Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Every time i sit on my sofa or i lie down in my bed, i get this pain in my back in the exact same place all the time (to the right , across the middle) and then i have to stand up or roll over as it becomes very uncomfortable. i am worried as i am only 17 and this has been going for quite a while. ### REPLY: Hi Welcome to  I have gone through your query and understand your concern. This seems to be muscular pain with trigger spot as pain is on same spot. But you are required to get MRI of the region to exclude local pathology. Treatment of this is rest and analgesic such as ibuprofen. I apply injection triamcinolone locally to such persons coming to me with good results. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: how do i know if i had skitzophrenia? i dont want to go to a real doctor so that he can blame things on "stress" or "horemones" or whatever, just to eat up my parents money. but for the past couple of nights its been an angoing process of hallucinations and paranoia that follows me througout the day. like today i was so paranoid at everything that i wanted to eat lunch by myself. last night i felt my skin crawl and it felt like something was eating me and tickling me at the same time, pain/joy? very much so, its very wierd and my doctor thought i had pheochromacatoma which is a tumor in your adrenal gland, and my other doctor thinks i might have addisons disease, but my symptoms are spinning, shaking, dizzy, palpatations, sweating, im ALWAYS tired no mattter how much sleep i get. . . please help ### REPLY: Hi. Symptoms of schizophrenia are delusion, hallucinations, disorganized behavior and speech etc. Symptoms must be presented since 6 months. But you have symptoms are in transient phase like pro .  In pheochromocytoma and Addison's disease may have neurological involvement and produce psychiatric manifestations. So you have required detail endocrine work up to ruled out it. For schizophrenia, you have to consult psychiatrist for better evaluation and proper diagnosis. So consult and get help. Still if you have a query then feel free to ask. Happy to help you further. 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 sir...my mother is suffering from toe nail infection.drs diagnosed it as an onchomycosis.she has been treated by local antifungal plus oral antifungal.i.e.fluconazole.but got no relief.it has been almost 1 year.her other nails also got stating same yellowish,powdery look...plz help. ### REPLY: HI, thanks for using  Toe nail infections can be difficult to treat, and the medication has to be taken for a prolonged period of time. Terbinafine (Tamil) and itraconazole (soprano) are the . Terminating is used 250 mg once daily for 12 weeks. Itraconazole is also used daily for 12 weeks for toenail infections. She may want to visit her doctor for a review and a prescription for one of these medications. I hope this helps ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Had a cold for 3 weeks. Went away. 2 weeks later came back. Doctor treated me with 5 day Z Pak (250 mg) & a corticosteroid pill (4 mg). Still sick. Bad cough. Cough up white foamy stuff. Using Mucinex & Robitussin. Lots of clear discharge from nose. Wheezing. ### REPLY: HelloPersistent cough with foamy stuff for 3 weeks may be due to allergy and wheezing is due to bronchoconstriction. So when such type of patient visit my clinic I advise them to take some anti-allergic + bronchodilator combination for prompt relief. I advise taking montelukast+albuterol once in the night. Usually patient get relief within 2-3 days. Hot coffee and steam inhalation also provide relief. Since this is a prescription . If no relief within 3-5 day get in X-ray chest and consult a Chest specialist. Good luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My daughter was just released from the hospital last night after being hospitalized with a kidney infection . Before being admitted her temp had gotten as high as 104.6. After being admitted her fever broke and she has been anywhere from 99.2-97.6. Today she has been around 97 but in the last couple of hours I have been checking her and all of her temp readings were 96.7 or as low 96.0. When at the hospital she was having her electrolytes checked also and they had said her crp readings as of yesterday were at 7.5 which was higher than when she had been admitted. Should I be concerned about her body temperature being low like that or is it ok? ### REPLY: After the episode of severe sepsis/infection, next about 3-6 months are quite important in that immunity of the affected individual starts getting normal over that duration of time. You need not check temperature records so frequently. Maintain good nutrition, fresh fruit, salads,personal & surrounding hygiene.CRP levels may remain elevated for a long time. You may get her urine culture repeated. Please Do not get unduly concerned about her body temperature. Best of Luck. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I m am 18 years old and I ve had a soft lump on the outside of my right butt cheek but right next to my anus. It s under the skin and it does not bother me. It only gets sore when I keep touching it but it eventually goes away. I ve had it for awhile now but haven t went to the doctors for it. At first I thought it was just a pimp but then it got bigger . Feels like there could be liquid in there because it s not solid, but I m not sure. What can this be ? ### REPLY: Welcome to  .1. The history given by you suggest that it's a bacterial infection with pus collection within the lesion.2. Most possible cause could be hair follicular infection - causes like these symptoms.3.It's good if you take an appointment and let the GP examines the lump and a course of antibiotics might help. If the size is big an incision and . 4. There are complications like colonial sinus / fistulas - its starts the way you are having symptoms.5. Do not scratch or press it will increase healing time, clean with antiseptic liquids, maintain local hygiene. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i am a 28 year old male that does very hard construction work 40 to 80 hours a week. I have had this hernia for a bout 7 years.  I went to the dr about 6 and a half years ago and he told me it was just cosmetic and needed no further treatment.  I did not agree.  At  the time that i went to the dr it was about the size of a very small grape and very painfull.  Now it is about the size of a golf ball. Sometimes it gets very hard and tight and is really painfull. and sometimes it is soft and causes mild discomfort.  Most of the time it is painfull.. What type of dr do i need to see and how long would i be out of work and how much do you think the surgery would cost ballpark.  What might I do to take care of it untill i can get to a dr.  Thank you so much! ### REPLY: Thanks for contacting  with your medical concerns assume that you are concerned about a hernia in the inguinal area which is in the groin. A hernia in this area does require repair. I would recommend you seek a general surgeon for consultation and surgery. If this is an umbilical hernia, one from the middle of your belly button then this is less of an issue. It does not usually require repair but if it does cause significant pain and discomfort then I do recommend consultation with a surgeon for repair. The repair is more difficult to preform if you are over weight. The time off from work with both procedures could take 4-6 weeks. Hope I answered your question. Please feel free to contact us again for you medical concerns and questions ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 5 years old son had the flu last week but he is over it. Last night he had involuntary diareaha and through today he had diareaha... Tonight in bed he wak up by another involuntary diareaha and a vomit. Other then that he seems normal with no other symptoms... ### REPLY: Hi... Thank you for consulting in . It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a habited of smoke and love to enjoy any nicotine stuff for three years with daily consumption of these kind of stuff very much.slowly I was not enjoyed with this stuff or maybe I was suffering in bad health or very weak.After that I tried to avoid it by doing meditation for improving my self confidence to control over those bad habits.And I was successfully control myself from last five years without been touch with those stuff.But when I feel stress and any tension enviroment my tendency for nicoten again increase and sometime I want to start those stuff again. please advise what to do? ### REPLY: Hello....... Thanks for your query. I would like to complement you for your efforts to quit smoking. There are multiple medical strategies available including nicotine chewing gums and bupropion. Additionally, relapse prevention and motivation enhancement strategies can be used to help you. Hence, I would suggest you undergo an evaluation by a substance use dead diction specialist and try out the above strategies. All the 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 had embryo transfer 3 days ago and started running fever of 99.5 then went to 100.1 in 30 minutes. no bleeding or pain or any problems either. but i took 2 tylenol 30 minutes ago and it is at 98.8 so what in the world is going on? just took a pregnancy test clear blue easy digital and it said not pregnant ### REPLY: Hi, I understand your concern.  