost of appetite, then he continued my medicine giving FIXCOM3 but still i felt same together with this im taking omeprazole 40mg and vit B complex....did all my symptoms connected with the drugs or on my disease itself... thanks you very much your answer is well appreciated ### REPLY: Hello are advised to take fixcom-4, not tolerated, then advised fixcom-3, same problem, even after the use of omeprazole and B complex. When such patient visit my clinic I advise as follows. Take rifampicin +isoniazid, combination 2-3 hours after meal. Also take 16-20 mg / kg body weight, ethambutol tablet (800 mg usually) , immediately after meal, once in a day. Pyrazinamide 750 mg twice in day after meal. While you are also having nausea witChatDoctorbination . The most important question is compliance of patient. Please keep one thing in your brain that you are a patient of tuberculosis and these  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I am 25 year old. I have undergone ectopic pregnancy just 3 months back and presently it has been cleared with treatment. Now again my preganancy reports have come positive and it also says I have fluid in POD. Does it suggest I have ectopic pregnancy? Please help me clear my doubts as soon as possible. ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that if this is the ectopic pregnancy then this could easily be detected with the help of ultrasonography and no need to think about this in other way or try to clear the doubt by other method instead of clear-cut vision of ectopic gestation when available, better to get done it and clear the doubt, hope this information helps you, have a nice day. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hai doctor m 23 year old m suffering with severe hairfall frm past five years m taking medicines but not controlled  frm past one month m using anastim concntrate but no better result found.i have used this lotion before six months I didnt found any result in hairfall prevention but my hair grown a little .but now m gtng headache while using this please do need full to me ### REPLY: Hi there.1. Your concern is chronic halogen effluvium.2. You can try outriders anti hair loss lotion, apply weekly twice enough quantity in to the roots at least 3 hours before head bath then rinse off with nerutriderm anti hair fall shampoo.3. Start using keratin hair supplements daily one after breakfast. Have reviews about PRP and plan for 3 sessions, monthly once. This will help you, don't worry. Try them for at least 40 consecutive days. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I used Krimson for 11 month. Due to severe head ache, and in activity, drowsinees and other problems, i stopped teh medicine in between with the doctors advice. Will there be any problem, what are the side effects that i need to face in the coming days, and what care need to be taken? ### REPLY: Hello, Abrupt stoppage of this medicine does cause side effects. This medicine should neither be started nor stopped without the consultation of a GP. However, if you have symptoms of breast pain, stomach ache or chest pain or discomfort you should visit ER and get clinically assessed. Side effects include increased risk of breast and cervical cancer, increased risk of heart attacks & stroke, gallbladder disease & liver dysfunctions. Hope I have answered your question. Let me know if I can assist you further.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, I have had a severe case of psoriasis (covering my entire body - apart from my face) for the last 3 months.  I would like to try the puva light but my derm keeps saying that we can start that type of treatment as my skin is so red??? I wouldve thought that the light would have improved it signigicantly??? Thanks :)) ### REPLY: Hello. Thank you for writing to us at  Since you seem to have a generalized involvement with psoriasis; this type of involvement is also known as erythrodermic psoriasis Or unstable psoriasis. This type of psoriasis involvement is associated with thermoregulatory as well as metabolic complications as a result of the lack of normal temperature regulatory functions of the skin as well as loss of proteins, and fluids from the skin. In general unstable forms of psoriasis like erythrodermic, pustular psoriasis is managed conservatively with topical emollients and Oral / Systemic Immunosuppressive like Methotrexate, Cyclosporin etc. Before starting on PVA, patients skin is tested for the tolerable effective dose of PVA, known as MED (minimal erythema dose). The starting dose of PVA is then calculated as 75% of MED. However, if all the skin is already red, there cannot be an accurate determination of MED. Therefore, if inadvertent higher doses of PVA are given in erythrodermic psoriasis without calculating MED, PVA can further irritate the skin and therefore is not the first choice amongst dermatologist in unstable psoriasis. Nevertheless, PVA can be given in low doses along with other systemic treatment like methotrexate, cyclosporin etc. even in erythrodermic psoriasis. Regards ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi so I have a couple things to ask..Im normally regular with my period and with my period im left in pain and bed ridden the pains that bad one time i ended up at the hospital and they thought it was my appendix but I didnt end up getting it last month was due for it on the 22nd but it didnt come.. except on the 24th I had a day of bleeding which was a lil darker then normal. Now today which is two weeks from that date iv got pink discharge.. No cramping.. Which is unusual with all my other periods I always end with cramping thats so painful its unbearable.. Iv dun two pregnancy tests between the 24th and the 2nd even doing a blood test all negative. I have a feeling that somethings not normal. Iv never been pregnant before, iv noticed my energy levels have increased and I get incredibly tired in the afternoon.. On the odd occasion i have been that tired iv fallen asleep and not really realising until i wake up with more energy.. iv also had a few headaches I dont have headaches normally. I have been trying to get pregnant and so every day of April, twice a day me and my partner were trying to conceive. Around my ovulation we stepped it up a little. Iv noticed that the past few weeks iv ate so much food and foods i wouldnt normally eat, iv had to urinate quite a lot and friday just passed i was cramping but no period the cramping was mild. Is there a chance I could be pregnant if so with two? If so when do i test? ..or is there something else going on? Appreciate the help. ### REPLY: Hi ! From your history, it is possible that you had a chance conception with a miscarriage which is partial. That is why there was dark bleeding followed by a pink discharge. Urine and blood pregnancy tests might not have become positive by this time. The only way to know is to go and consult a gynecologist who may also go for a pelvic ultrasound of yours for a diagnosis. The headaches and frequent urination might be due a co-existing Urinary Tract and pelvic Infection following the miscarriage. I suggest you not to delay visiting your gynecologist. Wishing you an early recovery. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My best girl friend has been coughing up mucus for two years, has shortness of breath, been to hospital a few times. She insists the doctors have no answers as to what her problem is. I don t see how that is possible. She does suffer with depression. She is always prescribed prednisone. It seems to help for a while, then she s back to the same problem. What s wrong with her? We love her and we, her friends are concerned about her. ### REPLY: Hello dear, thanks for your question on . I can understand your situation and problem. In my opinion your friend should consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test). Chronic cough with mucus production and shortness of breath can be seen in1. Asthma2. Chronic bronchitis3. Chronic infection. So chest x-ray is needed to rule out infection if present.PFT is needed to rule out asthma and bronchitis. Since she was improved with prednisolone, probability of asthma is more. And don't give oral prednisolone (steroid) as it is harmful to the body. Better to consult pulmonologist and first diagnose her and then start treatment accordingly. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 recentley had an MRI for my neck pain down my shoulder blade and arms can you explain what al this means? NEURALGIA/NEURITIS NOS-LT C8 RADICULOPATHY- provided. Neck pain. COMPARISON: None TECHNIQUE/PROTOCOL: Standard noncontrast cervical spine HNP protocol MR performed. No immediate patient complications or events noted. FINDINGS: Postsurgical changes of C5-7 ACDF. Slightly focal lordosis at the C4-5 level just above the fusion. Minimal retrolisthesis of C4 on C5, unchanged. Cord caliber and cord signal are normal. Normal bone marrow and craniocervical junction. Visualized paraspinal and neck soft tissues unremarkable. C1-C2: Unremarkable. C2-C3: No disc bulge, canal stenosis or neural foraminal narrowing. C3-C4: Broad-based disc bulge causes mild narrowing of the ventral CSF space. No canal stenosis or neural foraminal narrowing. C4-C5: Broad-based disc bulge narrows the ventral CSF space. No significant canal stenosis or neural foraminal narrowing. C5-C6: Fused disc space with no significant canal stenosis. Right-sided uncovertebral hypertrophy causes moderate Right neural foraminal narrowing. C6-C7: Fused disc space without canal stenosis or neural foraminal narrowing. C7-T1: Right paracentral disc osteophyte narrows the ventral CSF space without significant canal or neural foraminal narrowing. T1-2: Sagittal images only. No disc bulge or canal stenosis. T2-3: Sagittal images only. No disc bulge or canal stenosis. IMPRESSION: 1. Postsurgical changes of C5-7 ACDF with multilevel degenerative disc disease causing no significant canal stenosis. 2. Moderate right neural foraminal narrowing at C5-6 due to uncovertebral hypertrophy. David Barber YYYY@YYYY ### REPLY: Hi Mr David, Thank you for posting your query. I have gone through the report of your MRI of cervical spine. I would like to first reassure you that there are no serious problems noted in the MRI. The reports suggest degenerative and post-operative changes. There is no significant compression of the cervical nerves. Based on the reports, you require only conservative management such as medications (pregabalin, etc.) for nerve pain; and physiotherapy. Wishing you good health, .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i have pigmentation loss on my penis head and tip of the foreskin.  It started around 2 years ago and is very very slowly increasingI believe it is due to over masturbation as im not sexually active so no chance of any STDIs there any remedy for this ? please let me know ### REPLY: His loss of pigment from the penile region can lead up to two basics causes.Once it can be due to vitiligo. Second it can be due to a comparatively rarer skin disease which is BXO. Now see since the loss of pigment is continuously increasing, I am sure it is a cause of concern and needs proper evaluation and treatment by a dermatologist. Both of these are essentially treatable skin conditions if treatment is started on time and is not delayed too much. So you should see a nearby dermatologist soon and start adequate treatment. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: grade II signal within the posterior horn of the medial meniscus, which may represent mucinous degeneration or meniscal bruise My daughter is a 14 year old cheerleader and that is what her MRI written report read. What does that mean and is surgery a possibility? ### REPLY: Hi, Regarding your concern, I would explain that these MRI findings are related to chronic degeneration of the knee cartilage, caused by repeated trauma. Being a cheerleader has imposed her to repeated trauma to her knees, leading to these changes. What are her actual symptoms? I would recommend taking ibuprofen and have some rest for a couple of weeks. If the pain persists, you should consult with an orthopedist and discuss the possibility of arthroscopy for the treatment of the disorders. This is not open surgery, but endoscopic mini-invasive surgery. Hope to have been helpful. Let me know if I can assist you further. 