Yes moderate rise of temperature for first 48 hours after embryo transfer is normal. It is due to progesterone that are given along with the procedure. It is also supposed to be due to immunological reaction after transfer. Paracetamol/ Tylenol can be taken to get relief. But if the temperature is not controlled within 48 hours, doctors consultation becomes essential. . For treating possible infection with proper antibiotics.  testing for confirming pregnancy is done after one week of transfer.  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: one of my friends,aged 39 male 100kg body wt, have constant high BP 150/100 even after medication,has developed Diabetis mellitus and angioedoma for the last 1 1/2 years.he had an attack of jaundice 1 year back and cured. occasionally he gets bouts of weakness,lassitude + raised SGOT and SGPT(95 IU/ml) levels.what may be the diagnosis? ### REPLY: HIT hank for asking to ChatDoctorI really appreciate your concern for your friend looking to the history given here the blood pressure is not that much high that could need antihypertensive the salt restriction alone could control this and for the liver enzyme it all depends upon the clinical manifestation if there is no clinical complaint then no need to worry about this, 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: 30 male smoker 206lbs 5 8 high blood pressure recently controlled with 10mg Lisinopril (about 2 months),10mg Amlodipine (about 6 months) & 25mg Hydrochlorothiazide (About 6 months). Also take 20.6mg Omeprazole Magnesium (on over 5 years) for acid reflux and Dasotraline 6mg (about 4 months) for adhd study. Over the last two weeks I have had High heart rate {~100 when wake up 113-128 throughout day} (thought maybe dasotraline so lowed dose from 8mg to 6mg, avoided caffeine and alcohol and drink 1-2 gallons of water a day as well as a Gatorade) Numb and tingle feeling eye line of face to middle of skull for 10-14 hrs a day (lower dasotraline seemed to make this not as frequent or sever but still there periodically after 5 days of lower dose however last 24 hours has been much more prevalent from cheekbone to jaw line. Intermittent muscle cramps in calves forearms upper arms lower right back and side(thought dehidration so avoided caffeine and alcohol and drink 1-2 gallons of water a day as well as a Gatorade). Over the last few days (could have been longer but I didn t notice) I have noticed my stool is green and I am going to the bathroom less frequently than normal. Still at least once a day. Also not falling asleep well, seem to be wanting to smoke more than normal, struggling with concentration and lengthy or purposeful (ie: work related/important) conversations. I had a tooth ache a couple months ago but it went away and my sister totaled 2 cars in 10 days but everyone s fine and neither directly effected me but I would say I m a little more stressed than usual but never been a problem before. Waiting on lab work from clinical trial, ECG 5 days okay was good other than heart rate. Freaking out as I normally always feel healthy. ### REPLY: Hi welcome to . I understand your query and concern. Best treatment for elevated blood pressure is through . Before that adequate management and work up is needed. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a grand son who have cerebal palsy,and he has a problem where he cough constantly and he get choaked all the time and he spits up his food and it come out his nose had this have been going on and on for years, he had a cyst removed from his throat in august and that was suppose to help but it did not, he have been to throat drs. lung dr.and this is really getting bad and I dont no what else to do, he has Medicade and some Drs wont see him and this is getting worse, and worse, I dont no what else to do , he get severly choaked all the time, please help if u can, Im so tired. Grand mother Mary ### REPLY: Hello, Thanks for the query to . Forum. Sometimes doctors cant do anything except helplessness. In your grandson case same thing is there. When any person gulp anything it enters into esophagus (food pipe) and enter into stomach. When we inhale air it enters into larynx from pharynx and from larynx to lungs. This is the way. In cerebral palsy patient is not able to raise his esophagus above the level of larynx and this food or fluid enter into larynx and this develops cough or chocking sensation. Here I want to say that there is also palsy of esophagus (oropharynx portion) so food don't enter into food pipe. This is the reason of cough and chocking sensation. In my opinion consult a plastic surgeon and reconstructive surgery of esophagus is the only an option. Good luck.  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I had a blood test taken 3days ago and it was the most painful blood test is ever had, I had a sharp needle pain in lower to where the blood was taken and a sharp shooting pain. I told the lady that took my blood but she insisted it didn t hurt :/ annoyed me. Now my arm feels numb and slightly tingly and I keep getting horrible twitches when I move my arm. ? Please help me ? ### REPLY: This is very unusual, obviously. The type of pain and shooting imply a nerve is hit. Their are no major nerves in that area but certainly everywhere there are SOME nerves. With neuropathic pain:1) short run any nerve pill such as a lidocaine patch (you need ONE, cut into 2 cm squares, apply one 2x2 daily), anti-seizure med, or amitriptyline are likely to work at quite low cost2) long term minor nerves usually grow back ok. Cannot say in your particular case. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: sir my mom is 74 years old , she is an astemetic patients she is getting low grade fever in the evening . her appetite is very poor now . she doesnt like to eat anything . she feels tired and sleepy all the time . her hemoglobin is 8.5 and her ESR IS 95 . PLS TELL US WHAT IS IT ? ### REPLY: Hi! Welcome to ! I can understand the problems your mother is suffering. As per the details given in the question she might be suffering from Tuberculosis. Evening rise of temperature, raised ESR, low Hemoglobin, loss of appetite and the fact that she is having asthma are highly suggestive of TB. Chest X-ray and the sputum analysis should be done to confirm the diagnosis, and she should be treated accordingly. Regards! ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My son complained of headaches...took him to his doc about a week ago-says well give him a strong antibiotic for a sinus infection and some medicine for allergies, if it doesnt get better in a month he needs m.r.i.     he vomitted once about 6 days ago   we held back on the antibiotic had an ok appetite but not his normal self, tired and a little distracted. yesterday he starts having diarrhea, stomach pains, and the same complaints of a headache. Last night he vommited multiple times and diarrhea.  managed to make it through the whole day without vommitting drank some and ate some soup.  thought we were clear..he just vommitted again seems to vommit at night, he had a fever earlier and stomach pains,  I have been feeding him ice chips to keep him somewhat hydrated    planning to take him to doctor tomorrow    any clue whats happening? ### REPLY: HI, thanks for using  Sinus infection can be associated with headaches, but they would normally be additional symptoms such as nasal congestion, runny nose, post nasal .  Some of these are usually present. Vomiting and diarrhea are commonly due to infection of the gastrointestinal tract. This can be viral or bacterial, headache can occur. You should continue with the ice chips though using a fluid with electrolytes would be better to give him back both. e.g. mediate or another 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: hi doc, i am bitten by a dog 1 month ago. I took anti rabies injection 5dose course. My doc hadnt specified any diet restrictions but my friends and relatives say that ishould avoid Non veg(egg also), jaggery, beans etc... wat advise can you give me in this regard. ### REPLY: Hi, Welcome to ! It is only a myth that non veg food should be avoided after dog bite. It has no scientific basis and is hence certainly false. In fact non-veg food provides you with proteins which is needed by your body to fight off infection. So, there is no such food which should be avoided during this period. As for dietary advice, I'd advice you to eat a balanced diet. Soybean, egg and non-veg food will be beneficial to fight off the infection. Hope this information helps. Feel free to ask if you have any doubts. Wishing you a speedy recovery. With warm 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, may I answer your health queries right now ?Dear doctor, I am 33 yrs old, married with one daughter age 9. In recent times I have developed severe backaches which continues for several days.I had a miscarriage recently, during my last scan my doctor informed me that my left ovary is slightly oversized compare to the right one. Can it be due to fibroid. I always hear woman saying if having terible backpain always, it might be because of fibroid, is that true? My daughter (9 yrs old) was born through vacuum, and my doctor recommended epidural during my delivery due to very long labor. Can you pls advise? ### REPLY: Hi, welcome to  As I can understand from your history, your major complaints are of back pain. A slight oversized left ovary, as reported by doctor. A history of miscarriage. Considering this information following conditions appears likely ovarian cyst, uterine fibroid, endometriosis. All these conditions can have presentation similar to yours. If a patient witChatDoctorplaints and history as yours comes to my clinic, I would advise a Transvaginal sonography to rule out uterine conditions. A consultation to gynecologist will definitely help. Welcome for further suggestions. .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am masturbating daily since age of 13.my life partner died 12 years back. i am not remarried.but continued masturbation.my b.p gone 160/110 and 2-3 epithelial cells detected in my urine and cholestrol up.one ayu doctor prescribed me decrin plus and stonvil.now he left practice and gone to job.now very recently i suffered hematospermia which stopped later.i cant stop masturbation.my stocmach getting spoilt badly,indigestion,burning sensation and prickling sensation in urethra..what to do? ### REPLY: Degree understand your concerns went through your details.  Please understand, hematospermia has nothing to do with masturbation. Seeing blood in the semen can make a man anxious. Fortunately, it doesn't always signal a major medical problem. For men younger than 40 with no related symptoms and no risk factors for underlying medical conditions, blood in semen often disappears on its own. But for men 40 and over, chances are higher that blood in the semen needs evaluation and treatment. This is especially true for men who:1. Have repeated episodes of blood in the semen2. Have related symptoms while urinating or ejaculating3. Are at risk for cancer, a bleeding disorder, or other conditionsTherefore, you should consult a urologist for detailed evaluation of the problem without fail. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query.  Further clarifications are welcome. Good luck. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am a 68 year old male in relatively good shape, non-smoker and non-drinker......have been informed that I have a small growth in my prostate. Test 2001 was 1.81......recent test is 4.66. Should I have a biopsy? The MD is saying yes......I have other older males who say no....I would appreciate your thoughts. Sincerely, Greg Wiechert ### REPLY: Hello dear, Thank you for your contact to . I read and understand your concern. I am  answering your concern. No, you should go for biopsy. Rising PSA level in male is having two possibilities 1. BPH that is being prostatic hypertrophy.&2. Prostatic malignancy. There is one more test PSA velocity is used to measure the exact diagnosis if you don't want to do biopsy than you can do this test. High velocity of PSA is suggestive of malignancy. Biopsy will tell you exact nature of malignancy and its possible management. So in my advice you should go for biopsy and then further management. 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: My bottom second to the back tooth, may have been filled at one time. Has a black line between the gum and tooth. On the inside of the mouth and outside cheek area. It"s like someone tried to make a circle around the tooth with a black ink pen. I "m just starting to feel a little pain in it now. It has just showen up it wasn"t there a few days ago . What could this be? ### REPLY: Thanks for your query, I have gone through your question, the black line between the tooth and the gum could be a hard deposit or calculus(black)...if it is on the gingival it could be a normal melanin pigmentation which usually occurs in smokers called smokers' Melanesia...nothing to worry get your teeth cleaned...if you have the habit of smoking stop it gradually...maintain oral hygiene...consult an oral physician...I hope my answer will help you...take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: My 13 year old sister has been having symptoms of strange behavior that started with her having chest pains and saying she can t breathe. My parents took her to the er where a brain scan was done and also a look at her heart. Everything came back normal. Today she is acting very slow and strange. She can t sleep. She says she s too hot one minute and then she gets cold a little while later. She says her feet and hands feel like pins and needles and that light is too bright and that her hair is too heavy. She talks slowly and can t seem to think clearly and answers to questions are unorganized or not relevant to the question. I am very scared for her. I asked my parents to take her to a psychiatrist but they are waiting to see if she gets better. I don t know what to do. ### REPLY: Your sister is likely suffering from Conversion Reaction. This is common in this age group specially in girls. Something has happened which is subbed consciously causing problem to her. She is not able share the problem to anyone and that is increasing her distress. There may be any problem starting from onset of periods, any bulling or teasing in school, any love issues... anything. Ask your parents to talk to her regarding any problem giving assurance that they will be by her side. Once she starts communicating things will resolve. . Tab clonazepam can give her some relieve. As weight is not mentioned can't give you the dose. 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: Hi doctor, I have being suffering from lowback pain, and some numbness of toes for quite some time. There is an area just above the knees (both), parallel to the hands when when stand with arms hanging down. It is fairly a small area where the feeling is different. i have consulted many neuro and orthopaedic surgeons and taken two to three MRI images along with number of x-rays. But none of those MRI s show a severe damage to the joints L4 L5 or any other area examined. But highlighted there is a slight bulging in L4 & L5, I m a regular Badminton player for the last one & half years. When playing i don t have much of difficulties, but after sitting and doing some work, it is difficult to strighten my back with one go, it takes a while for me to settle down. In addition to that if i put my right arm back of my head or extend above the head and keep resting for a while, i find it very difficult to bring it back without the healp of the other arm. But after few movements it becomes close to normal, but have very pale pain in the shoulder joint area. Would appreciate if you could advice me on the type of problem i have and how to overcome or treat to my problem. Thank you Hussain ### REPLY: Hello Hussain!  I just read your concerns.  The pain on your lower back and numbness in your toes is caused by the bulge in your L4-L5 (lumbar area).  With the description you gave me, it seems you have a nerve root compression in your back.  Nerve compressions are treated initially with physical therapy, analgesics, and warm compress.  For more severe cases, surgical intervention is suggested.  I suggest you go to the nearest rehabilitation for you to start your physical therapy-- it will greatly reduce your pain and discomfort. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi,i had sex with my husband three days after my periods, after two hours i had an i-pill, but the next day i had sex again.. and after three days i am bleeding..will the i-pill taken the previous day still work..is there any chance of getting peganant?? ### REPLY: Hello dairy understand your concerned not worry. There is no chance of the pregnancy.1. You took I pill within 2 hours of the sex and it if highly effective in preventing the pregnancy. (95-97%)I pill does not protect against the second sexual intercourse. But2. You had sex just 3-4 days after the period, and it is completely safe period of the cycle. During this period, no ovulation take place so no fertilization. Your bleeding is a breakthrough bleeding due to progesterone with .  (Side effect of I pill as it contain high progesterone). It will go in next 1-2 days. Avoid sex, 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: I was diagnosed with bursitis, wore a temporary cast, advised to wear special boot. Took a painkiller for a few weeks. Pain has increased beyond toleration affecting my work and home life . I am pretty tolerant to pain but it has now become difficult to function as I endure 17 hour days. Please advise... I stretch before rising, administer ice packs, cortisone cocktails dull pain for only a few days. I lay in bed with pillow propped under foot, I tried Yoga meditation, I take aspirin daily against my beliefs to medicate myself . I experience soreness in my calf as well... Nancy M. ### REPLY: Hello, Welcome to , Bursitis is inflammation of a bursa. It may be a Trochanteric bursitis frequently causes tenderness of the outer hip and Social bursitis which can cause dull pain in the upper buttock area. The noninfectious bursitis is treated by rest, ice, and medications for inflammation and pain. Infectious bursitis can be treated with antibiotics, aspiration, and surgery. Steroid injection of corticosteroid along with a local anesthetic may also be helpful in relieving symptoms of hip bursitis. It involves a single injection into the bursa. The injection may provide temporary (months) or permanent relief. If pain and inflammation return, another injection or two, given a few months apart, may be neededOnce the pain is down do stretch of hamstrings muscle and performs muscle. The stretches to be done 5 times for the hold of 10 counts 2 times a day. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a bartholin cyst ,bt it was small and painless.but 15-20 days ago it was totaly gone.bt few days ago after a sexual activity( fingaring) the cyst became larger and painful.. Nw it is itiching and rashes on it.. Whats wrong in my cyst? Is it normal? ### REPLY: HelloWelcome to ChatDoctorThanks for posting your query in . As the Catholics cyst is swollen and painful, it seems to be infected. So, you need to take a course of antibiotics for this along with painkillers like ibuprofen. Also give hot fomentation on the swelling daily for 4-5 times. If the symptoms won't come down by all this you need to undergo a minor procedure called marsupialization after consulting your gynecologist. Hope you are happy with the answer. 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: 786MY NAME IS RAHIMULLAH:I am 30 years old when I born from my mother I had undesinded testes when I become 14 years old I operation it right site and I operation left site when I become 26 years old I get marred tow years ago I have no children and I have azoospermia I must mention that both site became hol with its self .Rahimullah My email add is :( YYYY@YYYY )My skype name is (rahimullah100)And my phone no is: 0000 and 0000 Can I have care or no? If yes how and where?  if in India how much money is need send email or add me in skype to chet and I understand youI well be faward to your answer Thanks rahimullah ### REPLY: Dear Rahimullah, I do empathize your situation. If after surgical treatment for your descended testes on both the sides, your semen shows no sperms, it is now unlikely that you can have your own sperms. You can go for donors sperm; then either intrauterine insemination or in vitro fertilization with embryo transfer. However, you have to understand the legal provisions and aspects of donors semen. Each country has its different laws. Please find out the legal status before you go for donors sperms. In India, (provided there is no legal hassle) the cost depends upon the procedure required to be performed and the number of times it needs to be performed. More details may be on the Direct question. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi Doctor,Im 22 year old and I have been having minor depression for the past 6 months.About 4 months ago I passed out at work due to the pain in period, my doctor suggested me taking birth control pills. Im getting worse with my depression and Im worrying the birth control pills not helping with my depression although they helped my period problem.  Im feeling hopeless, please help!Hopeless ### REPLY: Degree understand your concerns went through your details. I can understand. Birth control pills do have these problems. Have you got diagnosed your mild depression from a psychiatrist / psychologist? You cannot diagnose depression yourself. There are certain criteria and need to diagnosed deferentially. You could just be disappointed and irritated. In such a condition also symptoms that resemble depression manifest, but are short-lived. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. 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: Hi Im using the product of hair 4U for past 2 months nd taking the tablet of ABDIFER  my hair fall has increased Im so worried :-( hair has become so thin...Wat should I do Nw.....I took tis treatment with dermatologist consultant oly Nw I couldn contact her...so kindly pls me out of tis problem.....one of friend also took treatment for hair fall but got good result I dont knw Wat medicine she used ...she told me sum spray with get nd iron folic ... ### REPLY: Hi Dear, Understanding your concern. As per your query you have symptoms of hair fall with thinning which can occur due to stress, improper hygiene, fungal infection and could be due to hormonal changes. I would suggest you to start with Minoxidil lotion first to get proper results and don't stop in between. Apply Indian gooseberries. You should consult dermatologist once for proper examination. The doctor may order skin patch test, blood test, allergic test and physical examination and may prescribe supplements like Omega-3 minoxidil spray, and vitamin E. Hope your concern has been resolved. Best Wishes, ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello sir, i have an allergy to mosquitoes and if they bite me, i get a lot of itching, and later spots which wont heel for days also, after its gone it leaves a dark spot, one doctor i consulted before said its a rare dermatological condition which occurs on fairer skin people. i desperately need to know the cure, its only on my hands and legs, n i feel embarrassed to wear small sleeve dresses ### REPLY: Dear Shine, This is a normal response to an insect bite, especially mosquitoes, that you get. The response to fiery red ants, wasps and bees may provoke an anaphylaxis (severe allergic reaction) response but not against mosquitoes. A mild potency steroid cream (dexamethasone) and anti-histamines taken over 3-4 days usually suffices as treatment of skin reactions to mosquito bites in adults. However, if you are getting bruises or dark areas on severe scratching, you need to ensure that you do not have an abnormal platelet number (low) that leads to the bruising. A complete blood count test should tell you the platelet number. Thanks. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a serious case of ringworm, so I ordered syscan 100 and wish to take them to heal myself of the athletes feet disease, which is spreading over my body. Im in perfect health other than I have Hepatitus C. The reason Im doing this is because the doctor I see will do nothing for me, and no explanation for his decision not to treat. ### REPLY: Hello, Welcome to , As you are having ringworm infection which should be confirmed by physical examination. The fungus is the normal commensalism of the wet areas, and it can sustain for longer period of time in wet and poor hygiene areas.This fungus is kept under control by helpful organisms, whenever there is an imbalance in the environment it will multiply and produces symptoms. For the present symptoms I would suggest you to follow1. Keep the area .  