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: Hello, for almost 9 months I have been having very sharp abdominal pains bilaterally, towards the end of my abdomen where my ovaries would be. Recently I have seen little white flakes in my urine, that have slowly increased in size. Today the pain in my abdomen has wrapped around my back, and I feel like I m breaking a fever. Im achey, cold, and weak. Im currently visiting another country, so I would very strongly like to avoid a trip to the emergency room. Any idea what this could be? ### REPLY: Hi, dear. I have gone through your question. I can understand your concern.  Your symptoms sound like you have some urinary tract infection.  You should go for urinalysis.  Then if it is urinary tract infection then you should take a course of antibiotics like norfloxacin or levofloxacin. 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: I stepped down hard on a rock two days ago. A vein below my left calf instantly swelled, turned the area around it red as well. Pain was level 10. Yesterday the redness was gone. Swollen and tender to the touch. Today I have an 5"diameter bruise around the whole area. Still tender to touch. I have very low blood pressure but a recent cbc had high red cells & hemaglobin. Ideas? Should I call my Dr.? ### REPLY: Hi and thanks for the query, Raised hemoglobin and blood cells are raised under two main circumstances. First, this is usually due to errors in the measurement of these parameters and the machine used might need to be checked or the test done elsewhere. Secondly, in case the values are actually raised, there is a condition called polycythemia Aubrey Vera of Vasquez disease that causes this. This is usually accompanied by redness in the palms, headaches and body itches. I suggest you consult a hematologist for a complete clinical review. Thanks and kind regards, Bain LE, MD. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Currently I am on cymalta 30mg(twice) a day,oxycodone(10) every 8hrs and captopril and coq10  (100)   Mg a day. I have chronic pain,depressed and being treated for fibermyalgia. I,ve been waking up in middle of nite and in am with my heart beating like crazy. Do you thing any of these meeds could be causing this.. Thanks ### REPLY: Thanks for your question on . I can understand your concern. No, these .  In my opinion, your uncontrolled depression and stress are the likely causes for your symptoms. But better to first rule out heart diseases because chest pain, crazy heart beats are commonly seen with heart diseases. So get done ECG and 2d echo. If these are normal then no need to worry about heart diseases. Better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need additional antidepressants and anxiolytic  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My baby girl who is turning 10 months old, fully breastfed, has been having diarrhea for more than 2 weeks now. No vomiting no fever, just very clingy and fussy at times. She goes 4 times a day with loose, watery, sour smelling, dark algae green color (sometimes brown), stool. I ve been giving her probiotics for two days now but no difference. Should I be worried? ### REPLY: Hi, Thank you for asking question on . From your history it seems your daughter is suffering from Amoebic dysentery. Atrial with Metronidazole will help. Consult your pediatrician for confirmation and treatment options. There is no need to worry. Hope this answer will serve your purposeless feel free to ask any more queries if requiredTake care . V. Subrahmanyam MD;Disassociate professor of pediatrics ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 goin is swollen i recently been treated for syphillis and i recieved penicillin in my buttocks.Its been a week now my groin swelling has went down but i still can feel the lymph nodes and my groin still a little swollen.I recently had to go to the health department and they swabbed my penis,anal,and tonsils.THey found bacteria in my penis and couldnt label it clamydia or ghonnorea but the gave me two pills to take today and im really hoping thats why my groin is still swollen....do this sound like it cold be HIV? ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. No, it won't look like HIV but it is surely a some STDs, Screening is essential as treatment can only be possible after the appropriate diagnosis. I will be happy to answer your further concern on bit.ly/ . Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i  have started exercise  and diet few months ago and i used honey and lemon to shed my weight but after few months my hairs are starting falling  i  have lost  alot of  hairs everyday and there  is also change in my periods less bleeding during periods . what should i do ?? ### REPLY: Hello, I can understand your concerns.IIS good to do remain fit and in good shape, for that you should follow a good diet plan which fulfill all requirements of body, for which you should ask your dietician to make a healthy diet plan because hairball can be due to deficiency of nutrients. For that I would advise you to get you hemoglobin, serum ferritin and thyroid levels tested.hairball can also be because of stress and tensions. Or it may be genetic too. And less bleed during menses can also be due to deficiencies as you have changed your diet plants, I would suggest you to have iron rich food take a multivitamin supplement once daily and your problems would be resolved, if still the hairball persist then you can apply topical minoxidil too. 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: Hy Sir, I am 25 Years Old and Single. I have problem since long. i have problem with semens drops are coming automatically while i am talking to Girls or Laughing due to this reason my eyes are having black circle please advised me what i need to do. ### REPLY: Dear user, Thank you for writing. You reported that . Sexual arousal occurs when you talk to girls and this leads your sex organs in the way of urine tube to produce fluid. Fluid comes out. This is also called pre-ejaculate. Its smell is similar to semen. Consistency may be watery to mucoid. This is normal thing and does not indicate any illness. Just as thinking, seeing food causes salivation. Dark circles are not caused by it. You can see dermatologist for the same. Regards ### END