Oral Terminating, 250 mg,once a day for 6-12 weeks3. Topical agents like clotrimazole need to be applied daily. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: i am 23 year old male i have had jaundice once when i was born and 2nd time at the age of 14 and now again i am suffering from jaundice i have done my blood test in which serum bilirubin total and direct are above the normal levels AL-T(SGPT) is 2245 out of 30-65 ,gamma gt (ggt)149 and alkaline phosphatase 151 .my current doc has kept my case under observation i wanted to have a second opinion i am currently suffering from nausea which makes me really uncomfortable . ### REPLY: Hi there, thanks for putting your faith in . I would rather appreciate you for a more concise and detailed note of your history. However, I would have preferred to know the bilirubin levels though, as well as any associated symptoms like itching, decreased appetite or vomiting you experience along with increased levels of bilirubin as jaundice is a symptom which is basically the rise of the yellowish pigments (bilirubin in your body) which are normally converted by liver in soluble forms and excreted into your gut to be excreted out of your body with the stools. The first such incidence of its rise which you experienced in your neonatal life which resolved itself is a type called physiological jaundice, and it is not considered to be a disease, so you need not worry about that, but the second incidence in your adolescence might be because of acute hepatitis which in the majority of cases is viral. But its recurrence is a bigger concern for me as it needs a detailed evaluation to rule out any other cause of chronic liver disease. Though such higher levels of ALT are usually present in Hepatitis A or E which resolves by itself between 1-2 weeks approximately. Your GGT levels indicate around 5 times of the normal levels of your age group which is suggestive of intrahepatic homeostasis or inflammatory hepatitis again favoring an acute inflammatory cause which is likely viral mostly and is water born disease with self remission. If these levels were as high as 10-30 times we would have suspected any obstruction of bilirubin outflow (aka biliary tract diseases) which are unlikely in your case. Also, that there are some diseases which interfere in conversion of insoluble bilirubin into soluble ones or in the excretion inside liver cells due to enzyme deficiencies, which when present or detected in adolescence or afterwards is Gilbert's disease in most of the cases which needs monitoring only along with symptomatic care with no long term treatment need. If I were your physician I would have ordered viral sexologies for hepatitis, along with an ultrasound for liver size and structure as well as outflow tracts from liver and their patency, along with an albumin globulin ratios. I would also have been interested to know synthetic functions of your liver by monitoring INR to see for any need of vitamin K supplementation. The ideal treatment is rest, Fluids, HY .  Also, that if you were experiencing and symptoms of itching, decreased intake, severe vomiting or  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 doctorfor last few months im feeling really upset, frustrated and i think the reason is my activity schedule..theres no perfect timing of sleeping, eating..i feel very tired and lazy..plzz help me...suggest me how much should i need to sleep as im 17 and plz do keep in mind that ive to study atleast 6 hours daily, my school time is 6:30am to 2:30am and my other classes are from 5:00pm to 9:00pmand apart from this schedule i need to give time to self studies, and atleast 5-6 hrs. and my parents sugget me that i should wake up early in the morning and study even my professor suggest me that too...but im not a realy riser, i study late at night for about 2:00pm to 3:00pm and then i feel irritated the whole day..please suggest me a perfect time to sleep with ragard to my studies..and heatlh....also i want to tell you that whenever i face some tention or anythng my hands and foot get cold and i had consulted a doctor earlier, he asked me to consult a nurologist.. ### REPLY: Hi, Thanks for writing in. Sleep hygiene is very important. You may like to reschedule your day and have a short refreshing nap for about 15 minutes in the afternoon. It is difficult to concentrate on any study for more than an hour, and you may take a 5-minute break after every hour of study. Also include simple activities like meditation and listening to music but not more than 10 to 15 minutes at a time. Try to get sleep by 12 o clock in the night and wake up by 6 in the morning. You will have difficulty for two weeks and then get used to it. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I am 56, 175cm and 80 kg. I am diabetic (HbA1c = 6.7) and have elevated cholestrol and low HDL; I am hypertensive. I take medication for all these conditions. My normal heart rate is 78-80. Recently the heart rate has increased to about 90 and sometimes climbs to 120 after i lie down. What could this be due to? ### REPLY: hide you snore at night, have interrupted sleep, excessive daytime sleepiness, if yes it suggests OSA, and it needs a treatment, and it could be a cause for elevated heart rate. Also smoking, low hemoglobin, anxiety, some medicine like inhalers may lead to it. One thyroid test should also be done. Anyway if no reason is found you should monitor your at rest pulse rate and if high need to take medicine beta blocker like Metoprolol. So you should discuss with local doctor. For your cholesterol you should avoid fatty, sugary diet and regular exercises. Also get tablets like atorvastatin 10 mg bedtime prescribed from local doctor and continue this lifetime since this medicine has got cardio protective effect. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 what appears to be psoriasis on the front of my left leg, between the shin and ankle. Is there an over the counter cream I can use to help alleviate the itching and help heal it? I just received my paperwork on Covered Calif,. so I will be seeing a physician soon. Thank you, Melinda Thanks, however, I am not in the position to pay for online consult . I will wait until I see a DR. Thanks ### REPLY: Hello, Thank you for posting on . I can understand your concern regarding the skin lesions but It's difficult to say whether it is psoriasis or eczema in absence of clinical examination. Therefore, I insist you to post good clinical pictures to me so that I can help you in a better way. You can reach me directly through the below-mentioned link.https://urldefense.com/v3/__http://doctor. ChatDoctor .com/doctors/ .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hello I am a 52 year old female with hasamotios disease and had blood work done not fasting and had a hemoglobin of 5.9 could this cause this to be high and i have also had anemia in the past and by t4 is 2.0 and tsh is 0.050 and I still feel tired all the time. ### REPLY: Hihaemoglobin 5.9 at any age is suggestive of anemia. Now low count can be due to1) low production of He due to multiple cause -nutrition deficiency(most common iron and or it. B12), hormonal (hypothyroidism common), or defect at bone marrow level where He production happens. Complete blood count with RBC MORPHOLOGY will suggest the exact cause.2)rapid destruction of RBC due to hemolytic tendency in infectious and autoimmune cause. Serum level bilirubin (specially indirect) will increase in hemolytic anemic condition.3)internal or external hemorrhage(like hemorrhagic) also falls the He level.in short, low He, is the just sign of many disorders.it has to be found out with proper investigations ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: At first it was abnormal liver functions, then fatty liver disease , then with a ct enterography..lesions on my liver..i also have had chronic pancreatitis following a botched removal of my gallbladder with injury to my main bileduct...i keep trying not to think cancer...have been so sick...should also say i have been on many meds ocer the years..and for the last five years or so..have been on vicodin ..tizanidine..morphine..neurontin.. ### REPLY: Hi and welcome to . If you don't have hepatitis or cirrhosis then possibility of having cancer isn't big, but those lesions must be evaluated. It can be localized fatty infiltration but also liver cancer or metastases. You should do detail work up including PET CT scan. What about your liver enzymes and bilirubin. If this is raised then something is wrong, obviously. Your . Wish you good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi my daughter fell over a bike that was lay on the ground back in march.  She was 21months at the time.  This left a lump on her shin and bruising.  The bruising has gone but she still has a lump on her leg. it doesnt seem painful to touch but is this normal for a lump to still be there? ### REPLY: Hi, dairy have gone through your question. I can understand your concern. She has history of trauma and injuries.  It leads to hematoma formation and produce lump. It will clear with in few days.  She should take anti-inflammatory .  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 have a rash on both legs and on my belt line.One Dr. said Yeast infection and gave me triaderm 0.1% with no improvement I went back and the DR, gave me viaderm k c cream. the rash spread and got more pain full at the ER myblod sample indicated Phosphorus too high, should I be concerned? I am 81 yrs old ### REPLY: Hello, Welcome to , As you are having symptoms of fungal infection, your doctor has advised creams like Rider cream is a triamcinolone acetone which helps to reduce the swelling, itching, and redness that can occur in these types of fungal infection. Viaderm KC is also having same . E triamcinolone acetone is a topical corticosteroid prescribed to treat an irritation, pain, and swelling associated with injuries. Side effects that may occur while using these creams like pain, burning, or irritation at the application site. The most common cause of elevated phosphorus levels in the blood is decreased kidney function. Rarely, it is due to excess intake of phosphorus or vitamin D, which increases absorption of phosphorus from the small intestine. As you are having increased phosphorus level you need to undergo renal function test to see other parameters. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I noticed a painful lump on the ball of my foot but experienced no trauma to cause the lump. When I rubbed it, a rather large bruised area appeared around the lump as well as the big toe and side of my foot. The bruising is gone, but the lump is still there. The lump is firm but not hard and still tender to touch and put weight on. Could it be a Ganglion cyst? ### REPLY: Hello and welcome to , Heel of the foot is not a common site of ganglion cyst. Painful lump on the heel can be due to soft tissue thickening known as fasciitis. Bruising commonly occurs due to trauma most commonly or due to platelets disorder or vessel disorders. However, a clinical assessment and relevant investigations are required to know the exact nature of the lesion. Consult your orthopedic for examination and further work up. 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 m pretty sure i have pericoronitis, what antibiotics do i need to make this go away, or what are my next steps to recovery ### REPLY: Hello and welcome to  forum, as you are aware that peritonitis is inflammation of soft tissue that covers your erupting tooth, you should perform warm saline rinses 3-4 times a day. This will relieve pain as well as resolve inflammation. You should visit your dentist, he might place a medicated pack over the soft tissue, it usually takes a week to completely resolve, but depends on from case to case. Your dentist will prescribe you antibiotics and anti-inflammatory medicine according to your condition, kindly keep doing rinses and keep that area clean off food debris.I 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 was diagnosed with a kidney infection 12 days ago. put on cipro for two weeks. had a cat scan that showed a cyst in kidney. I was feeling good until today when the back pain returned. I have 2 days left of cipro but im concerned because of the pain returning. does this mean the cipro is not working? ### REPLY: HelloThanks for your query, based on the facts that you have posted it appears that you have Cyst in your kidney and UTI and have been taking antibiotics (Ciprofloxacin)for a week but still has pain. The cysts in the kidneys are benign cyst and can not be cured with any antibiotics. Please get your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to. Please take broad spectrum antibiotics like Čeferin along with urinary antiseptic like Nitrofurantoin twice daily and urine alkalizer thrice daily. Later on switch on to appropriate antibiotics as per culture report. Taking non-steroidal anti-inflammatory . Get the prescription of medicines from your family Physician. Ensure to  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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. Im a 20-year old healthy female. Today, I went for blood donation for the first time ever. Everything went fine, I didnt even feel dizzy... Just drowsy. However, when I was there, the injection site continued to bleed. And now, 7 hours later, its still bleeding... But a lot less and slower... Should I be worried? :( ### REPLY: Hi, Thanks for asking. Based on your query, my opinion is as follows.1. 7 hours later if still bleeding from site, it is worrisome. However, if you are moving the limb and did some heavy work, then not to worry.2. If you did not have similar episodes previously, when you were injured, then it is nothing to worry.3. Put pressure on it for 5 minutes and then do not move the arm much. If it still continues to bleed, the hemostats is test like Bleeding time, PT and APT is necessary. Meet your doctor at the earliest. Hope it helps. Any further queries, happy to help again. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 being treated for bronchitis. I took a five course of arithromycin. I felt better and then worse again. My doctor prescribed Augmentin. After the third dose, I woke up with excessive saliva, eventually vomiting several times. Is this likely an intolerance to the Augmentin? ### REPLY: Hello. Thank you for asking at . I went through your history. I would like to ask you a few more questions like: What is the total duration of your illness? Why did you need 5 courses of azithromycin? At what interval and for what duration did you take azithromycin? Did you have any blood reports? If yes, what were they? What are the other medications you are taking currently? Did you have fever? After antibiotic course, do you have fever at present? Did you have sucChatDoctorplaints in past? etc. etc. However, from your history, I would like to suggest you following:1. I would first think of gastritis as cause for excessive salivation and vomiting. It can be due to any antibiotics or some other medicines also. So it does not necessarily suggest intolerance to Augmenting. I would suggest you antacid like omeprazole or pantoprazole half-an-hour before meal for at least 7 days/as long as you are taking antibiotics/medications whichever later. 2. Please continue your other medications as prescribed by your doctor.3. If you have not had complete blood count, I would like to suggest getting it done. It may be helpful in deciding whether you need further antibiotics. Personally, if counts are normal and if you no longer have fever also, I would not prescribe antibiotics.4. Taking Augmenting after meals will also help. 5. Please try to avoid smoking, caffeinated beverages, hot & spicy meals. Hope this will be helpful to you. Wish you a quick recovery and the best of the health. Should you have any query, please feel free to ask at . 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: With Helicobacter pylori, how does it enter through your mouth? Is it Via food or contact with a human for eg; kissing . How does it enter the body in the first Place ? What are the correct procedures to get rid of the problem? If by diet, what foods are recommended? ### REPLY: Hi, Welcome to  forum.  H.pylori is not an inhabitant of the mouth, so it is not transmitted through the kissing. It only enters the stomach through the foods, and the water, especially the green leafy vegetables, vegetables etc. If there is H.pylori infection, it causes the peptic ulcer, and cured only by using the specific antibiotic along with the anti ulcer ants.  Wishing for a quick and complete recovery. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I started having chest pains after my car accident which was 2 years ago and my chest hurts in the middle and a couple of times I left like I had something heavy on my chest.. Is there anything I could do so it would stop hurting because I dont have medical insurance ### REPLY: Thanks for your question on . I can understand your concern. Your chest pain is mostly due to accident you had in the past. It is musculoskeletal in nature. No need to worry much for this. Apply warm water pad on affected areas of chest. Take simple painkiller like paracetamol or ibuprofen. Avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. 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 doctor My age is 25 and I have just completed my p.g from last 3 month I m going through lots of stress. Actually that is love problem she left me and I m going through a trauma. Even I cant focus on my career. I cant sleep whole night. What should I do I really dont know should I take sleeping pills. please help me. ### REPLY: Hello thanks for asking It is common in youngsters to develop symptoms of anxiety and depression after relationship problems especially after breakup. You are not able to sleep properly and this is causing significant distress and is affecting your carrier. Taking sleet pills will not cause the condition to improve. You have to face the situation. Sleeping pill will make you dependent and this can prove deleterious to your health. If you are not able to control your anxiety and depression symptoms then I would advise you to consult a Psychiatrist for expert opinion. Medicines like Mirtazapine can be used as antidepressant . Thanks, consult a Psychiatrist for detailed prescription. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 problem in breathing, cough and chest pains due to nasal bone growth. I had consulted ENT specialist and they prescribe medicines to me but problems was repeated after some days. Now doctor suggest to do operation. I want to know is this operation safe and solve my problems forever ? Please suggest. ### REPLY: Hi, thank you for providing the brief history of you. As you mentioned your clinical symptoms I feel all the possible medication has been tried to make sure your problem is solved. But unfortunately your cough, breathlessness and chest pain hasn't come down. What I will explore here is that the lung tissues are treated with simple way and naturally. As most medication are symptomatic and not a cure purpose basis. For the cough and breathlessness this happens due to poor respiratory system. The best way to improve the poor respiratory system is by improving the lung capacities in the form of doing regular breathing exercises and nebulization. Now nebulization will help loosen the mucous and breathing exercises will help improve the strength in the respiratory system. The chest pain is due to the weakness of the respiratory muscles as the respiratory muscles woo get tired and fatigue due to breathlessness and heavy work of the respiratory system. Now in my clinical practice most patients with such issues are referred to physical therapy for strengthening the respiratory muscles and most of them are above 80+, who gets helped for their breathlessness issue. Regarding the operation, I will advise you to try out physical therapy for regaining strength of the respiratory muscles, and you can surely avoid the surgery. As per me, I do not feel the operation will solve your problem. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi. i am currently on antibiotics for a tooth infection and having 1gm of amoxillin twice a day. I use Jack 3D preworkout supplement , but have stopped using it ever since I am on antibiotics. Also I used to take amino acid tablets and protein drinks after workout. Kindly suggest if it would be advisable to continue using the supplements during the antibiotic course which is to be continued for 7 days as advised by the dentist. ### REPLY: HelloWelcome to ChatDoctorYou didn't mentioned that is this acute infection or chronic infection. I suggest you to go for amoxiclav-625 combination twice a day along with that you should take some multivitamin like Tenvit-plus capsules because these antibiotics suppress bacterial flora which is good for our body. You may also take antacid like omeprazole -20 mg if you any gastric problem with them. I also advise you to do some dietary modification like take more of green leafy vegetables, pulses, sprouts, egg, meat, milk, chicken, fish, other seafoods, fruits, juices, and . It's really important for you. Take Care 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: The other day I landed on my feet and twisted my knee (I m a cheerleader) and it s felt stepperated and just wrong ever sense, I tumbled on it again tonight and when I got home I stepped on that leg and felt a snaping feeling in my knee and it made like a popping noise, iv never had a single body part swell before and it s got slight bruising oh and the pain radiates down my shin and back of my leg to my ankle ### REPLY: Hi, Thank you for providing the brief history of you. As the pain is radiating in nature, a thorough neuromuscular assessment is advised. This kind of pain occurs due to pinch of the nerve root in the lumbar spine and radiates down the leg depending upon the dermatome and motor regions. Also, with simple physical therapy, you should get maximum benefits. As per the research, majority of cases recover with physical therapy and have a better functional ability. RegardsJay In .  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have been diagnosed with autoimmunate antibody negative cholangiopathy which I understand is a rare disease.  I cannot find out much information. I think it is a problem affecting the bile ducts.  I have been prescribed ursodeoxycholic acid.  Is this similar to primary biliary sclerosis? ### REPLY: Hi there, This is a diagnosis that is a combination of primary biliary sclerosis and autoimmune hepatitis.  The treatment is exactly what you are taking, and if it becomes worse, steroids can be used.  You're right, there isn't a lot of data on this disease, and its variable as to how many patients end up ultimately need liver transplant. I'd recommend you try to avoid alcohol and fatty foods, and exercise as much as possible, and continue to follow up with the specialist who prescribed you ursodeoxcycholic acid. I hope I have answered your questions. Please feel free to contact me should you have any further questions. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hello doctor . i am 22 years old and am loosing hairs i just cant tell how much depressed i am because of my hair thinnin day by day,i used to have thick long hairs but i ve been straightning them from 3 years and i thick this is because of excessive straightning.please tell me what should i do to make my hair thick again.and will my damaged hairs ever grow back? ### REPLY: Hello, Thank you for posting on . I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, acute or chronic medical conditions, . From your description, it seems you might be having Halogen Effluvium, which is hairball secondary to any form of stress. In your case excessive hair straightening procedures have damaged your scalp and hairs and thus it's causing excessive hairball would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3 months. Also, would put you on solution containing 5% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). I would advise use of gentle shampoo and conditioner on regular basis and use of coconut oil twice a week. Also inquire from your dermatologist about upcoming treatment options like monotherapy and platelet-rich plasma. Avoid combing in wet hair and let them  ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi! My name is raghav. I used to be very fair in complexion but now my skin is toned. My different body parts have different colour. My face is little dusky and my neck is dark brown and arms are also brown. The area of the body which is covered is still fair. Almost i used every products on my skin but i felt they are of no use. I used sunscreen but its also not found effective. Whenever i wash my face it becomes very fair sometimes, but after some hours it becomes dusky.. Please help me i want to regain my fair colour. please tell me a solution that can make my skin fair.. Thankyou ### REPLY: Hi. Welcome to  . I have gone through your query and can understand your concerns. As per your complaint it seems that skin darkening on the exposed areas of your body like face, neck, hands and arms is due to sun exposure causing Sun Tanning. As you might have used sunscreen lotion once the tanning has already occurred then the sunscreen lotion cannot help you. Do not worry, the first thing that you have to do is to keep using sunscreen lotion containing SPF 50 whenever you go out into sun. You can wear full sleeved shirts. If possible cover your face with scarf. You should exfoliate the tanned and dead skin using a mild face and body scrub at least twice a week. You can apply creams containing Comic Acid, Glycolic acid and Albumin to improve the skin tone. Take vitamin C and vitamin E supplements, apply vitamin E oil at night and also do cool compresses over face and neck and also arms. . . Hope this information helps. Thanks and regards. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi, may I answer your health queries right now ?  Please type your query here...I have a history adinoid cystic carsenoma last treated with radiation to my head/neck in Oct 07. Now having severe low back pain issues and scans indicate bulgind discs, spinal stenosis and abnormal bone marrow...could there be a corrilation? ### REPLY: Welcome to  .1. It could be just incidental age related changes that disc causing the spinal stenosis.2. But if you have already done an x-ray, if it is related to adenoid pathology, there will be bony changes seen, and vertebral collapse, wedging and lesions in the spine will be seen.3.Sometimes CT may be needed to evaluate spine -in a case of carcinoma.4. Get an appointment and get the needful investigations done. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: At lest once or twice a week my arms chest feel hot and tingling ...times I get just swollen arms and tingling on one side of my face....what causes this ..thanks....I have been on depression medication and blood pressure meds..Never been sick ....used to workout but I am a product of the recession so stress is a big part of my lifethanks ### REPLY: Hello, welcome to . Your symptoms are related to stress and depression. Depression can manifest not only with psychological symptoms but with a variety of physical symptoms also like: Tingling, numbness, hot and cold sensations, palpitation, tremors (shakiness) etc. In history, you mentioned that, you are already receiving treatment for depression. Your current symptom may be related to residual depression. It is better to get re-evaluated by your psychiatrist to investigate and treat these symptoms effectively. Same time do some relaxation exercise like daily brisk walk, yoga and breathing exercise, which will help you in fast recovery. Wish you good health and all the best.  . 99doctor.com ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, 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 noticed a hard raised unmovable area about the size of a quarter on my right side of my chest just below my clavicle.I later noticed that I have a hard raised area on my right clavicle bone.In fact that is what it feels like,bone.These areas are painless.Im a little worried. Thank You. ### REPLY: Hi, Thanks for your question. I want to know presence of any symptoms like-- Cough, cold, breathing difficulty.- Fever.- Weight loss.- Decreased apatite.- Habits like smoking. There may be possibility of swelling arising from supraclavicular lymph-node or rarely from ribs (it is unlikely). I would like to advise you to consult your doctor for detailed clinical examination. Following investigations may be advisable to confirm diagnosis and appropriate treatment.- Complete blood count.- ESR, CRP.- Chest X-ray.- Ultrasound of local area and abdomen and pelvis.- CT scan of chest.- Liver and Renal function test. Hope this helps you, is so do vote as helpful. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: hi i have been prescribed metrogyl 400 for a parasite i caught in mexico. i was told to take 2 three times a day however could not tolerate this. so today was put back to 1 tablet 3 times a day. i weigh 53kg. do you thinhk this dosage will cure my parasite? ### REPLY: Hellos you stated that you got PARASITIC infection in Mexico, so advised 800 mg metronidazole three times in day. Most probably you are feeling nausea, dizziness, vomiting, abdominal discomfort, metallic taste in mouth, as these are common side effect. So when such situation arise I prescribe pantoprazole -D two times in day with metronidazole as this will subside these side effects of metronidazole.Also, antacid help in this case. Take this dosage after meal. In my opinion the optimum dosage is important. If you take reduced dosage at your own will then resistance may develop (for parasitic infection). So get full advised dosages or consult your treating doctor and get his opinion. Hope this will help you. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I stopped microgynan approx 2 months ago. I have since had a period. However since stopping I have had lots of problems with my health. Firstly I had a suspected DVT and coughed up blood but told all clear then my liver ALT was 260 (normal 10-40) this has come down to 80 but now I have a constant aching pain in right abdominal going down to pelvis and right hip. I also have lost my appetite slightly and lost 4lbs in a week. Help!!!! ### REPLY: Hi and welcome to . Thank you for your query. I am , I understand your concerns and I will try to help you as much as I can. Your symptoms may be suggestive of gallbladder stones, so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition.  Stones are seen more commonly in obese people and those with diabetes. You need to change your dietary habits first.  Need to avoid fried food, carbonated .  You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: Hi I have a 3 year old she s been being sick since 6oclock sat nite she s not overly hot everything I give her she seems 2 b sicking up as soon as she has had it, I just thought it was a bug as my younger daughter has just got over tonsilitis and had sickness 4 a day. ### REPLY: Hi, Welcome to , I would like to have some more details on your child. Is there fever? If yes how high? Does she have throat pain, cough, running nose? Does she have any discomfort while passing urine? If other sibling had some issue before onset of this children symptoms’s, the possibility is that she got the same illness. But It's too early to investigate now. Give her symptomatic medicines and if symptoms persists for another 48 hrs, needs investigations. As a home remedy make sure your give adequate fluids to your child. Please revert to me with any further queries. Take care. ### END


Below is an instruction that describes a task, paired with a human input that provides further context. The task is to simulate a doctor-patient consultation. The human input will be a description of symptoms or health concerns from the patient's perspective. Write a response (reply) that appropriately completes the request, providing an accurate, thoughtful, and empathetic response that a real doctor might give based on the information provided. Never use the words 'Chat Doctor' in your response ### HUMAN: I have a possible sarcoma that was diagnosed as a lipoma in 2008. I was told because I do not have insurance that they would rather watch the lipoma and see if it grows to determine sarcoma. For 1 year i couldnt tell if the tumor was growing. It is going on 2 years and a lump that was 5mm in size is palpable from a standing, sitting and especially laying position. I was laying on my right side and felt the lower left abdominal mass sticking out. It is about 2" deep spaning around 3" across I cannot differentiate all areas of the mass. Over all I believe it is about the size of a raquet ball deep and 2 raquetballs side by side. I am afraid. I dont want to be turned away due to lack of insurance. I am a 36 year old female with 3 children. I have had 3 previous c-sections with no complications other than adhesions. I have had 2 adhesion removal surgeries from my c-section scar. This mass is from the level of the scar to about 2.5" above the scar and about 4" across. I have called my doctor but I do nt trust his team anymore. The last time I saw his recomended general surgeon she had not looked at my ct scan and told me this was really a CYA appointment. After I inquired what CYA meant she told me cover your ass. So my doctor could cover his ass in diagnosing lipoma. This surgeon did call after she reviewed my ct scan and told me this was just c-section scar tissue. I also have autoimmune chronic pancreatitis with a recent bout of diverticulitis, fibromyalgia and degenerative joint disease. Please point me in the right direction to go ### REPLY: First, you need to rule out a hernia since the swelling is in the region of the incision. A hernia is just a defect in the abdominal wall with resulting protrusion of the contents within. This can be ascertained based on an abdominal ultrasound. So, get that done first. If it is not a hernia but a soft tissue lesion, then get an FNAC (needle test) done from the lump. This will ascertain whether it is indeed a lipoma or something more serious. A lipoma can be ignored unless it is causing pain or other symptoms. ### END